scholarly journals Predictors of Health Care Seeking Pace Among Newly-Diagnosed Pulmonary Tuberculosis Patients In Cebu City, Philippines: A Cross-Sectional Study

2019 ◽  
Author(s):  
MARK JOHNUEL MATABILAS DUAVIS1
Keyword(s):  
Social Support ◽  
Health Care ◽  
Marital Status ◽  
Perceived Social Support ◽  
Social Stigma ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Newly Diagnosed ◽  
Cross Sectional ◽  
Perceived Dangerousness

Abstract Background Tuberculosis remains a major public health dilemma in the Philippines. While free and effective TB diagnosis and treatment have been made available since 1996, a number of patients still delay accessing them re­sulting to increased TB mortality and community transmission. This study is aimed at determining the significant variables that can predict a TB patient’s pace in seeking appropriate health care. Methods A descriptive, correlational cross-sectional survey was done to 127 newly-diagnosed TB patients from 10 government-owned TB DOTS facilities in Cebu City. Participants were categorically grouped into Prompt Health Seekers and Delayed Health Seekers using a norm-referenced median dichotomy. Descriptive and inferential analysis utilized included Chi-square Test, Pearson’s Correlation and Discriminant Analysis. Results A mean health care seeking delay of 59 days (median=49) was recorded. Most of the participants experienced unexplained cough which they perceived as only slightly dangerous. 38% of them reported not knowing any symptom related to TB while 39% were not aware of the free public TB services. Most patients have made 2-3 prior health recourses, mostly through self-medication, before finally contacting a DOTS facility. Marital status (p=0.004), the number of symptoms experienced (p=0.000), first symptom experienced (p=0.016), perceived dangerousness of all symptoms experienced (p=0.009), perceived dangerousness of the first symptom experienced (p=0.001), perceived social stigma (p=0.035) and, perceived social support (p=0.002) were found to be significantly associated with the patients’ health care seeking pace. Extending to multivariate analysis, five independent variables namely marital status (p=0.037), number of symptoms experienced (p=0.018), perceived dangerousness of all the symptoms experienced (p=0.028), perceived social stigma (p=0.026) and, perceived social support (p=0.001) can significantly predict the patients’ health care seeking pace. Conclusion A considerable health care seeking delay of 59 days was documented, especially among those with lower perception of social support, higher perception of social stigma and those who do not currently have partners. Patients who experienced more symptoms and those who view these symptoms as less dangerous were, however, likely to seek immediate health care. Reducing health care seeking delays through intensified health information campaigns, strengthening social support systems and reducing social stigma is recommended.

Prevalence and health care seeking behaviour for sexually transmitted infections among in-school adolescents in Ado-Ekiti, South-Western Nigeria

2016 ◽  
Vol 29 (6) ◽  
Author(s):  
Patrick T. Adegun ◽  
Eyitope O. Amu
Keyword(s):  
Health Care ◽  
Sexually Transmitted Infections ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Self Medication ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Stomach Pain ◽  
Health Care Seeking Behaviour ◽  
Care Seeking Behaviour

Abstract Background: In Nigeria, adolescents are highly vulnerable to sexually transmitted infections (STIs) which have the potential of jeopardising their future reproductive lives if poorly treated. Objective: To determine the prevalence and health care seeking behaviour for STIs among secondary school adolescents in Ado, South-Western Nigeria. Subjects: Male and female adolescents aged 10–19 years. Methods: The study employed a descriptive cross-sectional design. A pre-tested, self-administered, semi-structured questionnaire was used to elicit information from 560 adolescents selected from public and private secondary schools in Ado Local Government Area (LGA) of Ekiti State, using a multistage sampling technique. The data were analyzed using descriptive and inferential statistics. Analyzed data were presented in the form of tables and charts. Results: Two hundred and fifty-one (47.1%) respondents had previous symptoms of STIs. The commonest symptoms among the males were penile discharge (30.5%), painful micturition (30.5%) and stomach pain with swollen testes (25.4%). The commonest symptoms among the females were genital itching (27.6%), genital sores (14.1%) and painful micturition (13.1%). Only 26.7% sought treatment from a health facility; 37.0% did nothing; 15.9% went to patent medicine stores, 10.0% used herbs; the rest did self-medication or prayed. Conclusion: The prevalence of STI symptoms among adolescents in Ado-Ekiti is high but their health care seeking behaviour is poor. Health education about the dangers of untreated STI and the importance of seeking treatment early, targeted at adolescents, should be intensified.

scholarly journals HEALTH CARE-SEEKING BEHAVIOUR OF COASTAL COMMUNITIES IN BANYUWANGI, INDONESIA: RESULTS OF A CROSS-SECTIONAL SURVEY

Jurnal NERS ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 66
Author(s):  
Susy Katikana Sebayang ◽  
Erni Astutik ◽  
Desak Made Sintha Kurnia Dewi ◽  
Ayik Mirayanti Mandagi ◽  
Septa Indra Puspikawati
Keyword(s):  
Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Coastal Communities ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Care Seeking Behavior ◽  
Seeking Behavior

Introduction:  Improving health care-seeking behavior of the coastal communities is a pathway to improve their health. This analysis aims to explore the health care-seeking behavior of the coastal communities in Banyuwangi District to recommend the room for improvement for health promotion and health service improvement for these communities. Method: Data from a cross-sectional survey of metabolic syndrome and mental health conducted in coastal communities in Banyuwangi was used for analysis.  Randomly selected participants from a list of members of Family Welfare Development Group (Pembinaan Kesejahteraan Keluarga /PKK) were asked for an interview at corresponding village office in Ketapang, Bangsring, Bulu Agung, Grajagan and Kampung Mandar village.  Distribution of health care-seeking behaviors was analyzed individually and where possible were segregated by gender and age. Results: More than half of the coastal communities in Banyuwangi District went to health care service to seek health and 7 out of 10 turned to health care service to seek health for their family members.  Women more than men turned to health care service when they or their family members fell ill.  Private doctors rather than Puskesmas were more popular.  Private midwives were the most popular service for antenatal care (ANC) and delivery.  Although there was not a clear increase in health care service utilization over time, we found that contraceptive utilization increased with time. Conclusion: The utilization of health care service in Banyuwangi needs to be more promoted especially for men’s health.  

scholarly journals Effects of social support, hope and resilience on depressive symptoms among patients with newly diagnosed prostate cancer

2020 ◽  
Author(s):  
Xinxin Zhao ◽  
Ming Sun ◽  
Ye Yang
Keyword(s):  
Prostate Cancer ◽  
Social Support ◽  
Depressive Symptoms ◽  
Perceived Social Support ◽  
Psychosocial Interventions ◽  
Cross Sectional Study ◽  
Depression Symptoms ◽  
Newly Diagnosed ◽  
Cross Sectional ◽  
Modifiable Factors

Abstract Background The prevalence of depression symptoms and related modifiable factors in prostate cancer (PCa) are not well evaluated. We aimed to assess the effects of perceived social support, hope and resilience on depressive symptoms in newly diagnosed PCa patients, and to evaluate the role of hope and resilience as mediators of that relationship. Method A cross-sectional study was analyzed in consecutive inpatients with PCa during the months of January 2018 and August 2019. A questionnaire was administered to 667 patients. All registered patients were all volunteers and anonymous. Depressive symptoms, perceived social support, hope and resilience were measured anonymously. Out of 667 patients, a total of 564 effective respondents became our subjects. Hierarchical linear regression was used to identify the factors associated with depressive symptoms. Asymptotic and resampling strategies were used to conduct the mediating effects of hope and resilience Results The prevalence of depressive symptoms was 65.9% in PCa patients . Hierarchical regression analyses indicated that perceived social support, hope, and resilience together accounted for 27.5% variance of depressive symptoms. Support from family, hope, and resilience significantly associated with depressive symptoms, respectively. Hope (a*b = -0.0783, BCa95% CI:–0.134 to–0.0319, p < 0.05), and resilience (a*b = -0.1315, BCa95% CI:–0.1894 to–0.0783, p < 0.05) significantly mediated the association between perceived social support and depressive symptoms. Conclusions The high prevalence of depressive symptoms among newly diagnosed PCa patients should receive more attention. Perceived social support, hope and resilience could be positive resources for combating depressive symptoms, and hope and resilience mediated the association between perceived social support and depressive symptoms. Enhancing social support, particularly the support form family, and improving patients’ outlook and resilience may be potential targets for future psychosocial interventions aimed at reducing depressive symptoms.

scholarly journals Health Care Seeking Behavior of Obstetric Danger Signs and its Associated Factors Among Pregnant and Delivered Mothers in Kewot District, North Shoa Zone, Amara Region, Ethiopia: A Cross-Sectional Study

2021 ◽  
Author(s):  
Daniel Tadesse ◽  
Akine Eshete ◽  
Tadesse Mamo ◽  
Sadat Mohammed
Keyword(s):  
Health Care ◽  
Cross Sectional Study ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Cross Sectional ◽  
Obstetric Danger Signs ◽  
Danger Signs ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

Abstract Background: Many mothers died due to preventable causes in developing countries like Ethiopia. so, this study aims to assess the healthcare-seeking behavior of obstetric danger signs among pregnant and delivered mothers in 1 year before the study period in Kewot districts. Method: A community-based descriptive cross-sectional study design supplemented by qualitative technique was conducted from April 20 -April 30, 2019, in the Kewot district. Pregnant and delivered mothers were selected by systematic random sampling technique and interviewed with a response rate of 98.2%, Using purposive sampling 3 key-informants and 5 mothers were selected for in-depth interview of a qualitative study. Data were entered into Epi data version 3.1.1 and analyzed using SPSS version 21 and the logistic regressions model was applied to identify the associated factors. Results: A total of 363 participants were involved in the study. Among participants, 211(58.1 %) at (95% CI; CI: 53.7%-63.1%) were sought appropriate health care action. Women who have ANC follow up (AOR=1.735,95%CI:1.107-2.721), knowledgeable about danger sign, (AOR=2.430,95 % CI:1.360-4.342), the decision for own health care seeking (AOR=2.514,95% CI:1.130-5.501), and women who cannot able to judge graveness of condition (AOR=0.509,95% CI:0.302-0.859) were significantly associated with appropriate healthcare-seeking behavior.Conclusion: Having antenatal care follow up, knowledge about danger signs, inability to judge the graveness of conditions and inability to decide alone for own health care were factors that prevent appropriate health care seeking action. So, there should be health information dissemination about danger signs for every pregnant mother in the catchment area and during their visit to health institutions.

scholarly journals The role of psychosocial determinants in predicting adherence to treatment in patient with hypertension

2018 ◽  
Vol 11 (1) ◽  
pp. 8-16 ◽  
Author(s):  
Mohammad Reza Asgari ◽  
Hamid Bouraghi ◽  
Ali Mohammadpour ◽  
Mina Haghighat ◽  
Raheleh Ghadiri
Keyword(s):  
Social Support ◽  
Health Care ◽  
Self Efficacy ◽  
Access To Health Care ◽  
Perceived Social Support ◽  
Correlation Study ◽  
Adherence To Treatment ◽  
Treatment Access ◽  
Cross Sectional ◽  
Access To Health

Introduction Non-adherence in patients with hypertension directly exacerbates clinical outcomes. The purpose of the present research is to study the recognition of the relationships between the perceived social support and self-efficacy and the satisfaction of health care agents and the interaction of the patient with therapeutic personnel and access to health care and the behaviors of adherence to treatment in the patients who suffer hypertension. Materials and methods This descriptive cross-sectional correlation study recruited 250 patients from a specialized hypertension clinic in Semnan, who completed the following questionnaires: Multidimensional Scale of Perceived Social Support, self-efficacy, adherence to treatment, access to and satisfaction with health care, and the patient’s interaction with treatment personnel. Results An overall statistical description of the sample consists of 89 (35.6%) men and 161 (64.4%) women (SD = 10.41, range = 51.98). Regression coefficient of previous variables (three steps) shows that self-efficacy share, consent form civil services, and job could demonstrate with 99% certainty in the changes of treatment conformity in a meaningful way. Conclusions High self-efficacy, satisfaction with health care, and a favorable job have a high direct effect on adherence to treatment in patients with hypertension and controlling hypertension. Social support and education do not have a significant impact on adherence to treatment.

scholarly journals Knowledge and Awareness of Cervical Cancer among HIV-Infected Women in Ethiopia

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Netsanet Shiferaw ◽  
Mohamad I. Brooks ◽  
Graciela Salvador-Davila ◽  
Shumet Lonsako ◽  
Konjit Kassahun ◽  
...  
Keyword(s):  
Health Care ◽  
Cervical Cancer ◽  
Cervical Cancer Prevention ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Care Seeking Behavior ◽  
Seeking Behavior ◽  
Health Care Seeking Behavior

Introduction. Cervical cancer is one of the leading causes of cancer death among Ethiopian women. Low awareness of cervical cancer, in combination with low health care seeking behavior, is a key challenge for cervical cancer prevention. This study assessed the knowledge of cervical cancer among HIV-infected women in Ethiopia. Methods. A facility-based cross-sectional survey was conducted from August to September 2012 among HIV-infected women between 21 and 49 years of age. Basic descriptive statistics were performed using SPSS. Results. A total of 432 HIV-infected women participated in this study. About 71% of participants had ever heard of cervical cancer. Among women who had ever heard of cervical cancer, 49% did not know the cause while 74% were able to identify at least one risk factor for cervical cancer. Only 33% of women were able to correctly address when women should seek care and 33% identified at least one treatment option for cervical cancer. Conclusion. This study revealed that knowledge about cervical cancer was generally low, in particular for health care seeking behavior and treatment of cervical cancer. Health awareness programs should be strengthened at both community and health facility levels with emphasis highlighting the causes, risk factors, care seeking behaviors, and treatment options for cervical cancer.

scholarly journals Assessment of knowledge and health care seeking behaviour for menstrual health among adolescent school girls in urban slums of Bengaluru: a cross sectional study

2019 ◽  
Vol 6 (11) ◽  
pp. 4881
Author(s):  
Mouna H. S. ◽  
Hamsa L. ◽  
Ranganath T. S. ◽  
Vishwanath N.
Keyword(s):  
Health Care ◽  
Adolescent Girls ◽  
Cross Sectional Study ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Cross Sectional ◽  
Menstrual Health ◽  
Health Care Seeking Behaviour ◽  
School Girls ◽  
Care Seeking Behaviour

Background: Adolescent girls are often less informed and less comfortable in accessing reproductive health care and information. Due to taboos and socio-cultural restrictions associated with menstruation and its issues, a culture of silence surrounds it. Every stage of women’s life influences next stage, thus present menstrual health will help the girls to have good reproductive, sexual and maternal health later. Good knowledge and better health care seeking behaviour will help in managing menstruation hygienically and with dignity. Hence the present study was undertaken with the objectives, to assess knowledge about menstruation and to determine health care seeking behaviour for menstrual health among adolescent girls in urban slums.Methods: A cross sectional study was conducted to assess knowledge about menstruation and determine health seeking behaviour for menstrual health among 150 adolescent school girls. Multi stage random sampling with probability proportionate to size sampling technique was used. A pre-tested, semi-structured questionnaire was self administered to assess socio-demographic factors, knowledge and health care seeking behaviour for menstrual health.Results: Among 150 adolescent girls, 102(68.0%) of them had good knowledge. Among girls who had excessive bleeding and irregular menses only half of them sought medical treatment (p<0.05) and though 59.5% had more than one symptoms in a cycle, only 37.3% sought treatment.Conclusions: Health care seeking behaviour for menstrual health among adolescent girls was marginally low, only 34(37.4%) sought treatment.

Gynecological Problems of Postmenopausal Women and Their Health Care-Seeking Behavior in Rural Community

2018 ◽  
Vol 8 (3) ◽  
pp. 135-138
Author(s):  
Husneara Begum ◽  
Riffat Rahim
Keyword(s):  
Health Care ◽  
Postmenopausal Women ◽  
Rural Women ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Cross Sectional ◽  
Care Seeking Behavior ◽  
Seeking Behavior ◽  
The Mean ◽  
Health Care Seeking Behavior

Background: Gynecological problems and health care-seeking behavior of postmenopausal women vary among populations and societies. Few data are available about times and types of gynecological problems of postmenopausal women and health care-seeking behavior, socio-demographic and reproductive factors among rural women of Bangladesh.Objectives: The present study was conducted to find out the prevalence of gynecological problems, to identify socio-demographic factors and to identify the health care seeking-behavior of rural postmenopausal women.Materials and Methods: This cross-sectional study was conducted in women aged 50−70 years. A purposive sampling technique was used to retrieve data from 252 postmenopausal women from 3 villages of Savar Upazilla of Dhaka, Bangladesh.Results: The mean age of our study population was 57.27 ± 6.08 years, and the mean menopausal age was 48.20 ± 3.226 years. Regarding prevalence of gynecological problems, 28% had vaginal dryness, 5% had per vaginal bleeding, 9% had urinary problems, and 4% had something coming down per vagina. For primary treatment, 43% went to pharmacy, 29% went to private chamber or private clinic, and only 22% went to government hospitals for their general health problems. Some significant association was found between age of marriage, number of fertility and gynecological problems.Conclusion: Further studies are needed with a larger sample size to identify different life style, diet, and socio-cultural characteristics and to better understand the health care-seeking behavior of women of rural communities.J Enam Med Col 2018; 8(3): 135-138

Sign in / Sign up

Export Citation Format

Share Document