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越南沿海地区非传染性疾病老年人的健康寻求行为

The Health-Seeking Behavior of the Elderly with Non-Communicable Diseases in Coastal Areas of Vietnam.

作者信息

Duy Ho Minh, Lee Jakyoung, Han Whiejong, Rajaguru Vasuki, Jang Suk-Yong

机构信息

Health Services of Thua Thien Hue, Hue City 530000, Vietnam.

Department of Global Health and Disease Control, Graduate School of Public Health, Yonsei University, Seoul 03722, Republic of Korea.

出版信息

Healthcare (Basel). 2023 Feb 6;11(4):465. doi: 10.3390/healthcare11040465.

Abstract

This study aimed to analyze the utilization of health care facilities and the health-seeking behavior of elderly people with non-communicable diseases and find the factors that affect them. A cross-sectional study was conducted in seven coastal areas of the Thua Thien Hue province, Vietnam, using a sample of 370 elderly people aged over 60 years. Chi-square and multiple logistic regression analyses were used to examine the factors associated with the utilization of health care services. The participants' average age was 69.70 (SD), and 18% of them reported having ≥ two non-communicable diseases (NCDs). The results of the study showed that 69.8% of the total participants exhibited health-seeking behaviors. The findings also revealed that elderly people living alone, and those with an average or above-average income, had higher utilization of health care services. Participants with multiple NCDs exhibited more health-seeking behaviors than those with only one (OR: 9.24, 95% CI: 2.66-32.15, = <0.001). The presence of health insurance and the need for health care counseling were also relevant ([OR: 4.16, 95% CI: 1.30-13.31, = 0.016], [OR: 3.91, 95% CI: 2.04-7.49, < 0.001], respectively). Health-seeking behavior is one of the most important positive implications for the aged population, as it encompasses one's physical, mental, and psychological wellbeing. Future studies can aim at gaining an in-depth understanding of the same results, helping improve the health-seeking behavior of elderly people, and enhancing their quality of life.

摘要

本研究旨在分析非传染性疾病老年患者的医疗保健设施利用情况和就医行为,并找出影响这些情况的因素。在越南承天顺化省的七个沿海地区进行了一项横断面研究,样本为370名60岁以上的老年人。采用卡方检验和多元逻辑回归分析来检验与医疗保健服务利用相关的因素。参与者的平均年龄为69.70(标准差),其中18%的人报告患有≥两种非传染性疾病(NCDs)。研究结果显示,69.8%的总参与者表现出就医行为。研究结果还表明,独居的老年人以及收入平均或高于平均水平的老年人对医疗保健服务的利用率更高。患有多种非传染性疾病的参与者比仅患有一种疾病的参与者表现出更多的就医行为(比值比:9.24,95%置信区间:2.66 - 32.15,P = <0.001)。医疗保险的存在和对医疗保健咨询的需求也具有相关性(分别为[比值比:4.16,95%置信区间:1.30 - 13.31,P = 0.016],[比值比:3.91,95%置信区间:2.04 - 7.49,P < 0.001])。就医行为是老年人群体最重要的积极影响之一,因为它涵盖了一个人的身体、心理和精神健康。未来的研究可以旨在深入理解相同的结果,帮助改善老年人的就医行为,并提高他们的生活质量。

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