scholarly journals Health seeking behaviour among construction workers in Kancheepuram district, Tamil Nadu: a descriptive study

Author(s):  
Mohan Kumar P. ◽  
Gopalakrishnan S.

Background: Construction workers form the second largest working group in the un-organized sector and their life depends on the daily wages they earn. This study was planned to assess the health seeking behaviour of construction workers in an urban area of Kancheepuram District in Tamil Nadu.Methods: This descriptive cross-sectional study was done among 302 male construction workers by random sampling from four construction sites using a pre-tested structured questionnaire. Data collected was analysed using SPSS Version 21 software and the result presented using descriptive statistics. Institutional ethical committee approval and informed consent were obtained.Results: Among construction workers, nearly 55% belonged to less than 40 years age. Majority were illiterates and more than half of them were working as helpers for masons, painters and centring workers. About 63.9% were smokers, 62.9% consuming alcohol and 57.6% use other form of tobacco. Nearly 69.9% were pre-hypertensive and 15% were hypertensive. About 87.4% had normal BMI, 5.3% were underweight and 7% were overweight. Nearly 78.8% of workers sought medical care and they preferred allopathic system (97.7%) for treatment. 87.4% preferred treatment from private hospitals while 8.8% preferred to get treatment at the construction site itself and remaining goes to government hospitals for treatment. Most workers (95.0%) preferred outpatient’s treatment.Conclusions: Majority of construction workers prefer private allopathic medical facilities for their medical treatment, even though it adds to their out of pocket expenditure. There seems to be a knowledge gap, convenience and financial burden in their health seeking behaviour.

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e032039
Author(s):  
Kaung Suu Lwin ◽  
Shuhei Nomura ◽  
Daisuke Yoneoka ◽  
Peter Ueda ◽  
Sarah Krull Abe ◽  
...  

ObjectivesTo examine the associations of parental social and economic position with health-seeking behaviour for diarrhoea and acute respiratory infection (ARI) among under-5 children in Myanmar and explore potential underlying mechanisms.DesignA cross-sectional study.SettingA secondary dataset from the nationwide 2015–2016 Myanmar Demographic and Health Survey (MDHS).ParticipantsAll under-5 children in the sampled households with reported symptoms of diarrhoea and ARI during the 2-week period preceding the MDHS survey interview.Primary and secondary outcome measuresFour parental health-seeking behaviours: ‘seeking treatment’, ‘formal health provider’, ‘public provider’ and ‘private provider’ were considered. Social and economic positions were determined by confirmatory factor analysis. Multilevel logistic regressions were employed to examine the associations of social and economic positions with health-seeking behaviours for diarrhoea and ARI. Mediation analyses were conducted to explore potential underlying mechanisms in these associations.ResultsOf the 4099 under-5 children from the sampled households in MDHS, 427 (10.4%) with diarrhoea and 131 (3.2%) with ARI were considered for the analyses. For diarrhoea, social position was positively associated with seeking treatment and private provider use (adjusted OR: 1.60 (95% CIs: 1.07 to 2.38) and 1.83 (1.00 to 3.34), respectively). Economic position was positively associated with private provider use for diarrhoea (1.57 (1.07 to 2.30)). Negative associations were observed between social and economic positions with public provider use for diarrhoea (0.55 (0.30 to 0.99) and 0.64 (0.43 to 0.94), respectively). Social position had more influence than economic position on parental health-seeking behaviour for children with diarrhoea. No evidence for a significant association of social and economic position with health-seeking for ARI was observed.ConclusionsSocial and economic positions were possible determinants of health-seeking behaviour for diarrhoea among children; and social position had more influence than economic position. The results of this study may contribute to improve relevant interventions for diarrhoea and ARI among children in Myanmar.


2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
S. Pooransingh ◽  
K. Ramgulam ◽  
I. Dialsingh

Objectives. The objectives of the study were to measure actual BMI in patients attending chronic disease clinics in health centres and to relate this to the patients’ own perceptions of their body image and the need to lose weight.Study Design. A cross sectional study.Methods. The actual BMIs in patients who attended chronic disease clinics in 14 health centres were measured. All participants were asked to state where they thought they were on a visual body image scale and were also asked if they thought they needed to lose weight.Results. All participants approached agreed to participate (RR 100%). 70% of patients were found to have a raised BMI. Approximately 73% of patients using the visual scale indicated that an overweight or obese BMI was ideal for them.Conclusions. Patients think they are thinner than they actually are, with obvious implications for health and health seeking behaviour. A whole of society approach is needed to change weight status perceptions and improve exercise and dietary behaviour.


2020 ◽  
Vol 54 (3) ◽  
pp. 156-163
Author(s):  
Damian Nwaneri ◽  
Ayebo Sadoh

Background: Recognition of the symptoms and seeking prompt treatment in a health facility is a major means of reducing morbidity and prevention of mortality from severe malaria in under-fives.Objectives: To document the effect of health-seeking behaviour of caregivers and severe malaria outcome in underfives seen in a tertiary health institution in Nigeria.Design: A descriptive cross-sectional study carried out from July 2012 – June 2013. Data were obtained using a researcher-administered questionnaire.Subjects: Caregivers and children (6 – 59 months) who presented with features of severe malaria according to World Health Organization criteria.Results: Of the 120 caregivers mean [SD] age (31.4 [7.0] years) /child pairs (24 [14.7] months), 35 (29%) caregivers had appropriate health-seeking behaviour. The commonest place visited for initial healthcare before presentation was the patent medicine vendors by 87 (73%) caregivers. Seventy-seven per cent of caregivers who did not have appropriate health-seeking behaviour were from the lower family social class (p = 0.03). Caregivers whose children presented with severe anaemia were significantly more likely to have appropriate health-seeking behaviour (p = 0.00). The mortality rate of severe malaria was 15 per 1000; of which 94% were children whose caregivers did not have appropriate health-seeking behaviour. Age younger than 2 years (p = 0.02), cerebral malaria (p = 0.01) and jaundice (p = 0.03) significantly predicted mortality in the children irrespective of the caregivers’ health-seeking behaviour status.Conclusion: Less than a third of the caregivers had appropriate health-seeking behaviour for their under-fives with severe malaria, and the majority of these were from the lower family social class. Cerebral malaria and jaundice significantly predicted mortality in children with severe malaria irrespective of caregivers’ health-seeking behaviour status.Keywords: behaviour, caregivers, severe malaria, health-seeking, outcomeFunding: The study was self-sponsored by the authors


Author(s):  
P. Saravanakumar ◽  
J. Elizabeth Varakumari

Background: Women empowerment is vital for decision making on nutrition, health-seeking, family planning and economic issues for the family as a whole. In reality, there is prevalence of unequal gender norms among the women in India in urban and rural area. The objective of the study was to compare the empowerment of women in urban and rural setting in Tamil Nadu.Methods: A cross-sectional study was conducted in Nandivaram (RHTC) and Shenoy Nagar (UHTC) attached to Government Kilpauk Medical College among 200 married women of age 15-49 years with a semi-structured questionnaire during June 2018. Data was entered and analyzed in SPSS 16. Chi Square test and logistic regression was used for statistical analysis.Results: Mean age in rural group was 26.74±6.45 years and 30.4±7.35 in urban. Illiterates were 27% in rural and 14% in urban. About 67% were homemakers in rural vs. 43% in urban. About 33% were BPL in rural vs. 21% in urban. Decision making regarding household decisions, about73% in rural vs. 87% urban had participated. In health seeking behavior, 77 % in rural had no say while only 45% in urban. For Family planning, 33% in rural vs. 74% in urban had decision making which were statistically significant. Only 33% contributed to family income in rural vs. 47% in urban.Conclusions: Women empowerment is better in urban setting than rural setting. There is a strong need to create awareness and training in rural setting for better productive life.


2017 ◽  
Vol 37 (1) ◽  
pp. 79-82
Author(s):  
U. Anyanwu Onyinye ◽  
T. Eseonu Chinonyelum ◽  
B. Ezeanosike Obumneme ◽  
O. Cliford Okike ◽  
C. Roland Ibekwe

Introduction: A cultural myth Ogbanje have existed among the Ibo people of Nigeria. These children may have morbidities that are manageable while some normal children may have to live with the stigma of being labelled such. The objective of this study was to assess mother’s perception of ogbanje phenomenon and morbidity in ogbanje children.Material and Methods: This was a Cross-sectional study amongst mothers having the concept of “Ogbanje” children who were clinically examined. SPSS version 20.0 was used for data analysis. Variables were compared with χ2. p<0.05 was accepted as significant.Results: A total of 64.8% believed in “Ogbanje”. Commonest presentation of “Ogbanje” was frequent illness (47.3%). Only 12(3.3%) would seek orthodox care for ogbanje children. Examined “ogbanje” children had sicklecell anaemia, structural anomalies, and diabetes. Four (9.5%; n=42) children were normal. Conclusion: Ogbanje myth still exists in the minds of mothers and affects health seeking behaviour. Ogbanje children may have manageable illness and sometimes may be normal.


Author(s):  
M. N. Alam ◽  
Shagufta Khatoon ◽  
Nirmal Verma ◽  
Laxmikant Umate

Background: About 422 million people worldwide have diabetes and 1.6 million deaths each year. Global target is to halt the rise in diabetes and obesity by 2025. In context of above background study was conducted with the aim and objective to determine the risk factor and health seeking behaviour among adult’s diabetics who visited urban health and training centre (UHTC) of a tertiary care Institution.Methods: A cross-sectional study was conducted on 150 adult’s diabetics who visited NCD clinic at UHTC, of a tertiary care institution from June 2020 to May 2021. Semi open questionnaire was used. Study setting was department of community medicine, Chandulal Chandrakar Memorial Medical College, Durg, Chhattisgarh. Ethical consent was taken from institutional ethical committee and written informed consent obtained from all the participants. Data analysis done using SPSS software. Statistical significance obtained using Chi-square test at p value <0.05.Results: About 81% of subjects had good drug compliance whereas 19% had poor compliance. About 5% had exclusively supply from hospital whereas 45% from both sources hospital and medicine shop and 50% from shop only. About 69% of subjects were involved in physical activities whereas 31% did not had any physical activities. About 45% were addicted to substance abuse. Prevalence of diabetes was maximum 38% in age group 50-60 years. The mean age of diagnosis of diabetes was 45.92±13.58 years.Conclusions: Diabetes was maximum in late adulthood and majority were utilising both medicine shop and hospital for health care. 


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