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埃塞俄比亚提格雷州希雷镇5岁以下儿童母亲的现代健康寻求行为及相关因素:一项2018年的横断面研究

Modern health-seeking behaviour and associated factors among mothers having under 5-years old children in Shire town, Tigray, Ethiopia: A cross-sectional study 2018.

作者信息

Weldesamuel Girmay T, Alemayoh Tsega T, Atalay Hagos T, Zemichael Teklewoini M

机构信息

School of Nursing, Aksum University, Aksum, Tigray.

出版信息

Afr J Prim Health Care Fam Med. 2019 Aug 21;11(1):e1-e6. doi: 10.4102/phcfm.v11i1.1913.

Abstract

BACKGROUND

The practice of appropriate health care-seeking is important to reduce severe and life-threatening childhood illnesses. In Shire town, little is known about the mother's health care-seeking behaviour on childhood illness.

AIM

To assess modern health-seeking behaviour and associated factors of mothers having under 5-years old children in Shire town.

SETTING

The study setting was Shire town, northwest Tigray, Ethiopia.

METHODS

A community-based cross-sectional study was conducted to interview 504 mother-child pairs by systematic random sampling technique. Data were collected through interviewer-administered semi-structured questionnaires. Data were coded, entered, cleaned and edited using EPIDATA version 3.1 and export to Statistical Package for Social Science (SPSS) Version 22.0 for analysis. To identify the significant variables, binary logistic regression was employed. Variables with p-value 0.05 at 95% CI (confidence interval) in multivariate logistic regression were considered statistically significant.

RESULTS

In this study, around 76.2% (72.1, 80) of mothers sought modern health care. In a multivariate logistic regression analysis at a p-value of 0.05, caregivers with age of ≥ 28 years (AOR [adjusted odds ratios]: 1.65; 95% CI [1.02, 2.68]), educational level of secondary school and above (AOR: 0.44; 95% CI [0.23, 0.86]), child feeding per day 8 times (AOR: 2.77; 95% CI [1.75, 4.38]) and perceived severity of illness (AOR: 2; 95% CI [1.07, 3.82]) were statistically associated with modern health care-seeking behaviour.

CONCLUSION

Strengthen healthcare services is recommended at the community level through information, education and communication/behavioural change strategies to improve the mother's health care-seeking behaviour.

摘要

背景

采取适当的就医行为对于减少儿童严重及危及生命的疾病至关重要。在希雷镇,对于母亲在儿童患病时的就医行为了解甚少。

目的

评估希雷镇有5岁以下孩子的母亲的现代就医行为及相关因素。

地点

研究地点为埃塞俄比亚提格雷西北部的希雷镇。

方法

采用基于社区的横断面研究,通过系统随机抽样技术对504对母婴进行访谈。通过访谈员管理的半结构化问卷收集数据。使用EPIDATA 3.1版本对数据进行编码、录入、清理和编辑,并导出到社会科学统计软件包(SPSS)22.0版本进行分析。采用二元逻辑回归来确定显著变量。在多变量逻辑回归中,95%置信区间(CI)下p值为0.05的变量被认为具有统计学意义。

结果

在本研究中,约76.2%(72.1,80)的母亲寻求现代医疗服务。在p值为0.05的多变量逻辑回归分析中,年龄≥28岁的照料者(调整优势比[AOR]:1.65;95% CI[1.02,2.68])、中学及以上教育水平(AOR:0.44;95% CI[0.23,0.86])、每天喂养孩子8次(AOR:2.77;95% CI[1.75,4.38])以及对疾病严重程度的感知(AOR:2;95% CI[1.07,3.82])与现代就医行为在统计学上相关。

结论

建议通过信息、教育和交流/行为改变策略在社区层面加强医疗服务,以改善母亲的就医行为。

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