The Study On The Health-related Quality Of Life Of Rural Women In Four Counties

In the 17th National Congress of Communist Party,it's further stressed that solving three agricultural problems have a bearing on the overall situation of building a well-off society,as the party must always take it as the most important task.At present,with the improving of agricultural productivity and industrial restructuring and large number of men on wage labor,a feminization of rural labor force becomes to emerge.Rural women become the major construction force of a new Chinese rural area.Therefore,the study of rural women's health-related quality of life conditions, and applying to the field of clinical,prevention,health management and social insurance,can be both academic significant and social valuable.Health-related quality of life is the survival state experience of the individuals of different culture and value systems to their goals,expectations,standards and relating to the matters that they concern.It is a subjective concept of quality of life,which mainly includes the successful states of people in the physical,psychological,social, and spiritual and the embodiment of personal role in functional areas.Hundreds of health-related quality of life scales have been reported,which applies to the different target,scope and characteristics.European quality of life scale (EQ-5D Scale) is a type of general quality of life scale of the international application range,which is concise,comprehensive measurement.When measureing the health-related quality of life,especially the subjects is the rural residents who have lower education level and limited understanding capacity,EQ-5D is relatively more appropriate and feasible. At present,domestic and international study on the quality of life generally applies in clinical trials and evaluation of health assessment of patients with disease. For example,the quality of life of cancer patients assessment and the quality of life of patients with psychiatric evaluation,evaluation of the quality of life of older persons. Domestic reports of the general quality of life are rare,such as those on women's quality of life evaluation and research.The purpose of this study is measuring the HRQOL of rural women in four countries by European quality of life scale(EQ-5D Scale),imploring the potential impact factors of rural women's HRQOL,proposing the strategy and measures of improving rural women's HRQOL,which aim to offer useful recommendations to improve the HRQOL of rural women.Anyue country in Sichuan,and Linquan country in Anhui,Caoxian and Chiping country in Shandong were selected as samples.According to socio-economie development levels and geographical distributions,adopting random stratified cluster sampling we investigated 1810 households and 2914 people.Survey information is quantitative data,using a single factor and multi-factor methods to complete the study objectives.The major findings of this study:①The higher of the survey women's age,the lower of their health-related quality of life conditions.This trend embodiment on two aspects of the HRQOL,including VAS and the five health dimensions.②Pain/discomfort and anxiety/frustration are the main HRQOL problems of the rural women of different age groups.The situation of middle aged and old women in the rural areas is more serious.The awareness of their health care is poor,at the same time,they face the important life event,such as their children to school or building, marriage and so on,which leads to them bearing a greater economic and psychological pressure,possessing different levels of anxiety/frustration problem, and other mental health problems. ③With comparative analysis we found that rural women's health-related quality of life is generally lower than the male residents in pain/discomfort in the four counties, the problem of pain/discomfort and anxiety/frustration are even more serious.④From the simple correlation analysis of factors of three categories and the rural women's HRQOL of four counties,we found that in the various indicators,age and whether work outside with VAS are negatively correlated,education,per capita net income,life satisfaction,confidence and reciprocity index is positively correlated with VAS.Age and education level and life satisfaction are the most affected factors.In the five health dimensions,the correlation coefficient of age and pain/discomfort is the largest,followed by education level,the per capita net income and confidence index; Life satisfaction on women's anxiety/depressing situation is of the most affected, followed by age,the effect of culture is least.⑤Through a multi-factor analysis we found that factors affecting the VAS is the sample countries,age,education level,income level,life satisfaction,and reciprocity index,the medical security situation.The main affecting factors of five health dimensions include the sample counties,age,income level,life satisfaction, confidence index and the medical security situation.Conclusions and recommendations:①Attention to rural education and innovation system in order to improve the cultural quality of rural women.②Actively widen wealth channels for the increase of rural women's income.③Rural women's mental stress should be alleviated to improve their mental health,④Middle aged and older women should be taken more care to enhance their HRQOL.⑤The formation of social networks of rural women in the new era should be promoted.⑥The social security system related to rural women should be improved and constructed.