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目的采用欧洲五维度健康量表(EQ-5D)量表评价重庆市妇女的生命质量,探索其主要影响因素。方法资料来源于2013年7-9月重庆市第五次国家卫生服务调查,样本覆盖重庆38个区县,研究对象为重庆市≥20岁妇女。采用多阶段分层整群随机抽样的方法,利用家庭健康询问调查问卷(包含EQ-5D量表)获取有效样本4 514例。直观式健康量表(VAS)得分用x珋±s表示,采用单因素方差分析比较不同组别VAS均数的差异。行动、自我照顾、日常活动、身体疼痛或不舒服、焦虑或抑郁的测量结果用百分比表示。利用Logistic回归(逐步回归法)分析行动、自我照顾、日常活动、身体疼痛或不舒服、焦虑或抑郁的影响因素。结果 VAS得分为77.54±16.00,行动、自我照顾、平常活动有问题、身体疼痛或不舒服、自觉焦虑或抑郁分别占10.30%、5.50%、8.2%、20.60%、10.30%。多因素Logistic回归分析显示,行动的影响因素有是否患慢性病、户口性质、家庭年人均收入、年龄。自我照顾、平常活动、身体疼痛或不舒服、焦虑或抑郁的影响因素均为是否患慢性病、2周是否患病、户口性质、家庭年人均收入、年龄。结论家庭年人均收入、年龄、户口性质和是否患有慢性病影响着重庆市妇女健康相关生命质量。
Objective To evaluate the quality of life of women in Chongqing with the five-dimensional scale of Europe (EQ-5D) and explore the main influential factors. Methods The data were collected from the fifth national health service survey in Chongqing from July to September in 2013. The samples covered 38 districts and counties in Chongqing. The target population was ≥20 years old women in Chongqing. A multistage stratified cluster random sampling method was used to obtain 4 514 valid samples from the Family Health Questionnaire (including the EQ-5D scale). Intuitive Health Scale (VAS) score with x 珋 ± s said, using one-way analysis of variance VAS mean differences between groups. Action, self-care, daily activities, body ache or discomfort, and anxiety or depression measurements are expressed as a percentage. Logistic regression (stepwise regression) was used to analyze the factors influencing behavior, self-care, daily activities, body ache or discomfort, anxiety or depression. Results The score of VAS was 77.54 ± 16.00. There were problems of action, self-care, usual activities, body ache or discomfort, and conscious anxiety or depression accounted for 10.30%, 5.50%, 8.2%, 20.60% and 10.30% respectively. Multivariate logistic regression analysis showed that the influencing factors of the action were chronic diseases, the nature of hukou, per capita income and age of the family. Self-care, regular activities, physical pain or discomfort, anxiety or depression are the factors that affect whether they are suffering from chronic diseases, whether they are sick for two weeks, the nature of their household registration, the annual per capita income and their age. Conclusion The annual per capita income, age, hukou status and whether or not chronic diseases affect the health quality of life of women in Chongqing.