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标题：Perception of preventive care and readiness for lifestyle change in rural and urban patients in Poland: a questionnaire study
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作者：Maciek Godycki-Cwirko ; Lech Panasiuk ; Carlos Brotons 等
期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2017
卷号：24
期号：4
页码：732-738
DOI：10.26444/aaem/81393
出版社：Institute of Agricultural Medicine in Lublin
摘要：Introduction and objective. The idiosyncrasies of rural health demand further research to instigate rural health initiativesand to monitor progress in rural health care. In 2008, a study examined health-related behaviour, perception of importanceof preventive interventions, readiness to change lifestyle and willingness to receive support from GPs, according to genderand place of residence.Materials and method. A cross-sectional survey was conducted among patients who visited any of ten randomly-selectedgeneral practices in Poland.Results. Four hundred patients were enrolled: 50% from rural areas, 50.3% were females; 23.8% declared a primary level ofeducation (35% rural vs. 12.5% urban) respondents; the median age was 50 years (IQR=18), The predicted means for preventionimportance scores for rural residents were 0.623 and for urban residents – 0.682. Place of residence had a significant effecton the importance of prevention (p<0.05; ICC=0.048). Area and gender have a statistically significant effect on preventivebehaviour importance scores (p<0.05; ICC=0.0526). Patient expectations of individual counselling by GPs were highest foreating habits – 35.5% rural vs. 16% urban residents (p<0.0001).Conclusions. Patient importance scores for prevention were associated with residence and gender. The villagers attachedless importance to prevention. They also declared less willingness to change their lifestyle. Women had higher scoresregarding prevention than men. More rural respondents would like to receive individual counselling from their GP regardingeating habits, physical activity, body weight, giving up smoking and safe alcohol use. Urban respondents were more likelyto expect leaflets from their GPs on normalizing body weight.
关键词：general practice; patients; preventive medicine; rural; urban; Poland; lifestyles