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Int J Environ Res Public Health. 2019 Nov 28;16(23). pii: E4768. doi: 10.3390/ijerph16234768.

Health Status and Health Service Utilization among Vietnamese Farmers in a Mountainous Province.

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Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam.
Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam.
Division of Social Welfare and Health Administration, Wonkwang University, Iksan 54538, Korea.
Center of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam.
Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam.
Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.
Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore.
Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore.
Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore 119077, Singapore.


Problems of poor health status and low health service use among farmers in mountainous areas have not been fully investigated. A cross-sectional study was conducted in Son La, a mountainous province in Vietnam, to assess the self-rated health and health care service utilization among farmers. Visual analogue scale (VAS) was used to measure the self-rated health. Multivariate Tobit, Poisson, and logistic regression were employed to identify related factors. Among 197 farmers, the mean VAS score was 67.8 (SD = 15.5). Approximately 40% of participants reported health problems, and the most popular morbidity was hypertension-56.4%. There were 28.9% and 50.3% of farmers using inpatient and outpatient treatments in the last 12 months, respectively. Age, educational level, family income, marital status, alcohol use, and source of information have been identified as associated factors with self-rated health status and morbidities, while age, gender, education, and morbidities were related to health service utilization. Data indicated a high proportion of health issues and a high rate of health care service use among farmers in a mountainous area of Vietnam. Adaptable health policies and prevention programs or preventive health services should be implemented regularly in mountainous regions to protect farmers from the onset of morbidities and to enhance their health.


Vietnam; farmer; health status; mountainous; quality of life; self-rated health; utilization

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