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与痴呆症患者的家庭照顾者健康检查和癌症筛查参与相关的因素:一项横断面研究。

Factors Associated with Health Check-up and Cancer Screening Participation among Family Caregivers of Patients with Dementia: A Cross-Sectional Study.

机构信息

Department of Public Health, Graduate School, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.

Department of Public Health, Korea University College of Medicine, 73 Inchon-ro, Seongbuk-gu, Seoul, 02841, Republic of Korea.

出版信息

BMC Public Health. 2021 Sep 26;21(1):1753. doi: 10.1186/s12889-021-11768-8.

Abstract

BACKGROUND

Providing care for patients with dementia can negatively influence the physical health and health behaviours of family caregivers. A better understanding of the factors associated with health check-up and cancer screening participation is vital for developing effective interventions. Thus, this study aimed to identify factors associated with health check-up and cancer screening participation among family caregivers of patients with dementia.

METHODS

This was a cross-sectional study that analysed the data of 2,414 family caregivers of patients with dementia collected by the Korea Community Health Survey in 2017. A binomial logistic regression analysis was performed to identify demographic, socioeconomic, and health status factors associated with health check-up and cancer screening participation among family caregivers of patients with dementia.

RESULTS

Health check-up and cancer screening rates among family caregivers of patients with dementia were 68.7% and 61.4%, respectively, which were significantly lower than the rates for individuals who were not caregivers of patients with dementia. Those with lower education levels had lower odds ratios (OR) for both health check-up (OR: 0.60) and cancer screening (OR: 0.59) participation. In addition, symptoms of depression were associated with lower participation (health check-up OR: 0.67; cancer screening OR: 0.65).

CONCLUSIONS

More targeted disease prevention and management strategies must be developed for family caregivers of patients with dementia, particularly those with depressive symptoms and lower education levels.

摘要

背景

照顾痴呆症患者会对家庭照顾者的身体健康和健康行为产生负面影响。更好地了解与健康检查和癌症筛查参与相关的因素对于制定有效的干预措施至关重要。因此,本研究旨在确定与痴呆症患者家庭照顾者健康检查和癌症筛查参与相关的因素。

方法

这是一项横断面研究,分析了 2017 年韩国社区健康调查中收集的 2414 名痴呆症患者家庭照顾者的数据。采用二项逻辑回归分析确定与痴呆症患者家庭照顾者健康检查和癌症筛查参与相关的人口统计学、社会经济和健康状况因素。

结果

痴呆症患者家庭照顾者的健康检查和癌症筛查率分别为 68.7%和 61.4%,明显低于非痴呆症患者照顾者的比率。受教育程度较低的人健康检查(OR:0.60)和癌症筛查(OR:0.59)参与的可能性较低。此外,抑郁症状与较低的参与率相关(健康检查 OR:0.67;癌症筛查 OR:0.65)。

结论

必须为痴呆症患者的家庭照顾者制定更有针对性的疾病预防和管理策略,特别是那些有抑郁症状和较低受教育程度的人。

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