Culture-Related Health Disparities in Quality of Life: Assessment of Instrument Dimensions Among Chinese

作者：Minghui Li, Zhang Bao, Lv Gang, Jianying Zhou, Pingyu Chen, Nan Luo · 发表于：Frontiers in Public Health · 年份：2021 · DOI：10.3389/fpubh.2021.663904 · 被引用次数：14 · 研究领域：Health and Wellbeing Research、Health, psychology, and well-being、Health disparities and outcomes

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 a...