Qualidade de vida de pacientes submetidos à cirurgia bariátrica: estudo transversal

Objetivo: Analizar los factores que influyeron en la calidad de vida (CV) de los pacientes después de la cirugía bariátrica. Métodos: Se llevó a cabo un estudio transversal en el que participaron 307 pacientes adultos con cirugía bariátrica entre 2012 y 2014. Se han obtenido los datos de los registros electrónicos de los pacientes y de sus entrevistas telefónicas. Después se construyó un modelo de regresión lineal simple, ajustado por variables sociodemográficas, con p <0.05. Para evaluar la CV, se utilizó la Calidad de Vida Breve de la Organización Mundial de la Salud (WHOQOL-bref). Resultados: Los dominios con las peores puntuaciones fueron el físico (media = 58,45; SD ± 10,42) y ambiental (media = 65,19; SD ± 11,36). Los mejores dominios fueron el social (media = 76.51; SD ± 15.71) y psicológico (media = 68.70; SD ± 15.71). En el modelo de regresión lineal, se observó que el tiempo desde la cirugía se asoció inversamente con el dominio de la salud física. Por cada mes posterior a la cirugía bariátrica, el puntaje promedio del paciente se redujo en 2.66 puntos, ajustado por sexo y edad. Conclusión: El tiempo transcurrido desde la cirugía puede ser un determinante importante de la puntuación del dominio físico de la calidad de vida. Identificar la calidad de vida después de la cirugía bariátrica y los factores influyentes es fundamental para preparar a estos pacientes para los cambios derivados de la pérdida de peso. Purpose: Analyze factors that influenced the quality of life (QoL) of patients after bariatric surgery. Methods: A cross-sectional study was carried out, involving 307 adult bariatric surgery patients between 2012 and 2014. Data was obtained from the electronic patient records and telephone interviews. To assess the QoL, the World Health Organization Quality of Life-Bref (WHOQOL-bref) was used. A simple linear regression model was constructed, adjusted by sociodemographic variables, with p<0.05. Results: The domains with the worst scores were the physical (mean=58.45; SD±10.42) and environmental (mean=65.19; SD±11.36). The best domains were the social (mean=76.51; SD±15.71) and psychological (mean=68.70; SD±15.71). In the linear regression model, it was observed that time since the surgery was inversely associated with the physical health domain. For each month post-bariatric surgery, the patient’s average score dropped by 2.66 points, adjusted by sex and age. Conclusions: Time since the surgery could be an important determinant of the physical domain score of quality of life. Identifying the quality of life after bariatric surgery and influential factors is fundamental to prepare these patients for the changes deriving from the weight loss.

Download Full-text

Factors associated with vocal health and quality of life in teachers/professors

Revista CEFAC ◽

10.1590/1982-021620182048417 ◽

2018 ◽

Vol 20 (4) ◽

pp. 515-531 ◽

Cited By ~ 1

Author(s):

Mônica Carneiro Leão de Albuquerque Lopes ◽

Sabrina Nathália Fagundes ◽

Kristiana Cerqueira Mousinho ◽

Mylena Guimarães Cabral Correia ◽

Camila Maria Beder Ribeiro ◽

...

Keyword(s):

Quality Of Life ◽

Working Environment ◽

Public Institution ◽

World Health ◽

Average Score ◽

Clinical Aspects ◽

Life Questionnaire ◽

Technological Education ◽

World Health Organization Quality

ABSTRACT Purpose: to analyze the association of self-reported vocal symptoms with personal, occupational and clinical aspects and relate them to the quality of life of teachers/professors of the federal network of vocational and technological education. Methods: study carried out with 157 teachers from a federal public institution of vocational and technological education, who answered the World Health Organization Quality of Life questionnaire (WHOQOL-bref), Quality of Life in the Voice (V-RQOL) questionnaire and a data form (on social information, health conditions, vocal symptoms, habits, organization and working environment). Statistical analysis was performed using the Chi-square test. Results: 29% of the teachers presented vocal symptoms. The prevalent complaints were dry throat (38.2%), cough (37.6%) and hoarseness (30.6%). There was a higher prevalence of symptoms in females. For the WHOQOL-bref, the average was 71.3 points, which is considered regular. The domain with the highest score was the psychological one with 75.3. Regarding V-RQOL, the average score in the global domain was 92.5 points, and the physical score was the most compromised one. 90.5% of teachers showed low voice impact on quality of life. Conclusion: although these teachers present vocal complaints, they do not reflect in the limitation of the quality of life.

Download Full-text

Selection of Appropriate Model for Quality of Life Data of Strabismus Patients Despite Censorship

Journal of Biostatistics and Epidemiology ◽

10.18502/jbe.v6i3.5108 ◽

2021 ◽

Author(s):

Zahra Ghassemi ◽

Mehdi Yaseri ◽

Mostafa Hosseini

Keyword(s):

Quality Of Life ◽

Linear Regression ◽

Regression Model ◽

Multiple Linear Regression ◽

Linear Regression Model ◽

Multiple Linear Regression Model ◽

Tobit Model ◽

P Value ◽

Response Variable

Introduction: Previous studies on the quality of life of strabismus patients have not examined the existence of censoring to express the relation between the response variable and its predictors. Methods & Materials: The information used in this study is a conducted cross-sectional study in 2012. The sample size is 90 children in the age range (4-18) years and with congenital strabismus. We used the RAND Health Insurance Study questionnaire with ten subscales to evaluate the quality of life, which was increased to 11 dimensions by adding some items related to eye alignment concerns introduced by Archer et al. The demographic profile is also recorded by 13 other questions. We have expressed the relationship between the independent and response variables in each of the 11 dimensions of the questionnaire and the overall quality of life score by fitting the multiple linear regression model. Then we fitted the two models of classic Tobit and CLAD, which are for censoring, to all dimensions of the questionnaire. Results: We showed that in fitting the models to the overall quality of life scale variable, the best model is the multiple linear regression. Because the response variable was normal, and there was no censoring (ceiling and floor effect). However, in the depression subscale, due to the high censoring (28.89% of the ceiling effect) and the almost normal distribution of the response variable (p-value of skewness< 0.05), the appropriate model according to the criteria is the classic Tobit (AIC = 546.33). That is, the classic Tobit model is the best alternative to the multiple linear regression model in the presence of censoring. But these conditions did not exist in all variables. In the subscale, there was a severe censoring performance constraint (67.78% of the ceiling effect). When censoring is high, the distribution of the response variable becomes very skewed, and the distribution of response variables deviates drastically from normal. The distribution of the performance constraint variable was very skewed (p-value <0.001). Here the RMSE standard scale for the classic Tobit model was 28.74, which is much higher than the standard scale for the multiple linear regression model (14.23). The best model for the high censoring was CLAD. Conclusion: To use the appropriate statistical method in the analysis, one must look at how the response variable is distributed. The multiple linear regression model is very widely used, but in the presence of censoring, the use of this model gives skewed results. In this case, the classic Tobit model and its derived model, CLAD, are replaced. The nonparametric CLAD model calculates accurate estimates with minimum defaults and censoring.

Download Full-text

Factores relacionados con la calidad de vida de pacientes trasplantados

Revista CUIDARTE ◽

10.15649/cuidarte.v10i2.715 ◽

2019 ◽

Vol 10 (2) ◽

Author(s):

Alana Mirelle Coelho Leite ◽

Patrícia Shirley Alves Sousa ◽

Joice Requião Costa ◽

Rosana Alves de Melo ◽

Ferdinando Oliveira Carvalho ◽

...

Keyword(s):

Quality Of Life ◽

World Health Organization ◽

World Health ◽

World Health Organization Quality ◽

Calidad De Vida ◽

Organization Quality ◽

Health Organization

Introducción: El transplante es un procedimiento quirúrgico que constituye una forma de tratamiento eficaz para enfermedades en fase terminal. La realización del mismo puede generar mejoras en la calidad de vida de los individuos, así como en distintos factores que pueden interferir en esa percepción. El objetivo del presente estudio fue evaluar la influencia de factores socioeconómicos e inherentes al transplante en la percepción de la calidad de vida en pacientes que hayan sido sometidos a trasplantes de órganos. Materiales y Métodos: Estudio descriptivo, cuantitativo e de tipo transversal, realizado a través de un cuestionario socioeconómico y un cuestionario de calidad de vida, el World Health Organization Quality of Life- Bref. La muestra estuvo constituida por 258 participantes. Se realizaron las pruebas U de Mann Whitney y Kruskal Wallis, además de la correlación de Spearman. El nivel de significación adoptado fue p<0,05. Resultados: En los resultados se demuestra que recibir ingresos por encima de 2 salarios marcó una diferencia significativa con respecto a los participantes que reciben menores ingresos. Los casados presentaron una diferencia significativa en el área psicológica en comparación con los de otras situaciones conyugales. El trasplantado de hígado presentó diferencia significativa en la autoevaluación con respecto a los otros trasplantados. Discusión: El transplante, a pesar de no proporcionar una cura definitiva, rehabilita a los pacientes, lo que les posibilita que sientan placeres que habían sido olvidados debido a la enfermedad y que, poco a poco, hayan podido recuperarlos. Conclusiones: Los pacientes percibieron la calidad de vida de forma satisfactoria cuando recibían ingresos elevados, habían sido sometidos a transplante hepático y tenían pareja, esto impactó de manera positiva en esta percepción. Como citar este artigo: Leite AMC, Sousa PSA, Costa JR, Melo RA, Carvalho FO, Moura JC. Fatores relacionados à qualidade de vida de pacientes transplantados. Rev Cuid. 2019; 10(2): e715. http://dx.doi.org/10.15649/cuidarte.v10i2.715

Download Full-text

ASSOCIATION BETWEEN NUTRITIONAL STATUS AND QUALITY OF LIFE IN (PRE)FRAIL COMMUNITY-DWELLING OLDER PERSONS

Journal of Frailty & Aging ◽

10.14283/jfa.2016.88 ◽

2016 ◽

pp. 1-8

Author(s):

E. LUGER ◽

S. HAIDER ◽

A. KAPAN ◽

K. SCHINDLER ◽

C. LACKINGER ◽

...

Keyword(s):

Quality Of Life ◽

Linear Regression ◽

Nutritional Status ◽

Social Participation ◽

Older Persons ◽

Community Dwelling ◽

World Health ◽

Regression Analyses ◽

World Health Organization Quality

Background: For developed countries, healthy aging is one of the challenges and the number of healthy life years and especially the quality of life (QoL) are important. Objective: This study aimed to assess the association between nutritional status and different domains of QoL in (pre)frail community-dwelling elders. Design: Baseline data from persons, who participated in a 12-week nutritional and physical training intervention program, conducted from September 2013 - July 2015. Setting: (Pre)frail community-dwelling elders living in Vienna, Austria. Participants: A total of 83 older persons living at home, 12 men and 71 women (86%) aged 65 to 98 years. Measurements: Structured interviews were conducted at participants’ homes. Mini Nutritional Assessment® long-form (MNA®-LF) was used to investigate the nutritional status. The QoL domains were assessed with the World Health Organization Quality of Life questionnaires. Simple and multiple linear regression analyses were performed to evaluate the association between nutritional status and QoL domains, adjusted for possible confounders. Results: 45% of the participants were at risk of malnutrition and 3% were malnourished. Compared to normal nourished people, persons who had an impaired nutritional status, significantly differed in the QoL domain ‘autonomy’ with mean (SD) scores of 50.0 (14.9) vs. 57.3 (13.7); p=0.022 and in the QoL domain ‘social participation’ with scores of 40.1 (13.6) vs. 47.0 (11.2); p=0.014, respectively. According to linear regression analyses, the MNA®-LF score was significantly associated with ‘overall QoL’ (β=0.26; p=0.016) and the QoL domains ‘physical health’ (β=0.23; p=0.036), ‘autonomy’ (β=0.27; p=0.015), and ‘social participation’ (β=0.28; p=0.013). Conclusions: There was a significant association between nutritional status and QoL in elderly (pre)frail community-dwelling people, in particular for the QoL domains ‘autonomy’ and ‘social participation’. However, it remains unclear whether malnutrition was the cause or the consequence, or it was mediated through a third possible factor e.g. the functional status.

Download Full-text

Quality of life of three health care workers categories in a hospital in Minas Gerais, Brazil

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.952-8430-1-le.0403201004 ◽

2010 ◽

Vol 4 (3) ◽

pp. 1365

Author(s):

Josiane Costa Sales ◽

Carolina Marques Borges ◽

Odete Vicente Moreira Alves ◽

Lívia Wagner Paes ◽

Ana Cristina Viana Campos

Keyword(s):

Quality Of Life ◽

Health Care ◽

Health Care Workers ◽

Descriptive Study ◽

Minas Gerais ◽

World Health ◽

World Health Organization Quality ◽

Calidad De Vida ◽

Care Workers

ABSTRACTObjective: investigate the quality of life of three health care workers in a philanthropic Hospital in Minas Gerais. Method: this is about a descriptive study, from transversal design (n=27) with nurses, doctors and physiotherapists whom work in a philanthropic Hospital in Minas Gerais. The valid and reliable Portuguese WHOQOL-bref version was used as a tool to measure quality of life. The study was approved by the Research Ethics Committee of the Pontifícia Universidade Católica de Minas Gerais, Brazil with protocol number 1662.0.000.213-0. Results: dichotomization of all WHOQoL scores based on respective medians showed that most of professionals had partial scores under it: Physic (55.6%), Psychology (63.0%), Social (74.1%) and Environmental (70.4%). Conclusions: measurement of health care workers’ quality of life suggests low quality of life among them, however due descriptive study design it was not possible to consider none comparison among the three health care worker’s categories. Descriptors: quality if life; professional practice; intensive care units.RESUMOObjetivo: investigar a qualidade de vida de três categorias profissionais da saúde de um hospital filantrópico de Minas Gerais, Belo Horizonte, Brasil. Método: trata-se de estudo transversal descritivo (n=27) com enfermeiros, médicos e fisioterapeutas de um Hospital Filantrópico no interior de Minas Gerais. O instrumento utilizado para mensurar a qualidade de vida foi o World Health Organization Quality Of Life na sua versão abreviada traduzida e validada para o português, mediante a aprovação do Comitê de Ética em Pesquisa da Pontifícia Universidade Católica de Minas Gerais sob o Certificado de Apresentação para Apreciação Ética (CAAE) – 1662.0.000.213-0. Resultados: a dicotomização dos escores do WHOQoL feitas pelas respectivas medianas mostrou que a maioria dos profissionais apresentou escore parcial abaixo da mediana, Físico (55,6%), Psicológico (63,0%), Social (74,1%) e Ambiental (70,4%). Conclusão: a mensuração da qualidade de vida dos profissionais de saúde entrevistados sugere uma baixa qualidade de vida dos mesmos, no entanto devido ao caráter descritivo do estudo nao foi possivel realizar nenhum tipo de comparação entre as três categorias profissionais. Descritores: qualidade de vida; pratica profissional; unidades de terapia intensiva.RESUMENObjetivo: investigar la calidad de vida de las tres categorías de profesionales de la salud de un hospital filantrópico de Minas Gerais. Método: estudio descriptivo transversal (n=27) con las enfermeras, médicos y terapeutas en un hospital de beneficencia en el estado de Minas Gerais. El instrumento utilizado para medir la calidad de vida era la de la Organización Mundial de la Salud la calidad de vida en su versión abreviada traducido y validado por los portugueses. El estudio fue aprobado por el Comité de Ética de la Pontifícia Universidade Católica de Minas Gerais con el numero de protocolo 1662.0.000.213-0. Resultados: La dicotomía de la WHOQOL realizados por sus medianas mostraron que la mayoría de los profesionales tenían una puntuación parcial por debajo de la mediana, físico (55,6%), psicológico (63,0%), sociales (74,1%) y Medio Ambiente (70,4%). Conclusión: La medición de la calidad de vida de los profesionales de la salud sugiere una menor calidad de vida para nosotros mismos, sin embargo debido a la naturaleza descriptiva de este estudio no fue posible hacer una comparación entre las tres categorías profesionales. Descriptores: calidad de vida, práctica profesional; unidades de terapia intensiva.

Download Full-text

Using Bayesian Networks to Predict Long-Term Health-Related Quality of Life and Comorbidity after Bariatric Surgery: A Study Based on the Scandinavian Obesity Surgery Registry

Journal of Clinical Medicine ◽

10.3390/jcm9061895 ◽

2020 ◽

Vol 9 (6) ◽

pp. 1895

Author(s):

Yang Cao ◽

Mustafa Raoof ◽

Eva Szabo ◽

Johan Ottosson ◽

Ingmar Näslund

Keyword(s):

Bariatric Surgery ◽

Linear Regression ◽

Bayesian Networks ◽

Regression Model ◽

Linear Regression Model ◽

Health Related Quality ◽

Related Quality ◽

Health Related

Previously published literature has identified a few predictors of health-related quality of life (HRQoL) after bariatric surgery. However, performance of the predictive models was not evaluated rigorously using real world data. To find better methods for predicting prognosis in patients after bariatric surgery, we examined performance of the Bayesian networks (BN) method in predicting long-term postoperative HRQoL and compared it with the convolution neural network (CNN) and multivariable logistic regression (MLR). The patients registered in the Scandinavian Obesity Surgery Registry (SOReg) were used for the current study. In total, 6542 patients registered in the SOReg between 2008 and 2012 with complete demographic and preoperative comorbidity information, and preoperative and postoperative 5-year HROoL scores and comorbidities were included in the study. HRQoL was measured using the RAND-SF-36 and the obesity-related problems scale. Thirty-five variables were used for analyses, including 19 predictors and 16 outcome variables. The Gaussian BN (GBN), CNN, and a traditional linear regression model were used for predicting 5-year HRQoL scores, and multinomial discrete BN (DBN) and MLR were used for 5-year comorbidities. Eighty percent of the patients were randomly selected as a training dataset and 20% as a validation dataset. The GBN presented a better performance than the CNN and the linear regression model; it had smaller mean squared errors (MSEs) than those from the CNN and the linear regression model. The MSE of the summary physical scale was only 0.0196 for GBN compared to the 0.0333 seen in the CNN. The DBN showed excellent predictive ability for 5-year type 2 diabetes and dyslipidemia (area under curve (AUC) = 0.942 and 0.917, respectively), good ability for 5-year hypertension and sleep apnea syndrome (AUC = 0.891 and 0.834, respectively), and fair ability for 5-year depression (AUC = 0.750). Bayesian networks provide useful tools for predicting long-term HRQoL and comorbidities in patients after bariatric surgery. The hybrid network that may involve variables from different probability distribution families deserves investigation in the future.

Download Full-text

Qualidade de vida e diagnósticos de enfermagem de mulheres com AIDS

Enfermería Global ◽

10.6018/eglobal.16.4.267571 ◽

2017 ◽

Vol 16 (4) ◽

pp. 121

Author(s):

Herta De Oliveira Alexandre Herta ◽

Marli Teresinha Gimeniz Galvão ◽

Gilmara Holanda da Cunha

Keyword(s):

Social Sciences ◽

Quality Of Life ◽

World Health Organization ◽

World Health ◽

World Health Organization Quality ◽

Calidad De Vida ◽

Organization Quality ◽

Las Mujeres ◽

Health Organization

Objetivo: Evaluar la calidad de vida y los diagnósticos de enfermería de mujeres con sida. Métodos: Estudio transversal, involucrando a 70 mujeres con sida en seguimiento ambulatorial. Para la recolección de datos, se utilizó el formulario sociodemográfico y clínico y la versión brasileña del instrumento World Health Organization Quality of Life - VIH. Los diagnósticos de enfermería se determinaron de acuerdo con la Taxonomía II de la NANDA-I. Se realizó análisis a través del software Statistical Package for Social Sciences® (SPSS) versión 18. Resultados: La mayoría de las mujeres tenían entre 18 y 59 años (98,6%), era heterosexual (97,2%) y con carga viral indetectable (54,3%). Presentaron calidad de vida intermedia en todos los campos de la escala y se encontraron 14 diagnósticos de enfermería, destacándose el Patrón de Sexualidad Ineficaz, Miedo y la Ansiedad Relacionada con la Muerte. Conclusión: Mujeres con sida presentaron calidad de vida intermedia, necesitando de atención de enfermería integral y holística.

Download Full-text

Quality of Life Indicators in Patients Operated on for Breast Cancer in Relation to the Type of Surgery—A Retrospective Cohort Study of Women in Serbia

Medicina ◽

10.3390/medicina56080402 ◽

2020 ◽

Vol 56 (8) ◽

pp. 402

Author(s):

Predrag Kovačević ◽

Snežana Miljković ◽

Aleksandar Višnjić ◽

Jefta Kozarski ◽

Radmilo Janković

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Linear Regression ◽

Multiple Linear Regression ◽

World Health ◽

Total Mastectomy ◽

World Health Organization Quality ◽

Significant Difference ◽

Type Of Surgery

Background and objectives: Quality of life (QoL) after breast cancer surgery is an important public health issue. The aim of this study was to determine the relationship between the levels of perceived quality of life in patients operated on for breast cancer in relation to the type of surgery, using the standardized questionnaires. Materials and Methods: We assessed 425 women after surgery for breast cancer. The assessment included the application of the WHOQOL-bref (The World Health Organization Quality of Life-Bref), and FACT-B (Functional Assessment of Cancer Therapy-Breast) questionnaires. The statistical analysis of the data included multiple linear regression and correlation tests. Results: Multiple linear regression analysis found that education, existence of comorbidities, time elapsed since surgery, and type of surgery were significant predictors of overall quality of life. Women’s overall quality of life and general health has increased by 0.16 times for each subsequent year of surgery, and by 0.34 times for each subsequent higher education level. Breast-conserving surgery or mastectomy with breast reconstruction were statistically significant (β = 0.18) compared to total mastectomy. Conclusions: There is a significant difference in the quality of life perceived by patients in whom the breast has been preserved or reconstructed in relation to patients in whom total mastectomy has been performed.

Download Full-text

Predicting Long-Term Health-Related Quality of Life after Bariatric Surgery Using a Conventional Neural Network: A Study Based on the Scandinavian Obesity Surgery Registry

Journal of Clinical Medicine ◽

10.3390/jcm8122149 ◽

2019 ◽

Vol 8 (12) ◽

pp. 2149 ◽

Cited By ~ 2

Author(s):

Yang Cao ◽

Mustafa Raoof ◽

Scott Montgomery ◽

Johan Ottosson ◽

Ingmar Näslund

Keyword(s):

Bariatric Surgery ◽

Linear Regression ◽

Regression Model ◽

Linear Regression Model ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Better Than

Severe obesity has been associated with numerous comorbidities and reduced health-related quality of life (HRQoL). Although many studies have reported changes in HRQoL after bariatric surgery, few were long-term prospective studies. We examined the performance of the convolution neural network (CNN) for predicting 5-year HRQoL after bariatric surgery based on the available preoperative information from the Scandinavian Obesity Surgery Registry (SOReg). CNN was used to predict the 5-year HRQoL after bariatric surgery in a training dataset and evaluated in a test dataset. In general, performance of the CNN model (measured as mean squared error, MSE) increased with more convolution layer filters, computation units, and epochs, and decreased with a larger batch size. The CNN model showed an overwhelming advantage in predicting all the HRQoL measures. The MSEs of the CNN model for training data were 8% to 80% smaller than those of the linear regression model. When the models were evaluated using the test data, the CNN model performed better than the linear regression model. However, the issue of overfitting was apparent in the CNN model. We concluded that the performance of the CNN is better than the traditional multivariate linear regression model in predicting long-term HRQoL after bariatric surgery; however, the overfitting issue needs to be mitigated using more features or more patients to train the model.

Download Full-text

Prevalence of depression and its relationship with quality of life among university students in Macau, Hong Kong and mainland China

Scientific Reports ◽

10.1038/s41598-020-72458-w ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Lu Li ◽

Grace K. I. Lok ◽

Song-Li Mei ◽

Xi-Ling Cui ◽

Feng-Rong An ◽

...

Keyword(s):

Quality Of Life ◽

Hong Kong ◽

University Students ◽

Negative Impact ◽

Mainland China ◽

World Health ◽

Average Score ◽

World Health Organization Quality ◽

Prevalence Of Depression

Abstract There is compelling evidence that depressive symptoms (depression hereafter) are common in university students and are considerably influenced by the given socioeconomic context. Being former European colonies, Macau and Hong Kong are China’s special administrative regions, with different sociocultural and economic background compared to mainland China. This study compared the prevalence of depression in university students between Macau, Hong Kong and mainland China and examined the association between depression and quality of life (QOL). The Beck Depression Inventory-II and the World Health Organization Quality of Life—Brief Version (WHOQOL-BREF) were used to measure depression and QOL, respectively. Altogether, 2,312 university students participated in this study. The overall prevalence of depression was 28.9%; 35.2% in Macau, 41.0% in Hong Kong, and 16.8% in mainland China. Compared to the “No depression” group, students with depression had significantly lower QOL scores in the physical, psychological, social and environmental domains. Factors associated with depression were different between the three study sites. Sleep disturbances and high academic pressure were positively associated with depression in all the three samples. In mainland China, male students (OR = 1.68; 95% CI: 1.10–2.56) were more likely to have depression while those who were interested in their major (OR = 0.45; 95% CI: 0.29–0.69) were less likely to have depression. In Macau, students in Grade 3 (OR = 0.56; 95% CI: 0.36–0.89) and those who were interested in their major (OR = 0.58; 95% CI: 0.42–0.81) or had optimistic perspective about their future (OR = 0.51; 95% CI: 0.36–0.73) were less likely to have depression. Nursing students (OR = 1.86; 95% CI: 1.21–2.87) and students with the average score on major subject less than 65 (OR = 3.13; 95% CI: 1.70–5.78) were more likely to have depression. In Hong Kong, students with optimistic perspective about their future (OR = 0.44; 95% CI: 0.22–0.91) were less prone to have depression. Depression is common among Chinese university students, particularly in Macau and Hong Kong. Considering the negative impact of depression on QOL, regular screening and effective treatments should be offered to this population.

Download Full-text