一项关于影响巴基斯坦阿富汗难民健康相关生活质量因素的横断面研究方案。
Protocol for a cross-sectional study on factors affecting health-related quality of life among Afghan refugees in Pakistan.
机构信息
Institute of Social and Cultural Studies, University of the Punjab, Lahore, Pakistan.
University of Okara, Okara, Pakistan.
出版信息
F1000Res. 2024 Oct 14;10:971. doi: 10.12688/f1000research.73005.1. eCollection 2021.
BACKGROUND
Pakistan served as a host for more than 1.4 million Afghan refugees for more than 40 years. Access to health care is the most important issue faced by refugees, because they might be at a higher risk for certain diseases. This risk can be attributed to a lack of awareness of health care facilities, health beliefs, inadequate hygiene, cultural differences, and malnutrition. Health of individuals is closely associated with their quality of life. Quality of life over the whole lifespan is pivotal to overall life satisfaction. It includes physical wellbeing, mental health, education, occupation, income, personal safety, as well as (religious) freedom. Until now, the health status of Afghan refugees has never been comprehensively investigated in Pakistan. Therefore, an assessment in this regard is needed to explore their health-related quality of life, for securing their human right to health.
METHODS
A cross-sectional study has been designed to describe and explain the health-related quality of life of Afghan refugees in Pakistan. Multistage cluster sampling was applied for selection of study participants. The number of respondents from two regions in Pakistan was drawn through a proportionate sampling technique. A quantitative research method using pre-validated questionnaires was used for data collection. The questionnaire included items to assess well-being, mental health, health literacy, and factors affecting health and health care. Descriptive analysis was used, whereas inferential statistical tests (binary logistic regression model) was also performed. The study received ethically permission by the Advanced Studies and Research Board of the University of the Punjab, Lahore, Pakistan.
DISCUSSION
The assessment of Afghan refugee's quality of life in Pakistan should lead to recommendations disseminated to public and health care officials. This evidence is needed for policymaking related to adequate measures for improving health conditions of Afghan refugees in Pakistan.
背景
巴基斯坦曾在 40 多年的时间里收容了超过 140 万阿富汗难民。难民面临的最重要问题是获得医疗保健，因为他们可能面临某些疾病的更高风险。这种风险可归因于缺乏对医疗保健设施的认识、健康观念、卫生条件差、文化差异和营养不良。个人的健康与他们的生活质量密切相关。整个生命周期的生活质量对整体生活满意度至关重要。它包括身体福利、心理健康、教育、职业、收入、个人安全以及（宗教）自由。到目前为止，阿富汗难民在巴基斯坦的健康状况从未得到全面调查。因此，需要在这方面进行评估，以探讨他们的健康相关生活质量，以保障他们的健康权。
方法
本研究采用横断面研究来描述和解释巴基斯坦阿富汗难民的健康相关生活质量。采用多阶段聚类抽样选择研究参与者。通过比例抽样技术从巴基斯坦的两个地区抽取受访者数量。使用预验证问卷的定量研究方法用于收集数据。问卷包括评估幸福感、心理健康、健康素养以及影响健康和医疗保健的因素的项目。采用描述性分析，同时还进行了推断性统计检验（二元逻辑回归模型）。该研究得到了巴基斯坦旁遮普大学高级研究与研究委员会的伦理许可。
讨论
对巴基斯坦阿富汗难民生活质量的评估应导致向公众和医疗保健官员提出建议。这一证据是制定与改善巴基斯坦阿富汗难民健康状况相关的政策措施所必需的。
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