药物滥用者健康认知与维护行为的实证研究

Study on Health Cognition and Maintenance Behaviors of Drug Abusers

参考健康信念模式自行设计结构式问卷调查,以药物滥用者为研究对象,运用双变项分析检定不同健康信念之疾病认知的就医行为是否有差异。自觉严重性与自觉障碍性药物滥用者就医意愿差异有统计学意义(χ^(2)=28.0,P<0.001)。自觉严重性与自觉障碍性越低且无社会保险的药物滥用者,其就医意愿则越低(χ^(2)=47.807,P<0.001)。劳动力人口中,毒品花费越高和第一次接触毒品年龄越大的药物滥用者,其就医花费亦越高(r=0.522,P<0.001)。加强药物滥用者对疾病的认知提升其求医行为、降低疾病感染率,增加就医管道避免疾病恶化造成社会资源浪费,以供后续政策拟定与医疗质量改善之参考依据。

The study was conducted on the drug abusers in the treatment center,and the questionnaire was collected according to the self-designed structure questionnaire by referring to health belief model.Double-variable analysis test was used to test whether there is a difference between the disease cognition of different health beliefs and the medical treatment behavior.There was a significant difference in the willingness to see a doctor between consciousness severity and consciousness obstacle(χ^(2)=28.0,P<0.001).The lower severity and the lower consciousness barrier for the drug abusers without health insurance showed the lower willingness to go to medical treatment(χ^(2)=47.807,P<0.001).In the labor force,drug abusers spending higher on drugs and those who were older when they first contacted with drugs led to higher medical expenses(r=0.522,P<0.001).It is suggested that we should strengthen the drug abusers'awareness about diseases by improving the health-seeking behavior,reducing the infection rate of diseases,and increasing the access to medical treatment so as to avoid the waste of social resources caused by the deterioration of diseases,and provide reference for the follow-up policy formulation and medical quality improvement.