Influence of health-related quality of life on health service utilization in Chinese rural-to-urban female migrant workers.

Influence of health-related quality of life on health service utilization in Chinese rural-to-urban female migrant workers.
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与健康相关的生活质量对中国农村女性移民工人的健康服务利用的影响。

DOI:
10.1186/s12955-014-0121-4
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发表时间:
2014-08-15
影响因子:
3.6
通讯作者:
Luo ZC
Luo ZC
中科院分区:
医学3区
文献类型:
--
作者:
Lu CH;Wang PX;Lei YX;Luo ZC

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近几十年来,中国农民工人数迅速增加。健康相关生活质量(HRQOL)可能影响卫生服务利用。目前,我国农民工卫生服务利用与健康生命质量的相关研究数据尚不多见。本研究旨在探讨农村进城务工女性健康生活质量对卫生服务利用的影响。这是2013年对中国深圳-东莞经济区1,438名女性农民工的横断面调查。HRQOL通过36项健康调查简表(SF-36)进行评估。卫生服务利用率通过最近两周内的任何医生就诊和过去1年内的任何住院(年度住院)来衡量。采用非条件Logistic回归分析HRQOL对卫生服务利用的影响。在HRQOL的三个领域(身体疼痛,一般健康,身体角色)较低的分数与更频繁的卫生服务利用的女性农村到城市的农民工。身体疼痛和一般健康与最近两周医生就诊风险的15.6%的独立影响相关,而角色身体和一般健康与每年住院风险的21.2%的独立影响相关。HRQOL对卫生服务利用的独立影响小于社会人口学和健康相关变量。HRQOL可能对中国农村到城市的女性农民工-中国城市的弱势群体的卫生服务利用有一定的影响。
Rural-to-urban migrant workers have been increasing rapidly in China over recent decades. Health related quality of life (HRQOL) may affect health service utilization. There is a lack of data on HRQOL in relation to health service utilization in Chinese rural-to-urban migrant workers. This study was aimed to explore the influence of HRQOL on health service utilization in Chinese rural-to-urban female migrant workers. This was a cross-sectional survey of 1,438 female rural-to-urban migrant workers in Shenzhen-Dongguan economic zone, China in 2013. HRQOL was assessed by the 36-items Health Survey Short Form (SF-36). Health service utilization was measured by any physician visit over the recent two weeks and any hospitalization over the last 1-year (annual hospitalization). Clustered logistic regression was used to analyze the influence of HRQOL on health service utilization. Lower scores in three HRQOL domains (bodily pain, general health, role physical) were associated with more frequent health service utilization in female rural-to-urban migrant workers. Bodily pain and general health were associated with an independent influence of 15.6% on the risk of recent two-week physician visit, while role physical and general health were associated with an independent influence of 21.2% on the risk of annual hospitalization. The independent influence of HRQOL on health service utilization was smaller than that of socio-demographic and health-related variables. HRQOL may have a modest influence on health service utilization in Chinese rural-to-urban female migrant workers - an underprivileged population in urban China.
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