医学生就医行为影响因素分析

Analysis of Influencing Factors of Medical Students’ Medical-care Seeking Behavior

目的:了解医学生的就医状况,分析其影响因素,为促进医学生健康制定相应的保健对策提供科学依据。方法:从某医学院医学生中按年级分层,以班级为单位,采用分层整群随机抽样法抽取509人进行问卷调查,对调查数据进行χ^2检验和非条件Logistic多因素统计学分析。结果:医学院校大学生患病后采取不治疗者占1.65%,自我治疗者占55.00%,去医疗机构就诊者占43.35%。不同性别就医方式差异无统计学意义(P>0.05);不同年级间就医方式差异无统计学意义(P>0.05);不同健康自评健康状况间就医方式差异无统计学意义(P>0.05);不同的BMI就医方式也不同且差异具有统计学意义(P<0.05);家庭月均收入不同就医方式也不同且差异具有统计学意义(P<0.05);每月生活费不同就医方式也不同且差异具有统计学意义(P<0.05);经非条件Logistic多因素分析,显示BMI和家庭月均收入是医学生就医方式的主要影响因素。结论:高体质量、家庭月均收入高是促进医学生就医的重要因素,高校应该大力开展健康教育,并针对贫困生采取专门措施,促进医学生患病后积极就医。

Objective:To understand the health condition and medical status of the medical students,to analyze the influencing factors of the medical behavior,so as to provide scientific basis for promoting the health of medical students and formulating health care countermeasures.Methods:A questionnaire survey was conducted among 509 medical students by stratified cluster sampling in a medical college.The survey data were tested by two tests and unconditional Logistic multivariate statistical analysis.Results:Among Medical College students,1.65%took no treatment,55.00%took self-treatment,and 43.35%went to medical institutions.There was no significant difference in different gender(P>0.05);there was no significant difference in different grades(P>0.05);there was no significant difference in different self-rated health status(P>0.05);There was significant difference in different BMI medical treatment methods(P<0.05);the average monthly income of families was different and the difference was statistically significant(P<0.05);the monthly cost of living was different and the difference was statistically significant(P<0.05).The unconditional logistic multivariate analysis showed that BMI and average monthly family income were the main influencing factors of medical students’way of seeking medical treatment.Conclusion:High body mass and high average family income are the factors that promote medical students to seek medical treatment.Universities should vigorously carry out health education and take special measures for poor students to promote students to seek medical treatment actively after illness.