Constitution Factor Of .9 Provinces And Cities In The General Population, Health-related Quality Of Life

Objective:①To assess the health-related quality of life(HRQOL) of general population from nine provinces and municipalities.②To assess the HRQOL of 9 constitutions in Chinese medicine.③To explore the impact of general population's HRQOL and Constitution in Chinese medicine.Methods:This study is base on "Naional Basic Research Program of China(973 Program)", the program number is 2005CB523501.Using 21,948 cases large sample data of constitution in Chinese medicine and health status cross-section survey from general population above fifteen years old of community,school and body check center in nine provinces and municipalities(Jiangsu,Anhui,Gansu,Qinghai,Fujian,Beijing,Jilin,Jiangxi and He'nan) from December 2005 to January 2007 on the basis of obtaining patients' Informed Consent Form.It was performed using the Medical Outcomes Study Short Form Health Survey(MOS SF-36),the Constitution in Chinese Medicine Questionnaire(CCMQ) and the background questionnaire.8448 samples in accord with sample data from 1%nationwide population survey in 2005 were randomly selected with sex and age structures,which could representative the general population of China.Calculate health-related quality of life of different demographic characteristics.According to CCMQ,the HRQOL of Gentleness type, Qi-deficiency type,Yang-deficiency type,Yin-deficiency type,Phlegm-wetness type, Wet-heat type,Blood-stasis type,Qi-depression type and Special diathesis type were assessed. At the same time,the constitutional factors of HRQOL were assessed by logistic regression analysis.Result:①Except Social Functioning(SF) sub-scale with 0.52,each of MOS SF-36 sub-scales reaches more than 0.70 of Cronbach's alpha;CCMQ sub-scales with 0.73 to 0.82 of Cronbach's alpha and has good internal consistency.②The HRQOL of general population in different sex,age,marital status,occupation and education level are different,and the difference was significant(p＜0.001).③In the general population,Gentleness type accounted for 32.14 percent,eight pathological constitutions account for 67.86 percent.The scores of HRQOL have the lowest on Physical component summary(PCS,(?)=71.82),Physical Functioning(PF,(?)=83.55),Role-Physical(RP,(?)=72.24),General Health(GH,(?)=57.07), Vitality(VT,(?)=62.65) and SF((?)=78.85) domains in Qi-deficiency type,have the lowest on Mental component summary(MCS,(?)=67.55),Role-Emotional(RE,(?)=64.25) and Mental Health(MH,(?)=63.78) domains in Qi-depression type,and the lowest on Bodily Pain (BP,(?)=73.58) domain in Blood-stasis type.④By logistic regression analysis,compared with Gentleness type,the values of OR have significantly higher in Qi-deficiency type, Yang-deficiency type,Yin-deficiency type,Phlegm-wetness type,Wet-heat type,Blood-stasis type,Qi-depression type and Special diathesis type,Which were impared the HRQOL.The first risk factor of impaired HRQOL in PF(OR=4.07),RP(OR=3.63),GH(OR=6.06), VT(OR=6.44),SF(OR=3.90) and PCS(OR=6.43) domains has Qi-deficiency type,in RE(OR=4.46),MH(OR=7.54) and MCS(OR=7.29) domains has Qi-depression type,and in BP(OR=4.81) domain has Blood-stasis type.Conclusions:①In the general population,the HRQOL has lowest in Qi-deficiency type, Qi-depression type and Blood-stasis type.②Eight pathological constitutions of Qi-deficiency type,Yang-deficiency type,Yin-deficiency type,Phlegm-wetness type,Wet-heat type, Blood-stasis type,Qi-depression type and Special diathesis type have high significant impact on HRQOL,especially in Qi-deficiency type,Qi-depression type,Special diathesis type, Blood-stasis type and Phlegm-wetness type.To take corresponding measures to adjust pathological constitutions,can improve people's health-related quality of life.