Villagers’ Health seeking Behavior in Southern Lao P.D.R / 国際保健医療

<B>Introduction</B><BR>This study's aim was to determine how the villagers' concept of health and health seeking behavior were affected by attributes, self-rated health and the Health Locus of Control (HLC) in Southern Lao P.D.R. (Laos).<BR>The results of this study may be used to assist those involved with health work in Laos.<BR><B>Methods</B><BR>In June 2009, the study was conducted in the L District of Savannakhet Province, Laos. Out of 141 people over 20 years old approached, of whom 70 were men and 71 women, 138 completed the questionnaire (97.8%).<BR>The concept of health was examined by descriptive analysis, and the self-rated health was described by age through logistic regression analysis. A chi-squared test by sex and academic background was also conducted. Each health behavior was analyzed using multiple regression analysis by age, sex, academic background, self-rated health and the HLC.<BR><B>Results</B><BR>The concept of health was described as “<I>sabay </I>(comfortable)” or “<I>sabay-dee </I>(comfortable and good)”. There was statistical difference of self-rated health between ages, but none between sexes.<BR>For the influence of health behavior factors, “Elderly”, “Modernization”, “Advanced medicine”, “Self-effort”and “feeling unwell” were extracted. When villagers feel unwell, they have access to both vitamin injection (modern medicine) and “Mo-lao”(traditional medicine).<BR><B>Conclusions</B><BR>The villagers' concept of health in the subject area was determined by not only the physical, but also the spiritual well-being of the society.<BR>Elderly people used both traditional and modern medicine. Further study may be required to show how the villagers, who use either modern or traditional medicine determine their health seeking behavior.<BR>It is also suggested to provide those villagers with adequate information about medical resources and nutrition.

The factors related with office worker's health perception

BACKGROUND: Recently, the concept of health is being extended to physical, mental and social aspects, which leads people to pursue health positively behavior. But the evaluation of health condition shows a tendency to be biased to functional side. It means the absence of well being sensation that anyone feels like he has poor health. In this case, even if he is in physically good health, he is not rated as healthy. We analyzed the relationship between one's health state and the factors related with health perception including health behavior, mind and social environment. METHODS: For a month of May 1996, we surveyed those who visited for Periodic medical check-up at one general hospital in Seoul. The questionnaire consisted of the total of 25 items ; diet behavior, weight control, coffee, coke, tea, drug use of, smoking, drinking, exercise, leisure, safety belts use, jay walking, sleep, stress, personality, anxiety, depression, occupational satisfaction, relationships with family and friends. Five point scale is used as the answer of each question item with high point as good living behavior. Among 406 who had sincerely answered the questionnaire, we divided them into healthy and unhealthy group and compared with the point of each question item and with the laboratory data(obesity, blood pressure, hemoglobin, fasting blood sugar, cholesterol and ALT). RESULTS: Among 406, the number of those who perceived themselves to be healthy was 175(43.1%, healthy group) and the one of those who did not was 231(56.9%, unhealthy group), The difference between both groups was not significant in distribution of sex, age, academic career, income and religion. In laboratory data and living behavior they showed same results, also. But the points of unhealthy group were significantly lower than those of healthy group in coffee, coke, tee, drugs usage, exercise, leisure, stress, personality, anxiety, depression, occupational satisfaction and relationship with family and friends. So was the total point of all items of unhealthy group in comparison with that of health group. In the case of male, the points of unhealthy group were significantly lower in smoking, safety belt use, fay walking, sleeping as well as the above items. On the contrary, in the case of female, both groups were not significantly different all item except exercise and leisure. CONCLUSIONS: Health perception is influenced by psychosocial factors and living behavior more than by physical health. Therefore family physician must be concerned about patient's living behavior, mental and social problems and must make an effort to change their perception of health as well as physical improvement.

moral responsibility of health / 中国医学伦理学

The main points of health moral responsibility is that health is the common responsibility of society as a whole,including the health sector.All sectors and members of society must make their own work and actions with people'shealth and prevent health hazards during their working process,working outcome and conducting process,and conducting outcome.We also need to make efforts to maintain and promote the health of the people.This article discuss the health moral responsibility of human beings,country,society and society members respectively.