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在资源有限的环境中应对 COVID-19 大流行的健康知识和求医行为:加纳的一项定性研究。

Health knowledge and care seeking behaviour in resource-limited settings amidst the COVID-19 pandemic: A qualitative study in Ghana.

机构信息

Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.

Department of Population and Behavioural Sciences, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.

出版信息

PLoS One. 2021 May 5;16(5):e0250940. doi: 10.1371/journal.pone.0250940. eCollection 2021.

Abstract

BACKGROUND

The emergence of a pandemic presents challenges and opportunities for healthcare, health promotion interventions, and overall improvement in healthcare seeking behaviour. This study explored the impact of COVID-19 on health knowledge, lifestyle, and healthcare seeking behaviour among residents of a resource-limited setting in Ghana.

METHODS

This qualitative study adopted an exploratory design to collect data from 20 adult residents in the Cape Coast Metropolis using face-to-face in-depth interviews. Data collected were analysed thematically and statements from participants presented verbatim to illustrate the themes realised.

RESULTS

Health knowledge has improved due to COVID-19 in terms of access to health information and increased understanding of health issues. There were reductions in risky health-related lifestyles (alcohol intake, sharing of personal items, and consumption of junk foods) while improvements were observed in healthy lifestyles such as regular physical exercise and increased consumption of fruits and vegetables. COVID-19 also positively impacted health seeking behaviour through increased health consciousness and regular check-ups. However, reduced healthcare utilization was prevalent.

CONCLUSION

The COVID-19 pandemic has presented a positive cue to action and helped improved health knowledge, lifestyle, and care seeking behaviour although existing health system constrains and low economic status reduced healthcare utilization. To improve health systems, health-related lifestyles and healthcare seeking behaviour as well as overall health outcomes even after the pandemic wades off, COVID-19 associated conscious and unconscious reforms should be systematically harnessed.

摘要

背景

大流行的出现给医疗保健、健康促进干预措施以及整体医疗保健寻求行为的改善带来了挑战和机遇。本研究探讨了 COVID-19 对加纳资源有限环境中居民的健康知识、生活方式和医疗保健寻求行为的影响。

方法

本定性研究采用探索性设计,通过面对面深入访谈从开普敦都会区的 20 名成年居民中收集数据。采用主题分析法对收集到的数据进行分析,并逐字呈现参与者的陈述以说明所实现的主题。

结果

在获取健康信息和提高对健康问题的理解方面,COVID-19 提高了健康知识。减少了危险的与健康相关的生活方式(饮酒、个人物品共享和垃圾食品消费),同时改善了健康的生活方式,如定期体育锻炼和增加水果和蔬菜的消费。COVID-19 通过提高健康意识和定期体检,也对寻求医疗保健的行为产生了积极影响。然而,医疗保健的利用率有所下降。

结论

尽管存在卫生系统限制和低经济地位降低了医疗保健的利用率,但 COVID-19 大流行带来了积极的行动契机,有助于提高健康知识、生活方式和寻求医疗保健的行为以及整体健康结果。为了改善卫生系统、与健康相关的生活方式和医疗保健寻求行为以及整体健康结果,即使大流行消退后,也应系统地利用与 COVID-19 相关的有意识和无意识的改革。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83f9/8099062/02eb938b7e99/pone.0250940.g001.jpg

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