ABSTRACT

The study aimed to describe the association between internal migration status and QoL in medical students from a Peruvian university. A cross-sectional survey was conducted in medical students from a public university in Lima, Peru. We used the brief version of the World Health Organization Quality of Life instrument (WHOQOL-BREF) and obtained data on demographic and migration-related student’s characteristics. Linear mixed models were used to assess how migration status affected each of the WHOQOL-BREF domains (physical health, psychological status, social relationships, and environment). Of 410 participants, 110 (27%) and 46 (11%) were ‘late’ and ‘recent’ migrants, respectively. Compared with non-migrants, most recent migrants were older (87.0%, p = 0.000), lived alone (32.6%, p = 0.000), had at least one highly educated parent (87.0%, p = 0.002) and reported no chronic conditions (73,9%, p = 0.019). The environment domain scored the lowest and the psychological domain, the highest. Adjusting by all study confounders, migration status was not associated with QoL in any domain. However, adjusting by variables showing a favorable proportion in migrants (parental education and chronic conditions), recent migrants had lower QoL than did non-migrants in the environment domain (b − 4.8, 95% CI −9.2 to −0.5). The results suggest that the parents’ higher education level and the absence of chronic conditions could protect migrants’ QoL against environmental stressors.

摘要

该研究旨在描述秘鲁大学医学生的内部移民身份与生活质量之间的关系。在秘鲁利马的一所公立大学的医学生中进行了一项横断面调查。我们使用了世界卫生组织生活质量工具 (WHOQOL-BREF) 的简要版本，并获得了有关人口统计和与移民相关的学生特征的数据。线性混合模型用于评估移民状况如何影响每个 WHOQOL-BREF 领域（身体健康、心理状况、社会关系和环境）。在 410 名参与者中，110 名 (27%) 和 46 名 (11%) 分别是“迟到”和“新近”移民。与非移民相比，最近的移民年龄较大（87.0%，p = 0.000），独居（32.6%，p = 0.000），至少有一位受过高等教育的父母（87.0%，p = 0. 002) 并报告没有慢性病 (73,9%, p = 0.019)。环境领域得分最低，心理领域得分最高。通过所有研究混杂因素进行调整，迁移状态与任何领域的 QoL 均无关。然而，根据显示移民比例有利的变量（父母教育和慢性病）进行调整，近期移民的生活质量低于环境领域的非移民（b - 4.8, 95% CI -9.2 至 -0.5）。结果表明，父母的高等教育水平和没有慢性病可以保护移民的生活质量免受环境压力的影响。迁移状态与任何领域的 QoL 无关。然而，根据显示移民比例有利的变量（父母教育和慢性病）进行调整，近期移民的生活质量低于环境领域的非移民（b - 4.8, 95% CI -9.2 至 -0.5）。结果表明，父母的高等教育水平和没有慢性病可以保护移民的生活质量免受环境压力的影响。迁移状态与任何领域的 QoL 无关。然而，根据显示移民比例有利的变量（父母教育和慢性病）进行调整，近期移民的生活质量低于环境领域的非移民（b - 4.8, 95% CI -9.2 至 -0.5）。结果表明，父母的高等教育水平和没有慢性病可以保护移民的生活质量免受环境压力的影响。