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Please use this identifier to cite or link to this item:
http://asiair.asia.edu.tw/ir/handle/310904400/3255
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Title: | Health-related Behavior Clusters and Health Services Utilization among the Adults in Taiwan |
Authors: | shiu shiuan hau |
Contributors: | Department of Healthcare Administration/Healthcare Division |
Keywords: | health-related behaviors, health-related behavior clusters, health service utilization, cluster analysis |
Date: | 2006 |
Issue Date: | 2009-11-17 11:12:21 (UTC+0) |
Publisher: | Asia University |
Abstract: | Objective:
To examine the relation between the health-related behavior clusters
and the health services utilization that include outpatient, hospitalization
and emergency services.
Data Sources:
The 2001 National Health Interview Survey conducted by the Bureau
of Health promotion, Department of Health and the samples were
included 16137 adults upper 18-year-old living in Taiwan area.
Methods:
Cluster analysis was used to generalize the health-related behaviors at
first. Logistic regression and Poisson regression were used to understand
the relationship between the health-related behavior clusters and health
services utilization that after control the other influences.
Results:
The health-related behaviors were generalized into there clusters:
5893(36.5%) adults were included in the ?good diet & fitness cluster?,
4146(25.8%) adults were included in the ?addictive cluster?, and
6080(37.7%) adults were included in the ?couch potato cluster?.
The results show that 5909(36.6%) adults ever used the outpatient
service in the past month, and the average frequency were 0.73 times;
1259(7.8%) adults ever used hospitalization services in the past year, the
average frequency were 0.11 times; 1711(10.6%) adults ever used the
emergency service in the past year, and the average frequency were 0.15
times.
After controlling the affection from demographic, social, economics
and self-rated health factors, compare to the good diet & fitness cluster,
the addictive cluster had the lowest utilization(IRR=0.948) in outpatient
service in the past month but had the highest utilization(IRR=1.345) in
emergency utilization in the past year; the couch potato cluster had the
lowest utilization(IRR=0.827) in hospitalization service but still had
iv
higher utilization(IRR=1.165) in emergency service in the past year.
Conclusions:
The adults belong to the ?good diet & fitness cluster? had higher
utilization in outpatient and hospitalization service; those belong to the
?addictive cluster? had highest utilization in emergency service; those
belong to the ?couch potato cluster? had lowest utilization in
hospitalization service but slight higher utilization in emergency service.
Such a phenomenon, perhaps, was due to the difference on the health
knowledge and attitude among the clusters.
We suggest that the further studies could try to investigate the
difference on the health knowledge, attitude and the actual contents of the
health services utilization among the clusters, and design the health
education programs depend on the population characteristics. For the
purpose of promoting the health knowledge, attitude, health service
utilization and health outcome of the adults. |
Appears in Collections: | [健康管理組] 博碩士論文
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