Prevalence and Determinants of Appropriate Health Seeking Behaviour among Known Diabetics: Results from a Community-Based Survey

Sheleaswani Inche Zainal Abidin, R. Sutan, K. Shamsuddin
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引用次数: 26

Abstract

Introduction. Living with diabetes requires patients to have good self-monitoring of their disease and treatment. Appropriate health seeking behavior is important to minimize complications and improve quality of life. Methodology. A community-based, cross-sectional study of disease events and experiences from diagnosis to the time of study was conducted among 460 known diabetics in Tanjong Karang district. The aim of this study was to describe the current pattern of health seeking behavior and its determinants among rural communities. Appropriate diabetic health services utilization was defined as using modern treatment either through oral hypoglycemics or insulin injections, obtained from either a public or private health facility. Result. 85.9% of respondents reported having appropriate health seeking behaviour at the time of the house-to-house community survey. Multivariate logistic regression analysis revealed that appropriate health seeking behaviour was significantly associated with age of respondent, presence of comorbidity, family history of diabetes, distance from health facilities, perceived family support, and history of early treatment seeking at diagnosis and duration of disease. Conclusion. The present population has better appropriate health seeking behavior and provision of knowledge with strong family support in diabetic care which are important in control and prevention of diabetic complication that need to be emphasized.
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已知糖尿病患者中适当求医行为的患病率和决定因素:一项基于社区的调查结果
介绍。糖尿病患者需要对自己的病情和治疗进行良好的自我监测。适当的健康寻求行为对于减少并发症和提高生活质量非常重要。方法。对丹戎卡朗地区460名已知糖尿病患者进行了一项基于社区的、从诊断到研究时间的疾病事件和经历的横断面研究。本研究的目的是描述当前农村社区的求医行为模式及其决定因素。适当利用糖尿病保健服务的定义是,通过从公共或私人保健设施获得的口服降糖药或胰岛素注射,使用现代治疗方法。结果:85.9%的应答者报告在挨家挨户社区调查时有适当的求医行为。多因素logistic回归分析显示,适当的求医行为与被调查者的年龄、合并症的存在、糖尿病家族史、与卫生设施的距离、感知到的家庭支持、诊断时的早期求医史和疾病持续时间显著相关。结论。目前人群在糖尿病护理中有较好的健康寻求行为和较强的家庭支持知识提供,这对糖尿病并发症的控制和预防具有重要意义,值得重视。
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