Determinants of delay in the health care seeking behaviour of STD patients

Jayapalan, Sabeena

doi:10.1016/j.cegh.2015.10.006

Cited by 11 publications

(19 citation statements)

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“…This similarity might be due to the similarity of sample size, design and study population. The finding of this study was also in line with studies conducted in Kerala of India (41.9%) [27],…”

Section: Discussionsupporting

confidence: 92%

Lack of Insight of Inner Eye Is the Reflection of Cognitive Behaviour

2022

IHM

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Background: Majority of STIs are curable, but a number of social and behavioral factors prevent from seeking healthcare treatment timely, which increases the burden of untreated infection. Thus, activities people do when they have symptoms or suspect they have STI has a big impact on disease transmission and control. Delays in seeking treatment for STIs after symptom recognition can increase the incidence of disease. Objective: To assess the magnitude of early health care seeking and associated factors among patients with sexually transmitted infections in public health facilities of Assosa Zone, Ethiopia, 2022. Method: An institution -based cross-sectional study was employed to collect data from 416 STI patients from May 15 to July 15, 2022. Data were collected using a pretested structured interviewer- administered questionnaire. A systematic sampling method was used to select study participants. Binary logistic regression analysis was used to identify factors associated with early health-seeking. Result: From total sample patients, 404 (97.12%) were successfully interviewed. From them 40.1% [95%CI (35.4, 44.9%)] of study participants seek health care early within 7 days. secondary educational level [AOR =0.45; 95% CI (0.23,0.90)], had good knowledge about STI [AOR =2.27; 95% CI (1.28,4.02)], perceived the severity of STI [AOR=2.24; 95%CI (1.19,4.21)], those who had fear of stigma for STI [AOR=0.40;95%CI (0.24,0.66)] and had single sexual partners [AOR=2.19; 95%CI (1.20,3.99)] were significantly associated with early of health care seeking for sexually transmitted infections. Conclusion: Lower than half of the study participants seek care early within seven days of onset of symptoms. Indepth health education is essential to raise awareness, avoid risky behaviors, and alter negative perceptions

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Section: Discussionsupporting

confidence: 92%

Lack of Insight of Inner Eye Is the Reflection of Cognitive Behaviour

2022

IHM

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“…The way such choices are made and the factors driving them have attracted many researchers. Previous studies indicated that the choice of hospitals is affected by several factors, such as personal preferences and interests (13, 15), service cost (3, 16–22), type and severity of the disease (13, 14, 18, 23–26), waiting time to receive services (22, 27), location and distance between the place of residence and the hospital (3, 9, 13, 16–20, 22, 28–31), availability of advanced medical equipment and technology (3, 13, 22–25, 29, 32), having health insurance (16, 23–25), interpersonal skills, and employees’ behavior (3, 16, 28, 33–35), physician’s expertise (16, 27, 29), hospital reputation (3, 16, 17, 22, 28, 34), service quality (3, 18, 20, 34–36), diversity and method of service provision (3, 16, 21), and patient’s economic capacity (13, 18, 23–26, 37). Several studies indicate that most people tend to choose qualified physicians and hospitals with a high reputation, regardless of the type and severity of their diseases in a context where citizens have full freedom (13).…”

Section: Introductionmentioning

confidence: 99%

What do Iranians value most when choosing a hospital? Evidence from a discrete choice experiment

Ranjbar,

Bazyar,

Pahlevanshamsi

et al. 2023

Preprint

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Background: Individual preferences have preceded the use of health care services, and it has been affected by different hospital attributes. This study aimed to elicit the Iranians' preferences in choosing hospitals using a discrete choice experiment. Methods: A discrete choice experiment (DCE) was conducted through face to face interviews with 301 respondents. The DCE was constructed by six attributes were included based on a literature review, qualitative interviews, Focus Group Discussion (FGD) and stakeholder consultation: waiting time, quality of care, travel time, hospital type, provider competency, and hospital facilities. individuals' preferences for hospital attributes were analyzed using a mixed logit model, and interaction terms were used to assess preference heterogeneity among individuals with different sociodemographic characteristics. Results: Participants had strong and significant preferences for care delivered in hospitals with 'full' (β=0.6052, p<0.001) or 'moderate' (β=0.5882, p<0.001) hospital equipment and with 'excellent' provider competency (β=0.2637, p<0.001). The estimated coefficients for the "waiting time of 120 minutes" (β=−0.1625, p<0.001) and the "travel time of 30 minutes" (β=−0.1157, p<0.001) were negative and significant. The results also show that the personal characteristics such as age, education level, and income significantly affected individual preferences in choosing a hospital. Conclusion: Considering people's preferences can be important given the more active role of today's patients in decision-making about their treatment processes. The results of this study should be taken into consideration by health policymakers and all stakeholders to be aware of differences in preferences of people and maximize their satisfaction. In this case, it is important to continuously involve people and consider their preferences in the design, topology, construction, and equipment of hospitals.

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“…Only half in India [ 21 ], and 35% in Ghana [ 22 ] seek care for the sexually transmitted diseases. Based on different studies; delay in seeking care for sexually transmitted diseases were related to high wealth index, presences of offensive odor, perception of symptoms as normal, feeling shay, lack of female health workers, distance to facility, lack of availability of treatments, having non-ulcerative STDs, age, religion, occupational status, and type of family [ 21 , 22 , 23 , 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

Self-reported syndromes of sexually transmitted infections and its associated factors among reproductive (15–49 years) age women in Ethiopia

Birhane

Simegn

Bayih

et al. 2021

Heliyon

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Background: Sexually Transmitted Infections (STIs) are among the most important causes of maternal and neonatal morbidity and mortality. It remains a significant public health problem and disproportionately affects women posing a large public health burden in low and middle-income countries. However, there is little information on the magnitude of self-reported syndromes of STIs among reproductive-age women in Ethiopia. Aim: This study aimed to determine the magnitude of self-reported syndromes of sexual transmitted infections and its associated factors among women of reproductive age in Ethiopia. Methods: The study was based on the data from the Ethiopian Demographic Health Survey of 2016. The data on the status of self-reported STIs were extracted from the individual women dataset, and a total of 15,683 reproductive-age women were involved in the study. Since the data has a hierarchical and cluster nature sampling weight was applied for all analysis procedures to account for complex survey design. Rao-scot chi-square test that adjusts for complex sample design was used to examine the association of outcome and independent variables. In, multivariable analysis, the level of statistical significance was declared at P-value 0.05. Findings and conclusions: The magnitude of self-reported STIs was 3.0 % (95% CI: 2.92-3.08). Among self-reported syndromes of STIs only, 33.3 % (158) seek care for sexually transmitted infections. Age (Adjusted Odds Ratio (AOR ¼ 2.15; 95%CI:1.4, 3.4)), marital status (AOR ¼ 1.72; 95%CI:1.02, 2.90), women attending higher education and above (AOR ¼ 2.67; 95%CI:1.57,4.57), history of termination of pregnancy (AOR ¼ 2.85; 95% CI:2.0,4.08), and risky sexual behavior (AOR ¼ 1.72; 95%CI:1.02,2.90) were found to be associated with selfreported syndrome of sexually transmitted infections. The magnitude of self-reported syndromes of STI and health care seeking behaviors among reproductive-age women was found low. Therefore, the government should enhance the awareness of women for sexually transmitted syndromes, and increase accessibility of STI services. Moreover, qualitative studies should be done to identify the demand, supply, and barriers related to STI among women of reproductive age women in Ethiopia.

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Determinants of delay in the health care seeking behaviour of STD patients

Abstract: c l i n i c a l e p i d e m i o l o g y a n d g l o b a l h e a l t h 3 ( 2 0 1 5

Cited by 11 publications

References 10 publications

Lack of Insight of Inner Eye Is the Reflection of Cognitive Behaviour

Lack of Insight of Inner Eye Is the Reflection of Cognitive Behaviour

What do Iranians value most when choosing a hospital? Evidence from a discrete choice experiment

Self-reported syndromes of sexually transmitted infections and its associated factors among reproductive (15–49 years) age women in Ethiopia

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