scholarly journals The variation of health seeking behaviour in urban households: an assessment on two selected residential areas in Sylhet

Author(s):  
Parvin Begum ◽  
Mohammad Shafiqul Islam

Background: The study of health seeking behavior is a useful research for developing society like Bangladesh. Many factors such as socio-demographic, socio-cultural, socio-economic and health service system influence health seeking behavior. This study assessed the health seeking behavior among the households’ areas in Sylhet city.Methods: This study has used multistage cluster sampling method for data collection. Using multistage cluster sampling, 150 were selected. A household survey questionnaire was used to collect data. Information about socio-demographic characteristics, socio-economic factors, socio-cultural factors by residential areas, and their influences on seeking health care have been gathered. Chi-square and uni-variate analysis has been applied in this study.Results: The association between socio-economic status and the status of residential area has a significant relationship. The p value (0.005) indicates most of the socio-demographic factors except sanitary system associated with the status of residential households. The association among income range, total expenditure, medical expense, income interfere by perceiving illness, health insurance, main source of health care, reason for choosing specific source of health care and the pattern of health seeking behavior of the residential areas are statistically significant. Uni-variate analysis is an interaction between residence and reason for choosing specific health care on main source of health care among the households of the residential areas under this study (p=0.001).Conclusions: Understanding of health seeking behaviour is essential to provide need-based health care services to the population. Many factors like gender, age, type of illness influences the health seeking behaviour.

2020 ◽  
Vol 7 (47) ◽  
pp. 2787-2792
Author(s):  
Binu Areekal ◽  
Dipin John Padmaja ◽  
Pranav Veepanattu ◽  
Anna Christin Jossy ◽  
Anirudh Menon ◽  
...  

BACKGROUND Elderly people are often neglected in the society particularly with regards to the healthcare service delivery in Indian context. Most of them live with certain forms of morbidities. The consequences of these illnesses in terms of severity affect their willingness to seek help from health care services. Therefore, understanding the morbidities and their health seeking behaviour is a prerequisite for providing essential need-based healthcare services to this marginalised population. A cross sectional study was conducted to understand the pattern of comorbidities and factors of health seeking behaviours of the elderly in a rural area of Thrissur district, Kerala. METHODS A total of 243 elderly participants who were above 60 years was selected from a rural area of Thrissur district to participate the study. SPSS Ver. 16.0 was used to carry out analysis of the data. Descriptive statistics were used to express the pattern of chronic morbidity, and assess the health seeking behaviour and associated factors in the above population. RESULTS Our findings revealed that majority of the study population (82.7 %) was suffering from at least one chronic health problem; among them, 44 % had hypertension, 35.8 % had diabetes mellitus and 23.5 % had musculoskeletal diseases. 60.5 % were not doing any kind of exercise. Health seeking behavior was highest for diabetes and hypertension (100 % and 97.1 %). It was lowest for urinary disorders (72.72 %) followed by visual problems and respiratory problems (82.75 % and 83.3 %). Most common reasons for not seeking health care were that they consider the illness to be insignificant or they believe it to be a part of ageing process (37.5 %). CONCLUSIONS Prevalence of chronic morbidity is high among the elderly. Health seeking behavior is better in Kerala compared to other states. KEYWORDS Chronic Morbidity, Healthcare Seeking Behaviour, Morbidity, Elderly, Kerala


2021 ◽  
Author(s):  
Gerili Zaya ◽  
Shijia Li ◽  
Jingyu Pan ◽  
Jinyu Zhang ◽  
Anita Näslindh-Ylispangar ◽  
...  

Abstract Background Though relevant education and clinical practice could promote health-seeking behavior, nurses and nursing students may not actively seek healthcare. Methods This was a cross-sectional study using an adaptation of the self-reported Health Behavior Questionnaire (HBQ) including sociocultural background, lifestyle, self-assessment of life, health care utilization, and health counseling. 199 valid samples were acquired by convenient sampling. Univariate analysis, Spearman rank correlation, Pearson correlation, and multivariate linear regression were used to analyze the data. Results Cultural background, living with family, employment, most items in lifestyle, and all items in perceived life status were correlated with health-seeking behavior. A multivariate linear regression verified the influence of alcohol consumption, financial situation, and work situation on the experience of health care utilization, as well as the influence of physical health and interpersonal relationship on the experience of health counseling. Conclusions Less alcohol consumption, better financial situation, and better work situation are positively correlated with health care utilization. Better physical health and sounder interpersonal relationships can improve health counseling. The effect of other factors needs further exploration. Cohort studies could be used to investigate the long-term change in health-seeking behavior.


Author(s):  
Yamuna B. N. ◽  
Ratnaprabha G. K. ◽  
Prakash Kengnal

Background: Morbidity and lack of health facility especially in the first five years of life would cause irreparable damage. Therefore it is important to assess the magnitude of morbidities, and their health seeking behaviour. The objectives of the study were to assess the prevalence of acute morbidities and their associated factors among Under-five (U5) children residing in slums of Davanagere city, Karnataka, and to assess the health-seeking behaviour of their mothers/caregiversMethods: It was a cross sectional study done in the slums of Davanagere city during August-September 2016. Using 30 cluster sampling technique, the estimated sample size was 656. A total of 22 children were included in each cluster. Questionnaire consisting of demographic details, history of acute morbidities in the past two weeks and their treatment details was administered to the mother/caregiver. Data was entered in Microsoft Excel sheet and analyzed using SPSS Version 20.Results: Totally 656 mothers/caregivers of U5 children were contacted, majority of the children were in the age group of 13 to 60 months. Total of 348 (53%) children suffered from some acute morbidity in the past 2 weeks, of whom 282 (81%) children were taken to some health care facility, and majority preferred private practitioner (73.4%). Most common reason for poor health seeking behaviour was “following the medicines which were prescribed for previous illness”.Conclusions: More than half of the children suffered from some acute morbidity in the past 2 weeks and 81% of them were taken to health care facility. 


2018 ◽  
Vol 33 (6) ◽  
pp. 614-620
Author(s):  
Kumboyono Kumboyono ◽  
Jeki Refialdinata ◽  
Titin A Wihastuti ◽  
Septi D Rachmawati ◽  
Aditya N Aziz

AbstractIntroductionAcute Coronary Syndrome (ACS) is a life-threatening condition. Immediate and proper treatment will decrease mortality rate. Patient awareness on ACS is still lacking and as the consequence, ACS patients do not seek immediate help.ProblemThe patients’ efforts to get rid of ACS symptoms.MethodsThe study was a descriptive, qualitative study in which a semi-structured, in-depth interview became the instrument. The respondents were 34 participants (including 17 ACS patients and 17 family caregivers). Data analysis was done by triangulation of data sources.ResultsThree themes were obtained, namely: (1) prefer traditional and self-treatment, for example (a) traditional medicine, (b) taking non-prescription drugs to overcome ACS symptoms, and (c) spontaneous action; (2) using available health resources and facilities that consisted of (a) getting initial treatment at home by nurses, (b) visiting a health center to take care of the symptoms, and (c) using non-ambulance service to visit the health centers; and (3) expectations on health care services to patients composed by sub-themes such as (a) the expectation to get information that supports the healing, and (b) the caring attitude of the heath professional.Conclusions:The results showed that in the prehospital setting when experiencing ACS symptoms, the patients try to overcome the symptoms independently. However, as the symptoms get worse, they utilize health facilities in different ways. At the time of obtaining health services, patients are satisfied with health professionals who show caring attitudes, explain the results of the examination, and provide health education on health care efforts. Thus, to prevent mortality and morbidity, it is important for a health professional to educate the public about ACS, including topics about ACS healthy lifestyles and potential threats if it is too late to get treatment. Furthermore, it is also important for the government to implement prehospital emergency services nation-wide.KumboyonoK, RefialdinataJ, WihastutiTA, RachmawatiSD, AzizAN. Health-seeking behavior of patients with Acute Coronary Syndrome and their family caregivers. Prehosp Disaster Med. 2018;33(6):614–620.


2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Winfred Muringi Wambui ◽  
Samuel Kimani ◽  
Eunice Odhiambo

Background. Poor, delayed, or inappropriate health seeking for a sick infant with acute childhood illness is associated with high morbidity/mortality. Delay in health seeking is implicated with fatal complications and prolonged hospital stay. Thus, caregivers ought to identify danger signs and promptly seek professional help for a sick infant. Objective. Establish determinants of health seeking behavior among caregivers of infants admitted with acute childhood illnesses in Kenyatta National Hospital. Methods. A mixed method cross-sectional study involving caregivers (n=130) of sick infants. Semistructured questionnaire and two focused group discussions were used to gather data on caregiver knowledge on danger signs, health care seeking options, and decision-making regarding health care seeking. Data was analyzed with SPSS V. 22. Results. Knowledge of danger signs of infancy was poor. Immediate health seeking was associated with tertiary [P=0.009] and secondary [P=0.030] education, knowledgeability on danger signs [P=0.002], and being married [P=0.019]. Respondents who resided in urban [P=0.034] or less than a kilometer [P=0.042] from a health facility sought care immediately. Those who rated services as excellent (P=0.005) and satisfactory (P=0.025) sought care promptly. Conclusion. Poor knowledge on danger signs of infancy was common among caregivers blurring the magnitude of acute illness resulting in delayed health seeking. Knowledgeability of danger signs of infancy, high educational level, and being married were associated with immediate health care seeking. Caregivers who resided in urban setting and/or near a health facility were linked to immediate health seeking. Additionally, satisfaction and perception of quality health care services were associated with immediate health seeking. Interventions with caregivers should involve capacity building through partnership with families and communities to raise awareness of danger signs of infancy. Strengthening of health care system to offer quality basic health services could improve health seeking behavior. Provision of a seamless supply system, infrastructural support, and technical support for soft skills minimize the turnaround time which is critical.


Community level health seeking behavior needs investigation since community plays either protective or pathogenic role to health. This study, therefore, intended to examine the health seeking behavior of Afar using a community based cross-sectional survey design. The survey employed both quantitative and qualitative methods to collect relevant data. The findings revealed that a substantial number of participants have had misconceptions and/or erroneous knowledge about the causes and symptoms of illnesses. Besides, most of the participants preferred treatment service from modern health care institutions. Their choice is significantly associated with age and level of education. Moreover, various factors including cost, distance, attitude toward health, decision-making power on health, perceived satisfaction, social capital and socio-religious behaviour affect the utilization of available health care services. In general, the findings implied the presence of a positive health seeking behavior among Afar that can be further strengthened with interventions. The interventions should address the misconceptions about causes/symptoms of illnesses and promote appropriate hierarchy of resort to the utilization of available health care services.


Author(s):  
Akshay Minhas ◽  
Vishav Chander ◽  
Seema Sharma ◽  
P. Bansal

Background: Health seeking behavior denotes the process involved in seeking a particular health state. Whereas, the healthcare seeking behavior of any individual denotes the end point contact of care. The objectives of the study were to understand the health seeking behavior and health care seeking behavior of parents of children, 0-5 yrs of age in Himachal Pradesh.Methods: A community based cross- sectional study on 2400 children of age less then and equal to 59 months was conducted. Morbidity profile and socio demographic indicators along with other variables were defined as indicators of health and health care seeking behaviour. The study was conducted using 30 cluster techniques with 80 participants from each cluster of district Kangra. Results: Water and sanitation was taken as one of the indicators of health seeking behavior and majority of our study population was dependent on ‘bavdi’ as water source. Earthen and steel pots were the most sought after storage vessel. In slums however plastic buckets were used. More than 80% of the households did nothing for purification. Majority responded that (82.6%) their child took bath daily. Institutional delivery was prevalent among 81.2% cases and lowest among rural slum. Nutrition was also taken as an indicator. Exclusive breast feeding was prevalent in 51.1% cases. In case of health care seeking behavior in our study around 47.0% parents visited the health facility, but also 24.0% were dependent on home remedies. Majority (30.5%), took treatment from secondary level of health care followed by 28.4% from private Ayurvedic Doctor. Conclusions: The system needs to understand its weaknesses as to why the population still practices unsatisfactory behavior across various areas. Especially in case of institutional deliveries, breast feeding and seeking treatment from a quack. 


2021 ◽  
Vol 5 (2) ◽  

Background: Obstetric fistula is a serious health problem affecting women in low and middle-income countries. It continues to exist in Nigeria because the health care system has failed to provide quality, accessible and affordable maternal health care including family planning, skilled care at birth, basic and comprehensive emergency obstetric care and inadequate access to treatment of obstetric fistula cases. The purpose of this study was to evaluate the impact of educational status and cultural beliefs on the health seeking behavior of women with obstetric fistula in South-South and South Eastern Nigeria. Methods: This was a cross-sectional study. Non-probability sampling involving purposive and simple random sampling technique was adopted in the selection of one hundred and fifty (150) post-operative patients. The data was analyzed using thematic analysis frequency tables and percentage distribution. Results: The findings were that educational status and cultural belief exert significant influence on the health seeking behavior of women with obstetric fistula. Conclusion: The study indicated that obstetric fistula is a major reproductive health challenge affecting women of childbearing age in Nigeria. Based on the findings of the study, educational status and cultural belief of women with obstetric fistula are the major serious challenges to health seeking behaviour of the women with Vesico-vaginal fistula (VVF). It was therefore recommended that more awareness on obstetric fistula should be created using strategies such as sex education programmed in secondary schools and churches so as to educate them on issues concerning obstetric fistula as well as health talk on VVF for youths.


Author(s):  
Ekta Gupta ◽  
Archana Thakur ◽  
Shivam Dixit

Background: The increase in life expectancy has resulted in changes in age composition of India and tripling of geriatric population in last 50 years. To provide adequate and comprehensive care to elderly, understanding their health problems and health seeking behavior is imperative. Hence, this study aimed to assess the morbidity pattern and health-seeking behavior and factors affecting them among geriatric population of a rural area of district Faridabad.Methods: A cross-sectional study was carried out among 300 elderly above 60 years of age in village Pali of Faridabad district for a period of 3 months. The list of elderly was obtained from health workers’ records and they were interviewed regarding socio-demographic factors, morbidity status and health seeking behaviour using a predesigned and pretested structured questionnaire.Results: Out of 300 subjects, 56% were females and 63% were in age group of 60-69 years. Overall 93.3% subjects had one or more morbidities with musculoskeletal disorders being most common (57.3%) followed by visual impairment and cataract (54.0%) and hypertension (49.0%). Morbidities were significantly higher among females (p= 0.006), divorced/separated (p=0.014) and illiterate elderly (p=0.026). 77.7% elderly preferred allopathic system of medicine with private facilities preferred by 40%.Conclusions: Morbidity load among elderly was very high and health seeking behaviour was poor. So, strong efforts are needed to provide them with comprehensive and specialised care so that they contribute to their maximum potential to our society. Primary healthcare strategies targeting elderly needs to be strengthened and area specific strategies need to be formulated. 


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