scholarly journals Treatment-Seeking Behavior Among Male Civil Servants in Northeastern Malaysia: A Mixed-Methods Study

Author(s):  
Pathman Arumugam ◽  
Tengku Alina Tengku Ismail ◽  
Aziah Daud ◽  
Kamarul Imran Musa ◽  
Noor Aman A. Hamid ◽  
...  

Background: Men’s health in Malaysia is slowly gaining more attention, but minimal research has examined how Malaysian men behave and seek treatment. While few studies have investigated men’s treatment-seeking behavior (TSB), those that have been conducted seem to be inconclusive and tend to yield contradictory findings. Objectives: This paper aims to determine the proportion of inappropriate TSB and to explore in-depth treatment-seeking behavior among male civil servants in northeastern Malaysia. Methods: This paper adopted a mixed-methods approach, specifically a concurrent parallel study design. A quantitative study using a self-administered questionnaire was performed to identify the proportion of appropriate and inappropriate TSB among male civil servants in northeastern Malaysia. Concurrently, a qualitative study was conducted involving six focus group discussion sessions, and the results of both parts were integrated to provide a detailed explanation of TSB among the participants. Results: A total of 381 participants were involved in the quantitative study, yielding a response rate of 94.8%; 246 (64.6%) engaged in inappropriate TSB. Some of the reported morbidities among the participants were hypertension (26.5%) and diabetes mellitus (26.2%). From the qualitative study, a main theme related to TSB emerged with several sub-themes, which were health literacy, stage of seeking treatment, preference for alternative treatment, perceived threat of illness, self-treatment, and the influence of family members and others. Conclusions: TSB among male civil servants in northeastern Malaysia is poor, and the factors contributing to it are multidimensional. This study has provided new valuable evidence on men’s TSB in northeastern Malaysia. The findings can be used to facilitate and improve current policies and the implementation of men’s health services throughout the country.

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Tingting Hou ◽  
Xusen Cheng ◽  
Xiankun Cheng

PurposeThe purpose of this paper is to explore the trust antecedents and the effect of trust and transaction cost on passengers' e-loyalty in the context of mobile commerce enabled ride-sharing.Design/methodology/approachA mixed-methods research is adopted to investigate the phenomena of interest. The qualitative study was used to identify the context-specific trust antecedents. The quantitative study investigated the effects of trust and transaction cost on e-loyalty by combining the results of qualitative study.FindingsThree important context-specific trust antecedents were identified in qualitative study, namely online rating score, service quality and driving skills. The quantitative study indicates that driving skills, explicit cost and implicit cost are positively associated with trust. Trust and implicit cost have direct and positive effects on e-loyalty.Research limitations/implicationsThis study contributes to understanding passengers' trust towards drivers in the context of mobile commerce enabled ride-sharing and the effect of trust on e-loyalty by including the transaction cost.Practical implicationsManagement to enhance passengers' e-loyalty to ride-sharing might involve the measures to promote trust relationship.Originality/valueLimited research has explored trust relationship for enhancing e-loyalty in the context of ride-sharing. The current study provides a novel contribution through an exploration of trust antecedents and the effects of transaction cost and trust on e-loyalty. The study has thrown light on the use of mixed-methods design in the research of user behavior in sharing economy.


2012 ◽  
Vol 12 (3) ◽  
pp. 287-304 ◽  
Author(s):  
Bente Heimtun ◽  
Nigel Morgan

This article attempts to engage and advance tourism’s epistemological and methodological discussions. It explores how the transformative paradigm offers an opportunity to feminist tourism researchers to broaden their methods base and obtain nuanced understandings of systematic and localised oppression without compromising research principles, such as positionality and reflexivity. To illustrate the value of this approach, we combine a qualitative study of midlife (35–55 years) single women’s holiday experiences with a follow-up quantitative study of young (18–30 years) single women’s experiences. We argue that merging these studies creates new understandings of intersecting power relations related to gender, age and singlehood and that in a broader sense working within the transformative paradigm has the potential to promote paradigm peace in feminist tourism research.


2018 ◽  
Vol 17 (2) ◽  
Author(s):  
Syamsul Ahmad Arifin ◽  
Afzan Mat Yusuf ◽  
Raja Ili Nabilah ◽  
Lokman Md Isa

As age advances most of body system will follow a process of deterioration too and the same goes for reproductive health. There is a gap between the prevalence of reproductive health disorders and rates of treatment. This gap among middle aged and older men is still wide compared to other chronic disease. In Islam, seeking medical treatment for the cure of diseases is part of the Prophet’s tradition and the Prophet (PBUH.) said in the Hadith the following: “For every disease there is a medicine, and if that medicine is applied to the disease, he will recover by Allah’s Leave.” Therefore the aim of this study is to identify a health seeking behaviour among men in for men’s health (MH) disorders in Kuantan. A cross sectional study was conducted among 157 respondents from four governments agencies and the data was collected using self-administered questionnaire modified from a valid and reliable measure. The results showed that 68.2% of the respondents (n=107) have high attitude in seeking for health regarding men’s health while for the rest of the respondents (n=50, 31.8%) have low attitude in seeking for MH. Men from the Service factor are perceived the highest compared the other two factors which are cultural and economic factors. This study showed that MH that includes reproductive disorders has always been taken lightly by the community itself. A Lack of awareness regarding ME issue causes men to ignore the importance of health screening. This should be improved in order to produce a healthy community for better Ummah since good heredity begins with good ME.


2020 ◽  
Author(s):  
Nurul Abdul ◽  
Hayati Kadir @ Shahar ◽  
Nor Afiah Mohd Zulkefli ◽  
Ahmad Iqmer Nashriq Mohd Nazan

BACKGROUND Unintentional injury is a global burden of disease that occurs everywhere, including our home. Young children are most vulnerable to home injuries because they are still developing their physical and psychological skills and spent most of their time at home. Despite being largely preventable, three consecutive national surveys show no reduction in the rate of injury among children under-five. More surprising, children from high-income families were found to have the highest incidence of injury, contradicting the findings from other countries. OBJECTIVE This study aims to identify the determinants of a non-adherence to unintentional home injury prevention practice among parents of under-five children in North Seberang Perai district, Penang. METHODS This sequential explanatory mixed-methods study consists of two phases starting with a quantitative study looking into respondents and their child’s sociodemographic status and their home injury prevention practice, followed by a qualitative study that interview parents with a low level of home injury prevention practice. In phase I, the parent or primary caregiver of a child age less than five years old who age 18 or older and is a Malaysian will be included in the study while being disabled or having a severe psychiatric disorder or having the index child diagnosed with chronic disease will make them not eligible to participate in the study. Derived using two population means formula, a sample size of 495 parents will be sampled among those with under-five children following up at the Maternal Child Health Department in the health clinics of North Seberang Perai using stratified systematic sampling. Independent t-test/Mann Whitney U, simple linear regression and multiple linear regression will be used for data analysis. The sample will be stratified according to household income to look for associated factors and determinants of low prevention practice. In phase II, parents with a low score from the quantitative study will be selected to participate in the qualitative study using purposive sampling. A semi-structured interview using the help of an interview guide will be carried out and recorded with a voice recorder. Thematic analysis approach will be used to analyse the qualitative data. RESULTS The study has been registered under the National Medical Research Registry and awaiting ethical approval. CONCLUSIONS It is hoped that findings from this study can shed light on the barriers faced by under-five parents in carrying out preventive measures at home.


2021 ◽  
Vol 20 ◽  
pp. S115
Author(s):  
T.M. Kazmerski ◽  
A. Clarke ◽  
O.M. Stransky ◽  
M. Bernard ◽  
K.S. Hughan ◽  
...  

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