Study On Quality Of Life Of The Poor In Shenyang

IntroductionWith the development of economic reform and evolution of urban social, the unemployed is becoming poor and the poor people in urban are increasing. Because level of life compacts their health, much attention should be put into them." Quality of life" is introduced in 1970s. The 36 - item Short Form Health Survey is a multi - purpose, short - form health survey that is made up of 36 i-tems and 8 scales and can be used in evaluation of physical and mental health.In China, it isn t reported that whether the SF - 36 is suit for the urban poor. So it is necessary to study an objective and scientific method to assess their quality of life. This study analyze the health of the poor and the unemployed in urban in order to provide information for government and medical unit.Object and method1 Research objectThe data for the study came from Xionjiagang and Shuangdian communities in Tiexi section where many poor people live. The subjects of survey were the main labor force of family that had the lowest allowance in Shenyang. The control team was random chose in the same communities. The poor people was 237 and the control people was 261.In order to assess health of the unemployed, the unemployed team which is 103 was selected from the available questionaires. The remnant poor people wascontrol team 1 which is 134 and the unemployed in control team is control team2 which is 240.2 Research methodInvestigators who were community numbers explained the questionaire to the subjects who was aware and completed it himself.3 Research contentThe general situation includes age, education, occupation, health state, e-conomic state etc.The 36 - item Short Form Health Survey includes 36 items, and these items except HT comprise 8 scales that form 2 summaris, physical component summary and mental component summary by factor analysis. The 8 scales assess health related quality of life which is consist of Physical Function, Role - Physical, Bodily Pain, General Health, Vitality, Social Function, Role - Emotional, Mental Health.4 Analyse methodCronbach' s a which embodies Internal consistency is used to assess reliability Validity includes aggregate validity, discriminant validity and structure validity. The impact factors that embody physical and mental health of the whole people, the poor and the unemployed were computed through Logistic regression.All of datum were analyzed by computer and Factor analysis, Logistic regression and t test of SPSS10.0 were used in this study.Result1 Quality of life of the poorThe result of reliability and validity is all right. The structure validity was almost the same as hypothesized except for SF and VT.Poverty effect the mental health of the whole population significantly. The influential factor of physical health of poor people were sickness, debts, sex, almsgiving, cost of medical treatment and age; the influential factor of mental health of poor people were debts, cost of medical treatment, almsgiving and costof education.The quality of life of poverty team was significantly differed with that of the control team. The change of health of the poor that is shown by the HT item is decreasing. With years of poor increasing, the scores except for RP are decreasing.2 Quality of life of the unemployedThe result of reliability and validity is all right. The scaling success rate on discriminant validity was over 85% except for RE scale, and the structure validity was almost the same as hypothesized except for SF, VT and GH.The impact factors on physical health were sickness, sex, medical cost, debt and culture. Debt was the impact factor on mental health. The score of the unemployed was higher than the poor group, But lower than the non - poor group. The change of health of the poor that is shown by the HT item is decreasing.Discussion1 Quality of life of the poorThere is a trend in structure validity that the social activities of the poor are limited by physical health for social function correlati...