Health seeking behaviour and its determinants in urban areas of developing countries: A primary survey in Kolkata city, India

Patra, Mahua; Bandyopadhyay, Satarupa

doi:10.1002/hpm.3043

Cited by 9 publications

(6 citation statements)

References 34 publications

(55 reference statements)

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“…Older patients with higher educational attainment were more inclined to report public hospitals instead of primary care facilities as their USC. This finding is consistent with previous research in some low-and middle-income countries [47,59]. A prior study of 1,549 patients with hypertension living in China suggested that well-educated older patients were more likely to choose hospitals for health care [60].…”

Section: Discussionsupporting

confidence: 92%

Determinants of choice of usual source of care among older people with cardiovascular diseases in China: evidence from the Study on Global Ageing and Adult Health

Loban

Wei

et al. 2022

BMC Public Health

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Background Cardiovascular diseases (CVD) are emerging as the leading contributor to death globally. The usual source of care (USC) has been proven to generate significant benefits for the elderly with CVD. Understanding the choice of USC would generate important knowledge to guide the ongoing primary care-based integrated health system building in China. This study aimed to analyze the individual-level determinants of USC choices among the Chinese elderly with CVD and to generate two exemplary patient profiles: one who is most likely to choose a public hospital as the USC, the other one who is most likely to choose a public primary care facility as the USC. Methods This study was a secondary analysis using data from the World Health Organization’s Study on Global AGEing and Adult Health (SAGE) Wave 1 in China. 3,309 individuals aged 50 years old and over living with CVD were included in our final analysis. Multivariable logistic regression was built to analyze the determinants of USC choice. Nomogram was used to predict the probability of patients’ choice of USC. Results Most of the elderly suffering from CVD had a preference for public hospitals as their USC compared with primary care facilities. The elderly with CVD aged 50 years old, being illiterate, residing in rural areas, within the poorest income quintile, having functional deficiencies in instrumental activities of daily living and suffering one chronic condition were found to be more likely to choose primary care facilities as their USC with the probability of 0.85. Among those choosing primary care facilities as their USC, older CVD patients with the following characteristics had the highest probability of choosing public primary care facilities as their USC, with the probability of 0.77: aged 95 years old, being married, residing in urban areas, being in the richest income quintile, being insured, having a high school or above level of education, and being able to manage activities living. Conclusions Whilst public primary care facilities are the optimal USC for the elderly with CVD in China, most of them preferred to receive health care in public hospitals. This study suggests that the choice of USC for the elderly living with CVD was determined by different individual characteristics. It provides evidence regarding the choice of USC among older Chinese patients living with CVD.

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Section: Discussionsupporting

confidence: 92%

Determinants of choice of usual source of care among older people with cardiovascular diseases in China: evidence from the Study on Global Ageing and Adult Health

Loban

Wei

et al. 2022

BMC Public Health

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“…Women also experience more burdens of cultural expectations, social obligations and financial load than men. In contrast to men, women report a greater variety of reasons for adopting therapeutic alternatives associated with adjusting to these circumstances (Patra & Bandyopadhyay, 2020). This may be crucial when determining whether women receive adequate healthcare relative to men.…”

Section: Discussionmentioning

confidence: 99%

Health information sources and health‐seeking behaviours of Filipinos living in medically underserved communities: Empirical quantitative research

Kawi,

Fudolig,

Serafica

et al. 2024

Nursing Open

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AimsTo describe sources of health information and health‐seeking behaviours of adults (aged ≥18) living in medically underserved communities in the Philippines.DesignThis is a secondary, quantitative analysis from a cross‐sectional parent study. Participants completed a 10‐item, self‐report survey on their sources of health information, healthcare providers sought for health and wellness and health‐seeking behaviours when ill. Responses were evaluated across two age groups (<60 vs. ≥60 years) and genders using generalized linear mixed models.ResultsSurveys were completed by 1202 participants in rural settings (64.6% female, mean age 49.5 ± 17.6). Friends and/or family were their key source of health information (59.6%), followed by traditional media (37%) and healthcare professionals (12.2%). For health promotion, participants went to healthcare professionals (60.9%), informal healthcare providers (17.2%) or others (7.2%). When ill, they visited a healthcare professional 69.1% of the time, self‐medicated (43.9%), prayed (39.5%) or sought treatment from a rural health clinic (31.5%). We also found differences in health‐seeking behaviours based on age and gender.ConclusionsOur findings highlight the need to organize programs that explicitly deliver accurate health information and adequate care for wellness and illness. Study findings emphasize the importance of integrating family, friends, media and healthcare professionals, including public health nurses, to deliver evidence‐based health information, health promotion and sufficient treatment to medically underserved Filipinos.ImplicationsNew knowledge provides valuable information to healthcare providers, including public health nurses, in addressing health disparities among medically underserved Filipinos.ImpactThis study addresses the current knowledge gap in a medically vulnerable population. Healthcare professionals are not the primary sources of health information. Approximately one‐third of participants do not seek them for health promotion or treatment even when ill, exacerbating health inequities. More work is necessary to support initiatives in low‐ and middle‐income countries such as the Philippines to reduce health disparities.Reporting MethodWe adhered to the reporting guidelines of STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) for cross‐sectional studies.Patient or Public ContributionThere was no patient or public contribution as our study design and methodology do not make this necessary.

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“…Although it has been found that people with high opportunity and higher social background were more serious about treatment, the same study also found that the slum and nonslum people did not differ significantly in their healthcare-seeking behavior. [ 13 ]…”

Section: Discussionmentioning

confidence: 99%

Prevalence of chronic morbidities and healthcare seeking behavior among urban community dwelling elderly population residing in Kalyani Municipality area of West Bengal, India

Ahamed¹,

Ghosh

Kaur³

et al. 2021

Journal of Family Medicine and Primary Care

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Introduction: Demographic transition has resulted in higher proportion of elderly population in every community. The pattern of chronic morbidity along with healthcare seeking behavior and factors associated with it are important for implementation of national health policies targeted toward elderly population. Methods: A community based cross-sectional study was done including 457 urban dwelling elderly population of Kalyani Municipality area of West Bengal. Sociodemographic details, profile of chronic morbidities, and healthcare seeking behavior for chronic morbidities were studied using a pretested semi structured questionnaire. Results: The average education and financial independence were high among study participants. The prevalence of chronic morbidities was 82.3% and hypertension was the most common morbidity in both male and female. Around half of the individuals with chronic morbidities (57.7%) sought healthcare advice at least once in last 6 months. Most of the study participants preferred private healthcare setup and allopathic system of medicine. Females have been found to have higher treatment seeking behavior than males in logistic regression. Conclusion: We found hypertension and diabetes were more prevalent in the study population. Higher financial independence and education among study participants might have influenced the healthcare seeking behavior, which was mainly from private setup. Implementation of national health policies for elderly has to be accelerated in acceptable ways to promote health among elderly.

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Health seeking behaviour and its determinants in urban areas of developing countries: A primary survey in Kolkata city, India

Cited by 9 publications

References 34 publications

Determinants of choice of usual source of care among older people with cardiovascular diseases in China: evidence from the Study on Global Ageing and Adult Health

Determinants of choice of usual source of care among older people with cardiovascular diseases in China: evidence from the Study on Global Ageing and Adult Health

Health information sources and health‐seeking behaviours of Filipinos living in medically underserved communities: Empirical quantitative research

Prevalence of chronic morbidities and healthcare seeking behavior among urban community dwelling elderly population residing in Kalyani Municipality area of West Bengal, India

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