Individual and household-level predictors of health related quality of life among middle-aged people in rural Mid-east China: a cross-sectional study

BMC Public Health

Norman Hearst²  Xiaomei Ru³  Jianfang Zhou¹ 

[1] Institute of Humanities and Social Sciences, Nanjing University of Posts and Telecommunications, Wenyuan Road 9, New Yadong District, 210023 Nanjing, China;Departments of Family and Community Medicine and of Epidemiology and Biostatistics, University of California, 94143 San Francisco, CA, USA;Chinese Family Planning Science and Technology Research Institute, Dahuisi 12, Haidian District, 10081 Beijing, China

关键词: Rural;    Middle age;    HRQOL;    Household;    China;   

Others  :  1129070
DOI  :  10.1186/1471-2458-14-660

 received in 2014-05-10, accepted in 2014-06-23,  发布年份 2014

【 摘 要 】

Background

China has an enormous and growing middle-aged population. Little is known about health-related quality of life (HRQOL) for this group, especially in rural areas. We examined HRQOL and its individual and household predictors among middle-aged people in rural Mid-east China.

Methods

HRQOL questionnaires and information about individual and household characteristics were collected from 428 subjects aged 45 to 65 in 12 villages in Mid-east China. We examined the eight dimensions of the SF-36 instrument, along with the Physical Component Summary (PCS) and Mental Component Summary (MCS) using a reference sample in Hong Kong for standardization. Individual and household predictors of PCS and MCS were examined by one-way ANOVA and binary logistic regression analysis.

Results

Self-reported HRQOL was similar to that seen in middle-aged populations elsewhere. Based on univariate analyses, PCS differed by age, education, occupation, household per capita income, drinking water supply, and frequency of household members caring about each other; MCS differed by education, household per capita income, drinking water supply, and frequency of caring about each other. Individual and household-level factors accounted for 12.5% and 8.2% of the variance in PCS, respectively, and for 3.1% and 10.7% of the variance in MCS.

Conclusions

HRQOL among middle-aged people in rural China appears similar to that observed elsewhere, and varies by income, education, and other factors. Household factors, particularly the extent to which household members care about each other, are significant predictors of physical and mental health. In addition to improving general socioeconomic conditions, efforts to improve HRQOL for middle-aged people in rural China need to focus on the family environment.

【 授权许可】

   
2014 Zhou et al.; licensee BioMed Central Ltd.

【 图 表 】

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