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目的探讨重庆市饥荒年(1959-1961)出生人群当前生活质量及其影响因素。方法采用多阶段分层随机抽样的方法,抽取重庆市5个区县1957-1965年出生人群1140人,其中1957年到1959年出生人群为G1组,1960年到1962年出生的人群为G2组,1963年到1965年出生的人群为G3组,采用SF-36健康调查表第二版和一般情况问卷进行调查,生活质量从8个维度进行评价和按评分定量判定。结果生活质量的8个维度中,胎儿期经历过饥荒的人群(G1组)在生理职能(RP)、情感职能(RE)、生理功能(PF)维度上的得分分别是84.26+17.09、84.57+16.48、87.57+15.84,明显低于未经历过饥荒的人群(G3组)(P<0.05);婴幼儿期经历过饥荒的人群(G2组)在PF维度的得分为87.65+15.03,明显低于G3组(P<0.05),而在活力(VT)维度上得分为48.26+9.34,明显高于G3组(P<0.05)。平均月收入、食欲情况、生活满意度是影响胎儿期经历饥荒人群(G1)生活质量总分的主要因素;生活满意度、食欲情况、与家人相处情况则是影响目标人群生活质量的主要因素。结论加强胎儿期的营养对提高成年后生活质量存在一定的影响,而对于目标人群来说培养其积极向上的生活态度,良好的食欲、和谐的家庭关系是提高人群生活质量的重要方面。
Objective To explore the current quality of life and its influencing factors in Chongqing famine years (1959-1961). Methods A multistage stratified random sampling method was used to select 1140 births from 1957 to 1965 in 5 districts and counties in Chongqing. Among them, G1 was born in 1957 to 1959, G2 was born in 1960 to 1962, , The group born from 1963 to 1965 was Group G3. The questionnaire was used to survey the second edition of SF-36 Health Questionnaire and the general situation questionnaire. Quality of life was evaluated from eight dimensions and quantitatively judged according to the scores. Results Among the eight dimensions of quality of life, the score of physiological function (RP), emotional function (RE) and physical function (PF) of the famine-challenged fetuses (G1 group) were 84.26 + 17.09 and 84.57 + 16.48, 87.57 + 15.84, respectively, which were significantly lower than those without famine (group G3) (P <0.05). In the PF group, those who experienced famine in infancy (group G2) scored 87.65 + 15.03, significantly lower than G3 group (P <0.05), while the score of activity (VT) was 48.26 + 9.34, which was significantly higher than that of G3 group (P <0.05). The average monthly income, appetite and life satisfaction are the main factors affecting the total score of quality of life of the famine-suffering group (G1) in the prenatal period. Life satisfaction, appetite and their family members are the main factors that affect the quality of life of the target group. CONCLUSIONS: Strengthening the nutrition during the fetal period has an impact on improving the quality of life after the adult life. To cultivate a positive attitude toward life, good appetite and harmonious family relationships is an important aspect of improving the quality of life for the target population.