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迈门辛市辖区部分贫民窟的生活方式模式。

Lifestyle pattern in selected slums in Mymensingh Municipal area.

作者信息

Basher M S, Haque M M, Ullah M S, Nasreen S A, Begum A A, Islam M N, Akhter S, Haque M S

机构信息

Department of Community Medicine, Mymensingh Medical College (MMC), Mymensingh, Bangladesh.

出版信息

Mymensingh Med J. 2012 Apr;21(2):207-12.

Abstract

Lifestyle is composed of cultural and behavioural patterns and lifelong personal habits that developed through processes of socialization. Lifestyle may be health promotive or detrimental to health. Health requires the promotion of healthy lifestyle. Many current day health problems are associated with lifestyle changes. Because of rising urban population, the number of slum dwellers is rising. The mobility of people from rural to urban areas is the main reason of the growing slum population in cities. This Descriptive, cross-sectional study was directed to assess lifestyle pattern in four purposively selected slums in Mymensingh Municipal area. Non-Probability purposive type of sampling technique was used for selecting the study unit. Sample size was one hundred and twenty-three (123) families. Data were collected by interview with one of the adult family members, preferably with the head of the family, with mixed type of interviewer administered questionnaire. There were 494 family members with an average family size of 4.02, while mean age was 24.58 years with a standard deviation (SD) of 17.79 years. Male-female ratio was 103:100. Of 409 members over 5 years, 174(42.54%) did not have schooling and were illiterate. At least 105(33.02%) members were house-wives, and 99(81.15%) members were smokers. An overwhelming majority (79, 64.23%) families had monthly income between 2000 to 4999 taka. As many as 55(44.72%) families lived in kaccha house, while 40(32.52%) had to live in "Jhupree". In cent per cent families, tube well was the source of water for drinking and other household purposes. A highest majority 121(98.37%) of the families had latrine, while the remaining 2(1.63%) did not have any latrine, and defecate in open air. Of 121 families, 78(64.46%) families had sanitary latrine, while 43(37.54%) did not have sanitary latrine. It was revealed that 86(69.92%) families had cell-phone, while 65(52.85%) families had television, 10(8.13%) families had radio, and 5(4.06%) families had DVD/VCR for recreational facilities. As many as 75(60.98%) respondents had correct knowledge, while the rest 48(39.02%) had incorrect knowledge on hand washing. Of 75, at least 66(88.00%) respondents practiced hand washing, while 9(12.00%) respondents did not practice it. As many as 110(89.43%) members sought medical help for major and minor illness of their family members, whereas the rest 13(10.57%) families did not. Of 110, 62(56.36%) families paid visit to government Hospital, while 22(20.00%) visited to private clinic, 12(10.90%) to pharmacy, 10(9.10%) to qualified doctors and 4(3.64%) to the traditional healers. As many as 58(52.71%) respondents mentioned that they preferred as the facilities cater service free of cost, while 32(29.10%) preferred for better and effective treatment, 16(14.55%) for close to their residence and 4(7.27%) for their belief. Living condition of slum dwellers is considerably low due to low income and inadequate education. Moreover, poor physical environment with unsanitary excreta disposal method is commonplace in slum areas. Existing lifestyle of slum dwellers is unacceptable, and should be improved so that they can contribute to the national development.

摘要

生活方式由文化和行为模式以及通过社会化过程形成的终身个人习惯组成。生活方式可能对健康有促进作用,也可能对健康有害。健康需要促进健康的生活方式。当前许多健康问题都与生活方式的改变有关。由于城市人口的增加,贫民窟居民的数量也在上升。人们从农村向城市地区的流动是城市贫民窟人口增长的主要原因。这项描述性横断面研究旨在评估米门辛希市辖区四个有目的选择的贫民窟中的生活方式模式。采用非概率目的抽样技术来选择研究单位。样本量为123个家庭。通过与成年家庭成员之一(最好是户主)进行访谈,并使用混合型访谈者管理的问卷来收集数据。共有494名家庭成员,平均家庭规模为4.02人,平均年龄为24.58岁,标准差为17.79岁。男女比例为103:100。在409名5岁以上的成员中,174人(42.54%)没有接受过教育,是文盲。至少105人(33.02%)是家庭主妇,99人(81.15%)是吸烟者。绝大多数(79个,64.23%)家庭的月收入在2000至4999塔卡之间。多达55个(44.72%)家庭居住在茅草房里,而40个(32.52%)家庭不得不居住在“棚屋”里。在所有家庭中,管井是饮用和其他家庭用水的来源。绝大多数121个(98.37%)家庭有厕所,而其余2个(1.63%)家庭没有厕所,在露天排便。在121个有厕所的家庭中,78个(64.46%)家庭有卫生厕所,而43个(37.54%)家庭没有卫生厕所。结果显示,86个(69.92%)家庭有手机,65个(52.85%)家庭有电视,10个(8.13%)家庭有收音机,5个(4.06%)家庭有DVD/录像机作为娱乐设施。多达75个(60.98%)受访者对手部清洁有正确的认识,而其余48个(39.02%)受访者对手部清洁的认识不正确。在75个有正确认识的受访者中,至少66个(88.00%)受访者有洗手的习惯,而9个(12.00%)受访者没有洗手的习惯。多达110个(89.43%)成员为其家庭成员的大小疾病寻求医疗帮助,而其余13个(10.57%)家庭没有。在110个寻求医疗帮助的家庭中,62个(56.36%)家庭去了政府医院,22个(20.00%)去了私人诊所,12个(10.90%)去了药店,10个(9.10%)去看了合格的医生,4个(3.64%)去看了传统治疗师。多达58个(52.71%)受访者表示他们更喜欢免费提供服务的设施,而32个(29.10%)更喜欢更好、更有效的治疗,16个(14.55%)更喜欢离住所近的,4个(7.27%)更喜欢基于他们的信仰。由于收入低和教育不足,贫民窟居民的生活条件相当差。此外,贫民窟地区普遍存在卫生条件差且排泄物处理方式不卫生的物理环境。贫民窟居民现有的生活方式是不可接受的,应该加以改善,以便他们能够为国家发展做出贡献。

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