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Gepubliceerd in: Quality of Life Research 12/2018

21-07-2018

Factors associated with quality of life among married women in rural China: a cross-sectional study

Auteurs: Hao Huang, Siqi Liu, Xiaoxing Cui, Junfeng Zhang, Hui Wu

Gepubliceerd in: Quality of Life Research | Uitgave 12/2018

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Abstract

Purpose

Specific medical and living conditions in rural China may predispose people there to a poor quality of life. This study aimed to evaluate factors affecting the quality of life among married women in rural China.

Methods

This cross-sectional study was conducted in rural areas of Liaoning Province in China. Out of the 3900 married women, 3163 (81%) completed the questionnaire survey. Quality of life was assessed using the WHOQOL-BREF scale. Sociodemographic factors, such as monthly income, and living and health conditions, such as left-behind status, stress (quantified by the Perceived Stress Scale), and coping styles (assessed by the Simplified Coping Style Questionnaire) were collected through self-reported questionnaires. Hierarchical multiple regression was used to explore the factors related to quality of life.

Results

The mean scores of quality of life were 14.08 ± 2.27 for the domain of physical health, 11.78 ± 2.28 for psychological health, 13.07 ± 2.69 for social relationships, and 12.26 ± 2.67 for environmental conditions. Older age, having chronic diseases, being left-behind, sense of marriage insecurity, and stress were all negatively associated with quality of life scores, whereas a higher monthly income was associated with higher scores. Coping styles could be moderating factors in the relationship between stress and quality of life.

Conclusions

Overall, married women living in rural China had relatively low scores for quality of life. Improving family income, providing access to affordable and high-quality medical care, facilitating couple communication, and promoting active coping styles could be intervention strategies to improve the quality of life of these rural residents.
Literatuur
1.
go back to reference WHO. (1995). The World Health Organization Quality of Life Assessment (WHOQOL): Position paper from the world health organization. Social Science & Medicine, 41(10), 1403–1409. CrossRef WHO. (1995). The World Health Organization Quality of Life Assessment (WHOQOL): Position paper from the world health organization. Social Science & Medicine, 41(10), 1403–1409. CrossRef
2.
go back to reference WHOQOL Group. (1993). Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Quality of Life Research, 2, 153–159. CrossRef WHOQOL Group. (1993). Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Quality of Life Research, 2, 153–159. CrossRef
3.
go back to reference Jung, Y. E., Seo, H. J., Song, H. R., Woo, Y. S., Yim, H. W., & Sung, H. M., et al. (2012). Factors associated with subjective quality of life in Korean patients with depressive disorders: The crescend study. Quality of Life Research, 21(6), 967–974. CrossRef Jung, Y. E., Seo, H. J., Song, H. R., Woo, Y. S., Yim, H. W., & Sung, H. M., et al. (2012). Factors associated with subjective quality of life in Korean patients with depressive disorders: The crescend study. Quality of Life Research, 21(6), 967–974. CrossRef
4.
go back to reference Savassi, L. C., Bogutchi, T. R., Lima, A. C., & Modena, C. M. (2014). Quality of life of leprosy sequelae patients living in a former leprosarium under home care: Univariate analysis. Quality of Life Research, 23(4), 1345–1351. CrossRef Savassi, L. C., Bogutchi, T. R., Lima, A. C., & Modena, C. M. (2014). Quality of life of leprosy sequelae patients living in a former leprosarium under home care: Univariate analysis. Quality of Life Research, 23(4), 1345–1351. CrossRef
5.
go back to reference Cheraghi, Z., Doosti-Irani, A., Nedjat, S., Cheraghi, P., & Nedjat, S. (2016). Quality of life in elderly Iranian population using the QOL-brief questionnaire: A systematic review. Iranian Journal of Public Health, 45(8), 978–985. PubMedPubMedCentral Cheraghi, Z., Doosti-Irani, A., Nedjat, S., Cheraghi, P., & Nedjat, S. (2016). Quality of life in elderly Iranian population using the QOL-brief questionnaire: A systematic review. Iranian Journal of Public Health, 45(8), 978–985. PubMedPubMedCentral
6.
go back to reference Yi, J. Y., Zhong, B., & Yao, S. (2014). Health-related quality of life and influencing factors among rural left-behind wives in Liuyang, China. BMC Womens Health, 14, 67. CrossRef Yi, J. Y., Zhong, B., & Yao, S. (2014). Health-related quality of life and influencing factors among rural left-behind wives in Liuyang, China. BMC Womens Health, 14, 67. CrossRef
7.
go back to reference Okekunle, A. P., Akpa, O. M., & Akinyele, I. O. (2015). Sociodemographic factors related to quality of life among premenopausal women in Ibadan. Nigeria. Women & Health, 55(6), 646–662. CrossRef Okekunle, A. P., Akpa, O. M., & Akinyele, I. O. (2015). Sociodemographic factors related to quality of life among premenopausal women in Ibadan. Nigeria. Women & Health, 55(6), 646–662. CrossRef
8.
go back to reference Rėklaitienė, R., Bacevičienė, M., & Andrijauskas, K. (2009). Quality of life in Lithuanian population: The impact of country residence and socio-economic status. Central European Journal of Medicine, 4(4), 476–482. Rėklaitienė, R., Bacevičienė, M., & Andrijauskas, K. (2009). Quality of life in Lithuanian population: The impact of country residence and socio-economic status. Central European Journal of Medicine, 4(4), 476–482.
10.
go back to reference Keshavarzi, S., Ayatollahi, S. M., Zare, N., & Sharif, F. (2013). Quality of life of childbearing age wome and its associated factors: An application of seemingly unrelated regression (SUR) models. Quality of Life Research, 22(6), 1255–1263. CrossRef Keshavarzi, S., Ayatollahi, S. M., Zare, N., & Sharif, F. (2013). Quality of life of childbearing age wome and its associated factors: An application of seemingly unrelated regression (SUR) models. Quality of Life Research, 22(6), 1255–1263. CrossRef
11.
go back to reference Lee, Y. J., Kim, M. S., Cho, S., & Kim, S. R. (2013). Association of depression and anxiety with reduced quality of life in patients with predialysis chronic kidney disease. International Journal of Clinical Practice, 67(4), 363–368. CrossRef Lee, Y. J., Kim, M. S., Cho, S., & Kim, S. R. (2013). Association of depression and anxiety with reduced quality of life in patients with predialysis chronic kidney disease. International Journal of Clinical Practice, 67(4), 363–368. CrossRef
12.
go back to reference Xu, C. X. (2010). A study on family stress of women left in rural areas and it’s influence factors. Population & Economics, 1, 73–78. Xu, C. X. (2010). A study on family stress of women left in rural areas and it’s influence factors. Population & Economics, 1, 73–78.
13.
go back to reference Li, Q. (2015). Vast Country, Vacant village. Left-behind Children, Women and the Elderly (pp. 16–17). Beijing: China Economic Press. Li, Q. (2015). Vast Country, Vacant village. Left-behind Children, Women and the Elderly (pp. 16–17). Beijing: China Economic Press.
14.
go back to reference Chen, L., Wu, J. J., Dou, S. Q., Guo, L., Zhang, L. L., & Zheng, G. S. (2015). Survey on status of mental health of left women in rural areas in Gansu Province. Medicine and Society, 28(8), 98–100. Chen, L., Wu, J. J., Dou, S. Q., Guo, L., Zhang, L. L., & Zheng, G. S. (2015). Survey on status of mental health of left women in rural areas in Gansu Province. Medicine and Society, 28(8), 98–100.
15.
go back to reference Seib, C., Whiteside, E., Lee, K., Humphreys, J., Tran, T. H., Chopin, L., et al. (2014). Stress, lifestyle, and quality of life in midlife and older Australian women: Results from the Stress and the Health of Women Study. Womens Health Issues, 24(1), e43–e52. CrossRef Seib, C., Whiteside, E., Lee, K., Humphreys, J., Tran, T. H., Chopin, L., et al. (2014). Stress, lifestyle, and quality of life in midlife and older Australian women: Results from the Stress and the Health of Women Study. Womens Health Issues, 24(1), e43–e52. CrossRef
16.
go back to reference Carter, J. R., & Goldstein, D. S. (2015). Sympathoneural and adrenomedullary responses to mental stress. Comprehensive Physiology, 5(1), 119–146. PubMedPubMedCentral Carter, J. R., & Goldstein, D. S. (2015). Sympathoneural and adrenomedullary responses to mental stress. Comprehensive Physiology, 5(1), 119–146. PubMedPubMedCentral
17.
go back to reference Xie, Y., & Zhou, X. (2014). Income inequality in today’s China. Proceedings of the National Academy of Sciences of the United States of America, 111(19), 6928–6933. CrossRef Xie, Y., & Zhou, X. (2014). Income inequality in today’s China. Proceedings of the National Academy of Sciences of the United States of America, 111(19), 6928–6933. CrossRef
18.
go back to reference Matz, C. J., Stieb, D. M., & Brion, O. (2015). Urban-rural differences in daily time-activity patterns, occupational activity and housing characteristics. Environmental Health, 14, 88. CrossRef Matz, C. J., Stieb, D. M., & Brion, O. (2015). Urban-rural differences in daily time-activity patterns, occupational activity and housing characteristics. Environmental Health, 14, 88. CrossRef
19.
go back to reference Lazarus, R. S., & Folkman, S. (1984). Encyclopedia of behavioral medicine. In M. D. Gellman & J. R. Turner (Eds.), Stress, appraisal, and coping (pp. 123–136). New York: Springer. Lazarus, R. S., & Folkman, S. (1984). Encyclopedia of behavioral medicine. In M. D. Gellman & J. R. Turner (Eds.), Stress, appraisal, and coping (pp. 123–136). New York: Springer.
20.
go back to reference Ayers, T. S., Sandler, I. N., & Twohey, J. L. (1998). Advances in clinical child psychology. In T. H. Ollendick & R. J. Prinz (Eds.), Conceptualization and measurement of coping in children and adolescents (pp. 243–301). Boston: Springer. Ayers, T. S., Sandler, I. N., & Twohey, J. L. (1998). Advances in clinical child psychology. In T. H. Ollendick & R. J. Prinz (Eds.), Conceptualization and measurement of coping in children and adolescents (pp. 243–301). Boston: Springer.
21.
go back to reference Lau, Y., Wang, Y., Kwong, D. H., & Wang, Y. (2015). Testing direct and moderating effects of coping styles on the relationship between perceived stress and antenatal anxiety symptoms. Journal of Psychosomatic Obstetrics and Gynaecology, 36(1), 29–35. CrossRef Lau, Y., Wang, Y., Kwong, D. H., & Wang, Y. (2015). Testing direct and moderating effects of coping styles on the relationship between perceived stress and antenatal anxiety symptoms. Journal of Psychosomatic Obstetrics and Gynaecology, 36(1), 29–35. CrossRef
22.
go back to reference Li, X., Song, X., Chen, Z., Li, M., Lu, L., & Xu, Y., et al. (2014). Quality of life in rectal cancer patients after radical surgery: A survey of chinese patients. World Journal of Surgical Oncology, 12(1), 161. CrossRef Li, X., Song, X., Chen, Z., Li, M., Lu, L., & Xu, Y., et al. (2014). Quality of life in rectal cancer patients after radical surgery: A survey of chinese patients. World Journal of Surgical Oncology, 12(1), 161. CrossRef
23.
go back to reference The WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28(3), 551–558. CrossRef The WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28(3), 551–558. CrossRef
24.
go back to reference WHO. (1996). WHOQOLBREF Introduction, administration and scoring, field trial version. Geneva: World Health Organization. WHO. (1996). WHOQOLBREF Introduction, administration and scoring, field trial version. Geneva: World Health Organization.
25.
go back to reference Ling, Y. L. (2014). Quality of life of taiwanese adults with autism spectrum disorder. PLoS ONE, 9(10), e109567. CrossRef Ling, Y. L. (2014). Quality of life of taiwanese adults with autism spectrum disorder. PLoS ONE, 9(10), e109567. CrossRef
26.
go back to reference Xia, P., Li, N., Hau, K. T., Liu, C., & Lu, Y. (2012). Quality of life of Chinese urban community residents: A psychometric study of the mainland Chinese version of the WHOQOL-BREF. BMC Medical Research Methodology, 12, 37. CrossRef Xia, P., Li, N., Hau, K. T., Liu, C., & Lu, Y. (2012). Quality of life of Chinese urban community residents: A psychometric study of the mainland Chinese version of the WHOQOL-BREF. BMC Medical Research Methodology, 12, 37. CrossRef
27.
go back to reference Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396. CrossRef Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396. CrossRef
28.
go back to reference Lu, W., Bian, Q., Wang, W. Z., Wu, X. L., Wang, Z., & Zhao, M. (2017). Chinese version of the perceived stress scale-10: A psychometric study in chinese university students. PLoS ONE, 12(12), e0189543. CrossRef Lu, W., Bian, Q., Wang, W. Z., Wu, X. L., Wang, Z., & Zhao, M. (2017). Chinese version of the perceived stress scale-10: A psychometric study in chinese university students. PLoS ONE, 12(12), e0189543. CrossRef
29.
go back to reference Xie, Y. N. (1998). Reliability and validity of the simplified coping style questionnaire. Chinese Journal of Clinical Psychology, 6(2), 114–115. Xie, Y. N. (1998). Reliability and validity of the simplified coping style questionnaire. Chinese Journal of Clinical Psychology, 6(2), 114–115.
30.
go back to reference Luo, T., Cheng, X., & Xiong, Y. (2015). Relationship among resilience, coping style and mental health of newly recruited workers born after 1990 in manufacturing industry of Shenzhen City. Journal of Hygiene Research, 44(2), 252–256. PubMed Luo, T., Cheng, X., & Xiong, Y. (2015). Relationship among resilience, coping style and mental health of newly recruited workers born after 1990 in manufacturing industry of Shenzhen City. Journal of Hygiene Research, 44(2), 252–256. PubMed
31.
go back to reference Lin, T. H. (2010). A comparison of multiple imputation with EM algorithm and MCMC method for quality of life missing data. Quality & Quantity, 44(2), 277–287. CrossRef Lin, T. H. (2010). A comparison of multiple imputation with EM algorithm and MCMC method for quality of life missing data. Quality & Quantity, 44(2), 277–287. CrossRef
32.
go back to reference Skevington, S. M., Lotfy, M., & O’Connell, K. A. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A report from the WHOQOL group. Quality of Life Research, 13, 299–310. CrossRef Skevington, S. M., Lotfy, M., & O’Connell, K. A. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A report from the WHOQOL group. Quality of Life Research, 13, 299–310. CrossRef
33.
go back to reference Wang, J., Meng, Q., & Qu, J. (2009). Analysis on health and quality of life of rural women. Health Public Journal of China, 25(10), 1198–1199. Wang, J., Meng, Q., & Qu, J. (2009). Analysis on health and quality of life of rural women. Health Public Journal of China, 25(10), 1198–1199.
34.
go back to reference Wang, R., Yan, Z., Liang, Y., Tan, E. C., Cai, C., Jiang, H., et al. (2015). Prevalence and patterns of chronic disease pairs and multimorbidity among older Chinese adults living in a rural area. PLoS ONE, 10(9), e0138521. CrossRef Wang, R., Yan, Z., Liang, Y., Tan, E. C., Cai, C., Jiang, H., et al. (2015). Prevalence and patterns of chronic disease pairs and multimorbidity among older Chinese adults living in a rural area. PLoS ONE, 10(9), e0138521. CrossRef
35.
go back to reference Lucassen, P. J., Pruessner, J., Sousa, N., Almeida, O. F., Van Dam, A. M., Rajkowska, G., et al. (2014). Neuropathology of stress. Acta Neuropathologica, 127(1), 109–135. CrossRef Lucassen, P. J., Pruessner, J., Sousa, N., Almeida, O. F., Van Dam, A. M., Rajkowska, G., et al. (2014). Neuropathology of stress. Acta Neuropathologica, 127(1), 109–135. CrossRef
36.
go back to reference Olff, M. (1999). Stress, depression and immunity: The role of defense and coping styles. Psychiatry Research, 85(1), 7–15. CrossRef Olff, M. (1999). Stress, depression and immunity: The role of defense and coping styles. Psychiatry Research, 85(1), 7–15. CrossRef
37.
go back to reference Zhong, B., & Yao, S. Q. (2012). Depressive symptoms and related influential factors in left-behind women in rural area. Chinese Journal of Clinical Psychology, 20(6), 839–841. Zhong, B., & Yao, S. Q. (2012). Depressive symptoms and related influential factors in left-behind women in rural area. Chinese Journal of Clinical Psychology, 20(6), 839–841.
38.
go back to reference Ben-Zur, H. (2012). Loneliness, optimism, and well-being among married, divorced, and widowed individuals. Journal of Psychology, 146, 23–36. CrossRef Ben-Zur, H. (2012). Loneliness, optimism, and well-being among married, divorced, and widowed individuals. Journal of Psychology, 146, 23–36. CrossRef
39.
go back to reference Jin, Y., Qin, Q., Zhan, S., Yu, X., Liang, L., & Huang, F. (2016). Depressive symptoms were prevalent among left-behind women in Ma’anshan, China. The Journal of Nervous and Mental Disease, 204(3), 226–232. CrossRef Jin, Y., Qin, Q., Zhan, S., Yu, X., Liang, L., & Huang, F. (2016). Depressive symptoms were prevalent among left-behind women in Ma’anshan, China. The Journal of Nervous and Mental Disease, 204(3), 226–232. CrossRef
40.
go back to reference Niu, F. (2011). The study on the characteristics of social support networks and its influential factors of rural women left behind in Northwest China—Based on a survey in rural areas of Gansu Province. Science Economy Society, 3, 71–78. Niu, F. (2011). The study on the characteristics of social support networks and its influential factors of rural women left behind in Northwest China—Based on a survey in rural areas of Gansu Province. Science Economy Society, 3, 71–78.
41.
go back to reference Christopher, D. G., Addie, W., & Kathryn, S. (2012). Rural women’s transitions to motherhood: Understanding social support in a rural community. Journal of Family Social Work, 15(5), 435–448. CrossRef Christopher, D. G., Addie, W., & Kathryn, S. (2012). Rural women’s transitions to motherhood: Understanding social support in a rural community. Journal of Family Social Work, 15(5), 435–448. CrossRef
42.
go back to reference Fischer, C. (1982). To dwell among friends. Chicago: University of Chicago. Fischer, C. (1982). To dwell among friends. Chicago: University of Chicago.
43.
go back to reference Rico-Uribe, L. A., Caballero, F. F., Olaya, B., Tobiasz-Adamczyk, B., Koskinen, S., Leonardi, M., et al. (2016). Loneliness, social networks, and health: A cross-sectional study in three countries. PLoS ONE, 11, e0145264. CrossRef Rico-Uribe, L. A., Caballero, F. F., Olaya, B., Tobiasz-Adamczyk, B., Koskinen, S., Leonardi, M., et al. (2016). Loneliness, social networks, and health: A cross-sectional study in three countries. PLoS ONE, 11, e0145264. CrossRef
44.
go back to reference Christopher, J. H., Aidan, G. C. W., Emily, B. A., & Aaron, L. P. (2013). The interpersonal core of personality pathology. Journal of Personality Disorders, 27(3), 270–295. CrossRef Christopher, J. H., Aidan, G. C. W., Emily, B. A., & Aaron, L. P. (2013). The interpersonal core of personality pathology. Journal of Personality Disorders, 27(3), 270–295. CrossRef
Metagegevens
Titel
Factors associated with quality of life among married women in rural China: a cross-sectional study
Auteurs
Hao Huang
Siqi Liu
Xiaoxing Cui
Junfeng Zhang
Hui Wu
Publicatiedatum
21-07-2018
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 12/2018
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-018-1944-y