Is sekentei associated with the attitude toward care? multilevel analysis in Japan
Is sekentei associated with the attitude toward care? multilevel analysis in Japan
复制标题
环境决定与护理态度有关吗？
DOI：
10.1111/j.1447-0594.2010.00658.x
复制
发表时间：
2011
影响因子：
3.3
通讯作者：
& Murashima S
中科院分区：
文献类型：
--
作者：
Murayama H;Taguchi A;Ryu S;Nagata S;& Murashima S
目的：调查日本一般人群中个人和地区的关爱水平和对照护服务的态度之间的关系。方法：采用邮寄的自填式问卷于2005年1月和2月进行横断面调查。参与者是居住在滋贺县科卡市23个地区的4,735名社区居民，年龄在20-75岁 之间。问题包括人口统计数据、对使用正式护理服务的态度和sekentei量表。区域变量SEKENTI是通过聚合小学学区内的个体SEKente分数来构建的。采用多水平Logistic回归分析评价个体和地区认知与护理服务态度的关系。结果：共收回问卷2264份。约16%的受访者愿意使用正规护理服务。多水平分析显示，男性和女性中较低的个体认知度与使用正规护理服务的意愿有关(男性的优势比[OR] = 为0.96，95%可信区间[CI] = 为0.93~0.99；女性为OR = 为0.96，95%CI = 为0.92~1.00)。在男性中，地区性知识水平与使用正式护理服务的意愿之间的负相关关系非常显著(OR = 0.69，95%CI = 0.48-1.01)，个人与地区性知识水平之间的交互作用也是如此。结论：这些结果表明，不仅要评估个人水平，而且还要评估不同地区的水平，以制定护理资源分配策略。
Aim:To examine the relationship between individual and regional levels ofsekenteiand attitudes toward care services in the general Japanese population.Methods:A cross‐sectional survey was conducted in January and February 2005 using a mailed‐in self‐administered questionnaire. Participants were 4735 community residents aged 20–75 years living in 23 regions in the city of Koka in Shiga Prefecture. Questions encompassed demographic data, attitudes toward the use of formal care services and the Sekentei Scale. The regional variable ofsekenteiwas constructed by aggregating the individualsekenteiscores within elementary school districts. Multilevel logistic regression analysis was conducted to assess the association between individual and regionalsekenteiand attitudes toward care services.Results:A total of 2264 questionnaires were analyzed. Approximately 16% of respondents were willing to use formal care services. Multilevel analysis showed that lower individualsekenteiwas associated with the willingness to use formal care services among both men and women (odds ratio [OR] = 0.96, 95% confidence interval [CI] = 0.93–0.99 in men; OR = 0.96, 95% CI = 0.92–1.00 in women). Among men, the negative association between regionalsekenteiand the willingness to use formal care services was marginally significant (OR = 0.69, 95% CI = 0.48–1.01) as was the interaction between individual and regionalsekenteilevels.Conclusion:These results indicate the importance of assessing not only the individualsekenteilevel but also thesekenteilevel in different regions to develop strategies for the allocation of care resources.Geriatr Gerontol Int 2011; 11: 166–173.