Ivanova Olena, Sineke Tembeka, Wenzel Rebekka, Siyame Elimina, Lalashowi Julieth, Bakuli Abhishek, Zekoll Fidelina Cumbe, Hoelscher Michael, Rachow Andrea, Evans Denise, Sabi Issa, Ntinginya Nyanda Elias
Division of Infectious Diseases and Tropical Medicine, Medical Centre of the University of Munich (LMU), 80802, Munich, Germany.
German Center for Infection Research (DZIF), Partner Site Munich, 80802, Munich, Germany.
Arch Public Health. 2022 May 24;80(1):144. doi: 10.1186/s13690-022-00899-y.
Little data is available on health-related quality of life (HRQoL) and mental health of the general population in Tanzania. We aimed to describe HRQoL and level of psychological distress among adults in Mbeya and Songwe Regions of Tanzania.
We conducted a cross-sectional study between April and October 2019 in Mbeya and Songwe Regions. Data were collected using the Medical Outcomes Short Form-36 (SF-36) questionnaire and the Page Kessler Psychological Distress Scale (K10). We described demographic characteristics of participants and used log-binomial regression to identify participant characteristics associated with psychological distress (K10 score ≥ 20).
A total of 393 adults were enrolled. The participants had a median age of 29 years (IQR 23-40) and 54.2% were male. Participants reported a physical component summary score (PCS) with a mean of 54.7 (SD7.1) and a mental component summary score (MCS) with a mean of 55.5 (SD5.1). Older participants (≥ 40 year) and those that were divorced/widowed reported lower physical functioning, energy/vitality and emotional well-being compared to their counterparts (p < 0.05). In terms of psychological distress, majority of participants (78.4%; 305/389) reported that they were likely to be well (K10 score < 20), while 13.4% (52/389) reported to have mild (K10 score 20-24), 5.7% (22/389) moderate (K10 score 25-29), and 2.6% (10/389) severe (K10 score ≥ 30) psychological distress.
Physical function and mental well-being in this adult population from Tanzania were lower than that reported in other similar research in Tanzania and other African countries. This study provides valuable references for other research initiatives and clinical services in this region.
关于坦桑尼亚普通人群健康相关生活质量（HRQoL）和心理健康的数据很少。我们旨在描述坦桑尼亚姆贝亚和松圭地区成年人的HRQoL和心理困扰水平。
我们于2019年4月至10月在姆贝亚和松圭地区进行了一项横断面研究。使用医学结局简表-36（SF-36）问卷和佩奇·凯斯勒心理困扰量表（K10）收集数据。我们描述了参与者的人口统计学特征，并使用对数二项回归来确定与心理困扰（K10评分≥20）相关的参与者特征。
共招募了393名成年人。参与者的年龄中位数为29岁（四分位间距23 - 40），54.2%为男性。参与者报告的身体成分总结得分（PCS）平均为54.7（标准差7.1），心理成分总结得分（MCS）平均为55.5（标准差5.1）。与同龄人相比，年龄较大的参与者（≥40岁）以及离婚/丧偶者报告的身体功能、精力/活力和情绪健康较低（p < 0.05）。在心理困扰方面，大多数参与者（78.4%；305/389）报告他们可能状况良好（K10评分<20），而13.4%（52/38）报告有轻度（K10评分20 - 24）、5.7%（22/389）中度（K10评分25 - 29）和2.6%（10/389）重度（K10评分≥30）心理困扰。
来自坦桑尼亚的这一成年人群的身体功能和心理健康低于坦桑尼亚和其他非洲国家其他类似研究报告的水平。本研究为该地区的其他研究项目和临床服务提供了有价值的参考。
