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Pan J, Han Q, Zhou P, Zhou J, Zhang M, Zhu W. Assessing health-related quality of life of Chinese population using CQ-11D. Health Qual Life Outcomes 2024; 22:34. [PMID: 38637793 PMCID: PMC11027529 DOI: 10.1186/s12955-024-02250-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Accepted: 04/03/2024] [Indexed: 04/20/2024] Open
Abstract
PURPOSE This study aimed to assess the health-related quality of life (HRQoL) of the Chinese population by using the Chinese medicine quality of life-11 dimensions (CQ-11D) questionnaire and to identify factors associated with HRQoL. METHODS The data was derived from a survey conducted by the Institute of Pharmacoeconomics Evaluation at Beijing University of Chinese Medicine on the quality of life of the Chinese population. The sex and age of respondents were considered through quota sampling. Demographic, socioeconomic, and health indicators were collected using the structured questionnaire. We performed bivariate analyses first to examine the associations between the above factors and the HRQoL of respondents measured by the CQ-11D. Multivariate linear regression and ordinal logistic regression models were established to analyze the factors (demographic, socioeconomic, and health indicators) differences in HRQoL, as well as the risk of each group reporting problems across the 11 dimensions of CQ-11D. RESULTS From February 2021 to November 2022, a total of 7,604 respondents were involved and 7,498 respondents were included. The sample approximated the general adult Chinese population in terms of age, sex, and district of residence, and each geographic distribution ranged from 9.71 to 25.54%. Of the respondents, 45.84% were male, and 89.82% were Han ethnicity. The mean utility score ranged from 0.796 to 0.921 as age increased. According to the respondents, most health problems were identified in the PL (fatigue) (70.16%) and SM (quality of sleep) (63.63%) dimensions. The CQ-11D index scores varied with the demographic and socioeconomic characteristics of respondents, except for ethnicity (p > 0.05) and income (p > 0.05). The multivariate analysis revealed significant negative associations between health utility scores and various factors. These factors include sex (female), age over 65, belonging to ethnic minorities, rural household registration, being widowed or divorced, having a primary school education or below, being a student or unemployed, having a low income of 0-1,300, engaging in smoking or drinking, limited participation in physical activities, experiencing changes in self-perceived health status compared to the previous year, and having chronic diseases. The odds of respondents reporting problems in 11 dimensions varied among different socio-demographic groups. CONCLUSIONS This study reports the first Chinese population norms for the CQ-11D derived using a representative sample of the Chinese general population. Self-reported health status measured by the CQ-11D varies among different socio-economic groups. In addition to participation a physical activity and the presence of chronic disease, smoking and drinking also significantly influence HRQoL.
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Affiliation(s)
- Jie Pan
- School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China
| | - Qianxi Han
- School of Management, Beijing University of Chinese Medicine, Beijing, China
| | - Pingda Zhou
- School of Management, Beijing University of Chinese Medicine, Beijing, China
| | - Jiameng Zhou
- School of Management, Beijing University of Chinese Medicine, Beijing, China
| | - Mengpei Zhang
- School of Management, Beijing University of Chinese Medicine, Beijing, China
| | - Wentao Zhu
- School of Management, Beijing University of Chinese Medicine, Beijing, China.
- University of Chinese Medicine, Higher education zone in LiangXiang Town, FangShan District, Beijing, 102401, China.
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Batista P, Neves-Amado J, Pereira A, Amado J. FANTASTIC lifestyle questionnaire from 1983 until 2022: A review. Health Promot Perspect 2023; 13:88-98. [PMID: 37600548 PMCID: PMC10439457 DOI: 10.34172/hpp.2023.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 01/21/2023] [Indexed: 08/22/2023] Open
Abstract
Background Studying lifestyles has always been important; quantifying them has become more complex. However, a questionnaire produced in 1983 has shown that its simple form of evaluation can be an added value in understanding lifestyles. Our aim is a systematic review of the scientific literature about the use of the FANTASTIC Lifestyle questionnaire (FLQ). Methods The reflective systematic literature review on PubMed, Medline, Science Direct, and SCIELO databases with the descriptors "FANTASTIC Lifestyle questionnaire" OR "FANTASTICO questionnaire" OR "FANTASTIC questionnaire" OR "FANTASTIC survey" OR "FANTASTIC checklist". PRISMA criteria reporting of systematic reviews and meta-analyses were applied. The inclusion criteria were the use of FLQ instrument to measure lifestyles, presenting quantitative or qualitative results, and psychometric studies. It excluded other lifestyle instruments, incomplete articles, and non-English, Brazilian, Spanish, and Portuguese language articles. Results Findings reveal 41 scientific articles included in the study. It analyzed the results and most studies use the instrument to assess all dimensions. However, some studies reported assessing specific dimensions such as nutrition, sleep, stress, tobacco, alcohol, and drugs. The questionnaire has been applied to a wide range of ages and literacy levels. Conclusion This literature review allowed us to conclude that this questionnaire is still in use today and is applied in several contexts and populations. It is also possible to verify the relevance of its use and to design intervention strategies and programs for a healthy society. It is essential to draw attention to this issue and promote health literacy (HL) on this topic.
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Affiliation(s)
- Patrícia Batista
- Universidade Católica Portuguesa, Research Centre for Human Development (CEDH), Human Neurobehavioral Laboratory (HNL), Porto, Portuga
| | - João Neves-Amado
- Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health (CIIS), Institute of Health Sciences (ICS), Porto, Portugal
| | - Anabela Pereira
- University of Évora, Center for Research in Education and Psychology, Évora, Portugal
| | - João Amado
- Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health (CIIS), Porto, Portugal
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Zabala J, Conejero S, Pascual A, Alonso-Arbiol I, Amutio A, Torres-Gomez B, Padoan De Luca S, Telletxea S. Basque Ethnic Identity and Collective Empowerment: Two Key Factors in Well-Being and Community Participation. Front Psychol 2020; 11:606316. [PMID: 33329280 PMCID: PMC7719804 DOI: 10.3389/fpsyg.2020.606316] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Accepted: 11/02/2020] [Indexed: 11/13/2022] Open
Abstract
Social identity is a factor that is associated with well-being and community participation. Some studies have shown that ethnic identity goes along with empowerment, and that interaction between the two leads to greater indices of well-being and community participation. However, other works suggest a contextual circumstance (i.e., perceiving one's own group as a minority and/or being discriminated) may condition the nature of these relations. By means of a cross-sectional study, we analyzed the relations of social identification (or identity fusion) and collective psychological empowerment with personal well-being, social well-being and community participation in a sample of Basques. A total of 748 Basques participated (63.1% women; age M = 39.28; SD = 12.13). Individuals who were highly identified or fused with Basque speakers and who were highly empowered showed higher indices of well-being (both personal and social) and of community participation than non-fused individuals with low empowerment. The results also suggest that social identification (or identity fusion) offsets the negative effects of perceiving the group as a linguistic minority. Collective psychological empowerment proved to be an especially relevant factor that needs to continue to be explored.
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Affiliation(s)
- Jon Zabala
- Department of Basic Psychological Processes and Development, Faculty of Psychology, University of the Basque Country - UPV/EHU, Donostia-San Sebastián, Spain
| | - Susana Conejero
- Department of Basic Psychological Processes and Development, Faculty of Psychology, University of the Basque Country - UPV/EHU, Donostia-San Sebastián, Spain
| | - Aitziber Pascual
- Department of Basic Psychological Processes and Development, Faculty of Psychology, University of the Basque Country - UPV/EHU, Donostia-San Sebastián, Spain
| | - Itziar Alonso-Arbiol
- Department of Clinical and Health Psychology, and Research Methods, Faculty of Psychology, University of the Basque Country - UPV/EHU, Donostia-San Sebastián, Spain
| | - Alberto Amutio
- Department of Social Psychology, Faculty of Labor Relations and Social Work, University of the Basque Country - UPV/EHU, Leioa, Spain
- Universidad Andres Bello, Faculty of Education and Social Science, Santiago de Chile, Chile
| | - Barbara Torres-Gomez
- Department of Clinical and Health Psychology, and Research Methods, Faculty of Psychology, University of the Basque Country - UPV/EHU, Donostia-San Sebastián, Spain
| | - Sonia Padoan De Luca
- Departament of Social Psychology, Faculty of Psychology, University of the Basque Country - UPV/EHU, Donostia-San Sebastián, Spain
| | - Saioa Telletxea
- Faculty of Labor Relations and Social Work, University of the Basque Country - UPV/EHU, Vitoria-Gasteiz, Spain
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Wu H, Han S, Zhang G, Wu W, Tang N. Health-related quality of life and determinants in North-China urban community residents. Health Qual Life Outcomes 2020; 18:280. [PMID: 32795293 PMCID: PMC7427717 DOI: 10.1186/s12955-020-01522-w] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2019] [Accepted: 07/30/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The objectives of this study were to investigate the HRQoL of residents living in central urban areas (CUA) and developing neighborhoods (DN) areas of North-China and to examine the relationship between health conditions and the physical and mental components of quality of life. METHODS A stratified random sample was taken and health survey scoring system questionnaire SF-36 was used to conduct the HRQoL survey among community residents in the two selected districts in 10 cities. A general questionnaire was also administered with questions that collected general information, population demographic characteristics and health behaviours, social relationships and perception of life satisfaction. RESULTS Five thousand eight hundred eighty-one questionnaires were returned from 6059 invitations with a effective response rate of 97%. The residents in DN had a higher score of physical function, role limitation due to physical problems and vitality than those living in CUA. The prevalence of several chronic diseases was lower in DN's residents than CUA's residents. Age, presence/absence of chronic diseases, leisure time exercise, regular daily routine, sleep quality, appetite, family and social relationships and life satisfaction were significant determinants of HRQoL. CONCLUSIONS Residents living in newly developed neighborhoods in China while keeping some habits and lifestyles of their original rural communities are healthier in terms of chronic diseases and HRQoL. Together with other risk factors chronic diseases are an important determinant on HRQoL. Several healthy habits and behaviors such as having a regular daily routine and exercising during leisure time improved HRQoL in Chinese urban communities. Targeted policies of public health based on these findings can better the health-related quality of life.
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Affiliation(s)
- Hui Wu
- School of Public Health, Xinxiang Medical University, 22 Qixiangtai Rd, Tianjian, 300070, China
- School of Public Health, Tianjin Medical University, 601 Jinsui Rd, Xinxiang, 453000, Henan, China
| | - Shengbo Han
- Zhengzhou Traditional Chinese Medicine Hospital, 65 wenhuagong Rd, Zhongyuan District, Zhengzhou, 450002, Henan, China
| | - Guicheng Zhang
- School of Public Health, Xinxiang Medical University, 22 Qixiangtai Rd, Tianjian, 300070, China
- School of Public Health, Curtin University, Roberts Rd, Subiaco WA, Perth, 6008, Australia
| | - Weidong Wu
- School of Public Health, Xinxiang Medical University, 22 Qixiangtai Rd, Tianjian, 300070, China.
| | - Naijun Tang
- School of Public Health, Tianjin Medical University, 601 Jinsui Rd, Xinxiang, 453000, Henan, China.
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Bomfim RA, Mafra MAS, Gharib IMS, De-Carli AD, Zafalon EJ. Factors associated with a fantastic lifestyle in Brazilian college students - a multilevel analysis. REVISTA CEFAC 2017. [DOI: 10.1590/1982-0216201719518716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Purpose: to analyze possible associations between a Fantastic lifestyle and self-perception of oral health, binge drinking, and socio-demographic variables among public college students. Methods: questionnaires validated for use in Brazil were applied to 672 students in randomly selected courses. It was the first questionnaire to assess a Fantastic lifestyle, the second to measure oral health-related quality of life (OHIP-14), and the third to include socio-demographic information. Multilevel linear regression was used for the analyses. Results: among the participants, 64.21% were full-time students, 52.82% were females, 50.85% had a family income between 4 and 8 minimum wages, 16.75% were binge drinkers, and 22.22% used to drive after drinking. Socio-demographic variables such as income (p = 0.001), religion (p = 0.02), marital status (p = 0.021), binge drinking (p <0.001), and OHIP-14 (p <0.001) were associated with a Fantastic lifestyle. Conclusions: fantastic lifestyle of the Brazilian college students was associated with income, oral health-related quality of life, marital status, religion, and alcohol consumption (binge drinking).
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Bakhshi F, Shojaeizadeh D, Sadeghi R, Taghdisi MH, Nedjat S. The relationship between individual empowerment and health-promoting lifestyle among women NGOs in northern Iran. Electron Physician 2017; 9:3690-3698. [PMID: 28465794 PMCID: PMC5410893 DOI: 10.19082/3690] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2016] [Accepted: 10/17/2016] [Indexed: 11/30/2022] Open
Abstract
INTRODUCTION According to the health-promoting approach, people should be empowered such that they take responsibility for their health and follow a healthy lifestyle. Empowerment is a process in which people confront problems and tasks in their lives in order to better control them. This study was conducted to specify the relationship between individual empowerment and health-promoting lifestyle among women NGOs of northern Iran. METHODS In this cross-sectional study, 290 women NGOs of Guilan Province were selected randomly using multistage cluster sampling, and were examined using the questionnaire of health-promoting lifestyle profile II and individual empowerment inventory scale. Data were analyzed using STATA 11 software via one-way ANOVA, Pearson correlation coefficient and multivariate linear regression. RESULTS Both variables of individual empowerment and health-promoting lifestyle were of favorable status among the population under study. The highest score in individual empowerment belonged to the domain of social support and the highest score in lifestyle belonged to spiritual growth. A significant relationship was found between individual empowerment and health-promoting lifestyle (p<0.001). The highest correlation between individual empowerment and dimensions of health-promoting lifestyle was related to interpersonal relationships. In addition, it was specified that 21% of lifestyle variance could be explained by individual empowerment. CONCLUSION There is a relation between individual empowerment and health-promoting lifestyle. Individual empowerment is a predictive variable to have a health-promoting lifestyle. Therefore, by increasing individuals' empowerment, their healthy lifestyle can be promoted.
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Affiliation(s)
- Fataneh Bakhshi
- Ph.D. Candidate of Health Education and Promotion, Department of Health Education and Promotion, School of Public Health, International Campus, Tehran University of Medical Sciences, Tehran, Iran
| | - Davoud Shojaeizadeh
- Ph.D. of Health Education and Promotion, Professor, Department of Health Education and Promotion, School of Public Health, International Campus, Tehran University of Medical Sciences, Tehran, Iran
| | - Roya Sadeghi
- Ph.D. of Health Education and Promotion, Associate Professor, Department of Health Education and Promotion, school of Public Health, International Campus, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Hossein Taghdisi
- Ph.D. of Health Education and Promotion, Professor, Department of Health Education and Promotion, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
| | - Saharnaz Nedjat
- Ph.D. of Epidemiology and Biostatistics, Professor, Department of Epidemiology and Biostatistics, School of Public Health, Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran
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