影響傷病發生與醫療行爲之多變數分析研究

Factors Influencing the Self-Reported Illness and the Patterns of Health Behavior in Taiwan Area

吳淑瓊 ； 楊志良 ； 吳新英

《中華民國公共衛生學會雜誌》 1期 (1982/12) Pp. 35-45

https://doi.org/10.6288/JNPHARC1982-01-01-06

摘要

為了探討影響民衆自覺傷病之發生頻率與醫療行為機轉之各因素，特針對民國68-69年間舉行之「國民健康先驅調查研究」中曾自覺發生傷病個案者計3771名，進行各項傷病發生與求醫行為資料之整理，並利用複廻歸與複相關之統計方法分析結果發現“傷病型態”、“年齡”二變項與傷病發生頻率最具相關；而與急性、慢性傷病個案之傷病發生頻率具最強相關者，則分別為“年齡”與“血型”變項。又對民衆醫療行為型態影響較鉅之因素為社會文化因素中之“大衆媒體接觸頻率”變項，健康狀況因素中之“傷病發生頻率”和“傷病型態”變項，及人口因素中之“年齡”與“籍貫變項等。一般而言，大衆媒體接觸頻率高、年齡小、外省籍者較多採取“只求西醫”之方式，而大衆媒體接觸頻率低、年齡大、傷病頻率高，非慢性病者之“複向求醫”傾向較大。

並列摘要

To investigate factors which influence the frequency of self-reported illness and kinds of behavior been taken subsquently, We conduct a study on 3771 cases who had self-reported illness among the sample of ”A Pilot Study of Health Survey”, which was performed in the period of 1979-1980. The data was analyzed with multivariate regression and correlation techniques. We found that the frequency of reported illness is strongly correlated with patterns (acute and chronic) of illness and Patient's age. When all patients were stratified by patterns of illness, the age and blood type are the major influencing variables among those with acute and chronic conditions, respectively. Factors which show major influence over health behavior are: frequency of news exposure, frequency and patterns of illness, age, and domicil. In general, people with more frequent news exposure, younger age, and the mainlanders tend to seek western medical service only, while people with less frequent news exposure, older age, more frequent of illness, and acute condition tend to seek mixed kinds (western, chinese, herb, and folk medicine etc.) of medical treatment.

並列關鍵字

Self-reported ； illness ； Health ； Behavior