Factors Associated With Treatment-Seeking Behavior for Postpartum Urinary Incontinence

The International Conference on Population and Development (ICPD) Programme of Action paid attention to male sexual and reproductive health issues including RTI/STI as well as infertility, sexual dysfunction and sexual violence. In India, male reproductive health problems had been recognized as a public health issue. This paper is an attempt to examine the determinants of prevalence of RTI/STI and treatment seeking behavior and their socio-economic and demographic characteristics in Tamil Nadu, India by using the data of the District Level Household Survey-Reproductive and Child Health Survey, 2002-04. The logistic regression and multinomial logistic regression models were used to determine factors associated with symptoms of RTI/STI and treatment seeking behavior for RTI/STI symptoms respectively. The study results indicated that about 2.8% of respondents reported at least one symptom of RTI/STI. One-fifth (19.5%) of them had reported two or more symptoms. Among those who reported symptoms, 45.5% of men sought treatment from some sources. Multivariate analysis revealed that men residing in the Inland region, belonging to Muslim, men with high standard of living, and aware about HIV/AIDS were sig-nificantly less likely to report symptoms of RTI/STI. Men whose wife reported experience of symptoms of RTI/STI are significantly more likely to report symptom of RTI/STI. Further, men whose wife experienced symptoms of RTI/STI, and who ever discussed RTI/STI symptoms with their wife were significantly more likely to seek treatment from pubic as well as private health facility. The study suggests that there is an urgent need to address public health care services and a need to take necessary steps to provide quality health care and user friendly sexual and reproductive health care services.South East Asia Journal of Public Health Vol.4(2) 2014: 7-15

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Study of risk factors associated with the prevalence of urinary incontinence in women of an urban slum in Mumbai

MedPulse International Journal of Medicine ◽

10.26611/10111111 ◽

2019 ◽

Vol 11 (1) ◽

pp. 01-06

Author(s):

Armaity Dehmubed ◽

◽

Jyoti S Mandge ◽

Keyword(s):

Risk Factors ◽

Urinary Incontinence ◽

Urban Slum ◽

Factors Associated

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Perception about Etiology of Epilepsy and Help-Seeking Behavior in Patients with Epilepsy

International Journal of Epilepsy ◽

10.1055/s-0041-1731933 ◽

2021 ◽

Author(s):

Gautam Das ◽

Samar Biswas ◽

Souvik Dubey ◽

Durjoy Lahiri ◽

Biman Kanti Ray ◽

...

Keyword(s):

Help Seeking ◽

Tertiary Care ◽

Epileptic Seizures ◽

Treatment Seeking ◽

Professional Help ◽

Epileptic Patients ◽

Seeking Behavior ◽

Tertiary Care Centers ◽

Patients With Epilepsy

Abstract Objectives Patients with epilepsy and their family have diverse beliefs about the cause of their illness that generally determine their treatment-seeking behavior. In this study, our aim was to find out different beliefs about epilepsy that lead to different help-seeking patterns, which act as barrier to the intended modern medical management of epilepsy. Materials and Methods One hundred and fifty consecutive consenting patients accompanied by a reliable informant/family member fulfilling the International Classification of Epileptic Seizures (ICES), simplified version, were included. Demographic and clinical data of all the eligible subjects was collected. Perceived cause of illness and help-seeking pattern were explored from patient/informant by administering proper instruments. Results Respondents identified varied causes of epilepsy and explored multiple help-seeking options before reaching tertiary care centers. We observed that, generally, epileptic patients/relatives who had belief in causes like supernatural causes sought help from nonprofessional personnel and those attributed their symptom to bodily pathology had professional help-seeking. Conclusions The belief in supernatural causes not being conformed to the biomedical models of the epileptic disorders increases the treatment gap.

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Urinary Incontinence in Physically Active Older Women of Northeast Brazil

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18115878 ◽

2021 ◽

Vol 18 (11) ◽

pp. 5878

Author(s):

Thais Sousa Rodrigues Guedes ◽

Marcello Barbosa Otoni Gonçalves Guedes ◽

Hévila Kilvia Miguel de Oliveira ◽

Rodrigo Lopes Soares ◽

Vitor Leandro da Cunha ◽

...

Keyword(s):

Urinary Incontinence ◽

Older Women ◽

Short Form ◽

Prevalence Ratio ◽

Protection Factor ◽

Cross Sectional ◽

Physically Active ◽

Factors Associated ◽

International Consultation ◽

Loss Of Balance

Low- and moderate-impact physical activity (PA) is associated with the prevention of urinary incontinence (UI). The objective of the cross-sectional study presented herein is to analyze the factors associated with UI in physically older active women who participate in senior community groups. The variable UI was measured by the International Consultation Incontinence Questionnaire Short Form (ICIQ-SF). Socioeconomic variables were also collected, along with data on life habits and clinical history. The multivariate analysis employed Poisson’s Regression with robust variance for factors associated with UI. Of the 106 participants evaluated, 54.7% presented UI, of which stress incontinence was more frequent, with 40.6%. UI presented a statistically significant association with dizziness/loss of balance during Activities of Daily Living (ADL) (prevalence ratio-PR 1.48; 95% CI 1.06–2.07) and nocturia (PR 1.63; 95% CI 1.05–2.55). Despite PA being a protection factor, UI presented an elevated prevalence in the older population, and therefore, other biological, social, and cultural aspects could also contribute to the occurrence of UI in this age group. Moreover, physically active older women with UI presented nocturia and dizziness/loss of balance during ADL, regardless of education levels and the number of births. These findings can help improve multi-professional programs aimed at promoting, preventing, and managing UI in the public.

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Determinants of treatment-seeking behavior during self-reported febrile illness episodes using the socio-ecological model in Kilombero District, Tanzania

BMC Public Health ◽

10.1186/s12889-021-11027-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Caroline M. Mburu ◽

Salome A. Bukachi ◽

Khamati Shilabukha ◽

Kathrin H. Tokpa ◽

Mangi Ezekiel ◽

...

Keyword(s):

Health Care ◽

Ecological Model ◽

Febrile Illness ◽

Sub Saharan Africa ◽

Differential Diagnostics ◽

Treatment Seeking ◽

Zoonotic Infections ◽

Appropriate Treatment ◽

Seeking Behavior ◽

Tract Infections

Abstract Background Febrile diseases in Sub-Saharan Africa cause acute and chronic illness. Co-infections are common and these diseases have a complex etiology that includes zoonoses. For the implementation of appropriate treatment and control strategies, determinants of lay treatment-seeking behavior by the affected communities need to be understood. The objective of this study was to explore, using the socio-ecological model, the determinants of treatment-seeking actions among self-identified febrile illness cases in the Kilombero District of Tanzania. Methods Thirty-nine in-depth interviews were conducted with 28 men and 11 women in three villages in Kilombero district. These villages were purposively selected due to malaria endemicity in the area, animal husbandry practices, and proximity to livestock-wildlife interaction, all risk factors for contracting febrile zoonotic infections. Thematic analysis was conducted on the interviews to identify the key determinants of treatment-seeking actions. Results Study participants attributed febrile illnesses to malaria, typhoid and urinary tract infections. Treatment-seeking behavior was an iterative process, influenced by individual, socio-cultural, ecological and policy factors. Age, expendable income, previous history with a febrile illness, perceptions on disease severity, seasonal livelihood activities and access to timely healthcare were some of the determinants. Self-treatment with pharmaceutical drugs and herbs was usually the initial course of action. Formal healthcare was sought only when self-treatment failed and traditional healers were consulted after the perceived failure of conventional treatment. Delays in seeking appropriate health care and the consultation of medically unqualified individuals was very common. Conclusion The results imply that treatment-seeking behavior is shaped by multiple factors across all levels of the socio-ecological model. Public policy efforts need to focus on facilitating prompt health care seeking through community education on the complicated etiology of febrile illnesses. Improved access to timely treatment and better differential diagnostics by health professionals are essential to ensure correct and appropriate treatment and to reduce reliance of patients on unqualified persons.

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