Al-Khashan Hesham I, Almulla Naseem A, Galil Siddig A A, Rabbulnabi Ashraf A, Mishriky Adel M
Department of Family and Community Medicine, Riyadh Military Hospital, Riyadh, Saudi Arabia.
J Family Community Med. 2012 Sep;19(3):172-7. doi: 10.4103/2230-8229.102317.
Health reforms that tend to increase the participation of clients in decision-making requires them to be health-literate; hence, the importance of health education. However, not much research has been done to investigate the differences in health education needs according to demographic characteristics of the clients. The aim of this study was to find out any possible gender differences there may be in health education needs and preferences.
This cross-sectional study was conducted at Riyadh Military Hospital, Saudi Arabia, on a convenience sample of adult Saudis attending its clinics. Data was collected from April 2009 to May 2010 using a self-administered questionnaire covering demographic data, history and needs of health education, methods, and preferred educator.
Of the 1300 forms distributed, 977 were returned completed (75.2% response). Most men (74.0%) and women (77.9%) had had health education, but more women reported that it had been helpful (P = 0.014). More men mentioned health education needs relating to primary prevention (P = 0.027), and unhealthy practices (P = 0.003), and considered the different language a barrier (P = 0.002) even after adjustment for age and education. The one-to-one method was the most preferred health education method for men (72.7%) and women (67.9%). More women preferred group health education (P = 0.02) after adjustment for age and education. Significantly more men preferred pharmacists and dietitians as health educators.
The results point to a few significant differences between men and women regarding their health education needs, barriers, and preferences. These must be taken into consideration when planning health education programs.
倾向于增加服务对象参与决策的卫生改革要求他们具备健康素养,因此健康教育很重要。然而,针对根据服务对象人口统计学特征的健康教育需求差异,尚未开展太多研究。本研究的目的是找出健康教育需求和偏好方面可能存在的性别差异。
本横断面研究在沙特阿拉伯利雅得军事医院进行,以就诊的成年沙特人为便利样本。2009年4月至2010年5月期间,使用自行填写的问卷收集数据,问卷涵盖人口统计学数据、健康教育史与需求、方法以及偏好的教育者。
在发放的1300份问卷中,977份被完整回收(应答率75.2%)。大多数男性(74.0%)和女性(77.9%)接受过健康教育,但更多女性表示健康教育有帮助(P = 0.014)。更多男性提及与一级预防(P = 0.027)和不健康行为(P = 0.003)相关的健康教育需求,并且即使在调整年龄和教育程度后,仍认为语言差异是障碍(P = 0.002)。一对一方法是男性(72.7%)和女性(67.9%)最偏好的健康教育方法。在调整年龄和教育程度后,更多女性偏好团体健康教育(P = 0.02)。显著更多男性偏好药剂师和营养师作为健康教育者。
结果表明,男性和女性在健康教育需求、障碍和偏好方面存在一些显著差异。在规划健康教育项目时必须考虑这些差异。