489例主动发现的STD患者求医流向分析

目的了解主动监测发现性病患者的求医行为及基本流向,为制定相关政策及干预提供依据.方法对主动监测发现的STD病人进行问卷式调查.结果仅41.3%的病人首诊选择公立医院,非正规就医的比例仍较大(58.7%).若首诊选择了公立医院等正规就医方式,则复诊选择公立的比例就大,经多元logistical回归分析发现居住地、治疗次数、病感体验、广告传媒、治疗效果、社会因素、治疗花费及一些病种分别是决定病人首诊及复诊的影响因素.结论主动监测发现的性病患者虽然正规就医的比例不高,但若能引导他们求医的首诊取向,就可促使他们转变不良求医行为.

A Study of Health Seeking Behavior of 489 STD patients Detected by Active Surveillance

Objective To investigate health seeking behavior of STD cases detected by active surveillance and their determinants, and to provide scientific evidence for formulating strategies of intervention. Methods A questionnaire survey was conducted among STD patients identified by active surveillance. Results Only 41.3% of STD patients went to public clinics in their first visit, but higher percentage of patients selected informal private health providers. If patients selected public clinics in their first visit, it was most likely that they would do so in their return visits.Through logistical regression analysis, some related factors affecting the first and return visits to clinics were identified, indicating that living places, times of treatment, patients'personal feeling of STD symptoms, advertisements, effectiveness of treatment, social factors and medical costs were all determinants. Conclusion Although lower percentage of STD patients visiting informal health providers was reported a-mong those detected by active surveillance, it was possible to change their health seeking behavior if they were advised to make proper choices for their first visits.