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基于健康信念模式山东农村居民周期性健康检查意向及影响因素

张卓 石国帅 窦蕾 尹爱田

张卓, 石国帅, 窦蕾, 尹爱田. 基于健康信念模式山东农村居民周期性健康检查意向及影响因素[J]. 中国公共卫生, 2017, 33(7): 1058-1062. doi: 10.11847/zgggws2017-33-07-07
引用本文: 张卓, 石国帅, 窦蕾, 尹爱田. 基于健康信念模式山东农村居民周期性健康检查意向及影响因素[J]. 中国公共卫生, 2017, 33(7): 1058-1062. doi: 10.11847/zgggws2017-33-07-07
ZHANG Zhuo, SHI Guo-shuai, DOU Lei.et al, . Determinants of intention and influencing factors of periodic health examination among residents of rural Shandong:belief model-based analysis[J]. Chinese Journal of Public Health, 2017, 33(7): 1058-1062. doi: 10.11847/zgggws2017-33-07-07
Citation: ZHANG Zhuo, SHI Guo-shuai, DOU Lei.et al, . Determinants of intention and influencing factors of periodic health examination among residents of rural Shandong:belief model-based analysis[J]. Chinese Journal of Public Health, 2017, 33(7): 1058-1062. doi: 10.11847/zgggws2017-33-07-07

基于健康信念模式山东农村居民周期性健康检查意向及影响因素

doi: 10.11847/zgggws2017-33-07-07
基金项目: 

国家自然科学基金(71373147)

详细信息
    作者简介:

    张卓(1989-),女,陕西汉中人,硕士在读,研究方向:社会医学与卫生事业管理。

    通信作者:

    尹爱田,E-mail:yaitian@sdu.edu.cn

  • 中图分类号: R181.2+2

Determinants of intention and influencing factors of periodic health examination among residents of rural Shandong:belief model-based analysis

  • 摘要: 目的 构建八维度健康信念模型,分析山东省农村居民周期性健康检查行为意向的影响因素,为提高居民健康检查参与率提供科学依据。方法 2014年3-9月,采用横断面调查方法分层随机抽取山东省胶南市、曲阜市和宁阳县农村居民共818人进行面对面问卷调查和定性访谈,测量人口学特征、周期性健康检查行为、健康信念模式各维度得分,并运用多元线性回归分析周期性健康检查行为意向的影响因素。结果 调查对象行为意向得分为(4.43±0.80)分,健康信念各维度得分分别为自我效能(21.45±2.89)分、健康知识(21.43±5.04)分、社会支持(49.07±9.70)分、感知易感性(21.64±3.87)分、感知严重性(10.61±4.98)分、感知益处(13.82±1.51)分、感知障碍(10.15±3.10)分、提示因素(20.96±5.08)分;多元线性回归分析显示,年收入低、健康知识水平低、自我效能低、感知到障碍多、感知到的益处少、感知易感性弱的农村居民周期性健康检查行为意向较差,其中感知障碍对行为意向的影响最大。结论 建议政府在医保资金上加大对临床预防服务的投入,同时以布告栏、乡村医生为媒介重点普及周期性健康检查知识,鼓励居民克服障碍,养成周期性健康检查的行为习惯。
  • [2] 欧阳文婷,肖义泽,段义军.中国 60岁老年人卫生服务需求meta分析[J].中国公共卫生,2016,32(9):1149-1152.
    [3] Maciosek MV,Coffield AB,Edwards NM,et al.Priorities among effective clinical preventive services:results of a systematic review and analysis[J].American Journal of Preventive Medicine,2006,31(1):52-61.
    [4] Siu HY,White J,Sergeant M,et al.Development of a periodic health examination form for the frail elderly in long-term care[J].Canadian Family Physician,2016,62(2):147-155.
    [5] Lai DW,Kalyniak S.Use of annual physical examinations by aging Chinese Canadians[J].Journal of Aging and Health,2005,17(5):573-591.
    [6] 中国全科医学编辑部.全科医生小词典周期性健康检查[J].中国全科医学,2016,19:2323.
    [7] Fenton JJ,Cai Y,Weiss NS,et al.Delivery of cancer screening:how important is the preventive health examination?[J].Archives of Internal Medicine,2007,167(6):580-585.
    [8] Woodruff C.Periodic health examinations and the provision of cancer prevention services[J].Arch Fam Med,1997,6:223-230.
    [9] Liu X,Li N,Liu C,et al.Urban-rural disparity in utilization of preventive care services in China[J].Medicine,2016,95(37):e4783.
    [10] 陈露,路云,曹乾,等.我国居民预防保健服务需求及影响因素研究[J].中国全科医学,2015,4:428-432.
    [11] Li C,Unger JB,Schuster D,et al.Youths' exposure to environmental tobacco smoke(ETS):associations with health beliefs and social pressure[J].Addictive Behaviors,2003,28(1):39-53.
    [12] Orji R,Vassileva J,Mandryk R.Towards an effective health interventions design:an extension of the health belief model[J].Online Journal of Public Health Informatics,2012,4(3):335-344.
    [13] Orji R,Mandryk RL.Developing culturally relevant design guidelines for encouraging healthy eating behavior[J].International Journal of Human-Computer Studies,2014,72(2):207-223.
    [14] Umeh K,Rogan-Gibson J.Perceptions of threat,benefits,and barriers in breast self-examination amongst young asymptomatic women[J].British Journal of Health Psychology,2001,6(4):361-372.
    [15] Sharma M.Theoretical foundations of health education and health promotion[M].Jones and Bartlett Publishers,2016:59-73.
    [16] Carpenter CJ.A meta-analysis of the effectiveness of health belief model variables in predicting behavior[J].Health Communication,2010,25(8):661-669.
    [17] Harrison JA,Mullen PD,Green LW.A meta-analysis of studies of the health belief model with adults[J].Health Education Research,1992,7(1):107-116.
    [18] Tan MY.The relationship of health beliefs and complication prevention behaviors of Chinese individuals with type 2 diabetes mellitus[J].Diabetes Research and Clinical Practice,2004,66(1):71-77.
    [19] Anagnostopoulos F,Buchanan H,Frousiounioti S,et al.Self-efficacy and oral hygiene beliefs about toothbrushing in dental patients:a model-guided study[J].Behavioral Medicine,2011,37(4):132-139.
    [20] Bernhardt JM.Communication at the core of effective public health[J].American Journal of Public Health,2004,94(12):2051-2053.
    [21] Sun X,Chen Y,Tong X,et al.The use of annual physical examinations among the elderly in rural China:a cross-sectional study[J].BMC Health Services Research,2014,14(1):16.
    [22] Chukmaitov A,Wan TT,Menachemi N,et al.Breast cancer knowledge and attitudes toward mammography as predictors of breast cancer preventive behavior in Kazakh,Korean,and Russian women in Kazakhstan[J].International Journal of Public Health,2008,53(3):123-130.
    [23] 赵亮,李素君,王涛.北京市女性乳腺癌筛检知识、态度、行为调查[J].中国公共卫生,2008,24(6):658-659.
    [24] 王苏中,于石成,吴永浩,等.北京市社区高血压患者干预前后知识态度行为变化抽样调查[J].中国公共卫生,2000,16(11):1037-1038.
    [25] Hueston WJ,Hubbard ET.Preventive services for rural and urban African American adults[J].Archives of Family Medicine,2000,9(3):263-266.
    [26] Zhang L,Liu N.Health reform and out-of-pocket payments:lessons from China[J].Health Policy and Planning,2014,29(2):217-226.
    [27] Lagarde M,Palmer N.The impact of user fees on health service utilization in low- and middle-income countries:how strong is the evidence?[J].Bulletin of the World Health Organization,2008,86(11):839C-848C.
    [28] Lei X,Lin W.The new cooperative medical scheme in rural China:Does more coverage mean more service and better health?[J].Health Economics,2009,18(suppl 2):S25-46.
    [29] Weissman JS,Stern R,Fielding SL,et al.Delayed access to health care:risk factors,reasons,and consequences[J].Annals of Internal Medicine,1991,114(4):325-331.
    [30] Saver BG,Peterfreund N.Insurance,income,and access to ambulatory care in King County,Washington[J].American Journal of Public Health,1993,83(11):1583-1588.
    [31] Kwack H,Sklar D,Skipper B,et al.Effect of managed care on emergency department use in an uninsured population[J].Annals of Emergency Medicine,2004,43(2):166-173.
    [32] Jr JJ S,Baker DW.Intermittent lack of health insurance coverage and use of preventive services[J].American Journal of Public Health,2003,93(1):130-137.
    [33] Carrieri V,Bilger M.Preventive care:underused even when free.Is there something else at work?[J].Applied Economics,2013,45(2):239-253.
    [34] Casey MM,Call KT,Klingner JM.Are rural residents less likely to obtain recommended preventive healthcare services?[J].American Journal of Preventive Medicine,2001,21(3):182-188.
    [35] Bostick RM,Sprafka JM,Virnig BA,et al.Knowledge,attitudes,and personal practices regarding prevention and early detection of cancer[J].Preventive Medicine,1993,22(1):65-85.
    [36] Kiyang LN,Labrecque M,Doualla-Bell F,et al.Family physicians' intention to support women in making informed decisions about breast cancer screening with mammography:a cross-sectional survey[J].BMC Research Notes,2015,8(1):663.
    [37] Matejic B,Vukovic D,Pekmezovic T,et al.Determinants of preventive health behavior in relation to cervical cancer screening among the female population of Belgrade[J].Health Education Research,2011,26(2):201-211.
    [38] Green CA,Pope CR.Gender,psychosocial factors and the use of medical services:a longitudinal analysis[J].Social Science and Medicine,1999,48(10):1363-1372.
    [39] 唐晓平,刘凤英,冯明玲.健康信念模式在分析社会心理因素与阴道炎预防行为关系中的应用[J].中国公共卫生,1998,14(12):752-754.
    [40] Solhi M,Zadeh DS,Seraj B,et al.The application of the health belief model in oral health education[J].Iranian Journal of Public Health,2010,39(4):114-119.
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出版历程
  • 接收日期:  2017-02-10
  • 刊出日期:  2017-07-10

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