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报告因电力和化学品引起环境不适的人群的医疗保健利用情况和对医疗保健的态度。

Health care utilisation and attitudes towards health care in subjects reporting environmental annoyance from electricity and chemicals.

机构信息

Department of Occupational and Environmental Medicine, Lund University, SE 221 85 Lund, Sweden.

出版信息

J Environ Public Health. 2009;2009:106389. doi: 10.1155/2009/106389. Epub 2009 Apr 14.

Abstract

Environmentally intolerant persons report decreased self-rated health and daily functioning. However, it remains unclear whether this condition also results in increased health care costs. The aim of this study was to describe the health care consumption and attitudes towards health care in subjects presenting subjective environmental annoyance in relation to the general population, as well as to a group with a well-known disorder as treated hypertension (HT). Methods. Postal questionnaire (n = 13 604) and record linkage with population-based register on health care costs. Results. Despite significantly lower subjective well being and health than both the general population and HT group, the environmentally annoyed subjects had lower health care costs than the hypertension group. In contrast to the hypertension group, the environmentally annoyed subjects expressed more negative attitudes toward the health care than the general population. Conclusions. Despite their impaired subjective health and functional capacity, health care utilisation costs were not much increased for the environmentally annoyed group. This may partly depend on negative attitudes towards the health care in this group.

摘要

环境不耐受者报告自我评估的健康状况和日常功能下降。然而,目前尚不清楚这种情况是否会导致医疗保健费用增加。本研究的目的是描述在主观环境烦恼方面,与一般人群以及作为一种已知病症(如高血压)进行治疗的人群相比,出现这种情况的人群的医疗保健消费和对医疗保健的态度。方法。邮寄问卷调查(n=13604)和与基于人群的医疗保健费用登记处的记录链接。结果。尽管环境烦恼者的主观幸福感和健康状况明显低于一般人群和高血压组,但他们的医疗保健费用却低于高血压组。与高血压组相比,环境烦恼者对医疗保健的态度比一般人群更消极。结论。尽管环境烦恼者的主观健康和功能能力受损,但他们的医疗保健利用费用并没有大幅增加。这可能部分取决于该群体对医疗保健的负面态度。

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