Unmet Healthcare Needs and Associated Factors in Rural and Suburban Vietnam: A Cross-Sectional Study

Kim, Ju Young; Kim, Dae In; Park, Hwa Yeon; Pak, Yuliya; Tran, Phap Ngoc; Thai, Truc Thanh; Thuy, Mai Thi Thanh; Dung, Do Van

doi:10.3390/ijerph17176320

Cited by 8 publications

(7 citation statements)

References 36 publications

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“… 19 However, in a study of the general population in Viet Nam, BMI was not found to be associated with unmet healthcare needs. 20 Further research is needed to better understand the association between BMI and unmet healthcare needs. However, one possible explanation is that overweight older people face a complex interaction of body systems due to aging process and several comorbidities, 21 such as hypertension, diabetes, and arthritis.…”

Section: Discussionmentioning

confidence: 99%

Unmet Healthcare Needs Among Elderly Malaysians

Shah

Safian

Ahmad

et al. 2021

JMDH

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Purpose: Older people often have chronic diseases which require a continuity of care over the long term. Countries undergoing population aging need to ensure that older people are receiving the care they need. This study assesses the prevalence of, reasons for, and factors associated with unmet healthcare needs among older people individuals in Malaysia. Patients and Methods: This cross-sectional study used data collected during 2018-2020 from 1204 older adults aged 60 and older selected from Selangor state, Malaysia. A comprehensive face-to-face interview based on the Bahasa Malaysia version of the Japan Gerontological Evaluation Study (JAGES-BM) questionnaire was administered to gain information on unmet healthcare needs, socioeconomic factors, health-related factors, and measures of function (activities of daily living, depression, visual impairment, hearing impairment, memory impairment, and walking impairment). Multivariate logistic regression was used to analyze factors associated with their unmet healthcare needs. Results: Overall, the percentage of older people respondents with unmet healthcare needs is 6.6%. The most reported reasons for forgoing or delaying healthcare were lack of knowledge about healthcare and financial barriers to care. The inability to travel alone (adjusted odds ratio [aOR] 2.51), being overweight (aOR 1.88), and having self-reported depression (aOR 2.23) were each associated with a higher likelihood of having unmet healthcare needs in their daily life. Conclusion:The prevalence of unmet healthcare needs among older people in this part of Malaysia is lower than that reported in some other countries. However, it is possible to further reduce unmet healthcare needs by improving people's knowledge and attitudes about appropriate healthcare utilization, strengthening financial protection measures and providing support to people at high risk of having unmet healthcare needs.

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Section: Discussionmentioning

confidence: 99%

Unmet Healthcare Needs Among Elderly Malaysians

Shah

Safian

Ahmad

et al. 2021

JMDH

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“…Most participants lived in rural locations, had limited education and low incomes. In Vietnam, the healthcare system has many challenges such as the shortage of community-based (primary care) medical doctors, the overload of patients, the tendence for people to value tertiary hospitals in large cities, and the financial cost of healthcare for most of the population [ 52 ]. These factors lead to a reduced frequency of healthcare seeking and insufficient health information provided by hospital staff.…”

Section: Discussionmentioning

confidence: 99%

Exploring the relationships between health literacy, social support, self-efficacy and self-management in adults with multiple chronic diseases

Dinh,

Bonner

2023

BMC Health Serv Res

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Background Self-management in chronic diseases is essential to slowing disease progression and preventing complications. However, empirical research on the associations of critical factors, such as health literacy, social support, and self-efficacy with self-management in the context of multiple chronic diseases is scarce. This study aimed to investigate these associations and provides insights for healthcare providers to develop effective educational strategies for people with multiple chronic diseases. Methods Using a cross-sectional survey design, adults (n = 600) diagnosed with at least two chronic diseases were conveniently recruited. To measure health literacy, social support, self-efficacy, and chronic disease self-management behaviours, the Health Literacy Questionnaire (HLQ), Medical Outcome Study - Social Support Survey, Self-efficacy in Managing Chronic Disease, and Self-management in Chronic Diseases instruments were utilized respectively. Comorbidity status was assessed using Age-adjusted Charlson Comorbidity Index (ACCI). A generalised linear regression model was used with a backward technique to identify variables associated with self-management. Results Participants’ mean age was 61 years (SD = 15.3), 46% were female, and most had up to 12 years of education (82.3%). Mean scores for HLQ domains 1–5 varied from 2.61 to 3.24 (possible score 1–4); domains 6–9 from 3.29 to 3.65 (possible score 1–5). The mean scores were 52.7 (SD = 10.4, possible score 0–95), 5.46 (SD = 1.9, possible score 0–10) and 82.1 (SD = 12.4, possible score 30–120) for social support, self-efficacy, and self-management, respectively. Mean ACCI was 6.7 (SD = 2.1). Eight factors (age > 65 years, being female, 4 health literacy domains, greater social support, and higher self-efficacy levels) were significantly associated with greater self-management behaviours while comorbidity status was not. The factors that showed the strongest associations with self-management were critical health literacy domains: appraisal of health information, social support for health, and healthcare provider support. Conclusions Developing critical health literacy abilities is a more effective way to enhance self-management behaviours than relying solely on self-confidence or social support, especially for people with multiple chronic diseases. By facilitating communication and patient education, healthcare providers can help patients improve their critical health literacy, which in turn can enhance their self-management behaviours.

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“…While people in the urban benefit directly from health facilities for the elderly, more than 70% of Vietnamese elderly live in rural areas, where limited financial resources are available, 30 and thus have difficulties with accessing health services. 31 Since elderly people with depression are especially vulnerable to barriers of mental health services, we propose that the interventions should target these seniors. Depression may be an important indicator of the need for formal and informal community and home care of mental health services.…”

Section: Discussionmentioning

confidence: 99%

Perceived Barriers to Mental Health Services among the Elderly in the Rural of Vietnam: A Cross Sectional Survey in 2019

Van

Huyen

Hue

et al. 2021

Health�Serv�Insights

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While the burden of neurological and mental disorders has been drastically increased in Vietnam, the current mental healthcare services do not meet the public demand. In order to determine perceived barriers to the use of mental health services, we conducted a cross-sectional study on 376 elderly people from a rural district in Hanoi, Vietnam. We found that depression may be an important indicator of the need for formal and informal community and home care mental health services. Barriers to mental healthcare access were categorized into 7 groups namely stigma, emotional concerns, participation restrictions, service satisfaction, time constraints, geographic and financial conditions, and availability of services. The most significant barriers are the limited availability of and accessibility to health professionals and services in rural areas. Our study highlights the urgent efforts that need to be made in order to enhance availability of mental healthcare services in rural areas of Vietnam.

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Unmet Healthcare Needs and Associated Factors in Rural and Suburban Vietnam: A Cross-Sectional Study

Cited by 8 publications

References 36 publications

Unmet Healthcare Needs Among Elderly Malaysians

Unmet Healthcare Needs Among Elderly Malaysians

Exploring the relationships between health literacy, social support, self-efficacy and self-management in adults with multiple chronic diseases

Perceived Barriers to Mental Health Services among the Elderly in the Rural of Vietnam: A Cross Sectional Survey in 2019

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