Department of Epidemiology, High Institute of Public Health, Alexandria University, Alexandria, Egypt.
High Institute of Public Health, Alexandria University, Alexandria, Egypt.
BMC Public Health. 2023 Jun 30;23(1):1268. doi: 10.1186/s12889-023-16171-z.
The coronavirus disease 2019 (COVID-19) pandemic has resulted in severe consequences worldwide. Our study aims to assess the quality of life (QoL) domains and its determinants among the general population in Arab countries after two years of the COVID-19 pandemic.
An anonymous online cross-sectional survey using the short version of World Health Organization QoL (WHOQOL-BREF) instrument was distributed among Arab adults in 15 Arab Countries.
A total of 2008 individuals completed the survey. Amongst them, 63.2% were 18-40 years and 63.2% were females, 26.4% had chronic disease, 39.7% confirmed having contracted COVID-19, and 31.5% had experienced the unfortunate loss of relatives due to COVID-19. The survey revealed that 42.7% reported good physical QoL, 28.6% were satisfied with psychological QoL, 32.9% had a sense of well-being in the social domain, and 14.3% had good QoL in the environmental domain. The predictors of physical domains were as follows: being a male (β = 4.23 [95%CI 2.71, 5.82]), being from low-middle income country (β = -3.79 [95%CI -5.92, -1.73]) or being from high-middle-income country (β = -2.95 [95%CI -4.93, -0.92]), having a a chronic disease (β = -9.02 [95%CI -10.62,-7.44]) having a primary/secondary education (β = -2.38 [95%CI -4.41, -0.054]), number of years of work experience ≥ 15 years (β = 3.25 [95%CI 0.83, 5.73]), income-per-capita [ranged from (β = 4.16 [95%CI -5.91, -2.40]) to (β = -11.10 [95CI%, -14.22, -8.11])], a previous COVID-19 infection (β = -2.98 [95%CI -4.41, -1.60]), and having relative died from COVID-19 (β = -1.56 [95%CI -3.01, -0.12]). The predictors of psychological domain were having a chronic disease (β = -3.15 [95%CI -4.52, -1.82]), a postgraduate education (β = 2.57 [95% CI 0.41, 4.82]), number of years of work experience ≥ 15 years (β = 3.19 [95%CI 1.14, 5.33]), income-per-capita [ranged from (β = -3.52 [95%CI -4.91, -1.92]) to (β = -10.31 [95%CI -13.22, -7.44])], and a previous COVID-19 infection (β = -1.65 [95%CI -2.83, -0.41]). The predictors of social domain were being a male (β = 2.78 [95%CI 0.93, 4.73]), being single, (β =-26.21 [-28.21, -24.32]), being from a low-income country (β = 5.85 [95%CI 2.62, 9.13]), or from a high-middle-income country (β = -3.57 [95%CI -6.10, -2.12]), having a chronic disease (β = -4.11 [95%CI -6.13, -1.11]), and income-per-capita [ranged from (β = -3.62 [95%CI -5.80, -1.41]) to (β = -11.17 [95%CI -15.41, -6.92])]. The predictors of environmental domain were being from a low-middle-income country (β = -4.14 [95%CI -6.90, -1.31), from a high-middle-income country (β = -12.46 [95%CI -14.61, -10.30]), or from a low-income-country (β = -4.14 [95%CI, -6.90, -1.32]), having a chronic disease (β = -3.66 [95%CI -5.30, -1.91]), having a primary/secondary education (β = -3.43 [95%CI -5.71, -1.13]), being not working (β = -2.88 [95%CI -5.61, -0.22]), income-per-capita [ranged from (β = -9.11 [95%CI -11.03, -7.21] to (β = -27.39 [95%CI -31.00, -23.84])], a previous COVID-19 infection (β = -1.67 [95%CI -3.22, -0.21]), and having a relative who died from COVID-19 (β = -1.60 [95%CI -3.12, -0.06].
The study highlights the need for public health interventions to support the general population in the Arab countries and mitigate its impact on their QoL.
2019 年冠状病毒病（COVID-19）大流行在全球范围内造成了严重后果。我们的研究旨在评估 COVID-19 大流行两年后阿拉伯国家普通人群的生活质量（QoL）领域及其决定因素。
使用世界卫生组织生活质量量表（WHOQOL-BREF）的简短版本，对 15 个阿拉伯国家的阿拉伯成年人进行了匿名在线横断面调查。
共有 2008 人完成了调查。其中，63.2%的人年龄在 18-40 岁，63.2%的人为女性，26.4%患有慢性疾病，39.7%确诊感染了 COVID-19，31.5%因 COVID-19 不幸失去了亲属。调查显示，42.7%的人报告身体 QoL 良好，28.6%对心理 QoL 满意，32.9%在社会领域有幸福感，14.3%在环境领域有良好的 QoL。身体领域的预测因素如下：男性（β=4.23[95%CI 2.71, 5.82]）、中低收入国家（β=-3.79[95%CI-5.92, -1.73]）或中高收入国家（β=-2.95[95%CI-4.93, -0.92]）、患有慢性疾病（β=-9.02[95%CI-10.62，-7.44]）、接受过小学/中学教育（β=-2.38[95%CI-4.41，-0.054]）、工作经验≥15 年（β=3.25[95%CI 0.83, 5.73]）、人均收入[范围从（β=4.16[95%CI-5.91，-2.40]）到（β=-11.10[95CI%，-14.22，-8.11]）]、以前感染过 COVID-19（β=-2.98[95%CI-4.41，-1.60]）和有亲属死于 COVID-19（β=-1.56[95%CI-3.01，-0.12]）。心理领域的预测因素包括患有慢性疾病（β=-3.15[95%CI-4.52，-1.82]）、研究生教育（β=2.57[95%CI 0.41, 4.82]）、工作经验≥15 年（β=3.19[95%CI 1.14, 5.33]）、人均收入[范围从（β=-3.52[95%CI-4.91，-1.92]）到（β=-10.31[95CI%-13.22，-7.44]）]和以前感染过 COVID-19（β=-1.65[95%CI-2.83，-0.41]）。社会领域的预测因素包括男性（β=2.78[95%CI 0.93, 4.73]）、单身（β=-26.21[-28.21，-24.32]）、低收入国家（β=5.85[95%CI 2.62, 9.13]）或中高收入国家（β=-3.57[95%CI-6.10，-2.12]）、患有慢性疾病（β=-4.11[95%CI-6.13，-1.11]）和人均收入[范围从（β=-3.62[95%CI-5.80，-1.41]）到（β=-11.17[95%CI-15.41，-6.92]）]。环境领域的预测因素包括来自中低收入国家（β=-4.14[95%CI-6.90，-1.31]）、中高收入国家（β=-12.46[95%CI-14.61，-10.30]）或低收入国家（β=-4.14[95%CI-6.90，-1.32]）、患有慢性疾病（β=-3.66[95%CI-5.30，-1.91]）、接受过小学/中学教育（β=-3.43[95%CI-5.71，-1.13]）、不工作（β=-2.88[95%CI-5.61，-0.22]）、人均收入[范围从（β=-9.11[95%CI-11.03，-7.21]）到（β=-27.39[95%CI-31.00，-23.84]）]、以前感染过 COVID-19（β=-1.67[95%CI-3.22，-0.21]）和有亲属死于 COVID-19（β=-1.60[95%CI-3.12，-0.06]）。
该研究强调需要采取公共卫生干预措施，以支持阿拉伯国家的普通民众，并减轻其对 QoL 的影响。
