健康教育可改善关节炎相关疾病和自评健康状况：孟加拉国农村老年人的一项干预研究。

Health education improves both arthritis-related illness and self-rated health: an intervention study among older people in rural Bangladesh.

机构信息

BRAC, BRAC Centre, Research and Evaluation Division, 75 Mohakhali, Dhaka 1212, Bangladesh.

出版信息

Public Health. 2010 Dec;124(12):705-12. doi: 10.1016/j.puhe.2010.07.005. Epub 2010 Nov 5.

DOI:10.1016/j.puhe.2010.07.005

PMID:21056439

Abstract

OBJECTIVES

To examine changes in self-reported arthritis-related illness and self-rated health as a result of a health education intervention, and the association between self-reported arthritis-related illness and self-rated health.

STUDY DESIGN

A quasi-experimental study was conducted in eight randomly selected villages in rural Bangladesh (intervention = 4; control = 4).

METHODS

The intervention consisted of home-based physical activities, health advice and aspects of healthcare management over 15 months followed by a 3-month latent period. Data were collected before the intervention and after the latent period. Analyses included 839 participants (≥60 years of age) who participated in both surveys. Participants in the intervention area were further categorized into two groups who self-reported compliance or non-compliance with recommended health advice. Self-rated health was assessed using a single global question. Self-reported arthritis-related illness was indicated by the presence of arthritis, back and joint pain, biting sensation, swelling and inflammation in the joints.

RESULTS

Hierarchical logistic regression analyses revealed that positive effects on episodes of arthritis-related illness [odds ratio (OR) 1.9, 95% confidence interval (CI) 1.3-2.8] and self-rated health (OR 1.4, 95% CI 1.0-1.9) were more likely among the compliant group compared with the control group. Furthermore, positive self-rated health was more likely among participants reporting a positive change in their arthritis-related illness (OR 2.2, 95% CI 1.5-3.2). The results also showed that literate and non-poor participants were more likely to report positive health, and participants with advancing age were less likely to report positive health.

CONCLUSION

Community-based health education is effective in reducing the burden of arthritis-related illness and in enhancing general health in old age.

摘要

目的

研究健康教育干预对自我报告的关节炎相关疾病和自我评估健康状况的变化，并探讨自我报告的关节炎相关疾病与自我评估健康状况之间的关系。

研究设计

在孟加拉国农村的 8 个随机选定的村庄进行了一项准实验研究（干预组=4；对照组=4）。

方法

干预措施包括在 15 个月内进行家庭基础的体育活动、健康建议和医疗保健管理方面的内容，随后是 3 个月的潜伏期。在干预前和潜伏期后收集数据。分析包括 839 名（≥60 岁）参与了两次调查的参与者。干预区的参与者进一步分为遵守或不遵守建议健康建议的两组。自我评估的健康状况使用一个单一的总体问题进行评估。自我报告的关节炎相关疾病由关节炎、背部和关节疼痛、刺痛感、关节肿胀和炎症的存在来表示。

结果

分层逻辑回归分析显示，与对照组相比，遵守组更有可能出现关节炎相关疾病发作（优势比[OR]1.9，95%置信区间[CI]1.3-2.8）和自我评估健康状况（OR 1.4，95%CI 1.0-1.9）的积极影响。此外，与关节炎相关疾病报告有积极变化的参与者（OR 2.2，95%CI 1.5-3.2）更有可能自我评估健康状况良好。结果还表明，识字和非贫困人口更有可能报告健康状况良好，年龄较大的参与者不太可能报告健康状况良好。