scholarly journals Medical Care-seeking Patterns Among Women with Diagnoses Associated with Menstrual Syndromes: A Longitudinal Population-based Study

2020 ◽  
Author(s):  
Jong Long Guo ◽  
Tzu Chi Lee ◽  
Hsiao Pei Hsu ◽  
Chiu Mieh Huang
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Medical Care ◽  
Western Medicine ◽  
Care Utilization ◽  
Care Seeking ◽  
Newly Diagnosed ◽  
Care Seeking Behavior ◽  
Seeking Behavior

Abstract Background: This study aimed to explore women’s tendency to seek Traditional Chinese Medicine and/or Western Medicine when newly diagnosed with menstrual syndromes, and to identify factors associated with their medical care-seeking behavior. Methods: Women aged 15 to 50 years with newly diagnosed menstrual syndromes were selected from Taiwan’s 2005 National Health Insurance Database. Follow-up was divided into 10 time-periods (1-6, 7-12, 13-18, 19-24, 25-30, 31-36, 37-42, 43-48, 49-54 and 55-60 months) after patients’ first visits for obstetric/gynecologic care. Patients’ tendency for medical care utilization was estimated using Poisson regression. Unadjusted and adjusted relative risks and their 95 % confidence intervals were calculated.Results: The number of Traditional Chinese Medicine utilization was 0.69, and Western Medicine utilization was 1.75 within six months after the first menstrual syndrome diagnosis. The tendency for Traditional Chinese Medicine utilization increased as follow-up time increased after controlling for potential confounders, while Western medicine utilization decreased gradually as follow-up time increased. Women’s age, economic status, infertility, value of prevention, baby delivery and Obstetric/ Gynecologic inpatient histories were significantly associated with their medical care-seeking behavior.Conclusions: Traditional Chinese Medicine and Western Medicine medical care-seeking patterns are significantly different among women with diagnoses associated with menstrual syndromes. Related factors affecting Medical care-seeking behavior have been explored in this study.

The Search for Medical Care: An Exploration of Urban Black Behavior

1978 ◽  
Vol 8 (3) ◽  
pp. 519-530 ◽  
Author(s):  
Gary W. Shannon ◽  
Rashid L. Bashshur ◽  
Carl W. Spurlock
Keyword(s):  
Medical Care ◽  
District Of Columbia ◽  
Lower Class ◽  
Care Seeking ◽  
Predominantly Black ◽  
Care Seeking Behavior ◽  
Seeking Behavior ◽  
Middle Socioeconomic Status ◽  
Varied Distribution ◽  
Middle Status

Results are presented of a study of the medical care-seeking behavior of black adult residents of lower and middle socioeconomic status in two predominantly black, yet geographically and socioeconomically distinct communities within the District of Columbia. Against a varied distribution of primary medical care opportunities within the District, substantial differences are demonstrated in their use by lower- and middle-status residents of a lower-class community. These differences are not, however, manifested among lower- and middle-status residents of an essentially middle-class neighborhood. The patterns of medical care-seeking behavior are observed within a framework of an almost total avoidance of the available medical care personnel and facilities in the proximate suburbs.

scholarly journals Spatial analysis of care-seeking behavior among malaria patients in China’s Malaria Eradication Program: A Geographic Information System Analysis

2019 ◽  
Author(s):  
Gang Li ◽  
Donglan Zhang ◽  
Zhuo Chen ◽  
Da Feng ◽  
Xiaoyu Chen ◽  
...  
Keyword(s):  
Medical Care ◽  
Malaria Treatment ◽  
Western China ◽  
Care Seeking ◽  
Eradication Program ◽  
Care Seeking Behavior ◽  
Seeking Behavior ◽  
Tertiary Hospitals ◽  
Malaria Eradication ◽  
Health Institutions

Abstract Background: China launched a new round of National Malaria Eradication Program (NMEP) in 2010 that sets the goal to eliminate malaria by 2020, while it has been challenged by the large-scale frequent population migration. To assess the influence of geographic mobility of population on the epidemiology of malaria, we conducted a comprehensive study about the care-seeking behavior among malaria patients. Methods: The malaria cases were identified within a national database from the National Health Commission of the People’s Republic of China. All health institutions and facilities reported malaria patient records during the period from January 2014 to December 2016. Overall 1633 malaria patients were selected in six provinces located in eastern, central and western China that saw most severe malaria epidemic using stratified sampling. Descriptive statistical analysis was used to investigate the distribution of malaria patients in various medical institutions, and the chi-square test was used to compare the cross-regional visit rates of different types of hospitals. Colored maps were drawn to visualize the spatial distribution of hospitals and spatial flow of malaria patients by using the ArcGIS software. Results: The proportions of malaria patients who sought medical care in general hospitals, township hospitals, and professional public health institutions were 81.7%, 14.7% and 3.6%, respectively. For those who visited hospitals, the percentages who chose provincial, prefecture-level and county-level hospitals for malaria treatment were 17.4%, 60.5% and 22.1%, correspondingly; the proportions of malaria patients who sought medical care in tertiary hospitals, secondary hospitals, and primary hospitals were 59.8%, 39.9% and 0.3%, respectively. Moreover, the proportions of inter-provincial, inter-city and inter-county patients were 3.9%, 82.4% and 80.2%, respectively. In addition, we also found that the percentage of malaria patients who sought treatment in designated hospitals was high. Conclusion: With the implementation of National Malaria Control Program (NMCP), malaria patients tended to seek medical care in designate tertiary hospitals, and slightly more than half of patients could be treated in health institutions and facilities in prefectural area. In the post-stage of malaria elimination, it is necessary to establish prompt response grassroots hospitals to refer malaria patients to designated malaria treatment hospitals.

Demographics and Care-Seeking Behaviors of Sexual Violence Survivors in South Kivu Province, Democratic Republic of Congo

2012 ◽  
Vol 6 (4) ◽  
pp. 393-401 ◽  
Author(s):  
Susan A. Bartels ◽  
Jennifer A. Scott ◽  
Jennifer Leaning ◽  
Jocelyn T. Kelly ◽  
Nina R. Joyce ◽  
...  
Keyword(s):  
Sexual Assault ◽  
Medical Care ◽  
Sexual Violence ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Medical Attention ◽  
Care Seeking ◽  
Care Seeking Behavior ◽  
Seeking Behavior ◽  
The Mean

ABSTRACTObjectives: One of the most striking features of the ongoing conflict in the Democratic Republic of Congo (DRC) is the use of sexual violence. In spite of the brutality of these crimes, the experiences of women affected by sexual violence in Eastern DRC remain poorly characterized. This analysis aimed to (1) provide detailed demographics of sexual violence survivors presenting to Panzi Hospital; (2) examine how demographic factors might impact patterns of sexual violence; and (3) describe care-seeking behavior among sexual violence survivors.Methods: The demographics and care-seeking behavior of sexual violence survivors in South Kivu Province were described from a retrospective registry-based study of sexual violence survivors presenting to Panzi Hospital (2004-2008).Results: A total of 4311 records were reviewed. The mean age of survivors was 35 years. Most women (53%) were married, self-identified with the Bashi tribe (65%), and reported agriculture as their livelihood (74%). The mean time delay between sexual assault and seeking care was 10.4 months. Five reasons were identified to help explain the lengthy delays to seeking care: waiting for physical symptoms to develop or worsen before seeking medical attention, lack of means to access medical care, concerns that family would find out about the sexual assault, stigma surrounding sexual violence, and being abducted into sexual slavery for prolonged periods of time.Conclusions: Many sexual assault survivors have very delayed presentations to medical attention. Promoting timely access of medical care may best be facilitated by reducing stigma and by educating women about the benefits of early medical care, even in the absence of injuries or symptoms.(Disaster Med Public Health Preparedness. 2012;6:393-401)

Relationship Between Parenting Stress and Concerns Identified by Developmental Screening and Their Effects on Parental Medical Care—Seeking Behavior

2008 ◽  
Vol 48 (4) ◽  
pp. 362-368 ◽  
Author(s):  
Robert G. Voigt ◽  
Shirley K. Johnson ◽  
Michael W. Mellon ◽  
Andrew H. Hashikawa ◽  
Lynnelle J. Campeau ◽  
...  
Keyword(s):  
Medical Care ◽  
Parenting Stress ◽  
Developmental Screening ◽  
Care Seeking ◽  
Care Seeking Behavior ◽  
Seeking Behavior
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