背景:在资源有限的国家,处于危险中并面临许多健康问题的老年人,对于他们寻求医疗保健的行为,往往没有得到足够的关注。评估莫塔镇老年人寻求医疗保健行为的比例和相关因素,是研究的目的。
方法:于2023年4月22日至5月22日进行了一项基于社区的横断面研究。使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<0.05的P值的变量被认为是统计学上显著的。
结果:从总数来看,161名(39.3%)受访者有良好的寻求医疗保健行为,CI为95%[35%,44%]。中学[AOR=2.69,95%CI=1.27,5.68],大专及以上学历[AOR=4.6,95%CI=2.27,9.33],患病期间的家庭支持[AOR=1.39,95%CI=1.05,3.09],CBHI成员[AOR=2.02,95%CI=1.21,3.36],和慢性病的存在[AOR=2.55,95%,CI=1.64,3.97]与良好的寻求医疗保健行为显着相关。
结论:这项研究发现,老年人中良好的寻求医疗保健的行为与高等教育显著相关,强大的家庭支持,社区健康保险(CBHI)会员资格,和慢性疾病。通过教育提高健康素养,加强家庭支持系统,扩大CBHI参与以获得更好的医疗保健服务,并制定有针对性的慢性病管理计划,以加强这种行为。这些策略可以共同改善老年人的医疗保健利用率和结果。
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.
METHODS: 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.
CONCLUSIONS: 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.