Perception of preventive care and readiness for lifestyle change in rural and urban patients in poland : A questionnaire study
Godycki-Cwirko, Maciek (Medical University of Lodz)
Panasiuk, Lech (Institute of Rural Health)
Brotons, Carlos (Institut d'Investigació Biomèdica Sant Pau)
Bulc, Mateja (Medical Faculty of Ljubljana University)
Zakowska, Izabela (Medical University of Lodz)
Universitat Autònoma de Barcelona

Data:	2017
Resum:	The idiosyncrasies of rural health demand further research to instigate rural health initiatives and to monitor progress in rural health care. In 2008, a study examined health-related behaviour, perception of importance of preventive interventions, readiness to change lifestyle and willingness to receive support from GPs, according to gender and place of residence. A cross-sectional survey was conducted among patients who visited any of ten randomly-selected general practices in Poland. Results. Four hundred patients were enrolled: 50% from rural areas, 50. 3% were females; 23. 8% declared a primary level of education (35% rural vs. 12. 5% urban) respondents; the median age was 50 years (IQR=18), The predicted means for prevention importance scores for rural residents were 0. 623 and for urban residents - 0. 682. Place of residence had a significant effect on the importance of prevention (p<0. 05; ICC=0. 048). Area and gender have a statistically significant effect on preventive behaviour importance scores (p<0. 05; ICC=0. 0526). Patient expectations of individual counselling by GPs were highest for eating habits - 35. 5% rural vs. 16% urban residents (p<0. 0001). Patient importance scores for prevention were associated with residence and gender. The villagers attached less importance to prevention. They also declared less willingness to change their lifestyle. Women had higher scores regarding prevention than men. More rural respondents would like to receive individual counselling from their GP regarding eating habits, physical activity, body weight, giving up smoking and safe alcohol use. Urban respondents were more likely to expect leaflets from their GPs on normalizing body weight.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	General practice ; Lifestyles ; Patients ; Preventive medicine ; Poland ; Rural ; Urban
Publicat a:	Annals of Agricultural and Environmental Medicine, Vol. 24 Núm. 4 (2017) , p. 732-738, ISSN 1898-2263

DOI: 10.26444/aaem/81393
PMID: 29284256

7 p, 273.0 KB

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