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Abstract：
The study aims to assess the health-related Quality of Life (HRQOL) and its association with socio-demographic factors among the Afghan refugees residing in Quetta, Pakistan. For this purpose, a cross-sectional, descriptive study design by adopting Euro QOL five dimensions questionnaire (EQ-5D) for the assessment of HRQOL was conducted by approaching Afghan refugees from the camp and other areas of Quetta, Pakistan. Furthermore, this study also involved descriptive analysis to expound participant\'s demographic characteristics while inferential statistics (Kruskal-Wallis and Mann-Whitney test, P < 0.05) were used to compare EQ-5D scale scores. All analyses were performed using SPSS v 20. Herein, a total of 729 participants were enrolled and were subsequently (n = 246, 33.7%) categorized based on their age of 22-31 years (31.30 ± 15.40). The results of mean EQ-5D descriptive score (0.85 ± 0.20) and EQ-VAS score (78.60 ± 11.10) indicated better HRQOL in the current study respondents as compared to studies conducted in other refugee camps around the globe. In addition, demographic characteristics including age, marital status, locality, years of living as refugees, life as a refugee residing out of Pakistan, place of residence in Afghanistan, educational qualification, occupation, and arrested for crime were the statistically significant predictors (P < 0.05) of EQ-5D index scores. However, gender, living status, monthly income, preferred place of treatment were non-significant predictors (P > 0.05). The results of current study provided evidence for a model that correlated with participant\'s socio-demographic information and HRQOL. Moreover, this study also revealed a baseline assessment for the health status of Afghan refugees, interestingly, these results could be applied for improving HRQOL of the given participants. In conclusion, the HRQOL of Afghan refugees residing in Quetta, Pakistan can largely be improved by providing adequate healthcare facilities, education and employment opportunities, mental and social support, and providing adequate housing and basic necessities of life.
摘要：
该研究旨在评估居住在奎达的阿富汗难民与健康相关的生活质量（HRQOL）及其与社会人口因素的关系，巴基斯坦。为此,横截面，通过采用EuroQOL五维问卷（EQ-5D）进行描述性研究设计，以评估HRQOL，方法是接触来自奎达难民营和其他地区的阿富汗难民，巴基斯坦。此外，本研究还涉及描述性分析，以阐述参与者的人口统计学特征，同时进行推断统计(Kruskal-Wallis和Mann-Whitney检验，P<0.05)用于比较EQ-5D量表评分。所有分析均使用SPSSv20进行。在这里，共纳入729名参与者,随后根据年龄22~31岁(31.30±15.40)进行分类(n=246,33.7%).平均EQ-5D描述性评分（0.85±0.20）和EQ-VAS评分（78.60±11.10）的结果表明，与在全球其他难民营进行的研究相比，当前研究受访者的HRQOL更好。此外,人口统计学特征，包括年龄，婚姻状况,局部性,多年的难民生活，作为一名居住在巴基斯坦的难民，在阿富汗的居住地，教育资格,职业,和因犯罪被捕是EQ-5D指数得分的有统计学意义的预测因子（P<0.05）。然而,性别,生活状态,月收入,首选治疗地点是无显著预测因素(P>0.05).当前研究的结果为与参与者的社会人口统计信息和HRQOL相关的模型提供了证据。此外，这项研究还揭示了对阿富汗难民健康状况的基线评估，有趣的是,这些结果可用于改善给定参与者的HRQOL.总之,居住在奎达的阿富汗难民的HRQOL，巴基斯坦可以通过提供足够的医疗保健设施来改善，教育和就业机会，精神和社会支持,提供适当的住房和基本生活必需品。
