厦门市社区居民对听力保健家庭医生服务签约意愿及影响因素研究  

Investigation of Willingness and Influence Factors of Community Residents in Xiamen City to Participate in Family Hearing Care Services

作　　者：谢石荣 吴晓军 Xie Shirong;Wu Xiaojun(不详;Department of Otolaryngology,Xiamen Maternity and Children Hospital,Xiamen,361003,China)

机构地区：[1]厦门大学附属妇女儿童医院,厦门市妇幼保健院耳鼻咽喉科,厦门市听力筛查诊断中心,厦门361003 [2]厦门市海沧区卫生计生监督所

出　　处：《听力学及言语疾病杂志》2024年第1期49-53,共5页Journal of Audiology and Speech Pathology

摘　　要：目的了解厦门市社区居民对听力保健家庭医生签约服务的意愿及其影响因素,为后续推进听力保健家庭医生签约服务提供参考。方法于2022年6~7月,采用多阶段分层抽样的方法,对厦门市9个社区的900名居民进行问卷调查,调查内容包括社会人口学特征、耳及听力健康知识态度、耳及听力健康行为,采用χ^(2)检验进行单因素分析,多因素Logistic回归分析影响签约服务意愿的因素。结果共发放问卷900份,实际回收887份,有效回收率98.6%,其中487例(54.9%)社区居民有意愿接受听力保健家庭医生签约服务。多因素Logistic回归分析显示,耳及听力健康知识水平(OR=0.395,P<0.05)、是否经常掏耳(OR=3.026,P<0.001)和耳鼻咽喉科就医频率(OR=0.399、0.024,P<0.001)是社区居民对听力保健家庭医生签约服务意愿的影响因素。结论厦门市社区居民对听力保健家庭医生签约服务有较高的意愿,具备耳及听力健康知识、有良好用耳行为和就医习惯的居民更愿意签约听力保健家庭医生服务。Objective To confirm the willingness of community residents in Xiamen to sign up for hearing care family doctors and its influence factors,and to provide reference for the follow-up promotion of the signing up with family doctors of hearing care.Methods From June to July 2022,a multi-stage stratified sampling method was used to conduct a questionnaire survey among 900 residents from 9 communities in Xiamen.The survey contents included sociodemographic characteristics,ear and hearing health knowledge and attitude,ear and hearing health behavior.Chi-square test was used for univariate analysis and multivariate Logistic regression analysis were conducted to analyze the factors affecting the willingness to sign up for family service.Results A total of 900 questionnaires were distributed,and 887 were recared,with an effective return rate of 98.6%.A total of 54.9%(n=487)of the community residents were willing to accept the contracted service of family doctors for hearing health care.Multivariate Logistic regression analysis showed that knowledge level of ear and hearing health(OR=0.395,P<0.05),frequent ear cutting(OR=3.026,P<0.001)and frequency of otolaryngology(OR=0.399,0.024,P<0.001)was the influencing factor of community residents willingness to sign a contract with family doctors for hearing health care.Conclusion Community residents in Xiamen have a high willingness to sign up for family doctor service for hearing health care.Residents with more ear and hearing health knowledge,good ear behavior and medical habits are more willing to sign up for family doctor services for hearing health care.

关 键 词：家庭医生服务 听力保健 签约意愿 影响因素 

分 类 号：R197.1[医药卫生—卫生事业管理]