Anderson模型在中国中老年人肺功能测试行为影响因素分析中的应用

Huiwen Jiang , Bojunhao Feng , Yujia Wang , Pu Ge , Ke Lv , Xinying Sun , Yibo Wu
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引用次数: 1

摘要

肺功能检查在评估呼吸系统健康和疾病方面很有价值,健康中国倡议明确指出,40岁以上的人应每年进行一次肺功能检查。为了探讨倾向因素、能力因素和需求因素对中国中老年肺功能检测行为的影响,我们进行了以下研究:方法采用安德森模型设计问卷,采用多阶段抽样的方法,根据地域细分和人口分布,在全国范围内进行问卷调查。对中国中老年人肺功能检测的描述性统计分析采用频数和百分比,对中国中老年人肺功能检测行为的影响因素采用卡方检验和二元logistic回归分析。结果共纳入404名研究对象。教育程度(相对于小学及以下、初中及高中、初中OR = 2.652, P = 0.018;大学及以上学历OR = 4.566, P = 0.002)、医疗负担能力模式(相对于自费体检者,非自费体检者OR = 2.205, P = 0.004)、欧洲五维健康量表维度(流动性OR = 4.571, P = 0.006;疼痛或不适or = 0.397, P = 0.003;焦虑或抑郁or = 0.511, P = 0.028),自我效能感(中等组r = 0.294, P <0.001;低组OR = 0.162, P = 0.003)对中老年人群肺功能检测行为有显著影响。结论本研究发现中老年人参与肺功能检测仍有提高的空间。在倾向因素中,影响肺功能检查率的因素是受教育程度最高的因素,它决定了患者对肺功能检查的重视程度。在需求因素中,影响肺功能检出率的因素是中老年人的身体状况,身体状况较差的人群更需要医学检测。在能力因素中,影响肺功能检查率的因素是医疗费用的承担方式,经济状况是决定患者能否接受肺功能检查的关键因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Application of Anderson model to analyze the influencing factors of lung function test behavior in middle-aged and elderly people in China

Introduction

Lung function tests are valuable in assessing respiratory health and disease, and the Healthy China Initiative clearly states that people over 40 years of age should have a lung function test once a year. To explore the influence of propensity factors, ability factors, and need factors on lung function detection behaviors of middle-aged and elderly Chinese, the following studies are conducted.

Method

A questionnaire was designed using Anderson's model, and multi-stage sampling was used to conduct a nationwide questionnaire survey based on geographical subdivisions and population distribution. Frequency and percentages were used for descriptive statistical analysis of lung function testing among middle-aged and elderly people in China, and chi-square tests and binary logistic regression analyses were used to investigate the factors influencing lung function testing behavior among middle-aged and elderly people in China.

Result

A total of 404 study participants were included in this study. Education level (relative to primary school and below, middle school and high school and secondary school OR = 2.652, P = 0.018; college and above OR = 4.566, P = 0.002), mode of health care affordability (relative to those who paid for the test, non-payers OR = 2.205, P = 0.004), dimensions of the European Five Dimensional Health Scale (mobility OR = 4.571, P = 0.006; pain or discomfort OR = 0.397, P = 0.003; anxiety or depression OR = 0.511, P = 0.028), and self-efficacy (medium group 0R = 0.294, P < 0.001; low group OR = 0.162, P = 0.003) had a significant impact on lung function testing behavior in our middle-aged and older adults.

Conclusion

This study found that there is still room for improvement in the participation of middle-aged and elderly people in lung function testing. Among the propensity factors, the factor that affects the rate of lung function tests is the highest degree of education, which determines the degree of patients' attention to lung function tests. Among the need factors, the factors affecting the rate of lung function detection are the physical conditions of middle-aged and elderly people, and those with poor physical conditions need medical detection. Among the ability factors, the factor that affects the rate of lung function tests is the way of bearing medical expenses, and economic status is the key factor that determines whether patients can accept lung function tests.

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Dialogues in health
Dialogues in health Public Health and Health Policy
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