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8
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影响卢旺达加萨博区男性就医行为的因素

Factors Influencing the Health Seeking Behaviour of Men in Gasabo District, Rwanda.

作者信息

Uwimana Sophie, Okova Rosemary, Habtu Michael

机构信息

Department of Public Health, School of Health Sciences, Mount Kenya University, Kigali, Rwanda.

School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

出版信息

Rwanda J Med Health Sci. 2023 Jul 31;6(2):215-227. doi: 10.4314/rjmhs.v6i2.13. eCollection 2023 Jul.

DOI:10.4314/rjmhs.v6i2.13
PMID:40568394
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12110514/
Abstract

BACKGROUND

Various studies conducted on factors influencing men's health seeking behavior suggested that men are less likely to seek professional medical help for diverse health problems and also pointed out that their reluctance to seek health is a major hindrance to their well-being.

OBJECTIVE

To determine factors influencing men's health seeking behavior and use of health services in Gasabo District.

METHODS

The 247 men aged above 18 years residing in Gasabo District participated in this cross sectional study for quantitative data and ten in-depth interviews were conducted. Univariate, bivariate and multivariable logistic regression analysis were also computed.

RESULTS

Among the key findings, 61.5% of the respondents had high level of health seeking behavior and for multivariable logistic analysis the following variables were independently associated with high level of health seeking behavior: men whose age was above 40 years (AOR = 3.00; 95%CI= 1.26-7.14; p value=0.013); men with tertiary level of education (AOR = 3.78; 95%CI= 1.29-11.05; p value=0.015); men with casual work (AOR = 2.30; 95%CI= 1.23-4.31; p value=0.09); and men with health insurance (AOR = 4.33; 95%CI= 1.08-17.32; p value=0.038).

CONCLUSION

Men moderately utilize healthcare services and there are modifiable characteristics, perceptions and beliefs among men that hinder them from utilizing health care services.

摘要

背景

多项关于影响男性健康寻求行为因素的研究表明,男性因各种健康问题寻求专业医疗帮助的可能性较小,并且指出他们不愿寻求健康是其幸福的主要障碍。

目的

确定影响加萨博地区男性健康寻求行为和医疗服务利用情况的因素。

方法

居住在加萨博地区的247名18岁以上男性参与了这项横断面研究以获取定量数据,并进行了10次深入访谈。还进行了单变量、双变量和多变量逻辑回归分析。

结果

在主要研究结果中,61.5%的受访者有较高水平的健康寻求行为,在多变量逻辑分析中,以下变量与较高水平的健康寻求行为独立相关:年龄在40岁以上的男性(比值比=3.00;95%置信区间=1.26-7.14;p值=0.013);受过高等教育的男性(比值比=3.78;95%置信区间=1.29-11.05;p值=0.015);从事临时工作的男性(比值比=2.30;95%置信区间=1.23-4.31;p值=0.09);以及有健康保险的男性(比值比=4.33;95%置信区间=1.08-17.32;p值=0.038)。

结论

男性适度利用医疗服务,并且男性中存在一些可改变的特征、观念和信念阻碍他们利用医疗服务。