Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.
Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.
PLoS One. 2023 Feb 9;18(2):e0281543. doi: 10.1371/journal.pone.0281543. eCollection 2023.
Healthcare-seeking behavior for children is crucial for reducing disease severity. Such behavior can improve child health outcomes and prevent child morbidity and mortality. The present study sought to analyze the determinants of mothers' engagement in healthcare-seeking behavior for children with common childhood diseases, focusing on mothers of children aged 0-59 months in Indonesia.
This cross-sectional study comprised a secondary data analysis using the 2002-2017 Indonesia Demographic and Health Survey (IDHS) databases. We included all women surveyed aged 15-49 years old who had children under five years of age. We weighted the univariate, bivariate, and multivariate logistic regression analysis of healthcare-seeking behavior for children aged 0-59 months.
We analyzed data for 24,529 women whose children were under five years of age at the time of survey. Common diseases, such as diarrhea, fever, and acute respiratory infection (ARI) were the most frequently cited reasons for healthcare-seeking behavior. During 2002-2017, the proportion of mothers seeking healthcare for their children with diarrhea increased from 67.70% to 69.88%, that with fever increased from 61.48% to 71.64% and that ARI increased from 64.01% to 76.75%. Multivariate analysis revealed that child's age, child's birth order, mother's education, ability to meet expenses, distance to nearest healthcare facility, wealth index, place of residence, and region of residence, were significantly associated with healthcare-seeking behavior.
Various individual and environmental-level factors influence healthcare-seeking behavior for childhood diseases. Available, accessible, and affordable health service facilities are recommended to assist socio-economically and geographically disadvantaged families.
儿童的医疗保健寻求行为对于减轻疾病严重程度至关重要。这种行为可以改善儿童的健康结局，预防儿童发病和死亡。本研究旨在分析母亲对儿童常见疾病的医疗保健寻求行为的决定因素，重点关注印度尼西亚 0-59 个月儿童的母亲。
这是一项使用 2002-2017 年印度尼西亚人口与健康调查（IDHS）数据库的横断面研究。我们纳入了所有年龄在 15-49 岁之间、有 5 岁以下儿童的被调查妇女。我们对 0-59 个月儿童的医疗保健寻求行为进行了单变量、双变量和多变量逻辑回归分析。
我们分析了 24529 名妇女的数据，这些妇女的孩子在调查时年龄在 5 岁以下。腹泻、发热和急性呼吸道感染（ARI）等常见疾病是寻求医疗保健行为的最常见原因。在 2002-2017 年期间，母亲为腹泻儿童寻求医疗保健的比例从 67.70%增加到 69.88%，为发热儿童寻求医疗保健的比例从 61.48%增加到 71.64%，为 ARI 儿童寻求医疗保健的比例从 64.01%增加到 76.75%。多变量分析显示，儿童年龄、儿童出生顺序、母亲教育程度、支付能力、最近医疗设施的距离、财富指数、居住地和居住地区与医疗保健寻求行为显著相关。
各种个体和环境层面的因素影响着儿童疾病的医疗保健寻求行为。建议提供可及、可负担的卫生服务设施，以帮助社会经济和地理条件不利的家庭。
