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埃塞俄比亚南部五岁以下儿童母亲对常见儿童疾病的现代就医行为水平及其相关因素:一项基于社区的研究。

Level of modern health-seeking behavior for common childhood illnesses and its associated factors among mothers of under-five children in southern Ethiopia: A community based study.

作者信息

Yeheyis Tomas, Lemma Kidanemihret, Nuramo Asebech, Musema Merema, Dolmolo Abdo, Aynalem Amdehiwot, Mekonnen Shewangizaw

机构信息

School of Nursing, College of Medicine and Health Sciences, Hawassa University, Ethiopia.

出版信息

Heliyon. 2023 Sep 13;9(9):e20121. doi: 10.1016/j.heliyon.2023.e20121. eCollection 2023 Sep.

Abstract

BACKGROUND

Health-seeking behavior is an action taken by an individual who perceives to have a health problem. Many childhood morbidities and mortalities are associated with a low level of a mother's healthcare-seeking behavior. However, there are limited studies about modern health-seeking behavior among mothers of ill under-five children in the study area.

OBJECTIVE

To assess the level of modern health-seeking behavior of mothers/caregivers and associated factors for childhood illness in Hawassa city, Sidama, Ethiopia 2021.

METHODS

A community-based cross-sectional study was conducted from November 15 to December 15, 2021, in Hawassa City. Eight kebeles were selected by using simple random sampling methods. A total of 366 mothers with children less than five years were included in this study and an interviewer-administered questionnaire was used to collect data. Data entry, cleaning, and analysis were done by using Statistical Package for Social sciences version 24 and logistic regression was used to determine the presence of association, and significance was declared at p-value <0.05.

RESULT

The study found that 70.2% of mothers/caregivers seek modern health care for their child's illnesses. Number of Antenatal care follow up ([AOR(Adjusted Odds Ratio) = 2.106; 95% CI(Confidence Interval) (1.097-4.042)), urban residence ([AOR = 2.688; 95% CI (1.403-5.149)), perceived severity of illness ([AOR2.832; 95% CI1.101-7.290)), four or above birth order (5.501; 95% CI (1.761-17.184)) and symptoms guiding severity of illness ([AOR = 4.664; 95% CI (1.918-11.342)) were associated with modern health-seeking behavior.

CONCLUSION

The overall modern health-seeking behaviors of mothers of under-five children are higher than in previous studies. However, a still significant proportion of mothers do not seek modern health care for their ill children. mothers/caregivers' residence, birth order, number of Antenatal care follow-ups, perceived severity of childhood illness, and perceived guiding symptoms of severity are the significant predictors of mothers' healthcare-seeking behavior.

摘要

背景

求医行为是个体在察觉到自身存在健康问题时采取的行动。许多儿童发病率和死亡率都与母亲较低的求医行为水平相关。然而,关于研究区域内五岁以下患病儿童母亲的现代求医行为的研究有限。

目的

评估2021年埃塞俄比亚锡达马州哈瓦萨市母亲/照料者的现代求医行为水平以及儿童疾病的相关因素。

方法

2021年11月15日至12月15日在哈瓦萨市开展了一项基于社区的横断面研究。采用简单随机抽样方法选取了8个社区。本研究共纳入366名有五岁以下子女的母亲,并使用访谈式问卷收集数据。使用社会科学统计软件包第24版进行数据录入、清理和分析,并使用逻辑回归确定关联的存在,p值<0.05时具有统计学意义。

结果

研究发现,70.2%的母亲/照料者会为孩子的疾病寻求现代医疗服务。产前检查次数([调整优势比(AOR)=2.106;95%置信区间(CI)(1.097 - 4.042)])、城市居住情况([AOR = 2.688;95% CI(1.403 - 5.149)])、感知到的疾病严重程度([AOR 2.832;95% CI 1.101 - 7.290])、出生顺序为四个及以上(5.501;95% CI(1.761 - 17.184))以及指导疾病严重程度的症状([AOR = 4.664;95% CI(1.918 - 11.342)])与现代求医行为相关。

结论

五岁以下儿童母亲的总体现代求医行为高于以往研究。然而,仍有相当比例的母亲没有为患病孩子寻求现代医疗服务。母亲/照料者的居住情况、出生顺序、产前检查次数、感知到的儿童疾病严重程度以及感知到的疾病严重程度指导症状是母亲求医行为的重要预测因素。

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