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Prevention for elderly people: demand-oriented or problem-oriented?

机译:预防老年人:以需求为导向还是以问题为导向?

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OBJECTIVE: To examine the association between self-expressed information needs and corresponding observed health and lifestyle issues in elderly people. METHODS: Data were used from the 2006 community health survey in Utrecht, a medium-sized city in the Netherlands. Data of 1634 people aged 55 years and older were available for analyses (response 64%). Multivariate logistic regression analyses were used to examine possible associations between expressed information needs and variables on demographics, lifestyle risk behaviours, physical and psychosocial health. RESULTS: Several significant associations were found between information needs and corresponding health and lifestyle problems. However, the explanatory power of the observed problems was generally low, explaining only 7% of the informational needs on lifestyle, and 17% and 28% of the informational needs on physical and psychosocial health, respectively. CONCLUSIONS: The findings suggest that prevention amongst the elderly should not be solely based on information needs, but also on observed lifestyle and health. Implications for the use of different approaches of prevention and behavioural models underlying interventions are discussed.
机译:目的:探讨老年人自我表达的信息需求与相应的观察到的健康和生活方式问题之间的联系。方法:数据来源于2006年在荷兰中型城市乌得勒支进行的社区健康调查。可供分析的1634岁55岁及以上人群的数据(响应率为64%)。多变量逻辑回归分析用于检验表达的信息需求与人口统计学,生活方式风险行为,身体和心理社会健康状况变量之间的可能联系。结果:在信息需求与相应的健康和生活方式问题之间发现了几个重要的关联。但是,观察到的问题的解释力通常很低,仅解释了7%的生活方式信息需求,以及17%和28%的生理和心理健康信息需求。结论:研究结果表明,老年人的预防不应仅基于信息需求,还应基于观察到的生活方式和健康状况。讨论了采用不同的预防方法和行为模型作为干预措施的含义。

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