Influencing factors of no seeking medical treatment among pneumoconiosis patients
10.3760/cma.j.issn.1001-9391.2019.09.002
- VernacularTitle: 尘肺病患者未就诊影响因素分析
- Author:
Huanqiang WANG
1
;
Ruijie LING
2
;
Ping CUI
3
;
Jianlin LOU
4
;
Guoxuan MA
5
;
Ying LI
6
;
Dongxia LI
7
;
Hongyu ZHAO
8
;
Yan LI
9
;
Ke WEN
1
;
Xiangpei LV
1
;
Tao LI
1
Author Information
1. National Institute of Occupational Health & Poison Control, Chinese Center for Disease Control & Prevention, Beijing 100050, China
2. Hubei Province Hospital for Occupational Disease, Wuhan 430015, China
3. Shandong Academy of Medical Science, Shandong Academy of Occupational Medicine, Jinan 250002, China
4. Zhejiang Academy of Medical Sciences, Hangzhou 310013, China
5. Beidaihe Rehabilitation Hospital of Ministry of Emergency Management of the PRC, QinHuangdao 066104, China
6. Hunan Prevention and Treatment Center for Occupational Disease, Changsha 410007, China
7. The Third People’s Hospital in Guizhou Province, Guiyang 550008, China
8. Third People’s Hospital of Yunnan Province, Kunming 650011, China
9. Jilin Province Occupational Disease Prevention and Treatment Hospital, Changchun 130061, China
- Publication Type:Journal Article
- Keywords:
Pneumoconiosis;
Seeking medical treatment;
Influencing factors
- From:
Chinese Journal of Industrial Hygiene and Occupational Diseases
2019;37(9):643-649
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the causes and influencing factors of no seeking medical treatment among pneumoconiosis patients.
Methods:Using stratified sampling method and typical survey method, we carried out the questionnaire survey in nine provinces in China including the east, the medium and the western region using a questionnaire on the seeking medical behavior pf pneumoconiosis patients and the influencing factors. The subjects include occupational pneumoconiosis cases and clinically diagnosed cases and the response rate is 94.3 percent. The data was entered twice with epidate3.1 and error detection and statistical analysis was completed with SPSS 20.0. Chi-square test was used for univariate analysis, and multivariate logistic regression was used for multivariate analysis.
Results:One thousand and thirty-seven subjects were investigated with average age 55.9±11.2 years. Seventy percent of them were silicosis and 21.9 percent were coal worker’s pneumoconiosis with 67.5 percent of them residing permanently in the countryside, and 37.9 percent of their education background were primary school culture and 33.1 percent of them had junior high school culture. Thirty two point six percent of respondents had no personal income with a median monthly income of 1 200 yuan. Four hundred and thirty four of subjects hadn't seek medical treatment since they got the pneumoconiosis accounting for 41.9 percent with three hundred and thirty seven of them hospitalized directly. The reasons of no seeking medical treatment for the respondents mainly include the self-induction symptoms lighter, the high cost of treatment and cannot claiming the payment of the medical expenses, buying drugs in drugstore, thinking that no medicine can cure pneumoconiosis or no effect, complex procedures, too far away from medical institutions, no unaccompanied, needing a long time or no time, communication disorders, etc. accounting for 44.4 percent, 24.6 percent, 10.9 percent, 9.1 percent, 6.9 percent, 4.4percent, 3.2 percent, 2.9 percent, 1.9 percent, 1.5 percent, respectively. The results of multivariate analysis showed the main characteristics of subjects with restrictions to the outpatient health service utilization are as follows: demographic sociological indicators such as registered permanent residence area is western (ORwestern=2.18, 95%CI:1.38-3.43) , more than seventy five years old (ORover 75=6.82, 95%CI:2.04-22.9) , unemployment, temporary or permanent employment (OR unemployment=1.90, 95%CI:1.17-3.08; ORtemporary employment=3.11, 95%CI:1.57-6.14; ORpermanent employment=2.10, 95%CI:1.18-3.74) , self-rated health score of 50 or above (ORself-rated-70=2.04, 95%CI:1.18-3.51; ORself-rated-90=3.00, 95%CI:1.97-5.37; ORself-rated 90=2.95, 95%CI:1.74-8.07) ; with increase to the outpatient health service utilization are breath with difficulty (OR=0.57, 95%CI:0.41-0.78) , emphysema (OR=0.48, 95%CI:0.26-0.90) , hospitalized with pneumo-coniosis (OR=0.12, 95%CI:0.07-0.20) .
Conclusion:Pneumoconiosis patients no covered by injury insurance should be orderly included in the basic medical security system, and be given the medical treatment actively; It should be strengthened the health management for the pneumoconiosis patients and correctly guided the utilization of medical services.
