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一般人群中存在心理症状时的寻医行为。

Health seeking behaviour in general population with psychological symptoms.

机构信息

Department of Family Medicine, Medical School, University of Maribor, Maribor, Slovenia,

出版信息

Psychiatr Danub. 2014 Jun;26(2):181-6.

PMID:24909256
Abstract

BACKGROUND

Health seeking behaviour is a complex construct in patients with psychological symptoms. The aim of this study was to determine a one-month prevalence of psychological symptoms in Slovenian general population and to identify correlates of health seeking behaviour.

SUBJECTS AND METHODS

This study was conducted in a representative sample of 1,002 randomly selected Slovenian citizens, stratified according to sex and age. We used a method of computer assisted telephone interview (CATI). The questionnaire consisted of demographic questions, questions about the prevalence and duration of preselected symptoms in the past month (irritability, nervousness), questions about the presence of chronic diseases, EQ-5D questionnaire and the questions on health seeking behaviour (self-treatment, lay advice seeking and medical advice seeking).

RESULTS

The self-reported prevalence of psychological symptoms in the past month was 38.0% (381/1,002). Multivariate analysis for the presence of self-reported psychological symptoms revealed that female sex, higher age, the presence of chronic disease, primary education, lay-advice seeking, pain and the presence of anxiety/depression on EQ-5D questionnaire were independently associated with psychological symptoms.

CONCLUSIONS

Psychological symptoms are a major public health problem in Slovenian general adult population and the self-reported utilization of professional health care services by Slovenian population is high. Other patterns such as lay referral system might have a crucial influence on the final decision to seek medical help.

摘要

背景

在有心理症状的患者中,寻求健康的行为是一个复杂的结构。本研究的目的是确定斯洛文尼亚普通人群中心理症状的一个月患病率,并确定健康寻求行为的相关因素。

受试者和方法

这项研究是在 1002 名随机选择的斯洛文尼亚公民的代表性样本中进行的,按性别和年龄分层。我们使用了计算机辅助电话访谈(CATI)的方法。问卷包括人口统计学问题、过去一个月中预先选择的症状(易怒、紧张)的流行率和持续时间的问题、慢性疾病的存在、EQ-5D 问卷以及健康寻求行为(自我治疗、寻求非专业建议和医疗建议)的问题。

结果

自我报告的过去一个月心理症状的患病率为 38.0%(381/1002)。多变量分析表明,女性、年龄较大、存在慢性疾病、小学教育、寻求非专业建议、疼痛以及 EQ-5D 问卷上存在焦虑/抑郁与心理症状独立相关。

结论

心理症状是斯洛文尼亚普通成年人群中的一个主要公共卫生问题,斯洛文尼亚人口对专业医疗保健服务的自我报告利用率很高。其他模式,如非专业转诊系统,可能对最终寻求医疗帮助的决定有重要影响。

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