The Research On Quality Of Life And The Impact Factors Of Poverty People In DanDong City

IntroductionIn recent years, the quality of life evaluation as a comprehensive evaluation technology of population health status pay more and more attention. Abroad, the quality of life evaluation techniques are widely used in the selection of clinical treatment approaches, the comprehensive evaluation of prognosis of patients, the effective evaluation of health interventions, and the people of the comprehensive assessment of health status.SF-36 questionnaire is shortly and clearly of items,easy to understand and the high sensitivity of the health survey that is made up of 36 items and eight dimensions, and can be used the methods of quantify to physical and mental health of a comprehensive evaluation , has become a widely used evaluation tool for quality of life.The main analysis of this study are the quality of life situation of the community population in Dandong city, for which the relevant government departments to formulate policy and improve health services to provide a scientific basis. It has practical significance of the social security mechanism operation smoothly and quality of life of the urban poverty population improvely.Object and MethodResearch objectThe objects is divided into poor and non-poor people. Poor people is defined as, the helped families in Dandong city have the lowest living security of the civil affairs department in the book. The population is not less than 18 years old and have the city's accounts of community residents.Research methodThis study is cross-sectional investigation and the use of cluster sampling method. Investigators were community staff and they explained the questionnaire to the subjects. Subjects must be posses reading power and clear mind, and they should complete questionnaire by themselves. 2000 questionnaires were issued, 1,855 valid questionair-es were recovered, and the recovery rate is 92.8%.Research contentThe questionnaire is constituted of the general situation and the 36-item Short Form Health Survey.The general situation was about basic information of the subjects and their family. It included sex, age, occupation, health state, economic state, the expense of education and medical treatment, debt state etc.The 36-item Short Form Health Survey includes thirty-six items, and these items except HT comprise eight scales that form two summaries, physical component summary and mental component summary. The eight scales consist of Physical Functioning, Role Physical, Bodily Pain, General Health, Vitality, Social Functioning, Mental Health, Role Emotional.Analysis methodCronbach'sαCoefficient is used to assess the internal consistency reliability. Validity includes aggregate validity, discrimination validity and structure validity. Through the analysis of physical health and mental health scores for each dimension by age, gender, income and other general factors to analyze quality of life of poor people and non-poor in dandong city.The analysis of impact factors that effect physical and mental health of people use Logistic regression with general condition being independent variable. Analysis to quality of life of people at different levels of medical burden and education burden.The unscrambling, recording, checking and analysis of all data were executed by the software of SPSS13.0. Factor analysis, Logistic regression, t test and ANOVA were used in this study.ResultSF-36 questionnaire have better reliability and validity used population of Dandong City, and MH dimension of aggregate validity and discriminant validity is slightly lower, structure validity of the body pain, social function and emotional functions have a slight deviation with the theoretical structure assuming.Whichever the poor and non-poor people,Health Transition to the best aspects of health status has played most of the change.In Dandong City the quality of life of non-poor people was significantly higher than the new poverty and the traditional poverty population and the new poverty population has higher quality of life than the traditional poor; the population under 50 years old as shown by the increase of income, quality of life has been improved. However, for people over 50 years old, the impact of income is not obvious.The impact factors of physical health were age, medical burden; the impact factors of mental health were disease and debt.Whichever poor or non-poor people, the greater medical burden has the performance of the lower quality of life, no medical burden of family members has significantly higher quality of life than having medical burden of family members. On educational burden, the results of statistical analysis of population find the impact on a small number of dimensions of physical health and mental health on quality of life between the poor and non-poor population.Conclusion(1) In Dandong City the quality of life of non-poor people was significantly higher than the new poverty and the traditional poverty population and the new poverty population has higher quality of life than the traditional poor.(2) With the increase of family income, quality of life has been improved.(3) The impact factors of physical health were age, medical burden.The impact factors of mental health were disease and debt.(4) With the increasing of medical burden, quality of life of people has been lower.