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阿根廷图库曼两个地区儿童的感知健康及其与宏观社会和个体因素的关系。

Perceived health and its relation with macrosocial and individual factors in children from two departments of Tucumán, Argentina.

作者信息

Cordero María L, Mamondi Verónica, Berra Silvina, Cesani María F

机构信息

Instituto Superior de Estudios Sociales (ISES), Universidad Nacional de Tucumán (UNT), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET). Centro Científico Tecnológico (CCT) Tucumán, San Miguel de Tucumán, Tucumán, Argentina.

Centro de Investigación Epidemiológica y en Servicios de Salud, Escuela de Salud Pública, Universidad Nacional de Córdoba, Ciudad Universitaria, Córdoba.

出版信息

Arch Argent Pediatr. 2017 Oct 1;115(5):415-423. doi: 10.5546/aap.2017.eng.415.

Abstract

INTRODUCTION

The assessment of health-related quality of life (HRQoL) during childhood favors the identification of factors that affect growth and development. The objectives of this study were: a) to describe the HRQoL in children between 8.0 and 11.9 years old living in the Province of Tucuman; and b) to assess whether the HRQoL varies in relation to macrosocial (quality of life in the department, urban/rural household, socioeconomic status) and individual (age and sex) factors.

POPULATION AND METHODS

Quantitative and cross-sectional study among students from the departments of Yerba Buena and Simoca. The KIDSCREEN-52 questionnaire was administered to measure the HRQoL dimensions, and Student" s t tests, analysis of variance and multivariate logistic regression analysis to evaluate the data according to macrosocial and individual factors.

RESULTS

A total of 1647 surveys were analyzed. Younger students and of male sex, in general, had a better perception of their health. Yerba Buena residents had mean scores that were significantly lower in the financial resources dimension, as compared to residents of Simoca (45.3 vs. 46.7, p: 0.01). There was no association between the socioeconomic status and the HRQoL. Children from rural areas had the lowest scores in most dimensions, with significant differences in selfperception (51.3 vs. 53.0, p: 0.01) and mood (43.2 vs. 44.5, p: 0.03).

CONCLUSIONS

Perceived health of children from Yerba Buena and Simoca varied in relation to macrosocial and individual factors. In Yerba Buena, the perception of financial resources was worse than in Simoca. In general, the opinion of children from urban areas was more favorable than that of children from rural areas. Younger students and of male sex had a better perception of their health status.

摘要

引言

儿童期健康相关生活质量(HRQoL)评估有助于识别影响生长发育的因素。本研究的目的是:a)描述图库曼省8.0至11.9岁儿童的HRQoL;b)评估HRQoL是否因宏观社会因素(部门生活质量、城乡家庭、社会经济地位)和个体因素(年龄和性别)而有所不同。

人群与方法

对耶尔瓦布埃纳和西莫卡部门的学生进行定量横断面研究。采用儿童生活质量量表-52(KIDSCREEN-52)问卷测量HRQoL维度,并运用学生t检验、方差分析和多因素逻辑回归分析,根据宏观社会和个体因素对数据进行评估。

结果

共分析了1647份调查问卷。总体而言,年龄较小的学生和男生对自身健康的认知较好。与西莫卡居民相比,耶尔瓦布埃纳居民在财务资源维度的平均得分显著较低(45.3对46.7,p:0.01)。社会经济地位与HRQoL之间没有关联。农村地区的儿童在大多数维度得分最低,在自我认知(51.3对53.0,p:0.01)和情绪(43.2对44.5,p:0.03)方面存在显著差异。

结论

耶尔瓦布埃纳和西莫卡儿童对健康的认知因宏观社会和个体因素而异。在耶尔瓦布埃纳,对财务资源的认知比西莫卡更差。总体而言,城市地区儿童的看法比农村地区儿童更积极。年龄较小的学生和男生对自身健康状况的认知较好。

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