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马来西亚槟城成年人使用预防性医疗服务需求的决定因素。

Determinants of the demand for using preventive medical care among adults in penang, malaysia.

作者信息

Cheah Yong Kang

机构信息

Department of Economics, Faculty of Economics and Administration, University of Malaya, 50603 Kuala Lumpur, Malaysia.

出版信息

Malays J Med Sci. 2013 Jan;20(1):46-55.

Abstract

BACKGROUND

In light of the fact that chronic diseases were becoming more prevalent recently, the primary objective of the study was to examine the socio-demographic, health, and lifestyle determinants of the use of preventive medical care in Penang, Malaysia.

METHODS

The study used the primary survey data in Penang which had a total of 398 respondents. Respondents were chosen based on convenient sampling, and the survey was carried out in various locations in Penang. During the survey, the designed questionnaires were distributed for self-administration by the respondents between August and October, 2010. The binary logistic regression model was employed for statistical analysis.

RESULTS

Socio-demographic and health factors like income, marital status, education, history of serious family illnesses and self-perceived health status were statistically significant in affecting the likelihood of using preventive medical care. Specifically, being married (OR: 1.94; 95% CI: 1.13, 3.32), the presence of a history of serious family illnesses (OR: 2.14; 95% CI: 1.37, 3.36), having high income (OR: 8.71; 95% CI: 1.03, 73.59) and self-perceived poor health status (OR: 4.78; 95% CI: 1.09, 21.00) were positively related with using preventive medical care. However, having low educational background (OR: 0.23; 95% CI: 0.06, 0.95) were inversely related to the probability of using such medical care.

CONCLUSION

In view of the findings, the individuals' socio-demographic and health profiles were suggested to be given attention by the public health authorities if the goals of increasing the use of preventive medical care in the community were to be achieved.

摘要

背景

鉴于慢性病近来愈发普遍,本研究的主要目的是调查马来西亚槟城预防性医疗服务使用情况的社会人口统计学、健康及生活方式决定因素。

方法

本研究采用槟城的原始调查数据,共有398名受访者。受访者通过便利抽样选取,调查在槟城的不同地点开展。在调查期间,2010年8月至10月向受访者发放设计好的问卷由其自行填写。采用二元逻辑回归模型进行统计分析。

结果

社会人口统计学和健康因素,如收入、婚姻状况、教育程度、严重家族病史和自我感知的健康状况,在影响使用预防性医疗服务的可能性方面具有统计学意义。具体而言,已婚(比值比:1.94;95%置信区间:1.13,3.32)、有严重家族病史(比值比:2.14;95%置信区间:1.37,3.36)、高收入(比值比:8.71;95%置信区间:1.03,73.59)和自我感知健康状况差(比值比:4.78;95%置信区间:1.09,21.00)与使用预防性医疗服务呈正相关。然而,教育背景低(比值比:0.23;95%置信区间:0.06,0.95)与使用此类医疗服务的概率呈负相关。

结论

鉴于研究结果,若要实现提高社区预防性医疗服务使用率的目标,公共卫生当局应关注个人的社会人口统计学和健康状况。

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