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目的探讨公共娱乐场所从业人员生存质量情况及其影响因素,为政府制定相关的策略和措施提供参考依据。方法采用横断面调查方式,以2009年11月至2010年10月在广州市荔湾区疾病预防控制中心进行健康体检的公共娱乐场所从业人员为研究对象,使用《生存质量测定量表简表(WHOQOL-BREF)》进行调查,内容包括社会人口学信息、身体状况、卫生服务利用及需求以及生存质量调查等,以荔湾区餐饮类从业人员生存质量作对照分析,调查时间及问卷均相同。采用非参秩和检验及logistic回归分析影响公共娱乐场所从业人员生存质量的相关因素。结果共调查1 661名公共娱乐场所从业人员,其中男性725人,女性936人,年龄集中在(20.3±9)岁。公共娱乐场所从业人员的生理领域、心理领域、社会关系领域和环境领域得分(中位数)分别为12.85、12.43、13.22、11.35,评价自我生存质量的得分中位数及均数分别为3.00、3.18,评价健康状况的得分中位数及均数分别为3.00、2.66,餐饮类从业人员4个领域得分(中位数)分别为14.58、14.57、15.45、13.69,评价自我生存质量的得分中位数及均数分别为4.00、3.80,评价健康状况的得分中位数及均数分别为3.00、2.95。公共娱乐场所从业人员生存质量的生理、心理、社会关系和环境4个领域得分均比餐饮类从业人员低,评价自我生存质量、健康状况与餐饮类从业人员比较差异均有统计学意义(均P<0.01)。经logistic回归分析显示:对公共娱乐场所从业人员生存质量生理领域方面的影响因素是年龄和身体是否出现症状;心理领域方面的影响因素是工作场所和性别;社会关系领域方面的影响因素是工作场所、身体是否出现症状及业余生活;环境领域方面的影响因素是工作场所和是否曾接受卫生相关服务(P<0.05或P<0.01)。在桑拿沐足中心、低档宾馆旅店工作、身体出现症状、未曾接受卫生相关服务的人群生存质量较低。结论荔湾区受调查的公共娱乐场所从业人员的生存质量较低。必须创造有利于支持健康的社会环境和制度,完善社会保障制度和医疗制度,提高该人群的生存质量。
Objective To explore the quality of life of public entertainment places and its influencing factors so as to provide reference for the government to formulate relevant strategies and measures. Methods By means of cross-sectional survey, the employees of public places of entertainment which conducted physical examination in Liwan District Center for Disease Control and Prevention in Guangzhou from November 2009 to October 2010 were selected as research objects. The questionnaire of quality of life scale (WHOQOL -BREF) conducted a survey that included socio-demographic information, physical status, health service utilization and demand, and quality of life surveys. The quality of life of food and beverage practitioners in Liwan District was analyzed comparatively. The survey time and questionnaires were the same. Using non-parametric rank sum test and logistic regression analysis of factors affecting the quality of life of public entertainment venues. Results A total of 1 661 employees in public entertainment venues were investigated, including 725 males and 936 females, with a mean age of (20.3 ± 9) years. The scores (median) in physical field, psychological field, social relations field and environment field of public entertainment venues were 12.85, 12.43, 13.22 and 11.35, respectively. The median scores and mean scores of self-quality of life evaluation were 3.00, 3.18. The median scores and mean scores of health status assessment were 3.00 and 2.66, respectively. The scores of the four fields of catering workers were 14.58, 14.57, 15.45 and 13.69, respectively. The scores of self-quality of life scores The average number and the average number were 4.00 and 3.80 respectively. The median scores and the mean scores of health status were 3.00 and 2.95 respectively. The scores of physical, psychological, social and environmental quality of employees in public places of entertainment were all lower than those in catering industry in terms of quality of life, and the self-quality of life was evaluated. There was significant difference between health status and food and beverage employees (P <0.01). The logistic regression analysis showed that the influencing factors on the quality of life of the employees in public entertainment venues were age and body symptom; the influencing factors in the psychological field were the workplace and the gender; the influencing factors in the field of social relations were the workplace , Whether the body has symptoms and amateur life, and environmental factors that affect the workplace are health-related services (P <0.05 or P <0.01). Sauna bathing center, low-grade hotel hotel work, the body symptoms, people who did not receive health-related services lower quality of life. Conclusion The quality of life of practitioners in public entertainment venues surveyed in Liwan District is low. We must create a social environment and system that is conducive to supporting health, improve the social security system and medical system, and improve the quality of life of the population.