影响卢旺达加萨博地区男性求医行为的因素

Sophie Uwimana, R. Okova, Michael Habtu
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摘要

对影响男性健康寻求行为的因素进行的各种研究表明,男性在各种健康问题上寻求专业医疗帮助的可能性较小,并指出他们不愿寻求健康是他们健康的主要障碍。目的了解加萨波区男性就医行为和卫生服务利用的影响因素。方法采用横断面研究方法对居住在加萨波地区的247名18岁以上男性进行定量数据采集和10次深度访谈。单变量、双变量和多变量logistic回归分析也进行了计算。结果在主要调查结果中,61.5%的被调查者存在高水平的求医行为,多变量logistic分析显示,与高水平求医行为独立相关的变量为:40岁以上男性(AOR = 3.00;95%可信区间= 1.26 - -7.14;p值= 0.013);受过高等教育的男性(AOR = 3.78;95%可信区间= 1.29 - -11.05;p值= 0.015);从事临时工的男性(AOR = 2.30;95%可信区间= 1.23 - -4.31;p值= 0.09);有健康保险的男性(AOR = 4.33;95%CI= 1.08 ~ 17.32;p值=0.038)。结论男性对卫生保健服务的利用是适度的,男性存在可改变的特征、观念和信念,阻碍他们利用卫生保健服务。卢旺达医学与健康科学杂志,2023;6(2):215-227
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Factors Influencing the Health Seeking Behaviour of Men in Gasabo District, Rwanda
BackgroundVarious studies conducted on factors influencing men’s health seeking behavior suggested that men are less likely to seek professional medical help for diverse health problems and also pointed out that their reluctance to seek health is a major hindrance to their well-being.ObjectiveTo determine factors influencing men’s health seeking behavior and use of health services in Gasabo District.MethodsThe 247 men aged above 18 years residing in Gasabo District participated in this cross sectional study for quantitative data and ten in-depth interviews were conducted. Univariate, bivariate and multivariable logistic regression analysis were also computed.ResultsAmong the key findings, 61.5% of the respondents had high level of health seeking behavior and for multivariable logistic analysis the following variables were independently associated with high level of health seeking behavior: men whose age was above 40 years (AOR = 3.00; 95%CI= 1.26-7.14; p value=0.013); men with tertiary level of education (AOR = 3.78; 95%CI= 1.29-11.05; p value=0.015); men with casual work (AOR = 2.30; 95%CI= 1.23-4.31; p value=0.09); and men with health insurance (AOR = 4.33; 95%CI= 1.08-17.32 ;p value=0.038).ConclusionMen moderately utilize healthcare services and there are modifiable characteristics, perceptions and beliefs among men that hinder them from utilizing health care services.Rwanda J Med Health Sci 2023;6(2):215-227
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