Healthcare-seeking pattern in Sleman District, Yogyakarta: an observational analysis using secondary data of longitudinal surveillance system HDSS-Sleman cycle 2 (2016)

Razan Madyasta Athayanandi Wibowo

doi:10.22146/bkm.40542

Healthcare-seeking pattern in Sleman District, Yogyakarta: an observational analysis using secondary data of longitudinal surveillance system HDSS-Sleman cycle 2 (2016)

https://doi.org/10.22146/bkm.40542

Razan Madyasta Athayanandi Wibowo^(1*)

(1) Ludwig-Maximilian University of Munich
(*) Corresponding Author

Abstract

ABSTRACT

Objective Several factors that already persist in the society, namely person´s socioeconomic status (SES), beliefs and illness severity perception might play an important role for healthcare-seeking decision. This paper aims to investigate and describe the care-seeking behaviour pattern upon Sleman District´s population.

Methods Secondary data derived from standardised interview and questionnaire were analysed. Each head of the household was asked regarding their family sociodemographic background, health status, and care-seeking behaviour pattern. The interview was belong to the second survey wave, gathered in amount of 19,593 participants, and were taking place between July and September 2015. Cut-off method was used to screen eligible participants, in which 11,516 remain. Bivariate analysis was done using Pearson-chi square method in order to observe the goodness of fit of population’s care-seeking pattern with sociodemographic variables and health status. Multivariate analysis was run through the logistic regression in order to predict and explain the relationship between care-seeking pattern and sociodemographic variables.

Results In Sleman District, Yogyakarta, Indonesia –based on HDSS-Sleman second wave´s survey analysis, about four out of ten samples who stated themselves as sick in 2015 did still not practice care-seeking behaviour. Several demographic factors such sex, age, educational backgrounds, family wealth and health insurance ownership are significantly related with the care-seeking decision. But there was no significant care-seeking difference against parental ethnicity, as well as in District’s rural and urban area.

Conclusions It has been confirmed that care-seeking behaviour upon Sleman District’s population depends on the person’s socioeconomic status and illness severity. Some important findings were including U-shaped function of care-seeking behaviour against some age groups and educational background.

Keywords HDSS-Sleman, healthcare-seeking behaviour, Pearson-chi square, socioeconomic status (SES)

Keywords

public health; HDSS-Sleman

Full Text:

PDF

References

Aday L.A, Andersen R.M. (1974). A framework for the study of access to medical care. Health Services Research. 9: 208-220. [PubMed] 2. Adih, W.K., and Alexander, C.S. (1999). Determinants of condom use to prevent HIV infection among youth in Ghana. The Journal of Adolescent Health, 24(1), 63 – 72. [BMJ] 3. Andersen, R., and Newman, J:F. (1973). Societal and Individual Determinants of Medical Care Utilization in the United States. The Milbank Memorial Fund Quarterly. Health and Society, 51(1,): 95 – 124. [available online: last access on October 5th 2018] 4. Andersen, R.M. (1995). Revisiting the Behavioral Model and Access to Medical Care: Does it Matter?. Journal of Health and Social Behavior - American Sociological Association, 36(1): 1 – 10. [available online: last access on October 5th 2018] 5. Andersen, Smedby, and Anderson. (1970). Medical care use in Sweden and the United States: A comparative analysis of systems and behaviour. Center for Health Administration Studies - Medical care. [available online: last access on October 3rd 2018] 6. Badan Pusat Statistik (Statistics Indonesia). Statistical Yearbook of Indonesia 2011. Jakarta: 2011. [available online: last access on October 4th 2018] 7. Bass, D.M., and Noelker, L.S. (1987). The influence of family caregivers on elders´ use of in-home services: An expanded conceptual framework. Journal of Health and Social Behavior, 28: 184 – 196. [PubMed] 8. Becker, M.H. (1974). The health belief model and sick role behaviour. Health Education Monographs, 2: 409 – 419. [available online: last access on October 5th 2018] 9. Becker, M.H., Drachman, R.H.., Kirscht, J.P. (1974). A new approach to explaining sick-role behaviour in low-income populations. American Journal of Public Health, 64: 206. [available online: last access on October 1st 2018] 10. Byrne S.K. (2008). Healthcare avoidance: a critical review. Holist Nurs Pract, 22:280 – 292. doi: 10.1097/01.HNP.0000334921.31433.c6. [PubMed] 11. Carrillo JE, Carrillo VA, Perez HR, Salas-Lopez D, Natale-Pereira A, Byron AT. (2011). Defining and targeting health care access barriers. J Health Care Poor Underserved, 22:562–575. doi: 10.1353/hpu.2011.0037. 12. Champion V.L., Skinner, C.S., Menon, U., et al. (2002). Comparisons of tailored mammography interventions of two months postintervention. Annual of Behavioral Medicine, 24(3): 211 – 218. [PubMed] 13. Clark, A.E., Oswald, A.J. (1996). Satisfaction and comparison income. Journal of Public Economics, 61(3):359-381 [available online: last access on October 5th 2018] 14. Fosu G.B. (1994). Childhood morbidity and health services utilization: Cross-national comparisons of user-related factors from DHS data. Social Science and Medicine, 38: 1209-1220. 10.1016/0277-9536(94)90186-4. [PubMed] 15. Guendelman, S. (1991). Health Care Users Residing on the Mexican Border: What factors determine choice of the U.S. or Mexican Health System?. Medical Care 29: 419 – 429. [available online: last access on October 3rd 2018] 16. Hasan, H., Webair, and Bin-Gouth, A.S. (2013). Factors affecting health seeking behavior for common childhood illnesses in Yemen. Patient Prefer Adherence. 7: 1129–1138. doi: 10.2147/PPA.S51124. [PubMed] 17. HDSS 2014. http://www.hdss.fk.ugm.ac.id/id/home [available online: last access on September 28th 2018] 18. Hounton, S.H., Carabin, H., and Henderson, N.J. (2005). Towards an understanding of condom use in rural Benin using the health belief model: A cross sectional survey. BMC Public Health, 5: 8. [available online: last access on October 2nd 2018] 19. Janz N.K., and Becker M.H. (1984). The health belief model: A decade later. Health Education Quarterly, 11(1): 1 – 47. 20. Janz N.K., Wren P.A, Schottenfeld, D., and Guire, K.E. (2003). Colorectal cancer screening attitudes and behaviour: A population-based study. Preventive Medicine, 37(6, Pt. 1): 627 – 634. 21. Jennifer M. Taber, Ph.D. Bryan Leyva, B.A, and Alexander Persoskie, Ph.D. (2015). Why do People Avoid Medical Care? A Qualitative Study Using National Data. J Gen Intern Med, 30(3): 290–297. doi: 10.1007/s11606-014-3089-1 [available online: last access on September 27th 2018] 22. Joanna Veazey Brooks, MBE, PhD,1 Shellie D. Ellis, PhD,1 Emily Morrow, MA,2 Kim S. Kimminau, PhD,1,3 and J. Brantley Thrasher, MD. (2018). Patient Factors That Influence How Physicians Discuss Active Surveillance With Low-Risk Prostate Cancer Patients: A Qualitative Study. Am J Mens Health, 12(5): 1719–1727. doi: 10.1177/1557988318785741 [American Medical Journal] 23. Kirscht, J.P. (1974). The health belief model and illness behaviour. Health Education Monographs, 2, 387 – 408. [available online: last access on October 1st 2018] 24. Lund-Nielsen B, Midtgaard J, Rorth M, Gottrup F, Adamsen L. An avalanche of ignoring–a qualitative study of health care avoidance inomen with malignant breast cancer wounds. Cancer Nurs. 2011;34:277–285. doi: 10.1097/NCC.0b013e3182025020. [available online: last access on October 5th 2018] 25. Maiman L:A, and Becker, M.H. (1974). The health belief model: Origins and correlates in psychological theory. Health Education Monographs, 2: 336 – 353. 26. Mechanic, D. (1979). Future Issues in Health Care: Social Policy and The Rationing of Medical Services.. New York: Free Press, 12: 194. [available online: last access on October 3rd 2018] 27. Moore, W.E. (1969). Social structure and behaviour. The Handbook of Social Psychology, 04: 02. 283 – 322. 28. Ohl M, Tate J, Duggal M, et al. (2010). Rural residence is associated with delayed care entry and increased mortality among veterans with human immunodeficiency virus infection. Med Care, 48:1064–1070. doi: 10.1097/MLR.0b013e3181ef60c2. [PMC free article] 29. Portes, A., Kyle, D., and Eaton, W.W. (1992). Mental illness and help-seeking behavior among Mariel Cuban and Haitian refugees in south Florida. Journal of Health and Social Behavior, 33(4):283 – 298. [PubMed] 30. Richards M.A., Westcombe A.M., Love S.B., Littlejohns P., Ramirez A.J. (1999). Influence of delay on survival in patients with breast cancer: a systematic review. Lancet, 353:1119–1126. doi: 10.1016/S0140-6736(99)02143-1. [PubMed] 31. Riekert, K.A., Ockene, J.K., Pbert, L. (2018). The Handbook of Health Behavior Change. New York: Springer Publishing Company, 4: 3 – 47. 32. Rosenstock, I.M. (1974). Historical origins of the health belief model. . Health Education Monographs, 2: 328 – 335. [available online: last access on September 27th 2018] 33. Rundall, T.G. (1981). A Suggestion for Improving the Behavioral Model of Physician Utilization. Journal of Health and Social Behavior, 22: 103 – 104. [available online: last access on September 27th 2018] 34. Smith LK, Pope C, Botha JL. (2005). Patients’ help-seeking experiences and delay in cancer presentation: a qualitative synthesis. Lancet, 366: 825 – 831. [PubMed] 35. Subedi J. (1989). Modern health services and health care behavior: A survey in Kathmandu, Nepal. Journal of Health and Social Behavior, 30: 412 – 420. [PubMed] 36. Taylor, J.C. (1971). Technology and Planned Organizational Change. Institute for Social Reseach, Michigan. [available online: last access on October 4th 2018] 37. Triratnawati, A. (2010). Pengobatan tradisional, upaya meminimalkan biaya kesehatan masyarakat desa di Jawa. Jurnal Manajemen Pelayanan Kesehatan, 13(02). [available online: last access on September 28th 2018] 38. Triratnawati, A. (2011). Masuk Angin dalam Konteks Kosmologi Jawa. Humaniora, 23, 03, 326 – 335. [available online: last access on September 28th 2018] 39. Widayati, A., Suryawati, S., de Crespigny, C., and Hiller, J.E. (2011). Self-medication with antibiotics in Yogyakarta City Indonesia: a cross sectional population-based survey. BMC Research Notes, 4: 491. [BMC] 40. Wildeman, M.A., Fles, R., Herdini, C., et al. (2013). Primary Treatment Results of Nasopharyngeal Carcinoma (NPC) in Yogyakarta, Indonesia. doi: 10.1371/journal.pone.0063706 [available online: last access on September 28th 2018]

DOI: https://doi.org/10.22146/bkm.40542