QUALITY-OF-LIFE ASSESSMENT ACROSS CULTURES
QUALITY-OF-LIFE ASSESSMENT ACROSS CULTURES
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DOI：
10.1080/00207411.1994.11449281
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发表时间：
1994-06-01
影响因子：
2
通讯作者：
SARTORIUS, N
中科院分区：
文献类型：
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作者：
KUYKEN, W;ORLEY, J;SARTORIUS, N
生活质量评估方面的专业知识正在迅速增长。已经开发了几种测量功能状态和生活质量的工具，并进行了研究，证明了它们的实用性和心理测量稳健性。然而，大多数这些工具都是为在单一文化环境中使用而开发的，直到最近几年，人们才将注意力转向对可跨文化使用的生活质量评估工具的需求。生活质量评估工具的效用可以用来进行跨文化比较，在这期杂志的引言中详细阐述。它们包括基础研究、疾病对生活质量影响的国际流行病学研究、跨国临床试验和比较成本效益研究。人们定义生活质量的方式似乎在不同文化之间有很大差异（即，在特定环境中的人们如何定义“美好生活”），影响生活质量的因素（即获得和获得保健、社会经济条件等）也有很大差异。在生产跨文化可比较数据的同时保持对这种多样性的敏感性是目前从事跨文化生活质量评估工具的生活质量研究人员面临的挑战。本文探讨了与健康相关的生活质量构建的文化方面，并讨论了目前跨文化生活质量评估的方法。至少有四种不同的方法被用于发展具有跨文化特征的生活质量评估
Expertise in assessment of quality of life is rapidly growing. Several instruments for measuring functional status and quality of life have been developed, and studies have been conducted that attest to their usefulness and psychometric robustness. 1 Most of these instruments, however, have been developed for use in a single cultural setting, and only in recent years has attention turned to the need for quality of life assessment tools that can be used across cultures. The utility of quality of life assessment tools that can be used to make cross-cultural comparisons are elaborated in the introduction to this journal issue. They include basic research, international epidemiological studies of the effects of disease on quality of life, cross-national clinical trials, and comparative cost-effectiveness research. The way in which people define quality of life appears to vary significantly across cultures (ie, how people in a given setting define a" good life"), as do the factors that affect quality of life (ie, access to and availability of health care, socioeconomic conditions, etc.). Maintaining sensitivity to this diversity while producing cross-culturally comparable data is the challenge currently facing quality of life researchers working on crosscultural quality oflife assessment instruments. This paper examines cultural aspects of the health-related quality of life construct and discusses the current approaches to cross-cultural quality of life assessment. At least four different approaches have been used to develop quality of life assessments with a cross-cultural con-