scholarly journals Health seeking behavior and associated factors among individuals with cough in Yiwu, China: a population-based study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiaoyan Sun ◽  
Shuying Luo ◽  
Lingqiao Lou ◽  
Hang Cheng ◽  
Zhen Ye ◽  
...  

Abstract Background Previous studies have shown that a certain proportion of the population did not seek medical treatment after coughing, and understanding the potential reasons is crucial for disease prevention and control. Method A population-based study was conducted with the probability proportional to population size sampling in Yiwu, Zhejiang, China. A total of 5855 individuals aged ≥15 years lived in Yiwu for more than 6 months were included. All participants completed a laptop-based questionnaire to collect detailed information by a face-to-face interview. Characteristics of individuals were described by categories of health seeking behavior using frequency and percentage. Univariate and multivariate logistic regression analyses were performed to estimate the associations of social-demographic and cough characteristics with health seeking behavior. Results 19.3% (1129/5855) of participants had a cough in the past month, 40% (452/1129) had sought medical treatment. Of these, 26.5% (120/452) chose hospitals at county level or above. Individuals aged ≥65 years old (OR = 2.25, 95% CI: 1.23, 4.12), female (OR = 1.57, 95% CI: 1.21, 2.06), living in rural areas (OR = 1.30, 95% CI: 1.003, 1.69), persistent cough for 3–8 weeks (OR = 2.91, 95% CI: 1.72, 4.92) and with more accompanying symptoms (P trend < 0.001) were more likely to seek medical treatment, but those coughed for > 8 weeks were not (p > 0.5). Female (OR = 0.33, 95% CI: 0.21, 0.54) and people living in rural areas (OR = 0.57, 95% CI: 0.36, 0.92) were less likely to choose hospitals at county level or above while the higher educated were more likely to (OR = 3.29, 95% CI: 1.35, 8.02). Those who coughed for more than 2 weeks were more likely to choose hospitals at or above the county level. But the number of accompanying symptoms does not show any significant relationship with the choice of medical facility. Conclusion The present study found that age, sex, living areas and features of cough were associated with health seeking behavior. It is worth noting that those who coughed for too long (e.g. > 8 weeks) were less likely to seek medical treatment. Targeted measures should be developed based on the key factors found in this study to guide persons to seek medical treatment more scientifically.

2020 ◽  
Author(s):  
xiaoyan sun ◽  
Shuying Luo ◽  
Lingqiao Lou ◽  
Hang Cheng ◽  
Zhen Ye ◽  
...  

Abstract Background: Previous studies have shown that a certain proportion of the population did not seek medical treatment after coughing, and understanding the potential reasons is crucial for disease prevention and control. Method: A population-based study was conducted with the probability proportional to population size sampling in Yiwu, Zhejiang, China. A total of 5,855 individuals aged ≥ 15 years lived in Yiwu, China for more than 6 months were included. All participants completed a pad-based questionnaire to collect detailed information by a face-to-face interview. Characteristics of individuals were described by categories of health seeking behavior using frequency and percentage. Univariate and multivariate logistic regression analyses were performed to estimate the associations of social-demographic and cough characteristics with health seeking behavior. Results: 19.3% (1,129/5,855) of participants had a cough in the past month, 40% (452/1,129) had sought medical treatment. Of these, 26.5% (120/452) chose hospitals at county level or above. Individuals aged ≥65 years old (OR=2.25, 95%CI: 1.23, 4.12), female (OR=1.57, 95%CI: 1.21, 2.06), living in rural areas (OR=1.30, 95%CI: 1.003, 1.69), persistent cough for 3-8 weeks (OR=2.91, 95%CI: 1.72, 4.92) and with more accompanying symptoms (P trend<0.001) were more likely to seek medical treatment, but those coughed for >8 weeks were not (p>0.5). Female (OR=0.33, 95%CI: 0.21, 0.54) and people living in rural areas (OR=0.57, 95%CI: 0.36, 0.92) were less likely to choose hospitals at county level or above while the higher educated were more likely to (OR=3.29, 95% CI: 1.35, 8.02). Those who coughed for more than 2 weeks were more likely to choose hospitals at or above the county level. But the number of accompanying symptoms does not show any significant relationship with the choice of medical facility.Conclusion: The present study found that age, gender, living areas and features of cough were associated with health seeking behavior. It is worth noting that coughing too long(e.g. >8 weeks) instead of seeking medical treatment. Targeted measures should be developed based on the key factors found in this study to guide persons to seek medical treatment more scientifically.


Author(s):  
Xinyi Chen ◽  
Wei Wang ◽  
Xiaomeng Wang ◽  
Chengliang Chai ◽  
Kui Liu ◽  
...  

Few provinces in China have recently conducted population-based surveys on tuberculosis (TB) awareness at the provincial level. Hence, we conducted a population-based, cross-sectional study to evaluate the level of awareness of TB knowledge among residents of Zhejiang Province, China from October 2018 to December 2018. A total of 7174 individuals were randomly selected to participate in this survey. The rate of awareness of key information on TB was found to be 48.0%. The study’s participants exhibited a good understanding of the transmission route (80.8%), curable outcome (78.3%), and designated treatment sites (67.0%) of TB. The rate of awareness of suspicious TB symptoms (36.1%) and the relief policy on diagnosis and first-line therapeutic drugs (38.0%) were found to be relatively low among the respondents. People living in rural areas, those who were less educated, and students all showed a low level of awareness of key knowledge about TB. In conclusion, residents in Zhejiang Province generally lacked key information about TB, which is not conducive to the early detection and treatment of TB. Corresponding efforts should be made for different groups of people to achieve favorable effects on the prevention and control of TB.


Author(s):  
Navin Kumar ◽  
Singh T B ◽  
Meena L P

  Objective: To find out the sociodemographic characteristics, knowledge and health seeking behavior related to KA in the East Champaran district, Bihar among study subject.Methods: A case-control study was conducted to understand the knowledge and health seeking behavior related to KA in the East Champaran district. A total of 100 KA cases and 100 healthy controls selected from the neighborhoods of cases.Results: The knowledge of the population showed that the male constituted 58% of the total population in which 56% were case and 60% were control. Majority of the respondent 76.5% were aware from the KA. Maximum of the respondent 72.5% believed that biting time of sand flies were in the night. Moreover, 71% respondent cannot know how to protect the KA transmission.Conclusion: These results will be useful for further improvement in the KA control programs for intervention strategies. The knowledge of the study subject about KA, the vectors, the transmission of KA, and control measures was poor which needs some effort of the public health system by the Ministry working in the field of health.


Author(s):  
Mariam Sughra ◽  
Farwa Fatima ◽  
Mouzma Marrium ◽  
Khizer Abbas

Background: Expenditures on maternal health is important factor to determine the health seeking behavior in pregnant women among the lowest economical section of Pakistan. This study was carried out determine the maternal health expenditures and health seeking behavior among lowest wealth quintile of rural Rahim Yar Khan.Methods: Sample Size: For this cross- sectional study, a total of 230 subjects were involved in the study from rural areas of Rahim Yar Khan including Basti Bahishti, Bah-o-Bahar and Chak 83/P. This study was comprised of duration of 06 months from 02/03/2016 to 04/09/2016. The head of Family (Husband) with monthly income less than 15000 Pakistani rupees (PKR) were included and marriage with in last 5 years with at alive delivery. While subjects having income more than 15000 PKR and not willing to participate in study were excluded from the study.Results: People with mean monthly income of PKR. 1176±4109 spent mean amount of PKR. 146442 ± 7747 on their marriages. While the mean expenses on treatment of complication in the last pregnancy were PKR. 35808±6771 and the amount saved for the treatment of complication was PKR. 2750±1157 only. Mean antenatal expenses were PKR. 1807±3335, Mean expenses on delivery were PKR. 7351±855 as compared to the money saved for delivery was PKR. 6115±1460. Mean expenses on complications during delivery were PKR. 1692±523. Mean expenses on postnatal care were PKR.8596±3597 while the mean amount used for treatment of postnatal complications were of PKR. 2451±560. Mean expenses on birth celebrations were of PKR. 7697±832.Conclusions: Present study reveals that there is a high financial cost of maternal health expenditures paid by the lowest wealth quintile in rural areas of Rahim Yar Khan when compared with the income of this quintile. Access of the people to the health sector is still limited due to low income of people, low health education and unavailability of health services in rural areas and even in 2017.


2020 ◽  
Vol 3 ◽  
pp. e14
Author(s):  
Abdul Rehman Arshad ◽  
◽  
Imtiaz Bashir ◽  
Ahmad Tariq ◽  
Farhat Ijaz ◽  
...  

Amidst a time when there is the global pandemic of COVID-19 and high levels of stress and anxiety among people, it was pertinent to study if people have modified their health-seeking behavior. A questionnaire-based cross-sectional study was performed in Lahore to assess the change in behaviors of people before and during the pandemic. The results show that the health seeking behavior of the people has changed during the pandemic, resulting in an increased trend of self-medication and a decreased number of people visiting the hospital for their ailments. People preferred private health providers over the government facilities. This might be due to the misinformation, panic, and uncertainties spread by the social media. Governmental health care providers should consider these aspects while addressing the polices related to the pandemic.


PLoS ONE ◽  
2012 ◽  
Vol 7 (6) ◽  
pp. e39391 ◽  
Author(s):  
Philip J. Ciampa ◽  
Lara M.E. Vaz ◽  
Meridith Blevins ◽  
Moshin Sidat ◽  
Russell L. Rothman ◽  
...  

Author(s):  
Jati Untari ◽  
Ariyanto Nugroho2

Introduction: Health is a field that is very closely related to women's duties because the role of women is the reproductive role that is in the realm of the household. Health seeking behavior is preceded by a decision-making process that requires social support from spouses or other family members so that it can potentially improve the health status of women and children in the family. This study aims to explore the differences in family support for mothers in health seeking behavior when ANC, childbirth, and toddlers are sick in rural areas. Methods:The study was conducted using qualitative methods with in-depth interviews with 6 mothers, 6 husbands and 4 mother-in-laws who in their families had toddlers who had experienced illness in the last 3 months. The study was conducted in Banaran subvillage, Sleman District. Results :The results found that family support for maternal health seeking behavior during ANC, childbirth and when sick toddlers are always discussed by husband and wife, while the role of in-laws is very small, that is giving advice. In the condition of the childbirth, the family support not only from her husband and mother-in-laws but also from the whole extended family on the part of the mother who does not live in one house. Conclussions: In conclusion, mothers get considerable support from their families, both from their husbands, mother-in-laws or large families who do not live in the same house in health seeking behavior, especially during childbirth.


2019 ◽  
Author(s):  
Anushree Puttur ◽  
Chythra R Rao

Abstract Background: With the increasing population of geriatric women in India, it has become more necessary to identify morbidities in this population as well as potential interventions to treat them. In this study, we estimate the prevalence of depression in geriatric women living in a district in rural South India, and evaluate the effectiveness of a psycho education on improving knowledge and awareness on depression. Methods: This cross sectional study was performed among 218 females above the age of 60 years in rural areas who were interviewed using Beck’s Depression Inventory and evaluated for depression. A questionnaire was then administered to assess knowledge and attitudes regarding depression once prior to and once after the psychoeducation module was presented to assess the effectiveness of the module. Multivariate analysis was performed to identify key variables that predisposed participants for depression as well as those variables that affected the effectiveness of the psychoeducation module. Results: The study showed 31.7% of the participants to have depression using Beck’s Depression Inventory. Low education status [ AOR: 5.95(1.04-34.10), p = 0.04], decreased social interactions [AOR: 10.97 (1.43-84.13), p = .02.], daily concerns regarding health [AO: R5.09 (1.031-25.10), p = 0.05), loans to settle [AOR: 18.55(2.65-129.64), p = 0.003] and poor sleep quality [AOR:94.82 (13.97-643.72, p < .001] were positively correlated with the presence of depression. Of those participants diagnosed with depression, the psychoeducation module was less effective in those who engaged in hobbies/social activities, had good relationships with family and had concerns about their health. Conclusion: Of those interviewed, one-third were estimated to have depression. Administration of a psycho-education was seen to reduce stigma and improve health-seeking behavior. As this stigma is particularly pervasive in geriatric women in rural south India, population specific interventions need to be identified in order to improve knowledge and health seeking behavior. Keywords: Depression, Elderly, Rural India, Women, Geriatric, Psychoeducation, Intervention


Sign in / Sign up

Export Citation Format

Share Document