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2023 年,埃塞俄比亚东戈贾姆莫塔镇一项基于社区的横断面研究显示,老年人寻求医疗保健的比例及其影响因素。

Proportion and factors influencing healthcare-seeking behavior among older people in Motta town, East Gojjam: a community-based cross-sectional study, Ethiopia, 2023.

机构信息

Mota District Health Center, Amhara Regional Health Bureau, Bahir Dar, Ethiopia.

Department of Medical Nursing, School of Nursing, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

出版信息

BMC Public Health. 2024 Aug 2;24(1):2092. doi: 10.1186/s12889-024-19603-6.

Abstract

BACKGROUND

In resource-limited countries, older people who are at risk and face numerous health problems, often receive insufficient attention regarding their healthcare-seeking behavior. Assessing the proportion of healthcare-seeking behavior and associated factors among older people in Motta town, was the aim of the study.

METHOD

A community-based cross-sectional study was carried out from April 22 to May 22, 2023. The study subjects were chosen using a systematic random sampling technique. To identify candidate variables for multivariable analysis, a bivariable logistic regression analysis was performed. Variables having a P-value of < 0.05 were considered statistically significant.

RESULTS

From the total, 161 (39.3%) of respondents had good healthcare-seeking behavior with 95% CI [35%, 44%]. Secondary school [AOR = 2.69, 95% CI = 1.27, 5.68], Education college and above [AOR = 4.6, 95% CI = 2.27, 9.33], Family support during their illness [AOR = 1.39, 95% CI = 1.05, 3.09], Members of CBHI [AOR = 2.02, 95% CI = 1.21, 3.36], and presence of chronic illness [AOR = 2.55, 95%, CI = 1.64, 3.97] were significantly associated with good healthcare-seeking behavior.

CONCLUSION AND RECOMMENDATION

This study found that good healthcare-seeking behavior among older people is significantly associated with higher education, strong family support, Community-Based Health Insurance (CBHI) membership, and chronic illnesses. Improving health literacy through education, strengthening family support systems, expanding CBHI participation for better healthcare access, and developing targeted chronic disease management programs to enhance this behavior is recommended. These strategies can collectively improve healthcare utilization and outcomes for older people.

摘要

背景

在资源有限的国家,面临众多健康问题且处于风险之中的老年人往往得不到足够的关注,他们的医疗寻求行为也往往得不到重视。本研究旨在评估莫塔镇老年人的医疗寻求行为比例及其相关因素。

方法

这是一项 2023 年 4 月 22 日至 5 月 22 日进行的基于社区的横断面研究。采用系统随机抽样技术选择研究对象。为了确定多变量分析的候选变量,进行了双变量逻辑回归分析。具有 P 值 < 0.05 的变量被认为具有统计学意义。

结果

在总共 161 名受访者中,有 39.3%(95%CI [35%, 44%])具有良好的医疗寻求行为。中学(AOR=2.69,95%CI=1.27, 5.68)、教育学院及以上(AOR=4.6,95%CI=2.27, 9.33)、患病期间家庭支持(AOR=1.39,95%CI=1.05, 3.09)、社区保健互助协会成员(AOR=2.02,95%CI=1.21, 3.36)和患有慢性病(AOR=2.55,95%CI=1.64, 3.97)与良好的医疗寻求行为显著相关。

结论和建议

本研究发现,老年人良好的医疗寻求行为与较高的教育程度、强有力的家庭支持、社区保健互助协会的参与以及慢性疾病显著相关。建议通过教育提高健康素养,加强家庭支持系统,扩大社区保健互助协会的参与以获得更好的医疗服务,并制定针对慢性疾病的管理计划,以加强这种行为。这些策略可以共同改善老年人的医疗利用和结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c833/11295474/bc9f85baf55b/12889_2024_19603_Fig1_HTML.jpg

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