Healthy Lifestyles, Behaviors, Preventive Health Services and Medical Services Utilization of Adolescents with an Intellectual Disability
| Autor: | Yen, Chia-Feng, 嚴嘉楓 |
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| Rok vydání: | 2009 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 97 The benefits of preventing chronic diseases through healthy lifestyles, behaviors and usage of preventive health services have been well documented in the general population. However, the information regarding best practices to address the above characteristics toward people with an intellectual disability are currently unavailable in Taiwan. The aims of the present study were to scrutinize the profiles of healthy lifestyles, behaviors and the utilization of preventive health and medical care services and to exam their determinants for people with an intellectual disability in Taiwan. A cross-sectional survey design was employed in the present study. The study samples choosed by multistage sapmling from the National Register of the Disabled in Taiwan, those individuals with an intellectual disability whose aged 12-18 years were recruited in the study. Finally, there were 1,419 subjects included in the study (response rate 28%). Data was collected by a mail-structured questionnaire that was completed for each individual by their main carers. The results found that 1.5% subjects were smokers, 0.5% used betel-nut, 39.5% did physical activities regularly, and there were 1.9% subjects did not brush teeth regularly. In daily food intake, the results showed that their intake in vegetable, nutritious milk-products and fruits were lower than the general adolescents. The subjects also consumed sweeter beverage than the same age of general population. There were 66.3% subjects used outpatient care, 4.7% were hospitalized and 9.8% used emergency services in the previous 6 months. The risk factors of their health services utilization are self-percepted poor health status, used dental health screening and special health examinations. The predict factors for their nutritious diet are female main carer, higher social class of their parents and good health status. With regard to the use of Hepatitis B vaccination, the factors of institutional inhabitant, household income, and used dental health screening can significantly predict their usage. Those factors of family resident, severe level of disability, general or special health examination and smoking experience were significantly correlated to the use of pneumococcus vaccination. The study suggests that the health authorities should pay more attention to the health promotion to prevent the occurrence of chronic diseases for adolescents with an intellectual disability in the future. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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