D Rajendra, R Sarala, Manjunath Usha
Institute of Health Management Research Bangalore #319, Near Thimma Reddy Layout, Hulimangala Rd, Electronics City Phase 1, Bengaluru, Karnataka, 560105, India.
Clin Epidemiol Glob Health. 2024 Sep-Oct;29:None. doi: 10.1016/j.cegh.2024.101752.
To explore the Quality of life among the community health workers and its association with the socio-demographic variables.
A cross-sectional study was conducted among 739 Community Health Workers (CHWs), where a multistage random sampling technique was used and three districts were selected based on the proportion of Accredited Social Health Activist (ASHA) in the districts of Karnataka. "WHOQOL-BREF" was used along with a Sociodemographic profile to determine the Quality of Life (QoL) among the CHWs. Multivariate regression models, T-test and ANOVA tests were used for the analysis.
The overall Quality of life mean ± SD was 3.4 ± 0.95. Domain-wise social relationship was found to be highest with a mean ± SD of 66.5 ± 21.7 and Environmental domain was found to be the least with a mean ± SD of 48.6 ± 16.6. The Multivariate regression models reveal that education up to primary level, an individual income of INR 5000 and more, and family income of INR 15000 to 40000 contribute to the higher score, whereas total family members of 5-8, age 25 to 44, and education of secondary schooling, PUC/diploma contribute to the lower scores of QoL.
The results of the study showed that CHWs had neither good nor bad quality of life. And there is a need to improve physical and environmental factors such as job satisfaction, population coverage, better income, physical safety, good working environment, better transportation facilities which can improve the QoL among CHWs.
探讨社区卫生工作者的生活质量及其与社会人口统计学变量的关联。
对739名社区卫生工作者进行了横断面研究，采用多阶段随机抽样技术，根据卡纳塔克邦各地区经认可的社会健康活动家（ASHA）的比例选择了三个地区。使用“世界卫生组织生活质量简表（WHOQOL-BREF）”并结合社会人口统计学概况来确定社区卫生工作者的生活质量（QoL）。采用多变量回归模型、t检验和方差分析进行分析。
生活质量总体均值±标准差为3.4±0.95。按领域划分，社会关系领域得分最高，均值±标准差为66.5±21.7，环境领域得分最低，均值±标准差为48.6±16.6。多变量回归模型显示，小学及以下学历、个人收入5000印度卢比及以上以及家庭收入15000至40000印度卢比会导致得分较高，而家庭成员5至8人、年龄25至44岁以及初中学历、预大学/文凭学历则会导致生活质量得分较低。
研究结果表明，社区卫生工作者的生活质量既不算好也不算差。有必要改善身体和环境因素，如工作满意度、人口覆盖率、更高的收入、人身安全、良好的工作环境、更好的交通设施等，这些可以提高社区卫生工作者的生活质量。
