重庆市饥荒年(1959-1961)出生人群现时生活质量及其影响因素  

Analysis on the quality of life of people born in famine years(1959-1961) in Chongqing city and its influencing factors

作　　者：杨镜琳[1] 王宏[1] 赵勇[2] 

机构地区：[1]重庆医科大学妇幼与儿童少年卫生学教研室,重庆400016 [2]重庆医科大学营养与食品卫生学教研室

出　　处：《卫生研究》2011年第5期611-614,共4页Journal of Hygiene Research

基　　金：教育部人文社会科学研究2008年度青年基金项目(No.08JC840021)

摘　　要：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 investigate the current quality of life of people born in famine years（1959-1961） in Chongqing and its influencing factors.Methods A total of 1140 people were selected from five districts or counties of Chongqing by a multi-stage stratified random sampling method.People born in 1957-1959 were set to group G1,1957-1962 to group G2,and 1960-1965 to group G3.The second edition of SF-36 Health Survey and a general situation questionnaire were used for the investigation.The quality of life was evaluated on 8 dimensions and quantified by scoring.Results Among the 8 dimensions of the quality of life,the scores of role-physical（RP）,role-emotional（RE） and physical function（PF） of people in group G1 who experienced famine in fetal period were 84.26（17.09,84.57（16 48 and 87.57（15.84 respectively,which was significantly lower than the scores of people in group G3 who have never experienced famine（P0.05）;the physical function（PF） score of people group G2 who experienced hunger in infants and young children period was 87.65（15.03,which was significantly less than the population in group G3（P0.05）,while the vitality（VT） score of group G2 was 48.26（9.34,significantly higher than the population in group G3（P0.05）.The average monthly income,appetite,life satisfaction are the main factors influencing the quality of life of people in group G1.The life satisfaction,appetite and the situation getting along with other family members are the main factors influencing the quality of life of all target population（？？？）.Discussion Strengthening prenatal nutrition has certain influences on improving the quality of life in adulthood.However,developing a positive attitude towards life,a good appetite and harmonious family relationships are much more important for improving the life quality of all population.

关 键 词：生活质量 饥荒年 影响因素 

分 类 号：R151.42[医药卫生—营养与食品卫生学]