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沙特阿拉伯朱夫地区成年人定期健康检查参与率的影响因素

Determinants of periodic health examination uptake among adults in Al-Jouf Region, Saudi Arabia.

作者信息

Alzahrani Ali M, Felix Holly C, Al-Etesh Nashmi S

机构信息

Department of Health Services Management, College of Public Health and Healths Informatics, Umm Al-Qura University, Makkah, Saudi Arabia.

Department of Health Policy and Management, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA.

出版信息

J Family Community Med. 2023 Jul-Sep;30(3):197-203. doi: 10.4103/jfcm.jfcm_63_23. Epub 2023 Jul 24.

Abstract

BACKGROUND

Periodic Health Examinations (PHEs) typically occur annually and provide an important opportunity for providers to screen their patients for undiagnosed health conditions and monitor existing conditions, such as diabetes and hypertension. Unfortunately, PHEs are reported to be low in Saudi Arabia. This study's aim was to assess the regular uptake of PHEs by adults residing in Al-Jouf region, Saudi Arabia.

MATERIALS AND METHODS

A cross-sectional survey was conducted among adults (aged ≥ 20 years) residing in five communities in the Al-Jouf Region on sociodemographic characteristics, self-reported chronic conditions, knowledge of PHEs, and their regular uptake. Chi-square tests and multivariate logistic regression analysis were performed to determine the factors associated with regular uptake of PHEs.

RESULTS

A total of 624 participants completed the survey questionnaire. Of the participants, 27.7% reported a regular uptake of PHEs. The odds of regular uptake of PHEs were higher among older respondents (odds ratio [OR] =1.98; = 0.002), those who reported that they had diabetes (OR = 3.25; < 0.001), hypertension (OR = 4.11; = 0.001), hyperlipidemia (OR = 2.66; = 0.003), and those with a higher PHEs knowledge score (OR = 1.35; < 0.001). However, the odds regular uptake of PHEs among respondents residing in the three governorates and Skaka city were significantly lower (OR = 0.27; = 0.001 and OR = 0.30; = 0.002, respectively) than their counterparts.

CONCLUSION

Low rates of PHEs uptake were observed among the survey participants in the Al-Jouf Region of Saudi Arabia. The characteristics of individuals associated with low uptake of PHEs were identified. Tailored interventions, such as the use of community health workers and clinic communications, could target these individuals to increase the uptake of PHEs.

摘要

背景

定期健康检查(PHEs)通常每年进行一次,为医疗服务提供者提供了一个重要机会,用于筛查患者未被诊断出的健康状况,并监测现有疾病,如糖尿病和高血压。不幸的是,据报道沙特阿拉伯的定期健康检查率较低。本研究的目的是评估居住在沙特阿拉伯朱夫地区的成年人定期进行健康检查的情况。

材料与方法

对居住在朱夫地区五个社区的成年人(年龄≥20岁)进行了一项横断面调查,内容包括社会人口学特征、自我报告的慢性病、对定期健康检查的了解情况以及他们定期进行健康检查的情况。进行卡方检验和多因素逻辑回归分析,以确定与定期进行健康检查相关的因素。

结果

共有624名参与者完成了调查问卷。在参与者中,27.7%报告定期进行健康检查。年龄较大的受访者(优势比[OR]=1.98;P=0.002)、报告患有糖尿病(OR=3.25;P<0.001)、高血压(OR=4.11;P=0.001)、高脂血症(OR=2.66;P=0.003)以及定期健康检查知识得分较高的受访者(OR=1.35;P<0.001)定期进行健康检查的几率更高。然而,居住在三个省份和斯卡卡市的受访者定期进行健康检查的几率明显低于其他受访者(分别为OR=0.27;P=0.001和OR=0.30;P=0.002)。

结论

在沙特阿拉伯朱夫地区的调查参与者中,观察到定期健康检查的参与率较低。确定了与定期健康检查参与率低相关的个体特征。可以针对这些个体采取定制化干预措施,如利用社区卫生工作者和诊所沟通,以提高定期健康检查的参与率。

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