Factors influencing healthcare seeking in patients with dengue: Systematic review

Ng, Tze Chang; Teo, Chin Hai; Toh, Jia Yong; Dunn, Adam G.; Ng, Chirk Jenn; Ang, Tan Fong; Abdullah, Adina; Syed, Ayeshah; Lim, Hooi Min; Yin, Kathleen; Liew, Chee Sun

doi:10.1111/tmi.13695

Cited by 6 publications

(8 citation statements)

References 62 publications

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“…These include a lack of healthcare infrastructure at the district level, limited financial resources, and cultural beliefs that may discourage seeking medical care [ 18 ]. These barriers can be particularly challenging for women, who may face additional obstacles such as a lack of mobility, social norms that limit their ability to travel or interact with male healthcare providers, and a lack of education or awareness about dengue fever [ 19 , 20 ].…”

Section: Resultsmentioning

confidence: 99%

Twenty-two years of dengue outbreaks in Bangladesh: epidemiology, clinical spectrum, serotypes, and future disease risks

et al. 2023

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Dengue is the most rapidly spreading mosquito-borne disease and has become a major public health threat, particularly for tropical and subtropical countries including Bangladesh. This comprehensive review aims to summarize the overall scenario of dengue, including disease burden, clinical spectrum, seroprevalence, circulating serotypes/genotypes, and spatial distribution since the first recorded outbreak in Bangladesh. Since the first recorded outbreak in 2000, dengue epidemiology has shown the typical epidemic pattern with more frequent and bigger outbreaks and gradual geographic expansion to non-endemic regions in Bangladesh. For instance, highly confined Rohingya refugee camps that provide shelters to nearly 1.2 million forcibly displaced vulnerable Myanmar nationals in Cox’s Bazar district confronted a massive outbreak in 2022. Recent major outbreaks are found to be associated with the emergence of serotype DENV-3, which was undetected for a long time. Consequently, changes in serotypes might be attributed to increased severity in clinical manifestation in recent years. The existing weak surveillance and risk management systems are inadequate to deal with impending dengue risks. The healthcare system, particularly at the district level, is not prepared to manage impending large-scale dengue outbreaks in Bangladesh. Our findings would contribute to the development of strategies for dengue control and management in Bangladesh as well as other similar settings elsewhere in the world.

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Section: Resultsmentioning

confidence: 99%

Twenty-two years of dengue outbreaks in Bangladesh: epidemiology, clinical spectrum, serotypes, and future disease risks

et al. 2023

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“…However, a recent systematic review of factors influencing healthcare-seeking in patients with dengue revealed findings like what we uncovered in our interviews. Among the similar factors we discovered included individual (such as personal health belief, risk perception), interpersonal (social support) and organisational factors (access to healthcare: inconvenient operating hours, long waiting time, oversaturated emergency services) [ 23 ]. Considering these other factors is essential in physicians’ consultation with patients as the information conveyed by physicians would be more beneficial if they addressed the patients’ concern, belief and individual circumstances [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Self-care practices and health-seeking behaviours in patients with dengue fever: A qualitative study from patients’ and physicians’ perspectives

Toh

et al. 2023

PLoS Negl Trop Dis

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Introduction Outpatient management for dengue fever is the mainstay of treatment for most dengue cases. However, severe dengue can develop rapidly while patients are at home. Understanding the self-care practices and healthcare-seeking behaviours among dengue patients managed as outpatients will help improve the delivery of care to these patients. Objective This study aimed to explore the self-care practices, health-seeking behaviour and outpatient management of dengue fever from the perspectives of patients and primary care physicians. Methodology This qualitative study used in-depth interviews and focus group discussions to obtain information from laboratory-confirmed dengue patients who received outpatient care and primary care physicians who cared for them. Patients and physicians shared their experiences and perceptions of self-care practices, decisions to seek urgent care, and outpatient management procedures and visit frequency. Data were coded and analysed using thematic analysis. Results 13 patients and 11 physicians participated. We discovered that the use of traditional remedies was common with patients perceiving no harm from it, whereas physicians did not see a benefit. Dengue patients’ knowledge of warning signs was inadequate despite the information being provided by physicians during clinical follow-up visits. Regarding the decision to seek urgent medical care, physicians assumed patients would seek help immediately once they experienced warning signs. However, for the patients, other factors influenced their health-seeking behaviour, such as their personal perceptions of symptom severity and often more importantly, their social circumstances (e.g., availability of childcare). Patients also described regular outpatient follow-up for dengue as inconvenient. There was variation in the prescribed outpatient follow-up interval recommended by participating physicians who complained about the lack of clear guidelines. Conclusion Perceptions around self-care practices, health-seeking behaviour and outpatient management of dengue often differed between physicians and patients, especially on comprehension of dengue warning signs. Addressing these gaps between patient and physician perceptions and recognition of patient drivers of health-seeking behaviour are needed to improve the safety and delivery of outpatient care for dengue patients.

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“…Lack of resources and infrastructure for mosquito control and prevention measures can also increase the risk. Additionally, socioeconomic factors can impact healthcare-seeking behavior, which may delay the diagnosis and treatment of DHF cases [71], [72].…”

Section: B) Predictorsmentioning

confidence: 99%

Spatial Model of Dengue Hemorrhagic Fever (DHF) Risk: Scoping Review

Pakaya

Daniel

Widayani

2023

Preprint

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This review aims to provide a comprehensive overview of the important predictors, and additionally spatial modeling tools capable of producing Dengue Hemorrhagic Fever (DHF) risk maps. A literature search was conducted in PubMed, Scopus, Science Direct, and Google Scholar for studies reporting DHF risk factors. The Preferred Reporting Items for Systematic Reviews (PRISMA) 2020 statement is used to report this scoping review. It lasted from January 2011 to August of 2022. Initially 1329 articles were found, after inclusion and exclusion criteria, 45 manuscripts were selected. A variety of models and techniques were used to identify DHF risk areas with an arrangement of various multiple-criteria decision-making, statistical, and Machine Learning technique. We found that There was no pattern of predictor use associated with particular approaches; instead, a wide range of predictors was used to create DHF risk maps. Predictors are various variables or factors that are considered when assessing the likelihood or intensity of DHF outbreaks in a specific area in the context of DHF risk mapping. These predictors can include climatology factors (e.g., temperature, rainfall, humidity), socio-economic indicators (e.g., population density, urbanization level), environmental factors (land-use, elevation) and other relevant factors (e.g., mosquito abundance, previous DHF cases). The spatial model of DHF risk is a valuable tool for public health authorities, policymakers, and communities to identify areas at higher risk of dengue transmission, but its limitations underscore the importance of complementing it with other approaches and considering contextual factors for a more holistic assessment of DHF outbreaks. It enables targeted interventions, such as vector control measures and public awareness campaigns, to be implemented in high-risk areas, ultimately helping to mitigate the impact of dengue outbreaks and protect public health.

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Factors influencing healthcare seeking in patients with dengue: Systematic review

Cited by 6 publications

References 62 publications

Twenty-two years of dengue outbreaks in Bangladesh: epidemiology, clinical spectrum, serotypes, and future disease risks

Twenty-two years of dengue outbreaks in Bangladesh: epidemiology, clinical spectrum, serotypes, and future disease risks

Self-care practices and health-seeking behaviours in patients with dengue fever: A qualitative study from patients’ and physicians’ perspectives

Spatial Model of Dengue Hemorrhagic Fever (DHF) Risk: Scoping Review

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