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目的了解媒体医药信息对居民自我诊断、自我药疗行为的影响。方法采用多阶段分层整群随机抽样方法对辽宁省2 981名城乡居民进行问卷调查。结果 43.8%和11.7%的居民关注或信任媒体健康信息,11.6%的居民曾参加过商家举办的产品推广活动;根据媒体信息进行自我诊断和自我药疗的发生率分别为36.8%和43.2%;单因素分析显示,城市户籍、40~59岁、高收入、高中文化水平的居民自我诊断、自我药疗和诊断治疗发生率均明显高于其他人群;关注、信任、参加活动居民的自我诊疗率明显高于无以上行为居民;经多因素分析,城市居民自我诊疗行为是农村居民的1.50~2.87倍,自我诊疗行为随健康状况的下降而升高,关注、信任媒体医药信息、参加相关推广活动使自我诊疗行为增加0.48~2.14倍。结论媒体医药信息对居民自我诊疗行为产生明显影响,政府应加大信息发布的审批和监管力度,减少居民不合理用药的行为。
Objective To understand the impact of media medical information on resident self-diagnosis and self-medication behavior. Methods A multistage stratified cluster random sampling method was used to survey 2 981 urban and rural residents in Liaoning Province. Results 43.8% and 11.7% of the residents paid close attention to or trusted the media’s health information, 11.6% of the residents participated in product promotion activities organized by the merchants; 36.8% and 43.2% of self-diagnosis and self-medication according to the media information respectively; Univariate analysis showed that residents in urban areas had higher self-diagnosis, self-medication and diagnosis and treatment rates among residents 40-59 years old, high-income and high school students. Concerns, trust, self-treatment rate Residents in urban areas were 1.50 ~ 2.87 times more likely to be self-clinically diagnosed, and their self-diagnosis and treatment activities increased with the decline of their health status. Concerns and trust were obtained in the media and medical information of the media and participation in relevant promotion activities Make self-diagnosis behavior increase 0.48 ~ 2.14 times. Conclusion The media medical information has a significant impact on residents’ self-diagnosis and treatment behavior. The government should increase the approval and supervision of information release and reduce the irrational use of medicines by residents.