[来自弱势社区的智利人的与健康相关的生活质量]
Isabel Rada1, Manuel S Ortiz2, Baltica Cabieses3
1Centro de Salud Global Intercultural, ICIM, Universidad del Desarrollo, Santiago de Chile, Chile; Programa de Doctorado en Ciencias e Innovación en Medicina, Instituto de Ciencias e Innovación en Medicina, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago de Chile, Chile.
Gaceta sanitaria
|October 2, 2023
概括
COVID-19大流行对智利弱势成年人的健康相关生活质量 (HRQoL) 产生了负面影响,特别影响了疼痛和心理健康. 在这个危机期间,EQ-5D仪器证明了评估HRQoL的有效性.
科学领域:
- 公共卫生 公共卫生
- 心理测量 心理测量 心理测量
- 卫生经济学 卫生经济学
背景情况:
- 随着COVID-19的流行,造成了严重的健康危机,影响了人口的福祉和与健康有关的生活质量 (HRQoL).
- 社会弱势群体不成比例地受到卫生危机的影响,需要对其HRQoL进行集中评估.
- EQ-5D仪器是衡量HRQoL的广泛使用的工具,但其心理测量特性需要在特定情况下进行验证.
研究的目的:
- 在COVID-19大流行期间分析智利弱势社区成年人的HRQoL.
- 在这个特定的人群中评估EQ-5D仪器的心理测量特性.
- 了解大流行对HRQoL不同维度的影响.
主要方法:
- 在隔离期间,从2021年4月到6月进行了一项横截面研究.
- 来自智利首都地区弱势社区的500名成年人通过视频通话进行了调查.
- 该调查包括EQ-5D仪器,并使用描述性统计和确认因素分析分析数据.
主要成果:
- 参与者的平均年龄为36.36±12.41岁,其中大多数人拥有中等教育和就业.
- 最受影响的HRQoL维度是疼痛/不适和焦虑/抑郁.
- EQ-5D仪表表现出了足够的心理测量特性,具有很好的模型匹配 (CFI=0.996,TLI=0.993,RMSEA=0.028) 和有效地表明构造的项目.
结论:
- 随着COVID-19大流行,智利弱势成年人的HRQoL显著受到影响,疼痛和心理痛苦显著增加.
- EQ-5D仪器是一个有效和有用的工具,用于评估在流行病条件下智利人口的HRQoL.
- 心理测量证据支持EQ-5D的维度,这表明它对HRQoL构造的详细分析有用.
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