title: Differences in quality of life in rural and urban populations.
abstract: OBJECTIVE
  To examine the predictors of health related, quality of life in rural and urban populations.
  
  
  METHODS
  Parents and grandparents of students from 20 randomly selected primary schools in urban and rural areas of Kirikkale, Turkey were questioned for health-related quality of life (HRQL) and psychological distress, using the Short Form-12 (SF-12) Health Survey and Hospital Anxiety and Depression scale (HADS), respectively, which were returned by their children.
  
  
  RESULTS
  Of 13,225 parents and grandparents 12,270 returned the questionnaires, for an overall response rate of 92.7%. SF-12 physical component summary (PCS), mental component summary (MCS), and overall scores were lower in participants from rural than those from urban areas. Mean HADS overall score was higher in subjects from rural than those from urban areas (16.6+/-6.8 vs. 14.8+/-6.8, P=0.0001). A linear regression model showed associations between SF-12 overall, PCS, and MCS scores with HAD total score after adjusting for sex, age, BMI, smoking, income, and education.
  
  
  CONCLUSIONS
  Quality of life scores in subjects vary between areas. Psychological distress in subjects in rural areas may account for the poorer scores of quality of life in rural areas.
authors.affiliation: Department of Psychiatry, Kirikkale UniversityFaculty of Medicine, Turkey. mehmetekici_@hotmail.com
authors.forename: Omer
authors.initials: O
authors.lastname: Oguzturk
mesh_terms: D000328:Adult; D001007:Anxiety / Q000453:epidemiology; D003863:Depression / Q000453:epidemiology; D004493:Education / Q000706:statistics & numerical data; D005260:Female; D006306:Health Surveys; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D008297:Male; D008603:Mental Health / Q000706:statistics & numerical data; D008875:Middle Aged; D010290:Parents; D011788:Quality of Life; D012423:Rural Health / Q000706:statistics & numerical data; D012424:Rural Population / Q000706:statistics & numerical data*; D012907:Smoking / Q000453:epidemiology; D011795:Surveys and Questionnaires; D014421:Turkey / Q000453:epidemiology; D014504:Urban Health / Q000706:statistics & numerical data; D014505:Urban Population / Q000706:statistics & numerical data*