Community Health Center, Tainan Sin-Lau Hospital, The Presbyterian Church in Taiwan, Tainan, Taiwan.
College of Nursing, Chung Hwa University of Medical Technology, Tainan, Taiwan.
Public Health Nurs. 2019 Sep;36(5):631-637. doi: 10.1111/phn.12635. Epub 2019 Jul 18.
This research aimed to examine the factors associated with the intention to use adult preventive health services in Taiwan.
Using Andersen's behavioral model, we employed a cross-sectional descriptive design to investigate 500 samples from four communities in southern Taiwan.
We used a self-reported survey to assess participants' intention to use adult preventive health services, and the predisposing, enabling, and need factors influencing their intention.
Intention to use adult preventive health services was more significantly explained by predisposing and enabling factors than by need factors. In addition, a lack of fixed medical facilities (enabling factor) and Taiwanese origin (predisposing factor) were associated with decreased odds of intention to use adult preventive health services. An educational level of high school or below (predisposing factor), higher amounts of exercise (predisposing factor), and lower barriers to use preventive health services (predisposing factor) were associated with increased odds of intention to use adult preventive health services.
The findings can assist public health nurses in identifying high-risk groups with lower intentions of using adult preventive health services. Additionally, community-based health education program can be developed to increase people's intention to use adult preventive health services.
本研究旨在探讨与台湾成年人预防保健服务使用意愿相关的因素。
本研究采用横断面描述性设计，利用安德森行为模式，选取台湾南部四个社区的 500 个样本进行调查。
本研究采用自我报告式问卷调查评估参与者使用成人预防保健服务的意愿，以及影响其意愿的倾向因素、促成因素和需求因素。
与需求因素相比，使用成人预防保健服务的意愿更多地受到倾向因素和促成因素的影响。此外，缺乏固定医疗设施（促成因素）和台湾裔（倾向因素）与使用成人预防保健服务意愿降低有关。中学或以下学历（倾向因素）、更多的运动（倾向因素）和较低的预防保健服务使用障碍（倾向因素）与使用成人预防保健服务意愿增加有关。
这些发现可以帮助公共卫生护士识别使用成人预防保健服务意愿较低的高风险群体。此外，可以开发基于社区的健康教育计划，以提高人们使用成人预防保健服务的意愿。
