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    题名: Health-related Behavior Clusters and Health Services Utilization among the Adults in Taiwan
    作者: shiu shiuan hau
    贡献者: Department of Healthcare Administration/Healthcare Division
    关键词: health-related behaviors, health-related behavior clusters, health service utilization, cluster analysis
    日期: 2006
    上传时间: 2009-11-17 11:12:21 (UTC+0)
    出版者: Asia University
    摘要: 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.
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