Department of Clinical Pharmacy and Translational Science, University of Tennessee Health Science Center, Memphis, TN, United States.
Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
Front Public Health. 2021 Jun 9;9:663904. doi: 10.3389/fpubh.2021.663904. eCollection 2021.
Health-related quality of life (HRQoL) is one of the major focuses of primary care. However, HRQoL instruments used in China are mainly developed from Western countries. Such instruments may not cover all important health concepts valued by the Chinese as health is a culture-specific concept. The objectives of this study are to identify culture-specific health dimensions and culture-related health disparities in primary care that are considered important by Chinese living in China. A purposive sample of 164 adult Chinese (67 healthy persons and 97 patients) were interviewed face to face. In-depth open-ended questions were asked to elicit culture-specific dimensions of quality of life in primary care settings in China. Twelve health dimensions were identified. Five most frequently mentioned dimensions were: mood ( = 52, 31.71%), physical activities ( = 48, 29.27%), work ( = 40, 24.39%), diet ( = 32, 19.51%), and vitality ( = 28, 17.07%). Significantly more healthy persons reported mood (49.25 vs. 19.59%, < 0.001), mindset (16.42 vs. 0.00%, < 0.001), and self-care (11.94 vs. 2.06%, = 0.016) characterizing good HRQoL, while more patients emphasized on work (4.48 vs. 38.14%, < 0.001). Diet and vitality appeared to be culture-specific dimensions related to health among Chinese. To better adapt or develop HRQoL instruments for Chinese, dimensions or items regarding diet might be included and disparities in the meaning of vitality between Chinese and Western cultures should be considered.
健康相关生命质量（HRQoL）是基层医疗的主要关注点之一。然而，中国使用的 HRQoL 工具主要是从西方国家开发的。这些工具可能无法涵盖中国人所重视的所有重要健康概念，因为健康是一个具有文化特异性的概念。本研究的目的是确定在中国基层医疗中被认为很重要的、具有文化特异性的健康维度和与文化相关的健康差异，这些健康维度和健康差异是被中国文化所重视的。采用目的抽样法，选取了 164 名成年中国人（67 名健康人和 97 名患者）进行面对面访谈。通过深入的开放式问题，在我国基层医疗环境中引出与文化相关的生活质量的特定维度。确定了 12 个健康维度。被提及最多的五个维度分别是：情绪（ = 52，31.71%）、身体活动（ = 48，29.27%）、工作（ = 40，24.39%）、饮食（ = 32，19.51%）和活力（ = 28，17.07%）。健康人报告情绪（49.25% vs. 19.59%，<0.001）、心态（16.42% vs. 0.00%，<0.001）和自我保健（11.94% vs. 2.06%，= 0.016）的比例显著更高，表明他们具有良好的 HRQoL，而更多的患者强调工作（4.48% vs. 38.14%，<0.001）。饮食和活力似乎是中国人健康的具有文化特异性的维度。为了更好地适应或开发适合中国人的 HRQoL 工具，可能需要纳入与饮食相关的维度或项目，并考虑中国人和西方文化中活力的含义差异。
