School of Public Health, Xinxiang Medical University, 22 Qixiangtai Rd, Tianjian, 300070, China.
School of Public Health, Tianjin Medical University, 601 Jinsui Rd, Xinxiang, 453000, Henan, China.
Health Qual Life Outcomes. 2020 Aug 14;18(1):280. doi: 10.1186/s12955-020-01522-w.
The objectives of this study were to investigate the HRQoL of residents living in central urban areas (CUA) and developing neighborhoods (DN) areas of North-China and to examine the relationship between health conditions and the physical and mental components of quality of life.
A stratified random sample was taken and health survey scoring system questionnaire SF-36 was used to conduct the HRQoL survey among community residents in the two selected districts in 10 cities. A general questionnaire was also administered with questions that collected general information, population demographic characteristics and health behaviours, social relationships and perception of life satisfaction.
Five thousand eight hundred eighty-one questionnaires were returned from 6059 invitations with a effective response rate of 97%. The residents in DN had a higher score of physical function, role limitation due to physical problems and vitality than those living in CUA. The prevalence of several chronic diseases was lower in DN's residents than CUA's residents. Age, presence/absence of chronic diseases, leisure time exercise, regular daily routine, sleep quality, appetite, family and social relationships and life satisfaction were significant determinants of HRQoL.
Residents living in newly developed neighborhoods in China while keeping some habits and lifestyles of their original rural communities are healthier in terms of chronic diseases and HRQoL. Together with other risk factors chronic diseases are an important determinant on HRQoL. Several healthy habits and behaviors such as having a regular daily routine and exercising during leisure time improved HRQoL in Chinese urban communities. Targeted policies of public health based on these findings can better the health-related quality of life.
本研究旨在调查华北中心城市（CUA）和发展中社区（DN）居民的 HRQoL，并探讨健康状况与生活质量身心成分之间的关系。
采用分层随机抽样方法，对选定的 10 个城市的两个区的社区居民进行健康调查评分系统问卷 SF-36 调查。还发放了一份一般问卷，其中包含一般信息、人口人口统计学特征和健康行为、社会关系和生活满意度感知等问题。
从 6059 份邀请中收回了 5881 份有效问卷，有效回复率为 97%。DN 的居民在生理功能、因身体问题导致的角色限制和活力方面的评分高于 CUA 的居民。DN 居民的几种慢性病患病率低于 CUA 居民。年龄、是否患有慢性病、休闲时间锻炼、日常规律、睡眠质量、食欲、家庭和社会关系以及生活满意度是 HRQoL 的显著决定因素。
居住在中国新开发社区的居民在慢性病和 HRQoL 方面保持着他们原来农村社区的一些习惯和生活方式，更为健康。与其他危险因素一样，慢性病是 HRQoL 的重要决定因素。一些健康的习惯和行为，如日常生活规律和休闲时间锻炼，提高了中国城市社区的 HRQoL。基于这些发现的公共卫生针对性政策可以改善与健康相关的生活质量。
