Health Related Quality Of Life And Influence Factors Analysis In Chongqing Residents

Along with the social and economic development, quickening rhythm of life and work, stay up late,network dependence, smoking, drinking, lack of exercise and other lifestyle spread in the urban population.These unhealthy lifestyle leads to the transformation of medical model and the disease, the disease prevention and control of development of health needs has been developed from the past to prolong life,improve health, nutrition, and the ability to keep a good state of mind and social, etc.Not only focus on physical illness, but stressed the importance of mental health and social behavioral function, namely the World Health Organization(WHO) on the new concept of health states: health is not just the absence of disease, but a good physical, psychological, social and ethical aspects of adaptation state. Significant changes in the health of the original concept of making health measure has been unable to complete the full expression of the health implications.Health-related quality of life(health-related quality of life, HRQOL) refers specifically to the quality of life related to health, it reflects the new concept of health, including people in the physical,psychological, social, spiritual and personal role function and other aspects of perfection state, is a multidimensional concept, to more accurately reflect the people’s health.HRQOL have: multi-dimensional,integrated, time-varying, measurable and necessary measurement, object can be either patients, also can be a healthy person, pay attention to individual life events related health status and subjective satisfaction measurement. As the concept of quality of life and HRQOL was more and more widespread acceptance and application of groups and all kinds of HRQOL are closely watched by the crowd. HRQOL in the late seventy s was introduced into the medical profession, it is now in the new medical model(physical a psychological society) of a class of international general composite indicator of human health,comprehensive evaluation is an important method in the study of modern medicine, which can be used for disease clinical trials of curative effect evaluation and selection of treatment, can also be a comprehensive evaluation of the health of the country’s population of countries to make decisions on the allocation of health resources, health plans and has an important guiding role. SF- 36(MOS- Item Short- Form 36 Health Survey) are widespread international recognition of The typical life quality scale, both at home andabroad are widely used in The evaluation of all kinds of people’s life quality, with good reliability and validity.Chongqing is located in southwest China, is a big city, big countryside, mountain area, multi-ethnic urban and rural areas as a whole municipality directly under the central government, Chongqing, economy,science, technology, culture, information and got the unprecedented high speed development, people’s living standard is improving, but with the accelerated pace of urban modernization, people’s life and work pressure is more and more big, hence the derivative of the physiological and psychological sub-health state,and even the occurrence of diseases is also increasingly outstanding. Chongqing has her unique climate,diet and cultural characteristics, namely, Chongqing summer heat, less wet all the year round the sun, like hemp, hot, hot, salty diet, and Chongqing hot the upright personality and so on, these are serious local characteristic factors affecting personal health, also leading to more and more serious public health problem. According to the survey in Chongqing no big data on health related quality of life(HRQOL)research, as well as to the comprehensive analysis of the influence factors of HRQOL. Integrating medical resources of Chongqing, Chongqing citizen HRQOL are studied in big data, in-depth analysis of the main factors influencing the Chongqing citizen HRQOL, establish and regularly publish Chongqing residents HRQOL white paper is urgent.This topic is the Chongqing residents health related quality of life study and influence factors analysis,studies the three parts, the first part of Chongqing citizen body health research analysis, body health reflects human physiological functions, including the human body c ell, tissue, organ or system can make life activities, and the more the role of normal physiological activities are completed. Through healthy check-up can a comprehensive understanding of the human body physiology health status, analysis of medical research in Chongqing as a result, a comprehensive understanding of Chongqing citizen physiological health. The second part is the Chongqing public mental health research, Psychological sub-health can be physical, Psychological examination, PEM) implementation, PEM is psychometric assessment and mental health, promote management system, contains the eysenck personality questionnaire(wildsmith EPQ), cattell 16 personality factor questionnaire(16 pf) and 90 symptoms self-evaluation scale(SCL-90), and other professional Psychological assessment scale for more than 200 sets of both at home and abroad, all inventory is the national mental health association recommended clinical use professional scale, good letter validity index. This study use of PEM psychological medical cloud service system of Chongqing residents psychological sub-health evaluation, grasp the psychological sub-health status of Chongqing residents. The third part: Chongqing residents health related quality(HRQOL) research and influence factors analysis, the general information collection table and international SF- 36 scale health check-up crowd questionnaire investigation, and master the Chongqing residents health related quality of life(HRQOL), reveals the main factors influencing the Chongqing citizen HQROL and their correlation.results:1. The common disease detection rate was 81.9%.Chongqing residents of the top 10 common diseases,hyperlipidemia, fatty liver, overweight, hyperplasia of prostate, reduce bone content detection, hyperplasia of mammary glands, high blood pressure, high uric acid hematic disease, cervical spondylosis, high blood sugar. Hyperlipidemia, fatty liver, high blood pressure detection rate has five consecutive years in Chongqing citizen common diseases before six. Between 2010 and 2014 hyperlipidemia, fatty liver, high blood pressure, high blood sugar, and cervical spondylosis showed a trend of increase year by year;Overweight and high uric acid hematic disease detection rate in 2010-2013 showed a trend of increased year by year, from 2014 began to decline; The detection rate was reduced year by year trend of osteoporosis. Compared with big cities all over the country, hyperlipidemia, fatty liver, high uric acid hematic disease detection rate were higher than the big cities, and high blood glucose detection rate at lower levels.2. Male hyperlipidemia, fatty liver, overweight, high uric acid hematic disease, high blood pressure,high uric acid hematic disease, high blood glucose detection rate is significantly higher than women. The higher the incidence of fatty liver and hyperlipidemia, overweight women almost 1 times. Male hyperlipidemia, overweight, fatty liver, three kinds of diseases are physical exam more than one-third of the total accounted for men. High blood pressure, high uric acid hematic disease and the incidence of prostatic hyperplasia accounted for more than 1/5 of the total number of male physical examination.Female mammary gland hyperplasia, osteoporosis, hyperlipidemia and the multiple space- occupying lesions such as thyroid disease, osteoporosis in women’s common diseases.3. As the growth of the age, the more abnormal detection index number per capita, the higher the ratio.Hyperlipidemia, hypertension, hyperplasia of prostate, osteoporosis, high uric acid hematic disease,cervical spondylosis, high blood glucose detection rate increases with the increasing of age, the difference is statistically significant(P < 0.05).Youth the highest detection rate of fatty liver disease(32.7%), middle age group the highest detection rate of hyperlipidemia(44.5%), elderly group the highest detection rate of osteoporosis(52.3%).4. Knowledge workers is lower than the overall level of Chongqing residents health. Chongqing(internal) cadres, civil servants and teachers per capita disease cases were 3.6, 2.4, 2.9, much higher than ordinary citizens in Chongqing sicken time was 0.81 per capita. Hyperlipidemia, hypertension, fatty liver,osteoporosis is the internal, civil servants and teachers with high incidence of disease, hyperlipidemia is particularly prominent. Compared in each group, the cadre group in the common diseases for cataract,hardening of the arteries; Common diseases peculiar to civil servants for cervical spondylosis and hemorrhoid; The teacher community in the common disease is chronic pharyngitis.5. There are 53794 people in 75660 and check citizens mental sub-health problem, accounting for71.1% of the total, refs for 41 to 50 years old(74.7%), high rates of mental sub-health ages 41 to 50 year old male psychological sub-health are the most serious(76.5%), 51 and 55 years old female psychological sub-health lowest(66.2%).White-collar workers, teachers, soldiers, enterprise managers for psychological sub-health, high-risk groups and enterprise managers more than 84% of the people in the psychological sub-health state. Accept physical examination of 13223 teachers, 41 to 50 years old group psychological sub-health state rate as high as 87.2%.6. Chongqing residents health related quality of life(HRQOL) average score(80.9±14.5) and the national average score(80.1).Woman’s quality of life total average score(80.0±23.8)less than men(88.1±22.8), statistically significant difference(P < 0.05).Men in physiological function(PF) and vitality(VT) dimension scores higher than that of women, women in the social function dimensions in average score higher than males(SF), statistically significant differences(P < 0.05), the economic income mainly affects the object of study the emotional function of(RE) and mental health(MH) and SF-36 scale total score, statistically significant difference(P < 0.05).Junior school group HRQOL scores the highest.Significantly associated with age and HRQOL, with the increase of age, Chongqing residents SF-36 scale gradually reduce the eight dimensions of scores.7. Age effect PF, RP, BP, GH, VT, SF, RE and MH scoring eight dimensions; Gender effects PF, VT,SF, three dimension score; Cultural impact PF, RE, SF, GH score four dimensions; Marital status influence VT, MH scored two dimensions; Employment conditions affect the RP a dimension score; Income effect PF, RP, RE, MH, four dimensions scores; Physical exercise influence PF, BP, VT, SF, scoring four dimensions; Sleep conditions affect the PF dimension score; Health care effects RP, GH, VT, MH, four dimensions scores; Health service satisfaction affect BP, GH, SF, RE, MH, score of five dimensions;Chronic disease effect PF, RP, BP, GH, VT, SF, RE, MH scoring eight dimensions, etc.Conclusions:1. Chongqing residents’ health status is not optimistic, 81.9% of the public health problems.2. Chongqing citizens are the top ten common diseases is: hyperlipidemia, fatty liver, overweight,hyperplasia of prostate, osteoporosis, hyperplasia of mammary glands, high blood pressure, high uric acid hematic disease, cervical spondylosis, high blood sugar. Hyperlipidemia, fatty liver, overweight, high blood pressure, high uric acid hematic disease common diseases such as detection rate was statistically difference in the major cities, Chongqing residents high blood glucose detection rate at lower levels. And Chongqing residents’ hyperlipidemia, fatty liver, high blood pressure, high blood sugar, and the detection rate increased year by year trend of cervical spondylosis, the occurrence of osteoporosis was reduced year by year trend.3. Public health- "Yin flourishes while Yang declines". The incidence of fatty liver and hyperlipidemia, overweight men nearly 1 times higher than women, about a third of the male medical total number, high blood pressure, high uric acid hematic disease and the incidence of prostatic hyperplasia is male medical 1/5 of the total. Female mammary gland hyperplasia, osteoporosis, high cholesterol, and thyroid space-occupying lesions is multiple, osteoporosis in women’s common diseases.4. The older you get, the more abnormal indicator, the higher the ratio. High cholesterol, high blood pressure, high blood sugar, high uric acid hematic disease, osteoporosis and other increases with the increasing of age.5. Knowledge workers- not "brain power strong," health is lower than the ordinary citizens of Chongqing. Hyperlipidemia, hypertension, fatty liver, osteoporosis is cadres, civil servants and teachers with high incidence of disease, hyperlipidemia is particularly prominent.6. More than 70% of the Chongqing people have psychological sub-health, 41 to 50 years old are high rates of mental sub-health ages.white-collar class, teacher, corporate managers have high risk in the psychological sub-health state.7. Age, chronic diseases, the health service level, medical insurance, cultural degree, economic level,such as physical exercise are the main influence factors of Chongqing citizen HRQOL. Age, disease is the independent risk factors results in the decrease of HRQOL.