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高嘉敏, 马正. 中国罕见病患者社会支持情况及其影响因素分析[J]. 中国公共卫生, 2022, 38(2): 153-156. DOI: 10.11847/zgggws1126356
引用本文: 高嘉敏, 马正. 中国罕见病患者社会支持情况及其影响因素分析[J]. 中国公共卫生, 2022, 38(2): 153-156. DOI: 10.11847/zgggws1126356
GAO Jia-min, MA Zheng. Status and impact factors of social support for people with rare diseases in China[J]. Chinese Journal of Public Health, 2022, 38(2): 153-156. DOI: 10.11847/zgggws1126356
Citation: GAO Jia-min, MA Zheng. Status and impact factors of social support for people with rare diseases in China[J]. Chinese Journal of Public Health, 2022, 38(2): 153-156. DOI: 10.11847/zgggws1126356

中国罕见病患者社会支持情况及其影响因素分析

Status and impact factors of social support for people with rare diseases in China

  • 摘要:
      目的  了解中国罕见病患者的社会支持情况及其影响因素,为罕见病患者提供有效的社会支持提供参考依据。
      方法  于2016年2月采用滚雪球抽样方法采用自制调查问卷通过互联网或电话对1 771例罕见病患者进行调查,分析罕见病患者的社会支持现状及其影响因素。
      结果  中国罕见病患者的社会支持总分为(60.37 ± 18.23)分,其中,工具性支持、讯息与情绪性支持、社会互助性合作支持、情感性支持和补偿性支持得分分别为(13.40 ± 4.12)、(22.99 ± 7.89)、(8.42 ± 3.11)、(6.69 ± 1.92)和(6.69 ± 1.92)分;多元线性回归分析结果显示,已婚、离退休和学生罕见病患者的社会支持程度较高,年龄较大、文化程度小学及以上、无业、居住在农村和有并发症罕见病患者的社会支持程度较低。
      结论  中国罕见病患者社会支持程度较低,此类患者的社会支持程度与年龄、文化程度、婚姻状况、职业、居住地和有无并发症等因素相关。

     

    Abstract:
      Objective  To analyze the status and correlated factors of social support for people with rare diseases in China.
      Methods  We conducted an internet- or telephone-based survey among 1 771 self-reported rare disease patients recruited with snow balling sampling during February 2016 in China. The Medical Outcomes Study Social Support Survey – Chinese Version (MOS-SSS) was applied to measure the social support for the patients. Descriptive statistics and linear regression were employed in data analysis.
      Results  The total score of social support for the patients was 60.37 ± 18.23 and domain scores were 13.40 ± 4.12 for tangible support, 22.99 ± 7.89 for emotional/informational support, 8.42 ± 3.11 for positive social interaction, 8.87 ± 3.21 for affectionate support, and 6.69 ± 1.92 for additional items, respectively. The results of multivariate stepwise linear regression analysis demonstrated that the rare disease patients being married, retired, and being a student were more likely to have a strong social support; while, those at elder age, with the education of primary school and below, unemployed, living in rural regions, and with disease complication were more likely to have a weak social support.
      Conclusion  In China, the social support for rare disease patients is at a low level and associated with the patients′ age, education, marital status, occupation, residence, and whether having complicated disease.

     

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