scholarly journals Health seeking behavior of Japanese retirees in Thailand:  a cross-sectional study

2021 ◽  
Author(s):  
Yumiko Miyashita ◽  
Chutima Akaleephan ◽  
Liviu Vedrasco
Keyword(s):  
Health Insurance ◽  
Medical Treatment ◽  
Chronic Diseases ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Cross Border ◽  
Medical Facilities ◽  
Seeking Behavior ◽  
Receive Treatment ◽  
To Receive

Abstract Background: Despite widespread cross-border migration of retirees, little is known about their healthcare seeking behavior in a destination country. This study explores factors related to the use of health services in Thailand by Japanese long-stay retirees.Methods: A survey of Japanese long-stay retirees aged 50 and older was conducted in cooperation with nine Japanese self-help clubs in Bangkok, Chiang Mai, Chiang Rai, and Phuket. The dependent variable was receiving medical treatment in Thailand in the previous 12 months. People who did not receive treatment in Thailand were divided into two groups; those who had treatment only in Japan and those who did not have treatment anywhere. Independent variables included i) predisposing factors: age, sex, years lived in Thailand, ii) enabling factors: marital status, adjusted annual household income, and iii) need factors: existence of chronic diseases and health related quality of life. Results: Of 226 eligible participants, 106 (47%) received medical treatment in Thailand, 41 (18%) received treatment only in Japan, and 79 (35%) did not receive treatment in any country in the previous 12 months. Multivariate analysis identified that Japanese retirees who stayed in Thailand for less than five years were less likely to receive treatment in Thailand. Retirees who had no chronic diseases and did not return to Japan tended to not receive treatment anywhere while those who were covered by Japan’s national health insurance and stayed in Thailand for shorter periods in the past 12 months were more likely to receive treatment only in Japan. Conclusion: The Thai government’s retirement tourism promotion policy should encourage sharing of transparent medical quality and pricing information by medical facilities to facilitate access among foreign retirees, especially of relative newcomers to reliable medical facilities and promote the trust in Thai medical services. As this study indicates medical cost and health insurance coverage is an important factor of one’s cross-border health seeking behavior, further studies are required to evaluate the impact of the 2017 and 2019 government policy on mandatory health insurance for retirees on their health seeking behaviors.

scholarly journals Health seeking behavior of Japanese retirees in Thailand:  a cross-sectional study

2020 ◽  
Author(s):  
Yumiko Miyashita ◽  
Chutima Akaleephan ◽  
Liviu Vedrasco
Keyword(s):  
Health Insurance ◽  
Medical Treatment ◽  
Chronic Diseases ◽  
Health Seeking ◽  
Annual Household Income ◽  
Cross Sectional ◽  
Medical Quality ◽  
Seeking Behavior ◽  
Receive Treatment ◽  
The Impact

Abstract Background Despite widespread cross-border migration of retirees, little is known about their healthcare seeking behavior in a destination country. This study explores factors related to the use of health services in Thailand by Japanese long-stay retirees. Methods A survey of Japanese long-stay retirees aged 50 and older was conducted in cooperation with nine Japanese self-help clubs in Bangkok, Chiang Mai, Chiang Rai, and Phuket. The dependent variable was receiving medical treatment in Thailand in the previous 12 months. People who did not receive treatment in Thailand were divided into two groups; those who had treatment only in Japan and those who did not have treatment anywhere. Independent variables included i) predisposing factors: age, sex, years lived in Thailand, ii) enabling factors: marital status, adjusted annual household income, and iii) need factors: existence of chronic diseases, and health related Quality of Life. Results Of 226 eligible participants, 106 persons (47%) received medical treatment in Thailand, 41 (18%) received treatment only in Japan, and 79 (35%) did not in either country in the previous 12 months. The multivariate analysis identified that Japanese retirees who stayed in Thailand less than five years were less likely to see doctors in Thailand. Retirees who had no chronic diseases and did not return to Japan tended not to receive treatment anywhere while those who were covered by Japan’s national health insurance and stayed in Thailand for shorter periods in the past 12 months were more likely to get treatment only in Japan. Conclusion Thai government’s retirement tourism promotion policy should encourage sharing of transparent medical quality and pricing information by medical facilities to promote the trust in Thai medical services. Further studies are required on the impact of the 2017 and 2019 government policy on mandatory health insurance for retirees on their health seeking behaviors. It is also important to explore possible long-term impacts of the COVID-19 pandemic on the international retirement migration trends including on the Japanese and other retirees in Thailand.

scholarly journals Hubungan Faktor Pemungkin dengan Perilaku Pencarian Pengobatan Anak Jalanan di Kota Bekasi Tahun 2017

2018 ◽  
Vol 46 (2) ◽  
pp. 119-128
Author(s):  
Luna Amalia
Keyword(s):  
Health Insurance ◽  
Street Children ◽  
Good Health ◽  
P Value ◽  
Health Seeking ◽  
Self Medication ◽  
Enabling Factors ◽  
Cross Sectional ◽  
Health Seeking Behavior ◽  
Seeking Behavior

Abstract Street children have a high risk of health problems. This study aims to determine the enabling factors (shelter membership, availability of health insurance, accessibility of health care and social support) associated with the health seeking behavior of street children in Bekasi City. The study design was crosssectional with the sample size of 130 respondents. Analysis results showed that the most of the respondents (82,7%) had poor health seeking behavior. The results of bivariate analyzed showed that the availability of health insurance was significantly associated with health seeking behavior of the street children (p value = 0,054). Street children who had health insurance had an opportunity for good health seeking behavior 2,7 times higher than those who did not have health insurance. It was suggested that data collection of health seeking behavior and the safety of self medication was important as to determine the health needs of street children. Keywords : health seeking behavior, street children Abstrak Anak jalanan memiliki risiko tinggi gangguan kesehatan. Penelitian ini bertujuan untuk mengetahui hubungan faktor pemungkin (kepesertaan rumah singgah, ketersediaan jaminan kesehatan, aksesibilitas pelayanan kesehatan dan dukungan sosial) dengan perilaku pencarian pengobatan anak jalanan di Kota Bekasi. Desain penelitian menggunakan cross sectional dengan jumlah sampel 130 responden. Hasil penelitian menunjukkan bahwa sebagian besar responden (82,7%) melakukan perilaku pencarian pengobatan yang kurang baik. Hasil analisis bivariat menunjukkan bahwa ketersediaan jaminan kesehatan berhubungan signifikan dengan perilaku pencarian pengobatan anak jalanan (p value = 0,054). Anak jalanan yang memiliki jaminan kesehatan, memiliki peluang untuk pencarian pengobatan yang baik sebesar 2,7 kali lebih tinggi dibandingkan anak jalanan yang tidak memiliki jaminan kesehatan. Disarankan pentingnya pendataan anak jalanan dan swamedikasi yang tepat dan aman bagi anak jalanan. Kata kunci : Perilaku, pencarian pengobatan, anak jalanan

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 ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Rural Areas ◽  
Population Based ◽  
County Level ◽  
Health Seeking ◽  
Population Based Study ◽  
Health Seeking Behavior ◽  
Seeking Behavior ◽  
Accompanying Symptoms ◽  
And Control

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.

scholarly journals Health Seeking Behavior and Associated Factors among Individuals with Cough in Yiwu, China: A Population-based Study

2020 ◽  
Author(s):  
xiaoyan sun ◽  
Shuying Luo ◽  
Lingqiao Lou ◽  
Hang Cheng ◽  
Zhen Ye ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Rural Areas ◽  
Population Based ◽  
County Level ◽  
Health Seeking ◽  
Population Based Study ◽  
Health Seeking Behavior ◽  
Seeking Behavior ◽  
Accompanying Symptoms ◽  
And Control

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.

scholarly journals A study of factors which determine health seeking behavior of mothers for their under five children in rural area of Gujarat

2017 ◽  
Vol 4 (11) ◽  
pp. 4169 ◽  
Author(s):  
Pravin N. Yerpude ◽  
Keerti S. Jogdand ◽  
Jay H. Shah ◽  
Kinnari B. Thacker
Keyword(s):  
Public Sector ◽  
Private Sector ◽  
Care Seeking ◽  
Health Seeking Behaviour ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Factors Affecting ◽  
Childhood Illnesses ◽  
Seeking Behavior ◽  
Receive Treatment

Background: Childhood illnesses present a major public health challenge for developing countries like India which is aggravated by a suboptimal health seeking behaviour by the parents or guardians. Appropriate medical care seeking could prevent a significant number of child deaths and complications. The present study aims to determine the factors affecting health seeking behavior for childhood illnesses, thereby improving child survival.Methods: This was a cross-sectional study conducted in rural area of Gujarat. Study subjects were patients aged 2 months to 5 years of age who presented to the outpatient department of Rural Health Training Centre. The health seeking behavior of mothers for their child’s illness and the factors affecting it were analyzed. Results: Regarding utilizing the curative aspect of healthcare-seeking behavior, out of total 147 male children, treatment was not received by 31 children (21.09%), while those who received treatment, 71 males (48.30%) get treatment at the public sector and 45 males (30.61%) get treatment at private sector. It indicated the promptness, concern and utmost care for male children by their mothers. Out of 90 female children, in 30.00% of the cases, no treatment was received. 42 females (in 46.67% cases) receive treatment at public sector and 21 females (in 23.33% cases) receive treatment at private sector. The association between mass media exposure and health care seeking behavior was found to be statistically significant. The association between working status of mother and health seeking behavior was not found statistically significant. Conclusions: For the preventable childhood illnesses, appropriate health seeking behaviour is low. Intervention programs focusing on educational improvement of the caretakers, introduction of community based integrated management of childhood illness are likely to contribute to improve the health seeking behaviour and child survival. 

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