预测中国居民与健康相关的生活质量:基于小组调查数据的潜阶级分析
Qing-Lin Li1,2, Xue-Jiao Liu1,2, Shu-E Zhang3
1Department of Health Administration, School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, People's Republic of China.
Risk management and healthcare policy
|October 30, 2024
概括
这项研究确定了中国居民的三种与健康相关的生活质量 (HR-QoL) 趋势. 慢性疾病状况,年龄和就业等因素影响了这些HR-QoL趋势.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 生活质量研究 生命质量研究
背景情况:
- 与健康相关的生活质量 (HR-QoL) 是人口健康的关键指标.
- 了解HR-QoL和相关的人口因素的趋势对于有针对性的健康干预至关重要.
- 以前的研究已经强调了不同人群的HR-QoL的差异,需要进行本地化研究.
研究的目的:
- 在中国居民中确定与健康相关的生活质量 (HR-QoL) 的明显趋势.
- 分析与这些确定的HR-QoL趋势相关的人口特征.
- 通过了解影响中国HR-QoL的因素,为公共卫生战略提供信息.
主要方法:
- 隐性类分析是使用2016年对中国湖北省 (N=1517) 卫生服务利用行为调查的基线数据进行的.
- 隐藏类被用来根据不同的HR-QoL趋势对受访者进行分组.
- 多项物流回归分析确定了这些趋势群体中影响HR-QoL的人口因素.
主要成果:
- 一个三类模型最好地代表了HR-QoL趋势:低HR-QoL (5.5%,下降趋势),中等HR-QoL (12.1%,上升趋势) 和稳定的高HR-QoL (82.4%).
- 与低HR-QoL类相比,中等HR-QoL类与没有慢性疾病,年龄在45-64岁之间,并且有工作相关.
- 城市居民更有可能属于低HR-QoL类,而没有慢性疾病和就业人士 (15-64岁) 的人更有可能属于稳定的高HR-QoL类.
结论:
- 在中国居民中发现了三种不同的HR-QoL潜在趋势类别.
- 缺乏慢性疾病,年龄较小 (65岁以下) 和就业状况等因素与更好的HR-QoL有关.
- 城市居住与经历较差HR-QoL的可能性更高有关.
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