普洱市中小学教师慢性病就医行为及其影响因素

Health seeking behavior and its influencing factors of teachers with chronic disease in primary and middle schools of Pu'er City

目的了解普洱市中小学教师慢性病患者就医行为及影响因素,为制定针对性的慢性病就医行为干预措施提供科学依据。方法采用整群和多阶段分层随机抽样法,对普洱市辖区内577名在职中小学教师进行慢性病就医行为问卷调查。结果普洱市中小学教师慢性病患病率为69.2%(399/577),患病后以县级医疗机构就医为主,及时就医率为39.3%;慢性病患者中有43.9%选择西医治疗,37.3%选择中西医结合治疗,98.0%在医院治疗的基础上进行自我治疗。职务、患病类型、疾病关注度、医疗费用是就医行为的影响因素(P<0.05)。结论普洱市中小学教师慢性病预防意识不高,慢性病就医行为具有明显的地域特征和职业特征。应加强普洱市中小学教师健康素养,完善卫生政策,提高区域间医疗服务水平,达到促进该群体就医行为的目的。

[Objective] To explore the health seeking behavior and its influencing factors of teachers with chronic disease in primary and middle schools of Pu＇er City,and provide scientific basis for the targeted intervention measures.[Methods]The cluster sampling and multistage stratified random sampling were used to investigate the healthcare seeking behavior among 577 teachers in primary and middle school in Pu＇er City. [Results]The morbidity rate of chronic disease among teachers in Primary and Middle school of Pu＇er was 69%（399/577）. Most patients visited medical institutions at county levels,with the timely medical treatment rate of 39.3%. Of chronic patients,43.9% chose western medicine,37.3% chose integrative medicine,and 98.0% added self-treatment on the basis of hospital treatment. Position,the types of illness,disease awareness,medical expenses were influencing factors of health seeking behavior（P〈 0.05）. [Conclusion]Chronic disease prevention awareness is not high among teachers in primary and middle schools of Pu＇er City. Chronic medical behavior has obvious regional characteristics and occupational characteristics. It is necessary to enhance health literacy among teachers,to improve health policy,and the level of regional medical services,so as to achieve the goal of improving health seeking behavior among this population.