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首页> 外文期刊>European Clinical Respiratory Journal >Respiratory symptoms increase health care consumption and affect everyday life – a cross-sectional population-based study from Finland, Estonia, and Sweden
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Respiratory symptoms increase health care consumption and affect everyday life – a cross-sectional population-based study from Finland, Estonia, and Sweden

机译：呼吸道症状增加了医疗保健消费并影响了日常生活-来自芬兰，爱沙尼亚和瑞典的基于人群的横断面研究

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BackgroundEven though respiratory symptoms are common in the adult population, there is limited research describing their impact on everyday life and association with health care consumption.AimThe main objective of this population-based study was to estimate and compare the prevalence of respiratory symptoms among adults in Finland, Estonia, and Sweden in relation to health care consumption and to identify factors influencing health care consumption. A secondary aim was to assess to which extent the presence of respiratory symptoms affect everyday life.MethodIn the population-based FinEsS studies consisting of random samples of subjects aged 20 to 69 years from Finland (n =1,337), Estonia (n =1,346), and Sweden (n =1,953), data on demographics, respiratory health, and health care consumption were collected by structured interviews. Prevalence was compared and multiple logistic regression analyses were performed.ResultsRespiratory symptoms were significantly more common in Finland (66.0%) and Estonia (65.2%) than in Sweden (54.1%). Among subjects with respiratory symptoms, the proportion reporting outpatient care during the past year was fairly similar in the three countries, while specialist consultations were more common in Finland (19.1%), and hospitalisations more common in Estonia (15.0%). Finnish and Estonian residency, female sex, and BMI25 increased the risk for outpatient care consumption. Wheeze and attacks of shortness of breath in the past 12 months, recurrent sputum production, and cough were associated with an increased risk for health care consumption. Increasing number of respiratory symptoms increased the risk for consuming health care. A larger proportion of subjects in Estonia and Sweden experienced their everyday life being affected by respiratory symptoms compared with subjects in Finland.ConclusionRespiratory symptoms are common in Finland, Estonia, and Sweden and contribute to a negative impact on everyday life as well as increased health care consumption. The observed differences in health care consumption between countries are probably related to national differences in health care structure.
机译：背景技术尽管呼吸道症状在成年人中很常见，但很少有研究描述其对日常生活的影响以及与医疗保健消费的关系。目的这项基于人群的研究的主要目的是评估和比较成年人中呼吸道症状的患病率。芬兰，爱沙尼亚和瑞典有关医疗保健消费的信息，并确定影响医疗保健消费的因素。次要目标是评估呼吸道症状的存在在多大程度上影响日常生活。方法在基于人群的FinEsS研究中，该研究由来自芬兰（n = 1337），爱沙尼亚（ n = 1337）的20至69岁受试者的随机样本组成i> n = 1,346）和瑞典（ n = 1,953），通过结构化访谈收集了有关人口统计学，呼吸健康和医疗保健消费的数据。比较患病率并进行多项逻辑回归分析。结果呼吸系统症状在芬兰（66.0％）和爱沙尼亚（65.2％）比在瑞典（54.1％）明显更为普遍。在患有呼吸道症状的受试者中，这三个国家的过去一年中报告门诊病人的比例相当相似，而在芬兰，专家咨询的比例更高（19.1％），在爱沙尼亚的住院比例更高（15.0％）。芬兰和爱沙尼亚的居留权，女性和BMI> 25会增加门诊消费的风险。在过去的12个月中，喘息和呼吸急促发作，痰液反复产生和咳嗽与食用保健品的风险增加有关。呼吸道症状的增加增加了消费保健​​的风险。与芬兰的受试者相比，爱沙尼亚和瑞典的受试者的日常生活受到呼吸道症状的影响更大。结论呼吸道症状在芬兰，爱沙尼亚和瑞典很常见，会对日常生活产生负面影响，并增加医疗保健消费。观察到的国家之间医疗保健消费的差异可能与国家医疗保健结构的差异有关。

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