Cargando…
Culture-Related Health Disparities in Quality of Life: Assessment of Instrument Dimensions Among Chinese
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 con...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8221419/ https://www.ncbi.nlm.nih.gov/pubmed/34178922 http://dx.doi.org/10.3389/fpubh.2021.663904 |
_version_ | 1783711323230568448 |
---|---|
author | Li, Minghui Bao, Zhang Lv, Gang Zhou, Jianying Chen, Pingyu Luo, Nan |
author_facet | Li, Minghui Bao, Zhang Lv, Gang Zhou, Jianying Chen, Pingyu Luo, Nan |
author_sort | Li, Minghui |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8221419 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-82214192021-06-24 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 Front Public Health Public Health 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. Frontiers Media S.A. 2021-06-09 /pmc/articles/PMC8221419/ /pubmed/34178922 http://dx.doi.org/10.3389/fpubh.2021.663904 Text en Copyright © 2021 Li, Bao, Lv, Zhou, Chen and Luo. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Li, Minghui Bao, Zhang Lv, Gang Zhou, Jianying Chen, Pingyu Luo, Nan Culture-Related Health Disparities in Quality of Life: Assessment of Instrument Dimensions Among Chinese |
title | Culture-Related Health Disparities in Quality of Life: Assessment of Instrument Dimensions Among Chinese |
title_full | Culture-Related Health Disparities in Quality of Life: Assessment of Instrument Dimensions Among Chinese |
title_fullStr | Culture-Related Health Disparities in Quality of Life: Assessment of Instrument Dimensions Among Chinese |
title_full_unstemmed | Culture-Related Health Disparities in Quality of Life: Assessment of Instrument Dimensions Among Chinese |
title_short | Culture-Related Health Disparities in Quality of Life: Assessment of Instrument Dimensions Among Chinese |
title_sort | culture-related health disparities in quality of life: assessment of instrument dimensions among chinese |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8221419/ https://www.ncbi.nlm.nih.gov/pubmed/34178922 http://dx.doi.org/10.3389/fpubh.2021.663904 |
work_keys_str_mv | AT liminghui culturerelatedhealthdisparitiesinqualityoflifeassessmentofinstrumentdimensionsamongchinese AT baozhang culturerelatedhealthdisparitiesinqualityoflifeassessmentofinstrumentdimensionsamongchinese AT lvgang culturerelatedhealthdisparitiesinqualityoflifeassessmentofinstrumentdimensionsamongchinese AT zhoujianying culturerelatedhealthdisparitiesinqualityoflifeassessmentofinstrumentdimensionsamongchinese AT chenpingyu culturerelatedhealthdisparitiesinqualityoflifeassessmentofinstrumentdimensionsamongchinese AT luonan culturerelatedhealthdisparitiesinqualityoflifeassessmentofinstrumentdimensionsamongchinese |