沖縄県における離島住民の受療行動に関する研究--波照間島の事例
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概要
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Household interview surveys for illness behavior were conducted at Hateruma Island, that is the southern end of Okinawa, Japan, in 1977 and 1978. From home visits of 105 households in 1977 and 107 in 1978, we had obtained information on family member's morbidity and action taken for each perceived illness episode. Analysis were made on factors relating illness behavior, especially the relationship between illness behavior and the recognition of severity of perceived illness, and also the family network. The findings were summarized as follows;1. People are not satisfied with the present medical care services provided and they have unfavorable image for the levels of medical care they can use at the Island.2. Of the actions taken for their perceived illness, 58.4 per cent were professional care by physicians or medical service men; 25.5 per cent were semi-professional care using patent medicine nonprescribed; 7.4 per cent were non-professional care using home remedies and herbs; and 8.6 per cent were continued usual work and/or lay consultation.3. Significant difference of actions were observed by family composition, length of illness episode (temporary or chronic), kinds of illness, family members living outside the Island and frequency of their contact; and were also partially observed by age groups and family income. It is suggested that the recognition of the severity of the perceived illness is the most important determinant of illness behavior among factors examined, and family network is related with the professional care out of the Island.4. Actions for illness were grouped into five patterns such as use of professional care in the Island, use of professional care out of the Island, use of the outreach services provided by the regional prefectural hospital in the main island, combination of use of professional care in the Island and use of patent medicine nonprescribed, and use of patent medicine.5. Based on the findings, the author had presented a hypothetical model of illness behavior.