Health-related quality of life in Chinese workers: a systematic review and meta-analysis
Abstract Background Studies of health-related quality of life among workers have generated varying results. The purpose of this study was to conduct a systematic review to synthesize the scores of health-related quality of life measured by the World Health Organization Quality of Life questionnaire...
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Format: | Article |
Language: | English |
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BMC
2021-08-01
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Series: | Global Health Research and Policy |
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Online Access: | https://doi.org/10.1186/s41256-021-00209-z |
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author | By Ya Su Meng-Shuang Liu Pinnaduwage Vijitha De Silva Truls Østbye Ke-Zhi Jin |
author_facet | By Ya Su Meng-Shuang Liu Pinnaduwage Vijitha De Silva Truls Østbye Ke-Zhi Jin |
author_sort | By Ya Su |
collection | DOAJ |
description | Abstract Background Studies of health-related quality of life among workers have generated varying results. The purpose of this study was to conduct a systematic review to synthesize the scores of health-related quality of life measured by the World Health Organization Quality of Life questionnaire among Chinese workers and compare the results across gender, age, occupation and region. Methods Six databases including China National Knowledge Infrastructure, WanFang Data, China Science and Technology Journal Database, PubMed, Web of science and Scopus were searched for relevant publications in both English and Chinese from their inception to February 2021. Inclusion and exclusion criteria were established, and study and participant characters as well as health-related quality of life scores were extracted from included publications. Study quality was assessed by using the Crombie tool. The meta-analysis including individual publications used random-effects models. Subgroups analyses by gender, age, occupation and region were also conducted to explore the source of heterogeneity. Results One hundred thirty-nine out of 1437 potential publications were included. The pooled mean scores of health-related quality of life were 14.1 for the physical domain (95%CI: 13.9–14.3), 13.7 for the psychological domain (95%CI: 13.5–13.8), 14.0 for the social relationship domain (95%CI: 13.8–14.2), 12.3 for the environment domain (95%CI: 12.1–12.5). No significant statistical difference was found between the different subgroups. Publication bias was present in the independence domain and the pooled scores were corrected to 15.0 (95%CI: 14.6–15.5) using the trim and fill method. Sensitivity analysis suggested that the results of the meta-analysis were stable. Region might be a source of heterogeneity. Workers in northeast China reported higher scores in the social relationship domain, and those in the central region reported lower scores in the environmental domain. Conclusions Chinese workers reported lower scores in four health-related quality of life domains than the general population. Region might be a potential influencing factor for workers’ scores different, which needs further study. The pooled scores can served as benchmarks for workplace health promotion programes in Chinese workers and global occupational health studies. |
first_indexed | 2024-12-22T11:03:03Z |
format | Article |
id | doaj.art-786b4b4d0649447e98a5dc229b47dea6 |
institution | Directory Open Access Journal |
issn | 2397-0642 |
language | English |
last_indexed | 2024-12-22T11:03:03Z |
publishDate | 2021-08-01 |
publisher | BMC |
record_format | Article |
series | Global Health Research and Policy |
spelling | doaj.art-786b4b4d0649447e98a5dc229b47dea62022-12-21T18:28:26ZengBMCGlobal Health Research and Policy2397-06422021-08-016111710.1186/s41256-021-00209-zHealth-related quality of life in Chinese workers: a systematic review and meta-analysisBy Ya Su0Meng-Shuang Liu1Pinnaduwage Vijitha De Silva2Truls Østbye3Ke-Zhi Jin4Department of Occupational Health, School of Public Health, Fudan UniversityDepartment of Occupational Health, School of Public Health, Fudan UniversityDepartment of Community Medicine, University of RuhunaDuke Global Health InstituteDepartment of Occupational Health, School of Public Health, Fudan UniversityAbstract Background Studies of health-related quality of life among workers have generated varying results. The purpose of this study was to conduct a systematic review to synthesize the scores of health-related quality of life measured by the World Health Organization Quality of Life questionnaire among Chinese workers and compare the results across gender, age, occupation and region. Methods Six databases including China National Knowledge Infrastructure, WanFang Data, China Science and Technology Journal Database, PubMed, Web of science and Scopus were searched for relevant publications in both English and Chinese from their inception to February 2021. Inclusion and exclusion criteria were established, and study and participant characters as well as health-related quality of life scores were extracted from included publications. Study quality was assessed by using the Crombie tool. The meta-analysis including individual publications used random-effects models. Subgroups analyses by gender, age, occupation and region were also conducted to explore the source of heterogeneity. Results One hundred thirty-nine out of 1437 potential publications were included. The pooled mean scores of health-related quality of life were 14.1 for the physical domain (95%CI: 13.9–14.3), 13.7 for the psychological domain (95%CI: 13.5–13.8), 14.0 for the social relationship domain (95%CI: 13.8–14.2), 12.3 for the environment domain (95%CI: 12.1–12.5). No significant statistical difference was found between the different subgroups. Publication bias was present in the independence domain and the pooled scores were corrected to 15.0 (95%CI: 14.6–15.5) using the trim and fill method. Sensitivity analysis suggested that the results of the meta-analysis were stable. Region might be a source of heterogeneity. Workers in northeast China reported higher scores in the social relationship domain, and those in the central region reported lower scores in the environmental domain. Conclusions Chinese workers reported lower scores in four health-related quality of life domains than the general population. Region might be a potential influencing factor for workers’ scores different, which needs further study. The pooled scores can served as benchmarks for workplace health promotion programes in Chinese workers and global occupational health studies.https://doi.org/10.1186/s41256-021-00209-zHealth-related quality of lifeOccupational healthSystematic reviewMeta-analysisChina |
spellingShingle | By Ya Su Meng-Shuang Liu Pinnaduwage Vijitha De Silva Truls Østbye Ke-Zhi Jin Health-related quality of life in Chinese workers: a systematic review and meta-analysis Global Health Research and Policy Health-related quality of life Occupational health Systematic review Meta-analysis China |
title | Health-related quality of life in Chinese workers: a systematic review and meta-analysis |
title_full | Health-related quality of life in Chinese workers: a systematic review and meta-analysis |
title_fullStr | Health-related quality of life in Chinese workers: a systematic review and meta-analysis |
title_full_unstemmed | Health-related quality of life in Chinese workers: a systematic review and meta-analysis |
title_short | Health-related quality of life in Chinese workers: a systematic review and meta-analysis |
title_sort | health related quality of life in chinese workers a systematic review and meta analysis |
topic | Health-related quality of life Occupational health Systematic review Meta-analysis China |
url | https://doi.org/10.1186/s41256-021-00209-z |
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