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老年人不同非传染性疾病的求医行为及其决定因素

Health-Seeking Behavior and its Determinants for Different Noncommunicable Diseases in Elderly.

作者信息

Prabhakar Tushar, Goel Manish Kumar, Acharya Anita Shankar

机构信息

Department of Clinical Epidemiology, Institute of Liver and Biliary Sciences, New Delhi, India.

Department of Community Medicine, Lady Hardinge Medical College, New Delhi, India.

出版信息

Indian J Community Med. 2023 Jan-Feb;48(1):161-166. doi: 10.4103/ijcm.ijcm_106_22. Epub 2023 Feb 1.

Abstract

Steady improvement in quality of life has led to increased survival time of elderly, especially of those with noncommunicable diseases. A study about their health-seeking behavior (HSB) and its determinants is essential for provision of comprehensive care and facilitate policy development. A cross-sectional study was conducted among 350 elderly participants over 60 years of age in an urbanized village of Delhi. Data was collected using a semi-structured questionnaire, and detailed general and systemic examination was done. Tests of significance were applied to assess the HSB with various demographic, clinico-social, and economic variables. A total of 87.4% of the study population was suffering from at least one noncommunicable disease (NCD). Majority of the study subjects' NCDs (72.66%) were diagnosed while getting treatment for a symptom of the disease. Also, 52.94% of the participants had inappropriate HSB. HSB was significantly associated with gender, age, duration of illness, and importantly with modifiable variables like the level of literacy, distance of preferred health facility, and presence of multimorbidity. HSB was found to be inappropriate in over half of the participants. Policymaking should focus on modifiable variables like education, distance of health facility, and multimorbidity, especially for commonly ignored diseases like osteoarthritis and diabetes.

摘要

生活质量的稳步提高延长了老年人的生存时间,尤其是那些患有非传染性疾病的老年人。一项关于他们的就医行为(HSB)及其决定因素的研究对于提供全面护理和促进政策制定至关重要。在德里一个城市化村庄对350名60岁以上的老年参与者进行了一项横断面研究。使用半结构化问卷收集数据,并进行详细的全身检查。应用显著性检验来评估HSB与各种人口统计学、临床社会和经济变量之间的关系。共有87.4%的研究人群患有至少一种非传染性疾病(NCD)。大多数研究对象的非传染性疾病(72.66%)是在因疾病症状接受治疗时被诊断出来的。此外,52.94%的参与者就医行为不当。HSB与性别、年龄、病程显著相关,重要的是与可改变的变量如识字水平、首选医疗机构的距离和多种疾病并存相关。发现超过一半的参与者就医行为不当。政策制定应关注可改变的变量,如教育、医疗机构的距离和多种疾病并存,尤其是对于骨关节炎和糖尿病等常见被忽视的疾病。

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