RESEARCH PAPER
Perception of preventive care and readiness for lifestyle change in rural and urban patients in Poland: a questionnaire study
 
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1
Centre for Family and Community Medicine, Medical University of Lodz, Kopcinskiego 20, 90-153 Lodz, Poland
 
2
Division of Public Health, Faculty of Medical Sciences, Medical University of Lodz, Pl. Hallera 1, 90-647 Lodz, Poland
 
3
Institute of Rural Health, Lublin, Poland.
 
4
Sardenya Primary Health Care Center, Sardenya, Barcelona, Spain.
 
5
Department of Family Medicine, Medical Faculty of Ljubljana University, Poljanski nasip 58, 1000 Ljubljana, Slovenia.
 
6
Community Health Center Ljubljana, Derčeva 5, SI 1000 Ljubljana, Slovenia.
 
 
Corresponding author
Izabela Zakowska   

Centre for Family and Community Medicine, Medical University of Lodz, Kopcinskiego 20, 90-153 Lodz, Poland., Kopcinskiego 20, 90-153 Lodz, Poland
 
 
Ann Agric Environ Med. 2017;24(4):732-738
 
KEYWORDS
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ABSTRACT
Introduction and objective:
The idiosyncrasies of rural health demand further research to instigate rural health initiatives and to monitor progress in rural health care. In 2008, a study examined health-related behaviour, perception of importance of preventive interventions, readiness to change lifestyle and willingness to receive support from GPs, according to gender and place of residence.

Material and methods:
A cross-sectional survey was conducted among patients who visited any of ten randomly-selected general practices in Poland.

Results:
Four hundred patients were enrolled: 50% from rural areas, 50.3% were females; 23.8% declared a primary level of education (35% rural vs. 12.5% urban) respondents; the median age was 50 years (IQR=18), The predicted means for prevention importance scores for rural residents were 0.623 and for urban residents – 0.682. Place of residence had a significant effect on the importance of prevention (p<0.05; ICC=0.048). Area and gender have a statistically significant effect on preventive behaviour importance scores (p<0.05; ICC=0.0526). Patient expectations of individual counselling by GPs were highest for eating habits – 35.5% rural vs. 16% urban residents (p<0.0001).

Conclusions:
Patient importance scores for prevention were associated with residence and gender. The villagers attached less importance to prevention. They also declared less willingness to change their lifestyle. Women had higher scores regarding prevention than men. More rural respondents would like to receive individual counselling from their GP regarding eating habits, physical activity, body weight, giving up smoking and safe alcohol use. Urban respondents were more likely to expect leaflets from their GPs on normalizing body weight.

REFERENCES (18)
1.
Wonca Working Party on Rural Practice, W.O.o.F.D., Policy on Rural Practice and Rural health. Wonca, World family doctors Caring for people, 2001.
 
2.
Jacobs B, et al. Addressing access barriers to health services: an analytical framework for selecting appropriate interventions in low-income Asian countries. Health Policy and Planning Advance Access 2011: p. 1-13.
 
3.
Spasojevic N, et al. Rural - urban differences in health care quality assessment. Materia socio-medica 2015; 27(6): p. 409-11.
 
4.
Peters, D.H., et al., Poverty and access to health care in developing countries. Reducing the Impact of Poverty on Health and Human Development: Scientific Approaches, 2008; 1136: p. 161-171.
 
5.
Anderson TJ, et al. A cross-sectional study on health differences between rural and non-rural U.S. counties using the County Health Rankings. BMC Health Services Res. 2015; 15: p. 441.
 
6.
Probst JC, et al. Effects of residence and race on burden of travel for care: cross sectional analysis of the 2001 US National Household Travel Survey. BMC Health Services Res. 2007; 7.
 
7.
Smith CM, Yawn BP. Factors Associated with Appointment Keeping in a Family-Practice Residency Clinic. J Fam Prac. 1994; 38(1): p. 25-29.
 
8.
Spasojevic N, Hrabac B, Huseinagic S. Patient's Satisfaction with Health Care: a Questionnaire Study of Different Aspects of Care. Materia Socio-Med. 2015; 27(4): p. 220-4.
 
9.
Williams F, et al. Rural-urban difference in female breast cancer diagnosis in Missouri. Rural Remote Health. 2015; 15(3): p. 3063.
 
10.
Brotons, C., et al., Attitudes toward preventive services and lifestyle: the views of primary care patients in Europe. The EUROPREVIEW patient study. Family Pract. 2012; 29: p. i168-i176.
 
11.
Acts of Laws, [Ustawa z dnia 29 sierpnia 2003 r. o urzędowych nazwach miejscowości i obiektów fizjograficznych.] Acts of Laws No. 166 i, as amended. edited. The Act of 29 August 2003 on the official names of localities and physiographic objects. 2003. Dz.U. z 2003 r. Nr 166, poz. 1612 — Opublikowano 22 września 2003 r., 2003.
 
12.
Muehrer P. Introduction to the special issue: Mental health prevention science in rural communities and contexts. Am J Comm Psychol. 1997; 25(4): p. 421-424.
 
13.
Robertson EB, Sloboda Z, Boyd GM. Beatty L, Kozel NJ. Rural Substance Abuse: State of Knowledge and Issues. NIDA Res Monograph 168., 1997, National Inst. on Drug Abuse (DHHS/PHS), Rockville, MD.
 
14.
Robertson EB. Introduction: Interventions and Services. U.S. Department of Health and Human Services. Rockville. NIDA Prevention, NIH Publication No. 97-4177. 1997; p. 246–249.
 
15.
Spoth R. Opportunities to meet challenges in rural prevention research: Findings from an evolving community-university partnership model. J Rural Health. 2007; 23: p. 42-54.
 
16.
StLawrence JS, Ndiaye SM. Prevention research in rural communities: Overview and concluding comments. Am J Comm Psychol. 1997; 25(4): p. 545-562.
 
17.
 
18.
Ray-Mazumder, S., Role of gender, insurance status and culture in attitudes and health behavior in a US Chinese student population. Ethnicity Health. 2001; 6(3-4): p. 197-209.
 
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ISSN:1232-1966
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