“丧偶式”单亲家庭大学生与双亲健在大学生生活质量差异分析  

Difference Analysis of Quality of Life between College Students of Dead Parent and whose Parents Alive

作　　者：李小杉[1,2] 王琪[1] 肖静[1] 孙华闽[1] 何美琪[1] 曹阳[1] 李小燕[1] 庄勋[1] 

机构地区：[1]南通大学公共卫生学院流行病与卫生统计学教研室,226019 [2]南通市肿瘤医院流行病学研究室,226361

出　　处：《中国卫生统计》2014年第4期580-583,共4页Chinese Journal of Health Statistics

基　　金：南通大学学生工作专项研究课题(11xgzx11)

摘　　要：目的了解"丧偶式"单亲家庭大学生的生活质量状况,分析其与双亲健在大学生之间差异的原因,并寻求提高生活质量的途径。方法随机抽取调查2762名在校大学生,其中"丧偶式"单亲家庭大学生262人,双亲健在大学生2500人。用SF-36量表测量生活质量。两人群生活质量的差异以较差生活质量(Z-score≤-1.0)的比值比进行衡量。比值比的计算采用logistic回归分析。各个因素与两人群之间生活质量差异的关系以OR值改变的百分比(percentage changed,PCOR)来衡量。结果 "丧偶式"单亲家庭大学生较差生活质量是双亲健在大学生的2.587倍(P<0.001)。各个因素调整后比值比改变的百分比分别为:抑郁(-44.70%)、吸烟(-31.79%)、社会支持(-24.75%)、民族(-20.05%)、政治面貌(-12.30%)、焦虑(-5.74%)、独生子女(-5.42%)、家庭经济(-4.68%)、恋爱情况(-4.02%)、饮酒(-3.44%)、性别(-2.95%)、父亲文化程度(-2.69%)、与家庭成员的关系(1.78%)、父亲职业(-1.75%)、年级(-0.66%)、母亲职业(-0.45%)及年龄(-0.09%)。对所有因素调整后比值比下降61.65%,且两人群生活质量的差异无统计学意义(P=0.967)。结论 "丧偶式"单亲家庭大学生生活质量低于双亲健在大学生。改善心理健康状况和不健康的生活方式,增加社会支持程度是提升"丧偶式"单亲家庭大学生生活质量的有效途径。Objective To investigate the status of the health-related quality of life （HRQOL） of college students of dead parent, and examine the contribution of various variables to the poorer HRQOL of college students of dead parent, as com- pared to that of parents alive. Methods Data were collected by school-based questionnaire interview of 262 college students of dead parent and 2500 whose parents alive. HRQOL was assessed with the SF-36 health questionnaire. Difference in HRQOL be- tween college students of dead parent and whose parents alive were summarized using odds ratio of suboptimal health （ Z-score ≤ - 1.0） on total score of the SF-36, obtained from logistic regression. The contribution of the variables of interest to the relative difference in HRQOL between two groups was evaluated as the percentage changed in the odds ratio before and after adjustment for such variables. Results The odds ratio of suboptimal health among college students of dead parent versus whose parents alive was 2. 587 （ P 〈 0. 001 ）. The percentage changed in the odds ratio on the total score after adjustment for various variables were depression（ - 44. 70% ）, smoking （ - 31.79% ）, social support （ - 24. 75% ）, race （ - 20. 05% ）, political status （ - 12. 30% ）, anxiety （ - 5. 74 % ）, only child （ - 5. 42 % ）, economic status （ - 4. 68 % ）, love status （ - 4. 02 % ）, drinking （ - 3.44% ）, gender （ - 2. 95 % ）, father＇ level of education （ - 2. 69% ）, relationship between family members （ 1.78 % ）, father＇ vocation （ - 1.75 % ）, grade （ -0. 66% ）, mother＇ vocation （ -0. 45 % ）, age （ -0. 09% ）. Adjustment for all variables led to a reduction of 61.65% in the odds ratio on the total score,and the difference in HRQOL between two groups was no sta- tistical significance （P = 0. 967）. Conclusion The HRQOL was significantly lower among college students of dead parent than whose parents alive. We should improve the HRQOL of college students of dead pare

关 键 词：差异性分析 生活质量 单亲 大学生 

分 类 号：R195[医药卫生—卫生统计学]