河南农村居民中西医治疗方式选择及影响因素分析

Selection and influencing factors of traditional Chinese medicine and Western medicine treatment of the villagers in rural areas of Henan Province

目的了解河南省脱贫地区40岁以上居民患病后不同治疗方式的选择情况,分析其影响因素,为巩固脱贫成果提供实证研究。方法利用Aderson卫生服务利用行为理论模型,从40岁以上村民的个人特征、使能资源、需求、健康行为4个方面采用单因素卡方和多因素logistic回归分析对调查对象不同治疗方式选择的影响。结果调查地区40岁以上村民患病后选择中西医结合治疗方式的人最多(805/1139,70.68%),其次是选择西医治疗方式(296/1139,25.98%),选择中医药治疗方式的比例最低(92/1130,8.07%)。多因素回归分析显示倾向特征对40岁以上村民患病后治疗方式选择没有影响(P>0.05),使能资源、健康行为因素和需求因素对40岁以上村民患病后治疗方式选择有影响(P<0.05)。结论河南省脱贫地区40岁以上村民选择中西医结合治疗方式的意愿最高,患病状态、采用中医健康行为、看病医疗机构提供中医卫生服务等因素对居民选择中医/中西医结合治疗方式有影响。

Objective To explore the choice of different treatments among residents over 40 years old in poverty-alleviation areas of Henan province,to analyze the influencing factors,and to provide empirical research for consolidating the achievements of poverty alleviation.Methods The univariate Chi-square analysis and multivariate Logistic regression were used to analyze the influencing factors for selection of treatment options from the aspects of personal characteristics,enabled resources,demand,and health behaviors among residents above 40 years old by using Anderson theory model of health service utilization behavior.Results The majority of villagers over 40 years old in the surveyed area chose integrated traditional Chinese and Western medicine treatment(805/1139,70.68%),followed by Western medicine treatment(296/1139,25.98%),and traditional Chinese medicine treatment(92/1130,8.07%).Univariate analysis results showed that the tendency characteristics had no influence on the treatment choice among villagers over 40 years old(P>0.05).Multivariate regression analysis results also showed that enabled resources,healthy behavior factors and demand factors had an impact on the choice of treatment among villagers over 40 years old(P<0.05).Conclusions The villagers over 40 years old in the poverty-stricken areas of Henan Province had the highest willingness to choose integrated traditional Chinese and Western medicine treatment.The factors that have significant influence on residents’choice of integrated Chinese and Western medicine treatment are diseased state,adoption of TCM healthy behaviors and TCM service provided by health institutions.