Wu Lei, Zhang Huiping
Department of Social Work, School of Sociology and Population Studies, Renmin University of China, Beijing.
Health Soc Work. 2016 Nov 20;41(4):219-227. doi: 10.1093/hsw/hlw039.
Previous researchers had not yet examined the association between socioeconomic status (SES) and health-related quality of life (HRQOL) in urban China. The present study attempts to assess HRQOL of lower-SES populations in urban China in comparison with middle- and high-SES populations, and then to examine the mediating role of sense of control between SES and HRQOL. A national representative sample of 1,856 participants responded to the HRQOL survey using the 12-item Short Form Health Survey (SF-12), conducted by the Chinese General Social Survey research team in 2010. The results showed that lower-SES populations reported lower HRQOL than middle- and high-SES populations. Sense of control could partially mediate the association between social class and HRQOL. These findings will generate significant policy and practice implications for identifying those at particular risk for lower HRQOL and, accordingly, suggesting ways to improve their HRQOL through specific social work interventions in urban China's context.
以往的研究人员尚未考察中国城市社会经济地位（SES）与健康相关生活质量（HRQOL）之间的关联。本研究试图评估中国城市中低社会经济地位人群与中高社会经济地位人群相比的健康相关生活质量，然后检验控制感在社会经济地位与健康相关生活质量之间的中介作用。中国综合社会调查研究团队在2010年对1856名具有全国代表性的参与者进行了一项健康相关生活质量调查，这些参与者使用12项简明健康调查问卷（SF-12）进行了回应。结果显示，低社会经济地位人群报告的健康相关生活质量低于中高社会经济地位人群。控制感能够部分中介社会阶层与健康相关生活质量之间的关联。这些发现将为识别那些健康相关生活质量特别低风险人群产生重大的政策和实践意义，并据此提出在中国城市背景下通过特定的社会工作干预来改善他们健康相关生活质量的方法。
