Global Health Research Center, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Department of Psychology, University of Macau, Macau, China.
Qual Life Res. 2021 Apr;30(4):1025-1035. doi: 10.1007/s11136-020-02663-7. Epub 2020 Oct 9.
This study aims to understand the quality of life (QOL) among Sub-Saharan African (SSA) migrants and explore the factors that contribute to and shape SSA migrants' QOL and shed light on how post-migration factors affect their QOL in China.
We conducted a nationwide cross-sectional survey on QOL of SSA migrants in China from August, 2019 to November, 2019. We recruited SSA migrants using a combination of peer-referred online and offline surveys. The WHOQOL-BREF scale assessed the QOL of participants, and depressive symptoms were measured using Center for Epidemiologic Studies-Depression scale. Correlates of well-being including depressive symptoms, migration-related factors, and socio-demographic characteristics were included in hierarchical linear regression models to explore the contributions of these factors on QOL of SSA migrants.
This study included 928 eligible SSA migrants. The total score of the WHOQOL-BREF scale was 66.8 ± 14.0. Attitudes of local people toward SSA migrants (β = 3.1, 95% CI 2.4, 3.0) and satisfaction with their living conditions (β = 3.6, 95% CI 2.5, 4.7) were positively associated with QOL and explained 12.2% of the variance. Contracting an infectious disease in the past year (β = - 5.3, 95% CI - 7.6, - 2.9) and depression werenegatively associated with QOL (β = - 0.7, 95% CI - 0.7, - 0.6) and explained 24.4% of the variance.
Our study underscores the importance of several key factors that may aid in the improvement of QOL among SSA migrants. Post-migration environmental factors emerged as key correlates of QOL, which builds on previous evidence that the post-migration context should be improved to safeguard the well-being of SSA migrants in China.
本研究旨在了解撒哈拉以南非洲（SSA）移民的生活质量（QOL），探讨影响 SSA 移民 QOL 的因素，并揭示移民后因素如何影响他们在中国的 QOL。
我们于 2019 年 8 月至 11 月在中国对 SSA 移民进行了一项全国性的 QOL 横断面调查。我们使用同伴推荐的在线和线下调查相结合的方法招募 SSA 移民。使用世界卫生组织生活质量简表（WHOQOL-BREF）评估参与者的 QOL，使用流行病学研究中心抑郁量表（CES-D）测量抑郁症状。将包括抑郁症状、与移民相关的因素和社会人口学特征在内的幸福感相关因素纳入分层线性回归模型，以探讨这些因素对 SSA 移民 QOL 的贡献。
本研究纳入了 928 名符合条件的 SSA 移民。WHOQOL-BREF 量表总分 66.8±14.0。当地人对 SSA 移民的态度（β=3.1，95%CI 2.4，3.0）和对他们生活条件的满意度（β=3.6，95%CI 2.5，4.7）与 QOL 呈正相关，解释了 12.2%的方差。过去一年中感染传染病（β=-5.3，95%CI -7.6，-2.9）和抑郁与 QOL 呈负相关（β=-0.7，95%CI -0.7，-0.6），解释了 24.4%的方差。
我们的研究强调了几个关键因素的重要性，这些因素可能有助于提高 SSA 移民的 QOL。移民后环境因素是 QOL 的重要相关因素，这与之前的证据一致，即应改善移民后的环境，以保障中国 SSA 移民的福祉。
