School of Public Health and Management, Chongqing Medical University, No. 1 Yixueyuan Road, Yuzhong District, Chongqing 400016, China.
The Fourth Student Office of the School of Nursing, Chongqing Medical University, No. 1 Yixueyuan Road, Yuzhong District, Chongqing 400016, China.
Int J Environ Res Public Health. 2018 Apr 16;15(4):768. doi: 10.3390/ijerph15040768.
Arthritis is a common disease in China, but few studies have been conducted to explore the associated health-related quality of life (HRQoL) and its influencing factors in Chongqing, China. This study aimed to explore the association of arthritis and HRQoL and probe factors affecting HRQoL among arthritis patients.
A cross-sectional survey was conducted in Chongqing, China. A total of 1224 adults were included in the analysis. Medical Outcomes Study Short Form 36 Health Survey (SF-36) was used to measure HRQoL. Multiple linear regression models (stepwise) and covariance analysis models were used to examine the association of arthritis with HRQoL and analyze factors associated with HRQoL among arthritis patients. Participants with arthritis had poorer HRQoL than those without. Among arthritis patients, the female was associated with a poorer state of physical functioning (p < 0.05); unemployed patients had a poorer state of role-physical than employed patients (p < 0.05); low average monthly income was associated with a poorer state of physical functioning (p < 0.01); childhood non-breastfeeding history was associated with a poorer state of social functioning (p < 0.01); average or dissatisfied attitude to current living conditions was associated with a poorer state of vitality and mental health (p < 0.05 for all); moreover, poor or general appetite was associated with a poorer state of role-physical, general health, social functioning, bodily pain, and role-emotional (p < 0.01 for all). Arthritis patients have worse HRQoL than those without in the Chinese population. Female, low socioeconomic status, childhood non-breastfeeding history, average or dissatisfied attitude to current living conditions and poor or general appetite were associated with poorer state of HRQoL among Chinese arthritis patients.
关节炎是中国的一种常见疾病，但很少有研究探讨中国重庆关节炎患者相关的健康相关生活质量（HRQoL）及其影响因素。本研究旨在探讨关节炎与 HRQoL 的关系，并探讨影响关节炎患者 HRQoL 的因素。
在中国重庆进行了一项横断面调查。共纳入 1224 名成年人进行分析。采用医疗结局研究 36 项简明健康调查量表（SF-36）评估 HRQoL。采用多元线性回归模型（逐步法）和协方差分析模型，检验关节炎与 HRQoL 的关系，并分析关节炎患者 HRQoL 的相关因素。关节炎患者的 HRQoL 较差。在关节炎患者中，女性的身体机能状态较差（p<0.05）；失业患者的身体角色受限程度比就业患者差（p<0.05）；平均月收入较低与身体机能状态较差相关（p<0.01）；儿童期非母乳喂养史与社会功能状态较差相关（p<0.01）；对当前生活条件的平均或不满意态度与活力和心理健康状态较差相关（p<0.05）；此外，食欲差或一般与身体角色受限、一般健康、社会功能、躯体疼痛和情绪角色较差相关（p<0.01）。关节炎患者的 HRQoL 比中国人群中无关节炎患者差。女性、低社会经济地位、儿童期非母乳喂养史、对当前生活条件的平均或不满意态度以及食欲差或一般与中国关节炎患者 HRQoL 较差相关。
