Browsing by Person "Shen, Xingrong"
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Item Health service utilization following systematic upper respiratory tract infections and influencing factors among urban and rural residents in Anhui, China(Cambridge University Press, 2019-12-10) Xu, Shiyu; Dong, Xuemeng; Zhou, Rongyao; Shen, Xingrong; Feng, Rui; Cheng, Jing; Chai, Jing; Kadetz, Paul; Wang, DebinAim: This study seeks to identify healthcare utilization patterns following symptomatic respiratory tract infections (RTIs) and the variables that may influence these patterns. Background: RTIs are responsible for the bulk of the primary healthcare burden worldwide. Yet, the use of health services for RTIs displays great discrepancies between populations. This research examines the influence of social demographics, economic factors, and accessibility on healthcare utilization following RTIs. Methods: Structured interviews were administered by trained physicians at the households of informants selected by cluster randomization. Descriptive and multivariate binary logistic regression analysis was performed to assess healthcare utilization and associated independent variables. Findings: A total of 60 678 informants completed the interviews. Of the 2.9% informants exhibiting upper RTIs, 69.5–73.9% sought clinical care. Healthcare utilization rates for common cold, influenza, nine acute upper RTIs, and overall RTIs demonstrate statistically significant associations with the variables of age, type of residence, employment, medical insurance, annual food expenditure, distance to medical facilities, and others. The odds ratios for healthcare utilization rates varied substantially, ranging from 0.026 to 9.364. More than 69% of informants with RTIs sought clinical interventions. These findings signify a marked issue with the large amount of healthcare for self-limited RTIs.Item Psychological factors and demands for breast and cervical cancer screening(Elsevier, 2018-06-01) Jiang, Tao; Wei, Donghua; Sha, Rui; Zhang, Junqing; Zhang, Xiaopeng; Feng, Rui; Shen, Xingrong; Kadetz, Paul; Wang, DebinObjective: The study aims to investigate relationships between demands for breast and cervical cancer screening (BCS/CCS) and related health beliefs. Methods: The study used cluster-randomized sampling and collected data about demands for BCS/CCS and constructs of health beliefs model (HBM). It calculated indices of perceived risk and seriousness of the cancers and perceived effectiveness, benefits and difficulties of the screening; and performed descriptive and multivariate regression analysis of the demands and the HBM constructs. Results: Less than 23.7% of respondents (N = 805) had ever undertaken BCS/CCS but 62.7% reported willingness to receive the service. Demands for BCS/CCS illustrated negative associations (Beta = 0.11 and 0.10) with age but positive (Beta = 0.15 and 0.11) links with education. The absolute values of standardized regression coefficients between the demand and the HBM constructs added up to 0.69 for BCS and 0.64 for CCS respectively, being 4–40 times that of age and education. Conclusions: Models incorporating all HBM constructs have substantially greater power than commonly researched single factors in explaining BCS/CCS demands. Practice implications: Comprehensive BCS/CCS promotion addressing all HBM constructs in a synergetic way may prove to be more effective.