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Culture-Related Health Disparities in Quality of Life: Assessment of Instrument Dimensions Among Chinese.
Li, Minghui; Bao, Zhang; Lv, Gang; Zhou, Jianying; Chen, Pingyu; Luo, Nan.
Afiliación
  • Li M; Department of Clinical Pharmacy and Translational Science, University of Tennessee Health Science Center, Memphis, TN, United States.
  • Bao Z; Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
  • Lv G; Department of General Surgery, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
  • Zhou J; Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
  • Chen P; Department of Health Economics, China Pharmaceutical University, Nanjing, China.
  • Luo N; Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Front Public Health ; 9: 663904, 2021.
Article en En | MEDLINE | ID: mdl-34178922
Background: Health-related quality of life (HRQoL) is one of the major focuses of primary care. However, HRQoL instruments used in China are mainly developed from Western countries. Such instruments may not cover all important health concepts valued by the Chinese as health is a culture-specific concept. Objectives: The objectives of this study are to identify culture-specific health dimensions and culture-related health disparities in primary care that are considered important by Chinese living in China. Methods: A purposive sample of 164 adult Chinese (67 healthy persons and 97 patients) were interviewed face to face. In-depth open-ended questions were asked to elicit culture-specific dimensions of quality of life in primary care settings in China. Results: Twelve health dimensions were identified. Five most frequently mentioned dimensions were: mood (N = 52, 31.71%), physical activities (N = 48, 29.27%), work (N = 40, 24.39%), diet (N = 32, 19.51%), and vitality (N = 28, 17.07%). Significantly more healthy persons reported mood (49.25 vs. 19.59%, P < 0.001), mindset (16.42 vs. 0.00%, P < 0.001), and self-care (11.94 vs. 2.06%, P = 0.016) characterizing good HRQoL, while more patients emphasized on work (4.48 vs. 38.14%, P < 0.001). Diet and vitality appeared to be culture-specific dimensions related to health among Chinese. Conclusions: To better adapt or develop HRQoL instruments for Chinese, dimensions or items regarding diet might be included and disparities in the meaning of vitality between Chinese and Western cultures should be considered.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Estado de Salud Tipo de estudio: Qualitative_research Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Límite: Adult / Humans País/Región como asunto: Asia Idioma: En Revista: Front Public Health Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Estado de Salud Tipo de estudio: Qualitative_research Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Límite: Adult / Humans País/Región como asunto: Asia Idioma: En Revista: Front Public Health Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza