Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Sumedang 45363, West Java, Indonesia.
Department of Pharmacy, Faculty of Health Science, Universitas Singaperbangsa Karawang, Karawang 41361, West Java, Indonesia.
Medicina (Kaunas). 2024 Oct 1;60(10):1607. doi: 10.3390/medicina60101607.
: Health-seeking behavior is a critical determinant of health outcomes, particularly in countries like Indonesia. Given the increasing burden of noncommunicable diseases, understanding the factors that influence health-seeking behavior in this context is essential for developing more accessible and effective public health strategies. This study aimed to identify various factors associated with health-seeking behavior among patients with chronic diseases across Indonesia, especially in formal facilities. : This study used a cross-sectional research design, utilizing Indonesian Family Life Survey (IFLS)-5 data. The inclusion criteria included respondents aged 20-74 years old with at least one chronic disease based on self-reported data. Respondents who did not receive treatment, practiced self-medication, or provided incomplete data were excluded. We used multivariate logistic regression to identify factors associated with health-seeking behavior in formal facilities. : The results revealed that 80.7% ( = 1993) of the 2471 respondents sought treatment in formal facilities, whereas 19.3% ( = 478) opted for informal facilities. Respondents who were Bugis (OR 9.187, 95% CI 2.182-38.683; = 0.002), retired (OR 2.966, 95% CI 1.233-7.135; = 0.015), did not smoke (OR 1.604, 95% CI 1.126-2.285; = 0.009), made less than IDR 1,500,000 a month (OR 1.466, 95% CI 1.174-1.831; = 0.000), had to travel more than 3 km to reach a treatment facility (OR 1.847, 95% CI 1.41-2.42; = 0.000), or had more than one comorbidity (OR 1.396, 95% CI; = 0.01) were more likely to seek treatment at formal facilities. : These findings are expected to provide recommendations for policymakers, healthcare providers, and researchers to contribute to the development of targeted interventions that can improve healthcare access and utilization, ultimately enhancing health outcomes and equity in Indonesia.
: 健康寻求行为是健康结果的关键决定因素,特别是在印度尼西亚等国家。鉴于非传染性疾病负担不断增加,了解影响这种情况下健康寻求行为的因素对于制定更易获得和更有效的公共卫生策略至关重要。本研究旨在确定印度尼西亚各地慢性病患者健康寻求行为的各种因素,特别是在正规医疗机构中的因素。: 本研究采用横断面研究设计,使用印度尼西亚家庭生活调查(IFLS)-5 数据。纳入标准包括根据自我报告数据患有至少一种慢性病且年龄在 20-74 岁的受访者。未接受治疗、自行用药或提供不完整数据的受访者被排除在外。我们使用多变量逻辑回归来确定与在正规医疗机构中寻求治疗的行为相关的因素。: 结果显示,在 2471 名受访者中,有 80.7%(=1993 人)在正规医疗机构接受了治疗,而有 19.3%(=478 人)选择了非正规医疗机构。选择在正规医疗机构接受治疗的受访者中,来自布吉斯族(OR 9.187,95%CI 2.182-38.683; = 0.002)、退休(OR 2.966,95%CI 1.233-7.135; = 0.015)、不吸烟(OR 1.604,95%CI 1.126-2.285; = 0.009)、月收入低于 150 万印尼盾(OR 1.466,95%CI 1.174-1.831; = 0.000)、需要前往 3 公里以上的医疗机构(OR 1.847,95%CI 1.41-2.42; = 0.000)或患有多种合并症(OR 1.396,95%CI ; = 0.01)的受访者更有可能在正规医疗机构寻求治疗。: 这些发现有望为政策制定者、医疗保健提供者和研究人员提供建议,以促进有针对性的干预措施的制定,从而改善医疗保健的可及性和利用,最终提高印度尼西亚的健康结果和公平性。