Żołnierczuk-Kieliszek Dorota, Kulik Teresa B, Janiszewska Mariola, Stefanowicz Agata
Katedra Zdrowia Publicznego Uniwersytetu Medycznego w Lublinie.
Prz Menopauzalny. 2014 Mar;13(1):13-7. doi: 10.5114/pm.2014.41079. Epub 2014 Mar 10.
The aim of the study is to evaluate the impact of sociodemographic factors on the quality of life (QOL) in 45-65-year-old women.
The research by means of a survey method, postal questionnaire technique, comprised 2143 women - a representative sample of the female population living in Lublin Province. Three standardized questionnaires - WHOQOL-BREF, Women's Health Questionnaire and SF-36 - as well as an original questionnaire were used as research tools. In statistical analysis Student's t-test for two groups, an analysis of variance, Dunnett's T3 test for multiple comparisons, a one-way analysis of variance (one-way ANOVA) and a stepwise logistic regression analysis were used.
In the population of peri- and postmenopausal women a significantly better quality of life in comparison with the rest of the studied women was established in women aged 45-49 years, respondents living permanently in urban areas as well as better educated women, those with full-time employment, especially those doing intellectual work, women remaining in a long-lasting relationship, and women assessing their financial situation and living conditions as well. Logistic regression analysis showed that the strong predictors of poor quality of life were as follows: self-assessment of living conditions as poor, self-assessment of financial situation as poor, permanent place of residence in the country, lower education level (incomplete primary education, primary education).
The group of women with worse quality of life should become the main addressee of preventive programmes and health policy programmes designed for peri- and postmenopausal women.
本研究旨在评估社会人口学因素对45至65岁女性生活质量(QOL)的影响。
采用调查法,通过邮政问卷技术进行研究,共有2143名女性参与,她们是居住在卢布林省女性人口的代表性样本。使用了三份标准化问卷——世界卫生组织生活质量简表(WHOQOL - BREF)、妇女健康问卷和SF - 36——以及一份原始问卷作为研究工具。在统计分析中,使用了两组学生t检验、方差分析、用于多重比较的邓尼特T3检验、单因素方差分析(单向方差分析)和逐步逻辑回归分析。
在围绝经期和绝经后女性群体中,45至49岁的女性、永久居住在城市地区的受访者、受教育程度较高的女性、全职工作的女性,尤其是从事脑力劳动的女性、保持长期关系的女性以及对自己的财务状况和生活条件评价也较好的女性,其生活质量明显高于其他被研究的女性。逻辑回归分析表明,生活质量差的强烈预测因素如下:自我评估生活条件差、自我评估财务状况差、在农村的永久居住地、较低的教育水平(小学未毕业、小学教育)。
生活质量较差的女性群体应成为为围绝经期和绝经后女性设计的预防计划和健康政策计划的主要目标对象。