恩格尔系数划分人群及其生命质量比较分析  

Quality of life among populations categorized with Engel coefficients

作　　者：于佳明[1] 张莹[2] 欧凤荣[3] 高倩[4] 邓妍[5] 刘扬[4] 

机构地区：[1]中国医科大学附属第四医院眼科,辽宁沈阳110005 [2]沈阳医学院流行病学教研室 [3]中国医科大学附属第一医院 [4]中国医科大学公共卫生学院环境卫生教研室 [5]中国医科大学中国卫生统计编辑部

出　　处：《中国公共卫生》2017年第6期954-957,共4页Chinese Journal of Public Health

摘　　要：目的通过恩格尔系数划分,探讨不同人群的生存状况和生命质量。方法于2005—2006年选取辽宁省沈阳、阜新和丹东市3 283名居民为调查对象,采用中文版简明健康调查量表(SF-36)进行生命质量调查;根据恩格尔系数划分不同人群,并进行生命质量比较和分析。结果恩格尔系数≥0.59、0.50~、0.40~、0.30~和<0.30水平组人群SF-36健康量表的生理总因子(PCS)得分分别为48.00、49.12、49.78、51.30和52.15分,心理总因子(MCS)得分分别为48.45、49.21、50.57、50.74和51.41分;生理、心理总因子得分均随恩格尔系数减少而增加;与恩格尔系数≥0.59组比较,恩格尔系数<0.50各组人群生理因子与心理因子得分较高,差异有统计学意义(P<0.05)。各年龄组人群SF-36量表生理和心理维度得分随恩格尔系数下降而升高。恩格尔系数<0.59的<66岁人群生理和心理各维度得分高于同年龄组恩格尔系数≥0.59人群。结论根据恩格尔系数划分的不同人群其生命质量不同,恩格尔系数越高则生命质量越差。Objective To explore the survival status and quality of life （QoL） among different populations categorized with Engel coefficient.Methods Residents in communities of Shenyang,Fuxin,and Dandong municipality were selected with stratified random sampling and then assigned into different subgroups based on the calculation of Engel coefficient.All the participants were surveyed with The Medical Outcomes Study 36-Item Short-Form Health Survey （SF-36）-Chinese Version to evaluate and compare QoL of the population groups.Results For the population groups with the Engel coefficient of 〉0.59,0.50-0.59,0.40-0.49,0.30-0.39,and 〈0.30,the score of physical component summary （PCS） and mental component summary （MCS） were 48.00 and 48.45,49.12 and 49.21,49.78 and 50.57,51.30 and 50.74,and 52.15 and 51.41,respectively;both the scores of PCS and MCS were increased along with the decrease of Engel coefficient.Compared with the group with the Engel coefficient of greater than 0.59,the groups with the Engel coefficient of less than 0.50 showed significantly higher physiological and psychological SF-36 scores （both P〈0.05）;the physiological and psychological SF-36 score increased along with the decrease of Engel coefficient among all population groups of various ages.For the participants aged less than 66 years,those with the Engel coefficient of 〈0.59 had significantly higher physiological and psychological SF-36 scores than those with the Engel coefficient of ≥0.59.Conclusion The quality of life is different among the populations with different Engel coefficient and the population groups with higher Engel coefficient have a lower quality of life.

关 键 词：恩格尔系数 生命质量 简明健康调查量表(SF-36) 

分 类 号：R181[医药卫生—流行病学]