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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Main Authors: By Ya Su, Meng-Shuang Liu, Pinnaduwage Vijitha De Silva, Truls Østbye, Ke-Zhi Jin
Format: Article
Language:English
Published: BMC 2021-08-01
Series:Global Health Research and Policy
Subjects:
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.
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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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