沙特阿拉伯学生食源性疾病医疗保健利用的决定因素：一项横断面研究。
Determinants of Healthcare Utilisation for Foodborne Illness Among Students in Saudi Arabia: A Cross-Sectional Study.
作者信息
Al-Mohaithef Mohammed
机构信息
Department of Public Health, College of Health Sciences, Saudi Electronic University, Riyadh, Saudi Arabia.
出版信息
Environ Health Insights. 2021 Oct 7;15:11786302211050761. doi: 10.1177/11786302211050761. eCollection 2021.
BACKGROUND
Understanding of healthcare utilisation during foodborne illness is vital for public health practice, and healthcare planning. Present study aims to identify patterns and determinants of healthcare-seeking behaviour in response to foodborne illness among students of Saudi Arabia.
METHODS
A cross-sectional survey was conducted among 252 students of Saudi Electronic University located in four major cities (Riyadh, Abha, Dammam and Jeddah) of Saudi Arabia. Study participants were students who reported a foodborne illness within 1 month prior to the survey. A multivariate logistic regression models were used to analyse association of healthcare-seeking behaviour with knowledge and attitude about food poisoning of participants.
RESULTS
Of the 252 participants who experienced foodborne illness symptoms, 69.8% visited doctor for seeking care, while 7.5% visited pharmacy, 9.1% got treated by the family and peers and 13.4% did not do anything. Healthcare-seeking behaviour of participant showed association with knowledge of the cause of food poisoning (AOR: 1.98; 95% CI 1.04-3.78, = .036); and attitude of participant that food poisoning illnesses is a serious health problem and may lead to death (AOR: 2.15; 95% CI 1.33-2.71, = .014).
CONCLUSIONS
In this study, majority of the participants used healthcare for treatment during the food poisoning episode, and healthcare-seeking behaviour depended on perceived severity of the disease consequences. Knowledge on food poisoning was found to be an important determinant in utilisation of healthcare services. Health promotion and educational programmes are recommended to further increase the healthcare utilisation for foodborne illness.
背景
了解食源性疾病期间的医疗保健利用情况对于公共卫生实践和医疗保健规划至关重要。本研究旨在确定沙特阿拉伯学生针对食源性疾病的就医行为模式和决定因素。
方法
对位于沙特阿拉伯四个主要城市（利雅得、阿卜哈、达曼和吉达）的沙特电子大学的252名学生进行了横断面调查。研究参与者是在调查前1个月内报告患有食源性疾病的学生。使用多变量逻辑回归模型分析就医行为与参与者对食物中毒的知识和态度之间的关联。
结果
在252名出现食源性疾病症状的参与者中，69.8%的人去看医生寻求治疗，7.5%的人去了药店，9.1%的人由家人和同龄人治疗，13.4%的人未采取任何措施。参与者的就医行为与对食物中毒原因的了解有关（调整后比值比：1.98；95%置信区间1.04 - 3.78，P = 0.036）；以及参与者认为食物中毒疾病是严重的健康问题且可能导致死亡的态度有关（调整后比值比：2.15；95%置信区间1.33 - 2.71，P = 0.014）。
结论
在本研究中，大多数参与者在食物中毒发作期间利用医疗保健进行治疗，就医行为取决于对疾病后果严重程度的认知。发现关于食物中毒的知识是医疗保健服务利用的一个重要决定因素。建议开展健康促进和教育项目，以进一步提高食源性疾病的医疗保健利用率。
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