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[成都市老年农民工健康相关生活质量及影响因素分析]

[Analysis on the Health-related Quality of Life and Influencing Factors among the Older Generation of Migrant Workers in Chengdu City].

作者信息

Hou Fu-Rang, Yang Yang, Yan Liu-Qing, Gao Yu-Yang, Zhang Xi, Dai Xue-Mei, Yuan Ping

机构信息

Department of Epidemiology and Health Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China.

Department of Health Policy and Management, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China.

出版信息

Sichuan Da Xue Xue Bao Yi Xue Ban. 2020 May;51(3):383-387. doi: 10.12182/20200560105.

DOI:10.12182/20200560105
PMID:32543147
Abstract

OBJECTIVE

To understand the status and distribution characteristics of health-related quality of life (HRQOL) of the older generation of migrant workers in Chengdu, and analyze the factors influencing the quality of life of the older generation of migrant workers, so as to provide reference for formulating relevant policies to improve the health of the older generation of migrant workers.

METHODS

From June 2017 to June 2018, the respondent-driven sampling (RDS) method was used to select 1 492 non-registered migrant workers born before 1980 living in Chengdu city. The investigation was performed with questionnaire including demographic characteristics, working status, economic status, disease status, living environment and HRQOL.

RESULTS

The scores of physical component summary (PCS), mental component summary (MCS) and the total score of HRQOL in the older generation of migrant workers were 50.78±7.54, 50.67±10.24 and 101.45±12.34, respectively. Multiple linear regression analysis showed that older age (standard regression coefficient ( )=-0.061, =0.026), low education level ( =-0.053, =0.038), being unmarried, divorced or widowed ( =-0.064, =0.009), chronic diseases ( =-0.156, <0.001), or two-week illness ( =-0.190, <0.001) were the risk factors of low HRQOL; High income level ( =0.069, =0.013), having a steady job ( =0.126, <0.001), having endowment insurance ( =0.055, =0.027) and satisfactory with the living environment ( =0.060, =0.016) were the contributing factors factors of high HRQOL.

CONCLUSION

The HRQOL of the older generation of migrant workers in Chengdu is generally good. More attention should be paid to the migrant workers of older age, having lower income, suffering from chronic diseases, being unmarried/divorced/widowed, and lacking endowment insurance. Appropriate measures should be taken to improve the health status of the key groups.

摘要

目的

了解成都市老年农民工健康相关生活质量(HRQOL)的现状及分布特征,分析影响老年农民工生活质量的因素,为制定改善老年农民工健康状况的相关政策提供参考。

方法

2017年6月至2018年6月,采用应答者驱动抽样(RDS)方法,选取成都市1980年以前出生的1492名非户籍农民工。通过问卷调查进行调查,内容包括人口学特征、工作状况、经济状况、疾病状况、生活环境和HRQOL。

结果

老年农民工的生理健康综合评分(PCS)、心理健康综合评分(MCS)及HRQOL总分分别为50.78±7.54、50.67±10.24和101.45±12.34。多元线性回归分析显示,年龄较大(标准回归系数(β)=-0.061,P=0.026)、文化程度低(β=-0.053,P=0.038)、未婚、离异或丧偶(β=-0.064,P=0.009)、患有慢性病(β=-0.156,P<0.001)或两周内患病(β=-0.190,P<0.001)是HRQOL较低的危险因素;高收入水平(β=0.069,P=0.013)、有稳定工作(β=0.126,P<0.001)、有养老保险(β=0.055,P=0.027)和对生活环境满意(β=0.060,P=0.016)是HRQOL较高的促进因素。

结论

成都市老年农民工的HRQOL总体较好。应更多关注年龄较大、收入较低、患有慢性病、未婚/离异/丧偶且缺乏养老保险的农民工。应采取适当措施改善重点人群的健康状况。

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