DETERMINANTS OF HEALTH CARE SEEKING BEHAVIOUR AND UNMET NEED AMONG PEOPLE WITH PHYSICAL DISABILITIES IN NIGERIA

H. Zandam, M. H. Juni, K. Hayati, B. Anisah, A. M. Hamza
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Abstract

Background: Generally people with disabilities have high healthcare need that is likely as a result of primary condition causing the disability, comorbidity or their vulnerability to diseases. Despite these health challenges and need for healthcare those living in poor countries have poor healthcare seeking behaviour and experience unmet healthcare needs. Materials and Methods: A cross sectional population based survey was used to collect data from 285 respondent recruited using multi-stage sampling methods Result: Result from multiple regression analysis shows several variables independently to be significantly with healthcare seeking behaviour such as gender, age, location, SES, health status, and perceived cost of healthcare. Report of unmet needs for healthcare is associated with gender, age, location, SES, income, health status, distance, and perceived service quality. Conclusion: If the healthcare needs of people with disability have to be met, innovative strategies will need to be devised to reach out to people with disabilities, especially women, elderly and the poor with disabilities.
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尼日利亚身体残疾者寻求保健行为和未满足需求的决定因素
背景:一般来说,残疾人有很高的医疗保健需求,这可能是由于导致残疾的原发条件、合并症或他们对疾病的易感性。尽管存在这些卫生挑战和卫生保健需求,但生活在贫穷国家的人寻求卫生保健的行为不佳,卫生保健需求得不到满足。结果:多元回归分析结果显示,性别、年龄、地理位置、社会经济地位、健康状况和感知医疗成本等变量对就医行为有独立的显著影响。未满足医疗保健需求的报告与性别、年龄、地点、社会经济地位、收入、健康状况、距离和感知的服务质量有关。结论:如果要满足残疾人的保健需求,就需要制定创新战略,向残疾人,特别是妇女、老年人和穷人伸出援助之手。
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