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Factors affecting health seeking behavior for common childhood illnesses in Yemen

机译：也门影响儿童常见疾病的寻求健康行为的因素

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Introduction: Appropriate medical care seeking could prevent a significant number of child deaths and complications due to ill health. This study aims to determine factors affecting health seeking behavior (HSB) for childhood illnesses, thereby improving child survival. Methods: A cross sectional study was carried out from January 11 to April 2, 2012. A total of 212 caretakers of children under the age of 5 years participated. Caretakers who visited the vaccination unit in the Shehair Health Center during the study period and had a child with a history of diarrhea, fever, cough, and/or difficulty of breathing during the last 14 days were included. The data were collected by interviewing caretakers and the answers were reported in pretested structured questionnaires. Results: Medical care was sought for about half of the sick children (n=109, 51.42%). Seeking medical care was frequently initiated for illnesses that did not improve or worsened. The major reasons for not seeking medical care were "illness was mild" (n=40, 38.83%) and "illness is not for medical treatment" (n=32, 31.07%). The caretakers sought medical care significantly more when they had a higher level of school education (POR [prevalence odds ratio] 5.85, 95% CI [confidence interval]: 2.34–14.61), when the illness was perceived as severe (POR 5.39, 95% CI: 2.81–10.33), and when the child had difficulty of breathing (POR 2.93, 95% CI: 1.10–7.80). Conclusion: For the preventable childhood illnesses with existing interventions, appropriate HSB prevalence is low. Symptom type, caretakers' education, and perception of illness severity are the predictors of HSB. Educational improvement of the mothers, introduction of community based integrated management of childhood illness, and in-depth research are imperative to improve mothers' HSB.
机译：简介：寻求适当的医疗护理可以预防因健康不良而导致的大量儿童死亡和并发症。这项研究旨在确定影响儿童疾病的寻求健康行为（HSB）的因素，从而改善儿童的生存率。方法：2012年1月11日至4月2日进行了一项横断面研究。共有212名5岁以下儿童的看护者参加。在研究期间访问了Shehair健康中心疫苗接种部门的护理人员，并且其孩子在过去14天内有腹泻，发烧，咳嗽和/或呼吸困难的病史。通过采访看护者收集数据，并在预先测试的结构化问卷中报告答案。结果：大约一半的患病儿童得到了医疗护理（n = 109，51.42％）。对于没有改善或恶化的疾病，经常开始寻求医疗服务。不求医的主要原因是“轻度疾病”（n = 40，38.83％）和“不适用于医疗”（n = 32，31.07％）。当他们被认为是重病时（POR 5.39，95），当他们受过较高的学校教育时（POR [患病几率] 5.85，95％CI [置信区间]：2.34–14.61），看护者就更需要寻求医疗服务。 ％CI：2.81–10.33），以及孩子呼吸困难时（POR 2.93，95％CI：1.10–7.80）。结论：对于已有干预措施可预防的儿童疾病，适当的HSB患病率较低。症状类型，看护人的教育程度以及对疾病严重程度的感知是HSB的预测因素。提高母亲的教育水平，引入社区综合的儿童疾病综合管理措施以及深入的研究对于改善母亲的HSB至关重要。

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