Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam.
Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam.
Int J Environ Res Public Health. 2019 Nov 28;16(23):4768. doi: 10.3390/ijerph16234768.
Problems of poor health status and low health service use among farmers in mountainous areas have not been fully investigated. A cross-sectional study was conducted in Son La, a mountainous province in Vietnam, to assess the self-rated health and health care service utilization among farmers. Visual analogue scale (VAS) was used to measure the self-rated health. Multivariate Tobit, Poisson, and logistic regression were employed to identify related factors. Among 197 farmers, the mean VAS score was 67.8 (SD = 15.5). Approximately 40% of participants reported health problems, and the most popular morbidity was hypertension-56.4%. There were 28.9% and 50.3% of farmers using inpatient and outpatient treatments in the last 12 months, respectively. Age, educational level, family income, marital status, alcohol use, and source of information have been identified as associated factors with self-rated health status and morbidities, while age, gender, education, and morbidities were related to health service utilization. Data indicated a high proportion of health issues and a high rate of health care service use among farmers in a mountainous area of Vietnam. Adaptable health policies and prevention programs or preventive health services should be implemented regularly in mountainous regions to protect farmers from the onset of morbidities and to enhance their health.
山区农民健康状况不佳和卫生服务利用不足的问题尚未得到充分调查。本研究在越南多山的 Son La 省进行了一项横断面研究，以评估农民的自评健康和卫生保健服务利用情况。采用视觉模拟评分（VAS）来衡量自评健康。采用多元 Tobit、泊松和逻辑回归来确定相关因素。在 197 名农民中，VAS 评分的平均值为 67.8（SD = 15.5）。约 40%的参与者报告存在健康问题，最常见的疾病是高血压-56.4%。在过去 12 个月内，分别有 28.9%和 50.3%的农民接受了住院和门诊治疗。年龄、教育水平、家庭收入、婚姻状况、饮酒和信息来源被确定为与自评健康状况和疾病相关的因素，而年龄、性别、教育程度和疾病与卫生服务利用有关。数据表明，越南山区农民存在较高比例的健康问题和较高的卫生服务利用率。应在山区定期实施适应性卫生政策和预防计划或预防保健服务，以防止农民出现疾病，并增进他们的健康。
