Hajek André, König Hans-Helmut
Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, Germany.
Int J Environ Res Public Health. 2020 Nov 28;17(23):8869. doi: 10.3390/ijerph17238869.
(1) The aim of this study was to identify the association between post-materialism and health care use (in terms of the frequency of doctor visits and the reason for doctor visits). (2) Data were taken from the German General Social Survey (a representative sample of individuals aged 18 years and over, = 3338). The Inglehart's post-materialist index was used to quantify post-materialism. The doctor visits (self-reported) in the past three months served as an outcome measure. The reasons for seeing a doctor served as an additional outcome measure (acute illness; chronic illness; feeling unwell; requesting advice; visit to the doctor's office without consulting the doctor (e.g., need to get a prescription); preventive medical check-up/vaccination). (3) After adjusting for several covariates, negative binomial regressions revealed that compared with materialism, post-materialism was associated with decreased doctor visits (total sample; women). Moreover, the likelihood of visiting the doctor for reasons of chronic illnesses was lower in post-materialistic women, whereas the likelihood of visiting the doctor for reasons of preventive medical check-up/vaccination was higher in post-materialistic women. (4) Study findings identify an unexplored link between post-materialism and doctor visits in women. One may conclude that in the long-term, the increased likelihood of preventive medical check-ups in post-materialistic women will be beneficial in decreasing the need for doctor visits for reasons of chronic illnesses. However, future research is required to elucidate the underlying mechanisms.
(1) 本研究的目的是确定后物质主义与医疗保健利用之间的关联（从就诊频率和就诊原因方面）。(2) 数据取自德国社会综合调查（18岁及以上个人的代表性样本，n = 3338）。采用英格尔哈特的后物质主义指数来量化后物质主义。过去三个月内的自我报告就诊次数作为结果指标。就诊原因作为另一项结果指标（急性病；慢性病；感觉不适；寻求建议；未咨询医生就前往医生办公室（例如，需要开处方）；预防性体检/接种疫苗）。(3) 在对多个协变量进行调整后，负二项回归显示，与物质主义相比，后物质主义与就诊次数减少相关（总样本；女性）。此外，后物质主义女性因慢性病就诊的可能性较低，而后物质主义女性因预防性体检/接种疫苗就诊的可能性较高。(4) 研究结果确定了后物质主义与女性就诊之间未被探索的联系。可以得出结论，从长远来看，后物质主义女性预防性体检可能性的增加将有助于减少因慢性病就诊的需求。然而，需要未来的研究来阐明其潜在机制。
