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Background Tuberculosis is the most common complication of pneumoconiosis, which accelerates the progression of pneumoconiosis. Pneumoconiosis combined with tuberculosis is a major health risk. Objective To understand the outpatient health service utilization for patients of pneumoconiosis combined with tuberculosis and its main influencing factors. Methods A stratified random sampling combined with non-random sampling was used to select 11181 pneumoconiosis patients in 27 provincial administrative regions (excluding Shanghai, Tianjin, Hainan, Tibet Autonomous Region, Taiwan, Hongkong and Macao Special Administrative Regions) from December 2017 to June 2021. A self-constructed questionnaire, i.e. Health Seeking Behaviors of Pneumoconiosis Patients and Their Influencing Factors, was used, which included basic information, outpatient and inpatient service utilization, and influencing factors of medical treatment behaviors of pneumoconiosis patients. The effective recovery rate of the questionnaire was 90.7%. All patients of pneumoconiosis combined with tuberculosis (n=762) were included as the study subjects. The difference of outpatient utilization in the past two weeks, choosing medical institutions, and the reasons of not seeking medical treatment between urban and rural areas, and the influencing factors of outpatient service utilization were analyzed. Results The study subjects were mainly silicosis combined with tuberculosis (502 cases, 65.9%) and coal workers' pneumoconiosis combined with tuberculosis (232 cases, 30.5%), aged (58.6±12.5) years old. The main region was Western China (45.1%), followed by Eastern China (22.1%), Centeral China (20.2%), and Northeastern China (12.6%). The outpatient utilization rate in the past two weeks was 38.5% (293/762), and the main medical institutions consulted were municipal or provincial hospitals (32.0%), district or county hospitals (28.6%), and township hospitals or health service centers (17.5%). Short distance (20.7%), the availability of specialist outpatient services (16.7%), high level of medical care (14.8%), and low medical cost (12.3%) were the main reasons in choosing medical institutions. Higher proportion of patients seeking medical services due to acute exacerbation in rural areas was reported than in urban areas in the past two weeks (P<0.01). In addition to being hospitalized (113 cases, 41.4%) and self-purchasing medicine (46 cases, 16.8%), the reasons for not seeking medical treatment were self-perceived mild symptoms (15.0%) and high medical cost without reimbursement (9.5%). The multiple regression results showed that outpatient rate for patients of pneumoconiosis combined with tuberculosis in the western region was higher than that in the eastern region (OR=1.66, 95%CI: 1.03, 2.68); patients with an annual personal income of 10000-35500 yuan had a higher outpatient rate than the > 35500 yuan income group (OR=2.54, 95%CI: 1.49, 4.36); the outpatient rate of silicosis patients was higher than that of coal workers' pneumoconiosis (OR=1.83, 95%CI: 1.23, 2.72); the outpatient rate of patients with clinically diagnosed cases (no classified stage of pneumoconiosis) was higher than that of patients with stage I pneumoconiosis (OR=2.32, 95%CI: 1.24, 4.31). Exacerbation of pneumoconiosis-related symptoms in past two weeks (OR=4.26, 95%CI: 2.89, 6.28), occupational injury insurance (OR=0.49, 95%CI: 0.30, 0.80), and hospitalization in past one year (OR=2.37, 95%CI: 1.41, 3.97) were the main factors influencing the outpatient health service utilization among patients of pneumoconiosis combined with tuberculosis. Conclusion The outpatient rate of patients of pneumoconiosis combined with tuberculosis is higher than that of patients of pneumoconiosis without tuberculosis. The utilization of outpatient services is related with disease factors and socio-economic security factors.
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Background: Under 5yrs mortality rates among male child is 30 and among female is 26 and overall infant mortality rate 24 per thousand respectively; these are the most vulnerable groups to different morbidity and mortality, and they ought to be fully dependent on parental knowledge and awareness to meet their health needs. Health seeking behavior (HSB) has become a tool for understanding the approach of people towards the health care systems in their respective socio-economic, cultural and demographic circumstances. A Community based Methods: descriptive study among “Tharu” ethnic women with children less than ?ve years of age in Triyuga Municipality, Nepal. Semi- structured questionnaire was used to collect socio-demographic information,, knowledge and current practice regarding health seeking behavior, including awareness and accessibility of health services. Among 406 respondents, 388 of Results: their children were reported ill within last 1 year, with fever accounting for 70%, followed by ARI (65%), diarrhea (6%) and others. Where 52.8% of respondents had appropriate HSB, taking their ill children to hospitals. More than 52% of respondents had hospitals as the ?rst preference for treatment for every morbidity. Except for access to health care facility, there was no signi?cant association of HSB was seen with parent's literacy,income, gender preference. With satisfactory Conclusion: awareness, literacy, and accessibility of health care centers, the HSB among tharu women, for the children morbidity seemed to be satisfactory in comparison to national scenario and other marginalized groups
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Background@#Ischemic Heart Disease is a chronic, progressive, and dynamic disease. It remains to be the number one cause of mortality globally and in the Philippines. Patients with IHD belong to the vulnerable group both before and during the COVID 19 pandemic. Currently, there have been changes in the healthcare system leading to decreased delivery of services such as outpatient care and development of medical care avoidance affecting patients’ clinical outcomes.@*Objectives@#This study aimed to determine if there are any changes in the health seeking behavior of these patients during the pandemic in a single tertiary hospital.@*Methods@#Descriptive and analytical cross-sectional design was used. Majority of the population were 60 years old and above, female, unemployed, non-smokers, diagnosed with IHD for 5 years, with hypertension and type 2 diabetes mellitus as co-morbidities.@*Results@#It was shown that majority did not have any change in the frequency of consultation with their cardiologists and majority preferred face-to-face consultation. For those who had decreased frequency of consultation, their reasons include fear of contracting COVID-19, lockdown and travel restrictions, limited number of patients catered at the clinic and lack of finances. Majority remained to be compliant with their maintenance medications and claimed to be willing to seek consult if they will experience severe symptom such as chest pain. For those who were not willing to go to the hospital despite having severe symptoms, the following were their reasons: fear of going out due to COVID 19, symptoms were tolerable and were not considered emergency and hospitals were in full capacity. Majority were not admitted in the hospital but those who were not admitted had less frequent consultation with their cardiologists. Despite the COVID threat, majority still agreed that constant follow-up with their cardiologist is of paramount importance.
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Myocardial Ischemia , COVID-19ABSTRACT
Introduction: Of the total population, elderly people comprised of 8.14% in India where in India or globally. Main challenges faced by the elderly in our country are feminization, ruralisation, migration, and an increasing number of 80?plus adults. This sudden change of environment or being left stranded alone unattended or being dependent on children for their necessities is a major cause of mental illnesses. Objectives: To study the socio?demographic profile, find out the different morbidities and assess the health?seeking behaviour of the study subjects. Materials and Methods: A community?based cross?sectional study was conducted in the field practice area of urban health and training center using the simple random sampling method. Results: The mean age of study subjects was 67.58 ± 6.53 years. Majority of participants, i.e., 308 (73.0%) were young old. 207 (49.1%) were illiterate, 272 (64.5%) unemployed 272 (64.5%) and 224 (53.1%) were living with their children, i.e., 224 (53.1%). Inappropriate health?seeking behavior was significantly associated with under?weight (P < 0.001) which accounted for 2/3rd of participants. Severe depression was observed among 59.5% participants. Females showed a higher proportion of myalgia (5.7%), whereas males showed preponderance of upper respiratory tract diseases (19.2%). The prevalence of inappropriate health?seeking behavior was higher in females (65.1%). The proportion of the elderly with poor health?seeking behavior was found to be 50.4%. Conclusion: Morbidity among the elderly is very high and health?seeking behavior is very poor. Hence, strong efforts are needed to provide them holistic care. Hence, this study was conducted to threw some light on health status of the elderly, their morbidity pattern and health?seeking behavior. It will help the policy-makers to prepare the intervention strategies at the community level.
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Background: World report on vision makes integrated people-centered eye care as care model of choice. Integrating eye care with the existing public health system makes services available, accessible, affordable, and sustainable. Being from the community, Accredited Social Health Activists(ASHAs) are better suited to improve people’s eye health-seeking behavior. Objectives: This study aims to assess the eye care-seeking behavior of community and to understand their response toward the approach of integrated vision centers (VC) with ASHA involvement. Methods: A cross-sectional descriptive study was conducted in South Delhi district where integrated VC were functional for more than a year. These centers were supervised by medical officer in?charge, under whom ophthalmic assistants, ASHAs, auxiliary nurse midwives, and pharmacist work. ASHAs were trained in community-based primary eye care. The community survey was conducted on eye health-seeking behavior and utilization of VC services. Descriptive statistics were used for data analysis. Results: Out of 1571 study participants, 998 reported any ophthalmic illness in family in the past 6 months as against 1302 who reported nonophthalmic illness in family. The majority (1461, 90%) were aware about integrated VC and half of them (748, 51.2%) visited it. Of them, 64.2% were motivated through ASHAs. ASHAs spread awareness about eye diseases, eye treatment facility, and referred patients from the community. The majority (93%) were happy with the integrated VC and 87.8% were happy with ASHAs. Conclusion: Integrated VC with ASHA engagement could pave the way for universal eye health. Understanding people’s needs and engaging community would increase the demand for eye care.
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Introduction: The Men who have Sex with Men (MSM) are a vulnerable population and need special at-tention in fight against the HIV/AIDS. The HIV trend has been an increasing trend among MSM. Methodology: It’s a facility based cross sectional study undertaken in the Targeted Intervention sites in Hyderabad, Telangana. A total of 300 Men who have Sex with Men who are above 18 years of age and registered were included. All the MSM visiting the TI centers during the study period were interviewed by using a pre-designed, pre-tested, semi structured and pre-coded proforma. Results: Majority of participants 119(39.66%) had their first sexual encounter at the age of 15-17 years. 130(43.33%) visited the Target Intervention centers 1-2 times during the last month. About half of the participants i.e., 141(47.00%) belongs to Kothi Group and most of the MSM i.e., 198(66.00%) used con-dom during the sex with male last time. Conclusions: Stigma and cultural intolerance of same-sex relations are often largely to blame for rising epidemics, and until these issues are addressed it will be difficult to make headway in reducing HIV in-fection levels among MSM - which, in turn, will hinder the wider global efforts to manage HIV and AIDS.
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Context: Reproductive health, a crucial aspect of general health is of significant importance for human development. Lack of awareness, cultural barriers and economic factors prevent them from seeking timely care. Aims and objectives: 1. To determine prevalence of gynecological morbidities among ever married women. 2. To assess the health seeking behavior for gynecological morbidities and 3. To explore factors associated with health seeking behavior Methods and Material: It was community based cross sectional study conducted during January 2011 to June 2012 at Nanded city in Maharashtra including 750 ever married women. Probability proportionate sampling using 30 stage cluster sampling technique was used. Out of 65 wards in city 30 wards were identified and 25 study subjects from each ward were selected by rotating bottle at centre of the ward and continuing survey in the direction of mouth of the bottle. Statistical analysis: Data analysis was carried out with the help of statistical measures, such as percentages, proportion, chi square test and chi square test for trend. Results: Menstrual irregularity 351 (46.8%) was commonestgynecological morbidity. Treatment seeking behaviour was best among women suffering from infertility. There was statistically significant association between types of gynecological morbidities, no. of gynecological morbidities and treatment seeking behaviour. Most common reason of not taking treatment was feeling no need of treatment. Conclusions: Treatment seeking behaviour differs in different type of gynecological morbidities. Commonly women prefer private health facility for taking treatment. Those women with a greater number of gynecological morbidities took treatment from health centre.
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Background: The aim of this study was to examine the correlates between health seeking behavior and health status among the Elderly group in Osun State, Nigeria.Material & Methods:A cross-sectional study was conducted in Osun State between July-October 2020. A multistage sampling method was used to select 433 people aged 60 years and older. The participants were interviewed face-to-face using a well-structured questionnaire. Both descriptive and inferential statistics was used to analyse data. Results:Findings from the study revealed that majority (77.8%) of the respondents had poor health status. Key findings showed that majority (72.4%) of respondents had good health seeking behaviour. Furthermore, age (p<0.05), marital status (p<0.05), educational status (p<0.05) and monthly income (p<0.05) were statistically associated with the health status of the elderly people.Conclusions:An adequate understanding of health seeking behaviour and its correlates with health status especially among the elderly people is needed to improve the health care in Nigeria. Although the elderly people have a good health seeking behaviour, it does not however translate to good health status. Therefore, strategies to improve the health status including improving their financial status should be developed with adequate health literacy. Elderly people should learn the importance of regular health examinations to promote health, prevent diseases, and slow the progress of chronic diseases.
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Introduction: Self-medication practice (SMP), is the one element of self-care, the use of medication without the prescription of medical professionals for the treatment of self-recognized illnesses. (E.g., resubmitting old prescriptions, sharing medication with relatives/family members, or using leftover medications) This study aims to determine the prevalence of self-medication practice and health-seeking behavior among medical students during the Covid 19 pandemic. Materials and Methods: This was a cross-sectional study on self-medication practice. A total of 510 MBBS students at Government Medical College, Ratlam were enrolled in the study taking care of inclusion criteria. Data was collected on a pre-designed semi-structured questionnaire through Google forms and was analyzed using Epi info (CDC version 6). Result: Out of 510 MBBS students, 394 students responded to fill the form with an overall response rate of 77%. Self-medication practice in the preceding 6 months amongst MBBS students was 291 (73.85%). There is a significant association between self-medication practice with age, gender, and 1st, 2nd and 3rd year of MBBS. Health-seeking behavior among students was found to be 26.14%. Conclusion: Self-medication practice is widely prevalent amongst MBBS students, especially during the Covid pandemic. Approx. 74% of MBBS Students practiced self-medication in the preceding 6 months.
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Introduction: Self-medication can lead to problems such as adverse effects and antibiotic resistance. This study was conducted to estimate the proportion of self-medication practice, to elicit the reasons for practicing self-medication, to find the factors associated with self-medication practice and to assess the health seeking behaviour among a rural community of West Bengal. Method: A study with mixed-methods approach was conducted among 212 households from four selected villages in a block of West Bengal. Focussed Group Discussions were held with respondents who were practising self-medication. Data were analysed using SPSS 25.0 and Atlas ti 7.0. Multivariable logistic regression was performed to find the factors associated with self-medication practice. Results: The proportion of self-medication practice was found to be 41%. Allopathy was most commonly preferred system of Medicine (78.8%). Statistically significant factors associated with self-medication practice were education upto Middle school (aOR 3.59) and Secondary level (aOR 10.71), Class III socio-economic status (aOR 5.03) and presence of acute illness (aOR 28.92). Conclusion: Proportion of self-medication practice among rural population was high. This needs to be addressed and health education should be provided to them.
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Introduction: People living with Chronic Viral Hepatitis in India often lack awareness about risk factors and prevention. Objective: Objective of this article is to assess the health seeking behaviour of viral hepatitis infected patients attending super specialty hospital in Delhi. Methods: Total 389 patients attending a super specialty hospital in Delhi were interviewed. Results: The first point of contact for the treatment of hepatitis was a private practitioner (71%). Before coming to ILBS, 77.4% visited a private practitioner, followed by (42.7%) Govt. facilities (PHC/CHC/DH/Medical College), 12% visited a AYUSH doctor, about 10% visited either a Vaidya or a Hakim. About 40% believed that HBV is curable and 36.2% respondents thought that HCV is curable. Our findings show that 7.2% respondents have been vaccinated for HBV infection in the past, 20.8% respondents have screened their families for Hepatitis B infections. Conclusion: Need to create awareness about myths, further screening of HBV and HCV infection, early diagnosis and treatment.
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Objective@#To investigate the health-seeking intention for urinary incontinence among adult women in Gansu Province, so as to provide insights into the management of female urinary incontinence.@*Methods @#Women at ages of 20 years and older who lived in 8 communities and 8 villages of Gansu Province for at least one year were recruited using the multi-stage stratified cluster random sampling method. A face-to-face questionnaire survey was conducted from October 2019 to February 2020, and the demographic features, urinary incontinence status and health-seeking intention were collected and descriptively analyzed.@*Results@#A total of 3 580 questionnaires were allocated and 3 485 were recovered, with a recovery rate of 97.35%. The respondents had a mean age of ( 51.18±17.13 ) years, with 1 759 respondents ( 50.47% ) that lived in urban areas, and 1 726 ( 49.53% ) that lived in rural areas. There were 1 150 respondents with self-reported urinary incontinence ( 33.00% prevalence ), including 340 cases with stress urinary incontinence ( 29.57% ), 78 cases with urge urinary incontinence ( 6.78% ) and 732 cases with mixed urinary incontinence ( 63.65% ). The overall proportion of health-seeking intention for urinary incontinence was 41.57%, and the proportions of health-seeking intention were 51.76%, 39.74% and 37.02% for stress, urge and mixed urinary incontinence, respectively. The proportion of health-seeking intention for urinary incontinence appeared a tendency towards a decline with the increase in household monthly income per capita and frequency of urinary leakage, and appeared a tendency towards a rise with the increase in educational levels ( P<0.05 ). In addition, a higher proportion of health-seeking intention for urinary incontinence was seen in women living in urban areas than in rural areas (5 3.63% vs. 31.98%, P<0.05 ), and a higher proportion was found in women with mental labors than in those with physical labors ( 60.81% vs. 40.24%, P<0.05 ), while a higher proportion was found in married women than in divorced or widowed women ( 44.33% vs. 23.53%, P<0.05 ).@*Conclusions@#There is a low proportion of health-seeking intention for urinary incontinence among adult women in Gansu Province. Age, occupation, place of residence, educational level, income, marital status, and frequency of urine leakage may affect the intention to seek medical care for urinary incontinence among adult women.
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Objective@# To investigate the health-seeking delay in tuberculosis among school students in Yining City, Xinjiang Uygur Autonomous Region from 2009 to 2020, and analyze the influencing factors, so as to provide the evidence for reducing the health-seeking delay in tuberculosis among students in Yining City.@*Methods@#The demographic features and diagnosis of students with tuberculosis in Yining City from 2009 to 2020 were retrieved from the Tuberculosis Management Information System of the Chinese Disease Control and Prevention Information System, and the factors affecting the health-seeking delay in tuberculosis were identified using the multivariable logistic regression analysis.@*Results@#A total of 443 students with tuberculosis were reported in Yining City from 2009 to 2020, including 209 boys and 234 girls, with a male/female ratio of 1∶1.12. There were 29 primary school students ( 6.55% ), 81 junior high school students ( 18.28% ), 187 high school students ( 42.21% ) and 146 college students ( 32.96% ) reporting tuberculosis, and 394 cases ( 88.94% ) had locally registered residence. There were 287 students with health-seeking delay in tuberculosis ( 64.79% ), and the median duration of health-seeking delay was 35 ( interquartile range, 33 ) days. Multivariable logistic regression analysis showed that registered residence ( local, OR=1.899, 95%CI: 1.004-3.591 ) and origin of tuberculosis patients ( clinical consultation, OR=3.448, 95%CI: 1.755-6.775; recommendation for symptoms, OR=3.215, 95%CI: 1.161-8.900; tracking, OR=2.415, 95%CI: 1.269-4.596 ) and diagnostic results ( positive sputum smears, OR=3.081, 95%CI: 1.710-5.551 ) statistically correlated with health-seeking delay among students with tuberculosis.@*Conclusions@#The proportion of health-seeking delay in tuberculosis was high among students in Yining City from 2009 to 2020; registered residence, origin of tuberculosis patients and diagnostic results were associated.
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Objective To investigate the health-seeking behaviors of imported malaria cases after returning to China, and to investigate the factors affecting the time to initial diagnosis, so as to provide the scientific evidence for early identification of imported malaria cases and prevention of severe cases development and secondary transmission. Methods The individual demographic features, and the disease onset and the time to initial diagnosis of imported malaria cases in Jiangsu Province in 2019 were captured from the National Notifiable Disease Report System and the Information Management System for Parasitic Disease Control in China. The characteristics of health-seeking behaviors and epidemiological features of imported malaria cases were descriptively analyzed, and the factors affecting the time to initial diagnosis of imported malaria cases after returning to China were identified using multivariate logistic regression analysis. Results A total of 244 imported malaria cases were reported in Jiangsu Province in 2019, and the time to initial diagnosis of the cases were 1-12 days, with mean time of (1.53 ± 1.65) days, with median time of one day. The highest number of malaria cases seeking healthcare services were found on the day of developing primary symptoms (76 cases, 31.1%), followed by on the second day (68 cases, 27.9%), on the third day (46 cases, 18.9%), and 54 cases (22.1%) received initial diagnosis 3 days following presence of primary symptoms, including 3 cases with initial diagnosis at more than one week. High proportions of imported malaria cases with a delay in the time to initial diagnosis were seen in migrant workers who returned to China in January (14 cases, 5.7%) and December (13 cases, 5.3%) and those aged between 41 and 50 years (32 cases, 13.1%). Multivariate logistic regression analysis showed relative short time to initial diagnosis among imported malaria cases returning to China on March [odds ratio (OR) = 0.16, P = 0.03, 95% confidence interval (CI): (0.03, 0.85)] and those with a history of overseas malaria parasite infections [OR = 0.36, P = 0.001, 95% CI: (0.19, 0.67)]. Conclusions Timely health-seeking behaviors should be improved among imported malaria cases in Jiangsu Province, patients with a history of overseas malaria infections require faster health-seeking activities.
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@#Introduction: Anaemia is a common health problem in Malaysia, most common being iron deficiency anaemia (IDA). This study aimed to assess knowledge, attitude, practices (KAP), and health-seeking behaviour (HSB) towards anaemia among undergraduate female students. Methods: A cross-sectional study was conducted among 180 female university students from a medical university in Malaysia. Data were collected using an online questionnaire comprising KAP and HSB. SPSS version 25.0 was used for statistical analysis. Results: Most participants (60%) had an appropriate level of knowledge about anaemia. A positive attitude was shown with adequate awareness of anaemia. A total of 55.5% of participants reported having good health practices. However, 52.9% of the participants consumed less iron-rich foods and 81.7% reported skipping meals. The overall observed healthseeking behaviour was good. A statistically significant relationship was found between knowledge with attitude (p=0.003) and practice (p=0.005). This study observed that the study population had poor nutritional status, long menstrual duration, and vegetarianism. Moreover, infrequent consumption of vitamin C-rich fruits and low iron-folate supplementation were also observed. Conclusion: A good level of knowledge on IDA among students was noted. However, most of the students showed a lack of positive attitude and good practices towards preventing anaemia. University students are prone to IDA due to a lack of KAP, which can significantly affect health-seeking behaviour. This issue should not be neglected; therefore, implementing intervention programmes to educate students on the preventive measures against the risk factors of IDA is recommended.
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Objective@#To explore the determinants for health-seeking behavior of the residents after cough for more than 3 weeks in Yiwu, Zhejiang Province, in order to provide reference for prevention and control of respiratory diseases.@*Methods@#A multi-stage cluster random sampling method was used to recruit the community residents aged 5 years and above in Yiwu. A face-to-face questionnaire survey was conducted to collect demographic information, features of cough and health-seeking behaviors in the past month. The multivariate logistic regression model was employed to analyze the associated factors for health-seeking behavior after a cough for more than 3 weeks. @*Results@#Among 6 374 residents investigated, 152 cases had a cough for more than 3 weeks in the past month, accounting for 2.48%. They were( 45.00±21.15 ) years old, including 70 ( 46.05% ) males and 82 ( 53.95% ) females. About 58.55% ( 89 ) of them sought medical treatment. The results of multivariate logistic regression analysis showed that females ( OR=2.100, 95%CI: 1.005-4.391 ), middle school education level ( OR=0.406, 95%CI: 0.168-0.983 ), family annual income of 100 000 to 199 999 yuan ( OR=2.993, 95%CI: 1.215-7.373 ) were associated factors for health-seeking behavior after a cough for more than 3 weeks.@*Conclusion@#The rate of health-seeking behavior after a cough for more than 3 weeks among the residents in Yiwu is 58.55%, which is associated with gender, education level and income.
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@#<p style="text-align: justify;"><strong>Background:</strong> Since 1987, data regarding dental caries prevalence in the Philippines has been shown to be over 90%.</p><p style="text-align: justify;"><strong>Objective:</strong> This study compared the trends of Filipino web searches regarding toothache and milk tea from 2017 to 2019 through spatio-temporal analyses.</p><p style="text-align: justify;"><strong>Methods:</strong> Google Trends searches for the years 2017, 2018, and 2019 were done using three separate search queries using the parameters "toothache" (TA) and "milk tea" (MT) as search terms, Philippines as location, Health as category, and Web Search as database.</p><p style="text-align: justify;"><strong>Results:</strong> The outcome showed a decreasing trend in searches for toothache and an increasing interest for milk tea web searches from 2017 to 2019. A multiple comparison test showed that searches for MT were significantly more than TA in 2017 (p<0.001), 2018 (p<0.001), and 2019 (p<0.001). Searches for TA during the 2nd, 3rd, and 4th quarter compared to the 1st quarter of the year, in Caraga, Eastern Visayas, Western Visayas and Zamboanga Peninsula compared to Manila, were found to be significantly high.</p><p style="text-align: justify;"><strong>Conclusion:</strong> Filipinos' health-seeking behavior show decreasing interest towards TA and increasing for MT.</p><p style="text-align: justify;"><strong>Key Words:</strong> spatio-temporal analysis, data mining, health-seeking behavior, dental care, Philippines</p>
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Spatio-Temporal Analysis , Data Mining , Dental CareABSTRACT
Background: Maternal attitude to health-seeking behavior of their under-five children in the COVID-19 pandemic is not well-known. Objectives: This study is aimed at determining mothers' perception of COVID-19 pandemic among their under-five children and associated factors. Methodology: This is a prospective and observational study carried out in two health institutions in South-East Nigeria. Results: Most subjects, 243 (65.3%) noted that someone without showing symptoms of COVID-19 could transmit the virus. Of the mothers of children under-five, 271 (72.8%) highlighted the possibility of COVID-19 infection in the under-five. A small number of participants 53 (14.2%) showed awareness that people should cough into their elbows as a way of preventing the transmission of COVID-19. A small number of participants, 160 (43.0%) had a good perception of COVID-19. Majority of mothers who were married, 148 (44.7%) showed a good perception of COVID-19 when compared with those who were single, 12 (29.3%); however, this is not significant, (χ2 = 3.550, P = 0.060). A large number of participants who have attained tertiary education, 92 (48.9%) had a good perception of COVID-19 which is higher than that seen in mothers with secondary education 68 (37.0%) (χ2 = 5.444, P = 0.020). Participants who were 3034 years had 1.8 times higher odds of good perception of COVID 19 compared with mothers who were more than 35 years (adjusted odds ratio = 1.803, 95% confidence interval = 1.0263.170). Conclusion: Although most mothers affirm that a child could be infected by COVID-19, a small number of them actually had a good perception of COVID-19 infection. Good perception of COVID-19 among the under-five is enhanced by the high level of education and age of 3234 years.
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Humans , Child, Preschool , Attitude to Health , COVID-19 , Perception , Maternal Health , Maternal Behavior , MothersABSTRACT
Aim:The health seeking behavior in the treatment of childhood malaria was assessed to investigate influence of educational level and occupation of caregivers on choice of health services. Methodology:Between September, 2005 and January, 2008 in two Local Government Areas of Imo State, Nigeria. A total of 6259 respondents were interviewed through household survey of caregivers domiciled in the communities in the study area. Results:Result showed the major malaria management practices in the study area to include; use of herbs from local healers, buying of over the counter anti-malarials from pharmacies and attendance to hospitals/clinics. The result also revealed that majority (35.4%) of respondents went to pharmacies for the treatment of their children while 27.1% of respondents were self-medicating. Some (9.8%) of the caregivers used herbs, while 3.7% visited both herbalists and hospitals. The malaria management practices differed significantly (P<.05) among occupational groups and educational levels.Conclusion:There should therefore be intensive and sustained public health education aimed at improving attitudes of care givers towards the use of health facilities for timely treatment of childhood malaria
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Background: Aging is a universal and inevitable process of life. Elderly people are the most vulnerable group in terms of their health. In India geriatric-aged population is increasing day by day. Understanding the morbidities and health-seeking behavior of the elderly is essential for strengthening geriatric health-care services delivery. Objectives: The objectives of the study were (1) to assess the morbidity pattern in elderly people and (2) to know the health-seeking behavior of the aged population. Materials and Methods: This community-based, cross-sectional, and descriptive study was conducted among 160 elderly individuals over a period of 3 months from February 2019 to April 2019. Participants were interviewed and clinically examined for the assessment of sociodemographic detail, morbidity profile, and health-seeking behavior. Results: Of 160 study subjects, 71 were males and 89 were females. The majority (61.3%) of the elderly were in the age group of 60–69 years. Overall the prevalence of morbidity was high, i.e., 76.9%. The most common illness was a nonspecific generalized weakness (48.1%) and gastrointestinal problems (44.4%). Majority of them (65.4%) have faith in allopathic medicines and used government facilities. Of the total morbid elderly, 15.5% of them could not get medical advice. Conclusions: High prevalence of morbidity among elderly population stresses the need to provide suitable health facilities and affordable health care to the elderly. Non-specific generalized weakness was one of the most important problems in this age group. Further research is to be done to know the cause of this weakness. Policymakers must focus on rural elderly and their beliefs which prevent them from seeking healthcare.