Is marital status associated with quality of life?

Is marital status associated with quality of life?
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DOI:
10.1186/s12955-014-0109-0
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发表时间:
2014-08-08
影响因子:
3.6
通讯作者:
Park S
Park S
中科院分区:
医学3区
文献类型:
--
作者:
Han KT;Park EC;Kim JH;Kim SJ;Park S

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最近,韩国的离婚率急剧上升。单身率和离婚趋势也在迅速变化。本研究旨在探讨婚姻状况与生活质量(QOL)之间的关系,试图了解这些变化。我们还按年龄组调查了生活质量与婚姻状况的关系。我们使用了由韩国疾病控制和预防中心管理的社区健康调查(2008年:n = 200,800; 2009年:n = 227,700; 2010年:n = 229,229)的数据。在排除了63,527名生活质量和/或婚姻状况信息不完整的参与者后,最终的分析涉及594,202名参与者。分析采用t检验和卡方检验比较男女人口统计学变量,采用方差分析比较各组间生活质量评分。在考虑各省差异的同时,我们还对生活质量与婚姻状况之间的关系进行了多层次分析。婚姻状况的多水平分析显示,单身男性的生活质量(EQ-VAS和EQ-5D)均明显低于已婚男性。另一方面,EQ-VAS测量的单身女性生活质量优于已婚、分居或离婚女性。当使用EQ-5D评估生活质量时,单身、分居或离婚女性的得分低于已婚女性。在分年龄组分析中,30岁以下已婚男性的生活质量低于EQ-VAS测量的单身男性或有婚姻问题的男性。然而,在40 - 69岁的男性中,已婚男性的生活质量值最高。同样,在30多岁的女性中,单身女性的EQ-VAS评分最高,但在40 - 69岁的女性中,单身女性的EQ-VAS评分低于已婚女性。婚姻状况与生活质量存在显著相关,且存在性别、年龄差异。
The divorce rate has been increasing rapidly in Korea; the single rate and trends in divorce are also changing rapidly. This study aimed to examine the relationship between marital status and quality of life (QOL) in an attempt to understand these changes. We also investigated the relationship between QOL and marital status by age group. We used data from the Community Health Survey (2008: n = 200,800; 2009: n = 227,700; 2010: n = 229,229) administered by the Korean Centers for Disease Control and Prevention. After excluding 63,527 participants with incomplete information on QOL and/or marital status, the final analysis involved 594,202 participants. The analysis used t-tests and Chi-square tests to compare demographic variables between men and women, and ANOVA to compare QOL scores among comparison groups. We also performed a multilevel analysis on the relationship between QOL and marital status while accounting for the provincial differences. The multilevel analysis by marital status showed that single men had significantly worse QOL (both EQ-VAS and EQ-5D) than married men. On the other hand, the QOL measured by EQ-VAS was better in single women than in married, and separated or divorced women. When QOL was assessed using EQ-5D, single and separated or divorced women had worse scores than married women. In the analysis by age group, the QOL of married men under the age of 30 years was lower than that of single men or men with marriage problems as measured by EQ-VAS. However, among 40–69-year-old men, married men had the highest QOL values. Similarly, for women in their 30s, single women had the highest EQ-VAS values, but for 40–69-year-old women, single women had lower EQ-VAS scores than married women. There was significant relationship between marital status and QOL, and this relationship appeared to differ by gender and age.
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