Health Care Seeking Behavior in a Scheduled Tribe Community in India: A Mixed Methods Research Using the Framework of Andersen’s Behavioral Model

Podder, Debayan; Dasgupta, Aparajita; Dobe, Madhumita; Paul, Bobby; Bandyopadhyay, Lina; Pal, Arkaprovo

doi:10.1177/1010539521993695

Cited by 12 publications

(7 citation statements)

References 17 publications

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“…These results align with those of other studies performed in Malaysia (66.7%), Nigeria (63%) and India (74.6%). (20)(21)(22). We also aimed to analyze the associations between HSB and sociodemographic factors.…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Health-Seeking Behavior Among Sudanese Expatriates in Saudi Arabia, 2023. A Cross-Sectional Study

Elfaki,

Abdelgyoum

2024

Preprint

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Background Immigrant groups face prejudice and have limited access to healthcare. In Saudi Arabia, expatriates are particularly socially disadvantaged. Saudi Arabia has taken the lead in drawing enormous numbers of Sudanese professionals and technical labor throughout the years and is becoming an increasingly preferred destination after the Sudanese War of April 15, 2023. This study aimed to identify the factors influencing health-seeking behavior among Sudanese immigrants in Saudi Arabia, as understanding these factors is important for improving healthcare access and health outcomes. Method A cross-sectional study was conducted targeting Sudanese residents of KSA via convenient sampling. A self-administered questionnaire was distributed electronically and 494 participants were recruited for the study. Results This study showed that the majority of the participants (66.6%) visited a primary healthcare center when faced with a medical problem. However, the prevalence of self-medication in the past three months was 45.7%. Only age (OR [95% CI]: 1.032 [1.000-1.066]) and not having health insurance were found to significantly influence health-seeking behavior. Conclusions This study emphasizes the importance of understanding healthcare-seeking behavior among immigrant groups, particularly Sudanese expats in Saudi Arabia. It highlights the significance of insurance as a determinant of healthcare-seeking behavior and calls for reforming current policies to reduce disparities in accessing healthcare services.

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Section: Discussionmentioning

confidence: 99%

Factors Influencing Health-Seeking Behavior Among Sudanese Expatriates in Saudi Arabia, 2023. A Cross-Sectional Study

Elfaki,

Abdelgyoum

2024

Preprint

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“…A multitude of systematic reviews, retrospective chart reviews, and prospective research studies have used the HSU model as a framework to understand correlates of behaviors moderating healthcare usage and to help contextualize results (see also review by Babitsch et al 2012). Using a CBPR approach can help provide context and guidance on variable selection and interpretation of findings within the HSU model (e.g., Podder et al 2021). Within auditory research, the Conexiones (Connections) randomized controlled trial used the HSU model with a CBPR approach to evaluate the feasibility of Community Health Workers as patient-site facilitators in teleaudiology service delivery (Coco Reference Note 1), discussed below in the section “Examples of Community-Based Participatory Research.”…”

Section: Framework In Participatory Researchmentioning

confidence: 99%

Community-Based Participatory Research and Human-Centered Design Principles to Advance Hearing Health Equity

2020

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Objectives: Inclusive and equitable research is an ethical imperative. Community-based participatory research (CBPR) as well as human-centered design are approaches that center partnership between community members and academic researchers. Together, academic-community research teams iteratively study community priorities, collaboratively develop ethical study designs, and co-create innovations that are accessible and meaningful to the community partners while advancing science. The foundation of the CBPR approach is reliant on its core principles of equity, colearning, shared power in decision-making, reciprocity, and mutual benefit. While the CBPR approach has been used extensively in public health and other areas of healthcare research, the approach is relatively new to audiology, otolaryngology, and hearing health research. The purpose of the present article is to advance an understanding of the CBPR approach, along with principles from human-centered design, in the context of research aimed to advance equity and access in hearing healthcare. Design: The literature is reviewed to provide an introduction for auditory scientists to the CBPR approach and human-centered design, including discussion of the underlying principles of CBPR and where it fits along a community-engaged continuum, theoretical and evaluation frameworks, as well as applications within auditory research. Results: Recent applications of CBPR have been framed broadly within the theoretical positions of the socioecological model for a systems-level approach to community-engaged research and the Health Services Utilization model within health services and disparities research using CBPR. Utilizing human-centered design strategies can work in tandem with a CBPR approach to engage a wide range of people in the research process and move toward the development of innovative yet feasible solutions. Conclusions: Leveraging the principles of CBPR is an intricate and dynamic process, may not be a fit for some topics, some researchers’ skillsets, and may be beyond some projects’ resources. When implemented skillfully and authentically, CBPR can be of benefit by elevating and empowering community voices and cultural perspectives historically marginalized in society and underrepresented within research. With a focus on health equity, this review of CBPR in the study of hearing healthcare emphasizes how this approach to research can help to advance inclusion, diversity, and access to innovation.

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“…The access framework explores how different geographic factors like location of facilities, infrastructure, physical distance, geographic disparities in resource distribution and socio-economic accessibility influence the pattern of mobility for healthcare and health service utilization. Another widely recognized framework is Andersen's framework of healthcare utilization 14 , 19 , 20 , which discusses predisposing, enabling and need based factors. Predisposing conditions include demographic (i.e., age, gender) and socio-cultural factors (i.e., education, occupation, religion, ethnicity, attitude and value towards healthcare uses).…”

Section: Introductionmentioning

confidence: 99%

Understanding patients' mobility for treatment seeking in India

Karmakar,

Reddy,

Bhagat

2024

Sci Rep

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Healthcare systems worldwide are grappling with the challenge of providing high-quality healthcare in the face of evolving disease patterns. India, like many other countries, faces a significant treatment gap for various curable impairments, non-communicable diseases (NCDs), and cardiovascular diseases (CVDs). To address their healthcare needs, individuals often relocate in search of better treatment options. However, no studies were conducted to understand the spatial mobility. This paper explores the determinants of spatial mobility for treatment in India using data from NSS 75th round (2017–2018). A total of 64,779 individual medical cases of different diseases were taken into consideration for our analysis. Fixed effect and multinomial regression models were used to understand diseases specific mobility for treatment. It was found that those with CVDs, NCDs, and disabilities are more prone to travel outside their district for medical care. Rural and economically disadvantaged individuals also tend to travel further for treatment. The key factors impacting treatment-seeking mobility include insurance coverage, hospital quality, cost of medicine, and cost of X-rays/surgeries. The study highlights the need for improved policies to address the gap between healthcare needs and infrastructure in India, with a focus on prioritizing the development of local healthcare facilities for disabilities, NCDs, and CVDs.

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Health Care Seeking Behavior in a Scheduled Tribe Community in India: A Mixed Methods Research Using the Framework of Andersen’s Behavioral Model

Cited by 12 publications

References 17 publications

Factors Influencing Health-Seeking Behavior Among Sudanese Expatriates in Saudi Arabia, 2023. A Cross-Sectional Study

Factors Influencing Health-Seeking Behavior Among Sudanese Expatriates in Saudi Arabia, 2023. A Cross-Sectional Study

Community-Based Participatory Research and Human-Centered Design Principles to Advance Hearing Health Equity

Understanding patients' mobility for treatment seeking in India

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