与关节和核心家庭生活质量相关的因素：一项基于人群的研究。
Factors associated with quality of life among joint and nuclear families: a population-based study.
机构信息
Department of Community Medicine, Women Medical and Dental College, Abbottabad, Pakistan.
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
BMC Public Health. 2021 Jan 28;21(1):234. doi: 10.1186/s12889-021-10265-2.
BACKGROUND
Advantages and disadvantages associated with joint and nuclear family systems can affect quality of life (QOL). However, there is scarcity of literature about QOL among joint and nuclear family systems. This study aimed to assess the factors associated with QOL in joint and nuclear family systems.
METHODS
We conducted a population based cross sectional study in all 52 Union Councils (UCs) of District Abbottabad, Khyber Pakhtunkhwa province, Pakistan from March 2015 to August 2015. Multistage cluster sampling technique was used to select participants from both nuclear and joint family houses. The validated Urdu version of World Health Organization Quality of Life Questionnaire-Brief Version (WHOQOL-BREF) was used to assess quality of life among participants. Univariate and multivariate analyses were performed to explore the associations of different socio demographic variables with QOL among both family systems. Also a multilevel linear regression using backward analysis to obtain final model for each domain was performed to find out the variables that are associated with QOL score in each of family systems.
RESULTS
A total of 2063 participants were included in this study (51.0% joint family, 49.0% nuclear family) with the response rate of 97.4%. In multiple linear regression analysis of each domain for joint and nuclear family systems, rural residence compared to urban (p < 0.001), being female (p < 0.001), older age (p < 0.001), having comorbidity (p < 0.001) and lower socioeconomic status (p < 0.001) were found to be a strong predictor of poorer QOL. Furthermore, social capital (p < 0.001) had a positive effect on joint and nuclear family QOL scores.
CONCLUSION
This study was the first of its kind which determined the factors of QOL in joint and nuclear families using the validated Urdu version of WHOQOL-BREF in Pakistan. Male gender, urban residence, younger age, higher socioeconomic status and social capital were positive predictors of QOL score while older age and presence of illness were associated with lower QOL scores among both family systems.
背景
联合家庭和核心家庭系统的优缺点会影响生活质量（QOL）。然而，关于联合家庭和核心家庭系统 QOL 的文献很少。本研究旨在评估与联合家庭和核心家庭系统 QOL 相关的因素。
方法
我们于 2015 年 3 月至 2015 年 8 月在巴基斯坦开伯尔-普赫图赫瓦省阿伯塔巴德区的所有 52 个联合委员会（UC）进行了一项基于人群的横断面研究。采用多阶段聚类抽样技术从核心家庭和联合家庭中选取参与者。使用经过验证的世界卫生组织生活质量问卷-简明版（WHOQOL-BREF）的乌尔都语版本评估参与者的生活质量。对单变量和多变量分析进行了研究，以探讨不同社会人口统计学变量与两种家庭系统的 QOL 之间的关系。此外，还进行了多层次线性回归分析，采用向后分析获得每个家庭系统的最终模型，以找出与家庭系统 QOL 评分相关的变量。
结果
这项研究共纳入 2063 名参与者（51.0%联合家庭，49.0%核心家庭），应答率为 97.4%。在联合家庭和核心家庭系统的每个领域的多元线性回归分析中，与城市相比，农村居住（p<0.001）、女性（p<0.001）、年龄较大（p<0.001）、合并症（p<0.001）和较低的社会经济地位（p<0.001）是 QOL 较差的强烈预测因素。此外，社会资本（p<0.001）对联合和核心家庭的 QOL 评分有积极影响。
结论
这是首次使用经过验证的巴基斯坦乌尔都语版 WHOQOL-BREF 来确定联合家庭和核心家庭 QOL 的因素。男性、城市居住、年轻、较高的社会经济地位和社会资本是 QOL 评分的积极预测因素，而年龄较大和存在疾病与两种家庭系统的 QOL 评分较低有关。
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