Factors associated with the healthcare-seeking behaviour of older people in Nigeria

Atchessi, Nicole; Ridde, Valéry; Abimbola, Seye; Zunzunégui, Maria-Victoria

doi:10.1016/j.archger.2018.07.015

Cited by 27 publications

(26 citation statements)

References 33 publications

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“…It is also possible that those nonutilizers who were aware of their elevated blood pressure faced competing obligations, such as concern about work and employment, which constrained health careseeking behavior. Finally, contrary to what has been reported in other populations [4,28,29], our latent class analysis indicated that the level of healthcare utilization was similar across incomes of those employed. This unexpected finding merits further inquiry, and research is needed to clarify the factors that may impact health care utilization.…”

Section: Discussioncontrasting

confidence: 99%

Sex differences in health status, healthcare utilization, and costs among individuals with elevated blood pressure: the LARK study from Western Kenya

et al. 2021

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Background Elevated blood pressure is the leading risk factor for global mortality. While it is known that there exist differences between men and women with respect to socioeconomic status, self-reported health, and healthcare utilization, there are few published studies from Africa. This study therefore aims to characterize differences in self-reported health status, healthcare utilization, and costs between men and women with elevated blood pressure in Kenya. Methods Data from 1447 participants enrolled in the LARK Hypertension study in western Kenya were analyzed. Latent class analysis based on five dependent variables was performed to describe patterns of healthcare utilization and costs in the study population. Regression analysis was then performed to describe the relationship between different demographics and each outcome. Results Women in our study had higher rates of unemployment (28% vs 12%), were more likely to report lower monthly earnings (72% vs 51%), and had more outpatient visits (39% vs 28%) and pharmacy prescriptions (42% vs 30%). Women were also more likely to report lower quality-of-life and functional health status, including pain, mobility, self-care, and ability to perform usual activities. Three patterns of healthcare utilization were described: (1) individuals with low healthcare utilization, (2) individuals who utilized care and paid high out-of-pocket costs, and (3) individuals who utilized care but had lower out-of-pocket costs. Women and those with health insurance were more likely to be in the high-cost utilizer group. Conclusions Men and women with elevated blood pressure in Kenya have different health care utilization behaviors, cost and economic burdens, and self-perceived health status. Awareness of these sex differences can help inform targeted interventions in these populations.

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Section: Discussioncontrasting

confidence: 99%

Sex differences in health status, healthcare utilization, and costs among individuals with elevated blood pressure: the LARK study from Western Kenya

et al. 2021

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“…It is possible that competing obligations, such as concern about work and employment, constrained health care-seeking behavior. Finally, contrary to what has been reported in other populations, (16,20,21) our latent class analysis indicated that the level of healthcare utilization was similar across incomes of those employed. This unexpected nding merits further inquiry, and research is needed to clarify the factors that may impact health care utilization.…”

Section: Discussioncontrasting

confidence: 99%

Sex Differences in Healthcare Utilization and Costs among Individuals with Elevated Blood Pressure: The LARK Study from Western Kenya

Sikka

DeLong

Kamano

et al. 2020

Preprint

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Background: Elevated blood pressure is the leading risk factor for global mortality. While it is known that there exist differences between men and women with respect to socioeconomic status, self-reported health, and healthcare utilization, there are few published studies from Africa. This study therefore aims to characterize differences in healthcare utilization and costs between men and women with elevated blood pressure in Kenya.Methods: Data from 1447 participants enrolled in the LARK Hypertension study in western Kenya were analyzed. Latent class analysis based on nine dependent variables was performed to describe patterns of healthcare utilization and costs in the study population. Regression analysis was then performed to describe the relationship between different demographics and each outcome. Results: Women in our study had higher rates of unemployment (28% vs 12%), were more likely to report lower monthly earnings (72% vs 51%), and had more outpatient visits (39% vs 28%) and pharmacy prescriptions (42% vs 30%). Three patterns of healthcare utilization were described: (1) individuals with low healthcare utilization, (2) individuals who utilized care but paid low out-of-pocket costs, and (3) individuals who utilized care but had higher out-of-pocket costs. Women and those with health insurance were more likely to be in the high-cost utilizer group. Women were also more likely to report lower quality-of-life and functional health status, including pain, mobility, self-care, and ability to perform usual activities. Conclusions: Men and women with elevated blood pressure in Kenya have different health care utilization behaviors, cost and economic burdens, and health outcomes. Awareness of these sex differences can help inform targeted interventions in these populations. Trial registration: ClinicalTrials.gov Identifier: NCT01844596, Date of registration: May 1, 2013. https://clinicaltrials.gov/ct2/show/NCT01844596

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“…There is therefore a mixed interplay between the individual and contextual factors on healthcareseeking behaviour and utilization of healthcare facilities [28]. Studies in both developed and developing countries that have examined the factors affecting healthcare-seeking behaviours predominantly examined predisposing, enabling and need factors mainly at the individual level [27][28][29][30], A few studies in Nigeria similarly demonstrated that the low-income earning, less educated, and rural-dwelling people were more likely to have inappropriate healthcare-seeking behaviour because of less-favourable predisposing and enabling factors [31][32][33][34]. A few studies among parents and healthcare-seeking behaviour for their children suggested that poor knowledge of danger signs, financial constraints and poor services at the healthcare facilities were the notable constraints to improved healthcare-seeking behaviour [35][36][37].…”

Section: Literature Review On Healthcare-seeking Behaviourmentioning

confidence: 99%

COVID-19: Parents’ Healthcare-Seeking Behaviour for their Sick Children in Nigeria - An Online Survey

Briggs

Kattey

2020

IJTDH

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Introduction: The current COVID-19 pandemic has greatly affected the wellbeing of children, either directly or through the effects of the response. Measures are in place to curb the spread of the virus in Nigeria, but little is known of the effect these stringent measures have on the healthcare-seeking behaviour of parents for their sick children. Aim: This survey sought to describe parents’ healthcare-seeking behaviour for their sick children during the COVID-19 lockdown in Nigeria. Study Design: Descriptive cross-sectional. Methods: A cross-sectional survey was conducted among Nigerian parents with children less than 18 years of age, via an online Google doc questionnaire administered through WhatsApp instant messaging. Using snowball sampling technique, 260 respondents from affected Nigerian states were recruited over one month. Chi-square tested differences between variables in assessing if healthcare-seeking behaviour was affected; statistical significance level was set at p-value <0.05. Results: The median age was 38 years (IQR:9); 155 (59.7%) were females, 167 (64.2%) had tertiary education, while 83 (31.9%) had low income. Half (50%) of the respondents cited that the lockdown had affected their healthcare-seeking behaviour for their sick children; this did not significantly differ by geopolitical zone of residence (χ2=3.90, p-value=0.42), and other variables. Thirty-seven 37 (14.3%) agreed their children couldn’t get routine immunizations as scheduled. Conclusion: The COVID-19 pandemic lockdown considerably affected parents’ healthcare-seeking behaviour for their sick children in Nigeria. Contextual strategies aimed at health system strengthening and improved accessibility are needed to mitigate the effect of COVID-19 on parental access and utilization of healthcare facilities.

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Factors associated with the healthcare-seeking behaviour of older people in Nigeria

Cited by 27 publications

References 33 publications

Sex differences in health status, healthcare utilization, and costs among individuals with elevated blood pressure: the LARK study from Western Kenya

Sex differences in health status, healthcare utilization, and costs among individuals with elevated blood pressure: the LARK study from Western Kenya

Sex Differences in Healthcare Utilization and Costs among Individuals with Elevated Blood Pressure: The LARK Study from Western Kenya

COVID-19: Parents’ Healthcare-Seeking Behaviour for their Sick Children in Nigeria - An Online Survey

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