Solin Pia Cm, Pasanen Tytti P, Mankinen Katariina Aj, Martelin Tuija P, Tamminen Nina M
Equality Unit, Finnish Institute for Health and Welfare, Helsinki, Finland.
Health Serv Insights. 2021 Sep 1;14:11786329211043955. doi: 10.1177/11786329211043955. eCollection 2021.
Although health issues are more common in people living alone than in those living with someone, research on the service use of people living alone has focused on older age groups. Based on large Finnish cross-sectional health survey (FinHealth 2017, n = 4686), we examined the difference in the use and assessment of health services between those living alone and those living with someone, and whether some sub-groups within those living alone use or perceive the use of health care services differently to those living with someone. The adjusted proportions, based on logistic regression models controlling for demographic variables and perceived health and mental health, showed that those living alone had seen a doctor in the past year less often (65.5%) than those not living alone (71.9%). People living alone had also less often had a health examination in the past 5 years (72.4%) than those not living alone (79.2%), and this proportion was particularly low within people living alone with high levels of depressive symptoms (59.0%) compared to lower levels (75.0%). Conclusively, among people living alone, those who suffer from depressive symptoms might be a potential group that does not receive the same levels of preventive care than others.
尽管健康问题在独居者中比在与他人同住者中更为常见,但对独居者服务使用情况的研究主要集中在老年人群体。基于芬兰大规模横断面健康调查(2017年芬兰健康调查,n = 4686),我们研究了独居者与与他人同住者在健康服务使用和评估方面的差异,以及独居者中的某些亚组在使用或认知医疗服务方面与与他人同住者是否存在不同。基于控制人口统计学变量以及感知到的健康和心理健康状况的逻辑回归模型得出的调整比例显示,独居者在过去一年中看医生的频率(65.5%)低于非独居者(71.9%)。独居者在过去5年中进行健康检查的频率(72.4%)也低于非独居者(79.2%),与抑郁症状较轻的独居者(75.0%)相比,抑郁症状严重的独居者这一比例(59.0%)尤其低。总之,在独居者中,患有抑郁症状的人可能是一个没有得到与其他人相同水平预防性护理的潜在群体。