Beresford S A, Waller J J, Banks M H, Wale C J
Br J Prev Soc Med. 1977 Dec;31(4):220-6. doi: 10.1136/jech.31.4.220.
This study was designed to investigate personal and social factors associated with demand for care by women aged between 20 and 44 years, a group unlikely to suffer from chronic illness. A random sample of women was drawn from the age-sex register of a south London group practice, and information was obtained concerning their daily symptom perception, anxiety level, social and health characteristics, and their consultations for one year. Social class, family involvement, number of children in household, satisfaction with the housing, and use of other health and social services were not associated with demand for general practitioner care. Absence of basic housing amenities, difficulties in running the household, brevity of stay in the house or neighbourhood, and lack of attachment of the neighbourhood were related to a high patient-initiated consultation rate. Some of the possible interpretations of these results are discussed together with their implications for social policy planning.
本研究旨在调查20至44岁女性的个人和社会因素与护理需求之间的关系，这一年龄段的女性不太可能患有慢性病。从伦敦南部一家团体诊所的年龄性别登记册中随机抽取女性样本，并获取了有关她们日常症状感知、焦虑水平、社会和健康特征以及一年来就诊情况的信息。社会阶层、家庭参与情况、家庭子女数量、对住房的满意度以及对其他健康和社会服务的使用与全科医生护理需求无关。基本住房设施的缺乏、家务管理困难、在房屋或社区居住时间短以及与社区缺乏联系与患者主动就诊率高有关。本文讨论了这些结果的一些可能解释及其对社会政策规划的影响。
