Tarumi K, Hagihara A, Morimoto K
Section of Postgraduate Guidance, School of Medicine, University of Occupational and Environmental Health, Kitakyushu.
Nihon Eiseigaku Zasshi. 1995 Feb;49(6):984-97. doi: 10.1265/jjh.49.984.
To clarify the effects of lifestyle on care-seeking behavior, we conducted a questionnaire survey using Morimoto's 8 lifestyle factors and tabulated the medical evaluations at annual medical checkup of 1212 male white-collar employees of a company (aged 21-60 years in 1991), and then extracted the health insurance data for these subjects for the first half of 1992 from the health insurance-carrier computer system. The percentage of employees who visited medical facilities, the number of days of medical care, and the medical fees reported on the health insurance claims were chosen as indices of care-seeking behavior, and the relationship of each index to lifestyle and medical checkup data was examined. The health practice index (HPI), which was obtained by summing the scores for the 8 lifestyle factors was associated with the medical evaluation as expected, but was inversely correlated with the indices of care-seeking behavior. The percentage of employees who visited medical facilities, the number of the days of medical care, and the total medical fees were all higher for the subjects with high HPI scores than for those with low HPIs. Our findings are consistent with those of other researchers who have found an inverse relationship between tobacco smoking and health insurance claims, which has been attributed to the degree of consciousness of health. Compared to smokers, non-smokers have high consciousness of health and tend to consult a doctor more frequently, with resulting increased frequency of medical facility consultation and days of medical care, as well as medical fees. Lifestyle is an important aspect of physical and mental health status.(ABSTRACT TRUNCATED AT 250 WORDS)
为阐明生活方式对就医行为的影响,我们使用森本的8个生活方式因素进行了问卷调查,并将一家公司1212名男性白领员工(1991年年龄在21 - 60岁)年度体检的医学评估制成表格,然后从健康保险承保机构的计算机系统中提取了这些受试者1992年上半年的健康保险数据。选择就医的员工百分比、医疗天数以及健康保险理赔上报的医疗费用作为就医行为指标,并研究每个指标与生活方式和体检数据之间的关系。通过对8个生活方式因素得分求和得到的健康实践指数(HPI)与预期的医学评估相关,但与就医行为指标呈负相关。HPI得分高的受试者就医的员工百分比、医疗天数和总医疗费用均高于HPI得分低的受试者。我们的研究结果与其他研究人员一致,他们发现吸烟与健康保险理赔之间存在负相关关系,这归因于健康意识程度。与吸烟者相比,不吸烟者健康意识高,往往更频繁地咨询医生,导致就医机构咨询频率、医疗天数以及医疗费用增加。生活方式是身心健康状况的一个重要方面。(摘要截选于250字)