埃塞俄比亚儿童腹泻、发热和呼吸道感染母亲/照顾者的医疗寻求行为水平及其相关因素的系统评价和荟萃分析。

Level of Mothers'/Caregivers' Healthcare-Seeking Behavior for Child's Diarrhea, Fever, and Respiratory Tract Infections and Associated Factors in Ethiopia: A Systematic Review and Meta-Analysis.

机构信息

School of Public Health, College of Medicine and Health Sciences, Dilla University, Ethiopia.

Department of Nutrition, School of Public Health, College of Medicine and Health Sciences, Dilla University, Ethiopia.

出版信息

Biomed Res Int. 2022 Jul 18;2022:4053085. doi: 10.1155/2022/4053085. eCollection 2022.

OBJECTIVE

To assess the pooled prevalence of mothers' or caregivers' healthcare-seeking behavior for childhood diarrhea, fever, and respiratory tract infections and associated factors in Ethiopia. . Systematic review and meta-analysis.

METHODS

Literature searches were conducted through databases (Google Scholar, PubMed, CINHAL, ScienceDirect, HINARI, and gray literatures) from September 1 to 30, 2021, using key terms in accordance with the PRISMA guidelines. The characteristics of the original articles were described using text and tables. Heterogeneity among the reported prevalence of studies was checked by using a heterogeneity test and I test. Publication bias was examined by performing Egger's correlation and Begg's regression intercept tests at a 5% significant level. A random-effect model was employed to estimate the pooled prevalence of the outcome variable and its determinants in Ethiopia.

RESULTS

Of the total identified studies, 25 studies were included in the review, with a total of 29,993 study participants. The overall pooled prevalence of mothers' or caregivers' health-seeking behavior for childhood diarrhea, fever, and respiratory tract infections was 60.33% (95% CI: 50.14-70.52). The significant factors were residence (AOR = 3.06, 95% CI: 1.11-8.39), wealth index (AOR = 2.18, 95% CI: 1.92-2.48), perceived severity of illness (AOR = 2.7, 95% CI: 1.12-6.51), and knowledge of the illness (AOR = 1.95, 95% CI: 1.37-2.75).

CONCLUSION

This review suggests that the overall pooled prevalence of mothers' or caregivers' HSB for childhood diarrhea, fever, and respiratory tract infections was 60.33%. Residence, wealth index, perceived severity of illness, and knowledge of the illness by mothers were the significant factors. Therefore, providing interventions by considering the above factors will improve the overall seeking behavior.

目的

评估埃塞俄比亚母亲或照顾者为儿童腹泻、发热和呼吸道感染寻求医疗服务的行为及其相关因素的综合流行率。系统评价和荟萃分析。

方法

根据 PRISMA 指南，于 2021 年 9 月 1 日至 30 日通过数据库（谷歌学术、PubMed、CINHAL、ScienceDirect、HINARI 和灰色文献）进行文献检索，使用关键词。使用文本和表格描述原始文章的特征。通过异质性检验和 I 检验检查报告研究流行率的异质性。通过在 5%的显著水平上进行 Egger 相关和 Begg 回归截距检验来检查发表偏倚。采用随机效应模型估计埃塞俄比亚结局变量及其决定因素的综合流行率。

结果

在总共确定的研究中，有 25 项研究被纳入综述，共有 29993 名研究参与者。母亲或照顾者为儿童腹泻、发热和呼吸道感染寻求医疗服务的综合流行率为 60.33%（95%CI：50.14-70.52）。显著因素包括居住地（AOR=3.06，95%CI：1.11-8.39）、财富指数（AOR=2.18，95%CI：1.92-2.48）、疾病严重程度感知（AOR=2.7，95%CI：1.12-6.51）和疾病知识（AOR=1.95，95%CI：1.37-2.75）。