Federal Ministry of Health, Nifas Slik lafto Health office, Addis Ababa, Ethiopia.
Department of Reproductive Health, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Ital J Pediatr. 2021 Apr 21;47(1):99. doi: 10.1186/s13052-021-01049-w.
BACKGROUND: Appropriate healthcare-seeking behavior and access to the health care facility is key to improving health service utilization. Although the accessibility of comprehensive childhood disease intervention services in Ethiopia has been modified at the community level, the use of such health care services has remained limited. Therefore, this study aimed to assess the healthcare-seeking behavior of common childhood illness and its determinants. METHODS: A community-based cross-sectional study design was used. A multi-stage sampling method was used to recruit eight hundred and thirty-four study participants. A pre-tested and standardized questionnaire was used to collect data. The collected data were visually checked for incompleteness and entered into the statistical software Epi-info version 7 and exported to SPSS version 20 software for descriptive and bi-variable analysis. To identify variables associated with the healthcare-seeking behavior. Logistic regression analysis was performed. Adjusted odds ratios with a 95% confidence interval were used to see the strength of association, and variables with P-values of < 0.05 were considered statistically significant. RESULTS: The proportion of health care seeking behavior of care-givers for childhood illness was 69.5% (95% CI, 66.4, 72.4%). The education level of caregiver (AOR: 1.61, 95% CI: 1.01-2.60), knowledge of childhood illness (AOR: 2.02, 95% CI: 1.46-2.79), cough (AOR: 1.94, 95% CI: 1.39-2.71) and diarrhea (AOR: 2.09, 95% CI: 1.46-2.99) as main symptoms of illness and perceived severity of illness (AOR:3.12, 95% CI: 2.22-4.40) were significantly associated with healthcare-seeking behaviors of caregivers. CONCLUSION: Low healthcare-seeking behavior was observed for childhood illnesses. Educational level, knowledge of childhood illness, cough, and diarrhea as primary symptoms of illness, and perceived severity of caregiver illness were significant associated with healthcare-seeking behavior. Therefore, interventions that strengthen the caregiver's awareness of childhood illness and danger signs need to be considered. Besides, addressing the identified associated variables to healthcare-seeking behavior is critically important to curb the problem.
背景：适当的医疗保健寻求行为和获得医疗保健机构是改善卫生服务利用的关键。尽管埃塞俄比亚已经在社区层面上调整了全面儿童疾病干预服务的可及性，但此类卫生保健服务的使用仍然有限。因此，本研究旨在评估常见儿童疾病的医疗保健寻求行为及其决定因素。
方法：采用基于社区的横断面研究设计。使用多阶段抽样方法招募了 834 名研究参与者。使用预先测试和标准化的问卷收集数据。收集的数据进行了完整性目视检查，并输入到统计软件 Epi-info 版本 7 中，并导出到 SPSS 版本 20 软件进行描述性和双变量分析。为了确定与医疗保健寻求行为相关的变量。进行了逻辑回归分析。使用 95%置信区间的调整优势比来观察关联强度，并且认为 P 值 < 0.05 的变量具有统计学意义。
结果：照顾者对儿童疾病的医疗保健寻求行为的比例为 69.5%（95%CI，66.4，72.4%）。照顾者的教育水平（AOR：1.61，95%CI：1.01-2.60）、儿童疾病知识（AOR：2.02，95%CI：1.46-2.79）、咳嗽（AOR：1.94，95%CI：1.39-2.71）和腹泻（AOR：2.09，95%CI：1.46-2.99）作为疾病的主要症状以及对疾病严重程度的感知（AOR：3.12，95%CI：2.22-4.40）与照顾者的医疗保健寻求行为显著相关。
结论：儿童疾病的医疗保健寻求行为较低。教育水平、儿童疾病知识、咳嗽和腹泻作为疾病的主要症状以及照顾者对疾病严重程度的感知与医疗保健寻求行为显著相关。因此，需要考虑加强照顾者对儿童疾病和危险信号的认识的干预措施。此外，解决与医疗保健寻求行为相关的已确定相关变量对于遏制这一问题至关重要。
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