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Health Care Seeking Behaviour Among Market Traders In Ibarapa Central Local Government, Nigeria

机译:尼日利亚伊巴拉帕中央地方政府市场交易者中的医疗保健寻求行为

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This study identifies the health problems of traders and their health seeking behaviours.A descriptive cross-sectional study of all adult traders in Igboora and Idere, Nigeria was done with the use of a questionnaire. A total of 313 traders were interviewed. Age of respondents ranged between 18 and 59 years, most (82.4%) were females. The common health problems were musculoskeletal (55.9%), febrile illnesses (46.6%) and genito- urinary tract problems (3.2%). The treatment options used during last illness were self medication (59%), herbs (23%) , rest (13%), others (5%). Factors associated with using health facility when ill include nature of illness (musculoskeletal) (P= 0.009), encouragement by family (P=0.004) and previous education about illness by health worker (P=0.001). Those who had been educated about illness were less likely to delay before presentation during subsequent illness (P= 0.001).There is a need to intensify health education to encourage appropriate health care seeking behaviour. Introduction Health is essential for social and economic development; it is therefore seen as a resource for everyday living and sought after by all. The link between health and human behaviour is a major area of interest in public health. Health seeking behaviours are the activities undertaken by individuals in response to disease symptoms experienced (O’Reilly and Browne, 1997). Studies on health seeking behaviour have shown the numerous influences on an individual’s health behaviour. These influences include past experiences with health services, perception about quality and efficiency of health services and influences at the community level (Sule, et al, 2008, Mckian, 2002). The decision to seek help is also influenced by an individual’s educational and economic status, the extent to which he is worried about the symptom and duration of experiencing the symptom (Katung 2001, Amaghionyeodiwe, 2008). The choice of the health provider consulted for a symptom is also linked to the perceived cause of the symptom (Ahmed et al, 2001). In a recent survey in a rural community in South –West Nigeria only 44% of respondents utilized health care facilities when ill (Sule, et al, 2008).This belies the possibility of the lofty ‘Health for All’ goal. It is therefore important to assess health care seeking practises especially in the rural areas of Nigeria and to understand the factors that influence these health seeking behaviours. This study identifies the health problems of traders as well as their health seeking behaviours; this is to provide information to help develop appropriate health education strategies for behavioural change. Methodology The study was carried out in Igboora and Idere, the two towns that make up Ibarapa Central Local Government in Oyo State, South – Western zone of Nigeria. The study was a descriptive cross-sectional study of market traders in the two towns. A total sampling of all adult traders18 years and above was done with the use of an interviewer administered semi-structured questionnaire. Information on socio-demographic characteristics, common health problems, preferred treatment options and factors affecting treatment options was collected. Verbal informed consent was obtained from each respondent before questionnaire was administered. Data analysis was done with SPSS version 16 software. Frequencies were generated and Chi-square test was used to check for associations between categorical variables. Level of statistical significance was set at p<0.05. Results 313 traders were interviewed and all responded.Socio demographic characteristics of respondentsTable1 shows the socio demographic characteristics of the respondents. Age of respondents ranged between 18 and 59 years, 55(17.6) were males and 125 (39.9%) had no formal education. Majority 183 (58.5%) sold food items and 249(79.6%) were married while others were single, divorced, separated or widowed.
机译:这项研究确定了贸易商的健康问题及其寻求健康的行为。使用问卷调查表对尼日利亚伊格博拉和爱德雷的所有成年贸易商进行了描述性横断面研究。总共对313个交易员进行了采访。受访者的年龄介于18至59岁之间,大多数(82.4%)是女性。常见的健康问题是肌肉骨骼(55.9%),高热病(46.6%)和泌尿生殖系统疾病(3.2%)。上次生病期间使用的治疗选择是自用药(59%),草药(23%),休息(13%),其他(5%)。患病时使用医疗机构的相关因素包括疾病的性质(肌肉骨骼)(P = 0.009),家庭的鼓励(P = 0.004)和卫生工作者对疾病的先前教育(P = 0.001)。那些接受过疾病教育的人不太可能在随后的疾病中就诊延迟(P = 0.001)。有必要加强健康教育,以鼓励适当的就医行为。引言健康对于社会和经济发展至关重要。因此,它被视为日常生活的资源并受到所有人的追捧。健康与人类行为之间的联系是公共卫生的主要关注领域。寻求健康的行为是个人为响应所经历的疾病症状而进行的活动(O’Reilly和Browne,1997年)。有关寻求健康行为的研究表明,这些行为会对个人的健康行为产生多种影响。这些影响包括过去在卫生服务方面的经验,对卫生服务质量和效率的认识以及在社区一级的影响(Sule等,2008; Mckian,2002)。寻求帮助的决定还受到个人的教育和经济状况的影响,个人对症状的担心程度以及症状持续的时间(Katung 2001,Amaghionyeodiwe,2008)。咨询症状的医疗提供者的选择也与症状的可察觉原因有关(Ahmed等,2001)。在最近对尼日利亚西南部农村社区进行的一项调查中,只有44%的受访者在生病时使用了医疗保健设施(Sule等,2008)。这掩盖了“人人享有健康”这一崇高目标的可能性。因此,重要的是评估尤其在尼日利亚农村地区的医疗保健实践,并了解影响这些医疗保健行为的因素。这项研究确定了贸易商的健康问题及其寻求健康的行为;这是为了提供信息,以帮助制定适当的行为改变健康教育策略。方法论该研究是在伊格布奥拉和伊德雷进行的,这两个小镇是尼日利亚南西部地区奥约州伊巴拉帕中央地方政府的组成部分。该研究是对两个镇的市场交易者的描述性横断面研究。使用访谈员管理的半结构化问卷对18岁及以上的所有成年商人进行了总抽样。收集了有关社会人口学特征,常见健康问题,首选治疗方案以及影响治疗方案的因素的信息。在进行问卷调查之前,已从每个受访者获得口头知情同意。数据分析使用SPSS 16版软件进行。生成频率,并使用卡方检验检查分类变量之间的关联。统计显着性水平设定为p <0.05。结果对313名交易者进行了访谈并全部做出了回应。受访者的社会人口特征表1显示了受访者的社会人口特征。受访者的年龄介于18至59岁之间,其中55(17.6)位是男性,而125位(39.9%)没有接受过正规教育。售出食物的多数为183(58.5%),已婚者为249(79.6%),其他则为单身,离婚,分居或丧偶。

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