山东省两周病伤农村老年人自我医疗现状及其影响因素  

Self-medication and its influencing factors among rural elderly with twoweek illness in Shandong province

作　　者：王亚丽 景翔[1,2] 卢露 夏宇 张娇 李耀祖 焦安安[1,2] 徐凌忠 WANG Ya-li;JING Xiang;LU Lu(School of Public Health,Cheeloo College of Medicine,Shandong University,Ji'nan,Shandong Province 250012,China;不详)

机构地区：[1]山东大学齐鲁医学院公共卫生学院,山东济南250012 [2]山东大学卫生经济实验与公共政策研究中心

出　　处：《中国公共卫生》2021年第3期475-478,共4页Chinese Journal of Public Health

基　　金：国家自然科学基金面上项目(71673169;71974118)。

摘　　要：目的了解山东省两周病伤农村老年人自我医疗现状及其影响因素,为制定有效的自我医疗干预措施提供理论依据。方法于2017年8—9月采用多阶段分层随机抽样方法在山东省威海、潍坊、菏泽3个市抽取7 070名老年人进行问卷调查,分析其中3 240例有两周病伤农村老年人的自我医疗现状及其影响因素。结果山东省3 240例两周病伤农村老年人中,选择自我医疗者2 582例,自我医疗率为79.7%;文化程度初中及以上和自评健康状况差的山东省农村两周病伤老年人自我医疗率较低,非空巢或独居和患慢性病≥1种的山东省两周病伤农村老年人自我医疗率较高。结论山东省两周病伤农村老年人自我医疗率较高,文化程度、自评健康状况、是否空巢或独居和患慢性病种数是该地区两周病伤农村老年人自我医疗情况的主要影响因素。Objective To examine the status and influencing factors of self-medication among rural elderly with diseases or injury during past two weeks(two-week illness) in Shandong province, and to provide a theoretical basis for developing effective interventions on self-medication. Methods With stratified multistage random sampling, we recruited 7 070 residents aged ≥ 60 years living in rural regions of 3 municipalities of Shandong province more than 6 months. A face-toface questionnaire survey was conducted among the residents during August–September 2017 and the data collected from 3 240 residents with two-week illness were analyzed to explore self-medication and its associates. Results Of all residents with two-week illness, 2 582(79.7%) reported undertaking self-medication. The results of unconditional multivariate logistic regression analysis demonstrated that the two-week illness residents with the education of junior high school and above and having poor self-rated health were less likely to undertake self-medication;while, those of non-empty nest or not living alone and suffering from at least one chronic disease were more likely to undertake self-medication. Conclusion In Shandong province, the rate of self-medication is relatively high among the rural elderly with two-week illness and the rate is mainly influenced by education, self-rated health, whether being empty nest or living alone, and the number of chronic diseases suffered from.

关 键 词：自我医疗 影响因素 两周病伤 老年人 农村 

分 类 号：R195.4[医药卫生—卫生统计学]