scholarly journals Health Service Seeking Behavior among Migrant Workers in Small and Medium-Sized Enterprises in Guangdong, China: Does Family Migration Matter?

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Yuewen Dang ◽  
Guanyang Zou ◽  
Boli Peng ◽  
Li Ling

Objective. This study aims to understand the health service seeking behavior of migrant workers and explore its association with their living status (i.e., living with family members or not), in Guangdong, China. Methods. This was a cross-sectional survey conducted with 912 migrant workers in 2012 using a structured questionnaire adapted from the National Health Service Survey. Data were analyzed using the multivariable logistic regression. Results. Of all migrant workers, 58% lived with at least one family member in the host city. Most of the respondents rated their health status being “very good or good” (58%). Fifty-four percent of the respondents reported having at least one disease in the past 12 months. Sixty-two percent of those who reported at least one disease visited doctors in the past 12 months. Of these, 22% returned to their hometown for medical treatment. Logistic regression showed that migrant workers living with families rated themselves as having better health status (P<0.05) but had more diseases (P>0.05) and had higher doctor visitation rate than those living with alone (58% vs. 66%, P<0.05). Conclusion. The Andersen health service utilization model helps to understand the health seeking behavior of the migrant workers in the host cities. Migrant workers living with family members were positively associated with self-rated health status and health service seeking behavior in small and medium-sized enterprises. Our findings suggest the importance of the assistance programs and social support to improve seeking of healthcare services among migrant groups, especially those who live alone in the host cities.

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Amani Abu-Shaheen ◽  
Isamme AlFayyad ◽  
Muhammad Riaz ◽  
Abdullah Nofal ◽  
Abdulrahman AlMatary ◽  
...  

Introduction. The majority of neonatal deaths in developing countries occur at home. Many of these deaths are related to late recognition of the signs of a serious illness by parents and a delay in the decision to seek medical care. Since the health-seeking behavior of mothers for neonatal care depends on the mothers' knowledge about WHO recognized danger signs, it is essential to investigate their knowledge of these signs. Objective. To investigate the knowledge and the experience of mothers and caregivers towards the WHO suggested neonatal danger signs. Methods. A community-based study was conducted on mothers who had delivered or had nursed a baby in the past two years. Results. A total of 1428 women were included in the analysis. Only 37% of the participant's knowledge covered three or more danger signs. The frequently reported participants’ knowledge of danger signs in this study was for yellow soles (48.0%), not feeding since birth or stopping to feed (46.0%), and signs of local infection (37.0%). The majority (69.0%) of the participants had experienced at least one of the danger signs with their baby. The noteworthy frequent reports of the participants’ experiences were for yellow soles (27.0%), not feeding since birth or stopping to feed (25.0%), and umbilical complications (19.0%). Conclusion. The proportion of mothers with knowledge of at least three neonatal danger signs is low. There is a need for developing interventions to increase a mother’s knowledge of newborns danger signs.


2019 ◽  
Vol 11 (Supplement_1) ◽  
pp. S55-S63
Author(s):  
Zan Li ◽  
Junming Dai ◽  
Ning Wu ◽  
Junling Gao ◽  
Hua Fu

Abstract Background Migrant workers worldwide commonly are susceptible to mental disorders. Since the 1980s, there has been a large-scale increase in the number of migrant workers in China; this development parallels the acceleration of socio-economic transformation. Studies addressing this population rarely focus on workers’ mental health or psychological well-being, yet it is imperative to understand the mental health status of rural-to-urban migrant workers and study the relationship between migration and mental health. Methods A cross-sectional survey of 3286 participants (response rate 85.4%) was conducted among different work units in Shanghai. All of the variables of this survey were assessed by a self-administered questionnaire, with depression measured by the Patient Health Questionnaire-9 (PHQ-9) scale and poor mental health (PMH) measured by the World Health Organization 5-Item Well-Being Index (WHO-5) scale. Pearson’s χ2 test and logistic regression were used to compare migrants with urbanites, and to identify factors related to mental health outcomes. Results Migrant workers (15.3%) had a slightly higher prevalence of depression than non-migrant (12.0%) workers, with notable PMH (26.9%) among participants >45 y of age. In the logistic regression models, those who reported low job satisfaction, unhealthy organizations, poor physical health (self-rated) and long working hours were 2.86 (95% CI 2.14 to 3.84), 1.42 (95% CI 1.06 to 1.91), 1.89 (95% CI 1.41 to 2.55) and 1.48 (95% CI 1.08 to 2.03) times more likely to have depression, respectively. Similarly, workers >45 y of age were 2.92 (95% CI 1.65 to 5.16) and 1.80 (95% CI 1.01 to 3.21) times more likely to have PMH for low job satisfaction and unhealthy organizations, respectively. Conclusions There are numerous potential causes affecting the mental health of Chinese internal migrant workers. Strengthening the construction of healthy organizations and enhancing workers’ job satisfaction may improve the mental health status or psychological well-being of this group.


2018 ◽  
Vol 33 (3) ◽  
pp. 420-429 ◽  
Author(s):  
Jessica K. Pepper ◽  
Ellen M. Coats ◽  
James M. Nonnemaker ◽  
Brett R. Loomis

Purpose: More adolescents “vape” (use e-cigarettes and similar devices) than smoke, but little is known about how underage users obtain vaping devices. This knowledge could inform efforts to prevent youth access. Design: Original cross-sectional survey with social media recruitment. Settings: Online. Participants: A total of 1729 adolescents (2809 qualified on screener; completion rate 61.6%) aged 15 to 17 years who vaped in the past 30 days. Measures: Adolescents’ vaping attitudes, ownership of vaping devices, how they obtain devices, and frequency of borrowing others’ devices. Analysis: Logistic regression. Results: Most adolescents (78.2%) owned a vaping device. The most common sources were purchasing from a store or online (31.1%), buying from another person (16.3%), or giving someone money to purchase for them (15.0%). The majority (72.8%) had used someone else’s vaping device in the past 30 days. Adolescents who vaped more often, did not own a vaping device, vaped in social situations, and had previously been refused purchase were more likely to frequently borrow others’ devices. Conclusions: Despite high rates of ownership, many adolescents borrowed devices, suggesting that borrowing is part of users’ social experience, not just a means of acquisition. Although better enforcement of age restrictions could lessen purchasing, future research is needed to understand why adolescents borrow and how their acquisition sources shift over time. That information could be harnessed for targeted, borrowing-related antivaping campaigns.


Author(s):  
Okechwukwu Felix Erondu ◽  
Michael Promise Ogolodom ◽  
Awajimijan Nathaniel Mbaba ◽  
Aniebo Nonyelum

Background: COVID-19 pandemic was associated with pandemonium and misinformation, affecting patients' health-seeking behavior. This study was designed to explore patients' perceptions of hospital care during this period and to provide evidence-based and appropriate public health planning strategies. Materials and Method: A cross-sectional survey was conducted among 155 patients using 22 items structured and self-completion questionnaires to determine (A) Socio-demographic variables, (B) Knowledge and perception of the disease, and (C) The participants’ behaviors towards COVID-19. A Hardcopy version of the questionnaire was administered to the respondents by direct issuance. Results: 103(66.45%) of the respondents knew the cause of COVID-19, while 104 (67.09%) agreed that people can be infected with COVID-19 in the hospital.  84 (54.19%) were afraid of a hospital visit and 66 (42.58%) are unwilling to self-report if they have minor symptoms. A large number 43(27.74%) perceived a clean environment as the impetus to make them comfortable in the hospital. Conclusion: Our study illuminates gaps in the patients’ perceptions of hospital care during the COVID-19 pandemic, which impacted negatively on the patient population as they avoided hospitalization for fear of contracting COVID-19 in the hospital. Furthermore, appropriate public health strategies can improve patients’ perceptions and health-seeking behavior in a pandemic period.


2018 ◽  
Vol 7 (2) ◽  
pp. 24-30
Author(s):  
R. Amatya ◽  
P. Chakrabortty ◽  
J.B. Khattri ◽  
P. Thapa ◽  
K. Ramesh

Introduction: Stigma is a sign of disgrace or discredit that sets a person apart from others. Stigma has detrimental effect on stigmatized persons’ life which may even hamper or delay the help seeking behavior, which ultimately increases the duration of untreated mental illness. Material And Method: A cross sectional survey was conducted among 90 psychiatry outpatients attending Manipal Teaching Hospital, Pokhara, Nepal. Discrimination and disclosure sub-scale of the Stigma scale and ISMI- 10 was administered to measure the extent of stigma. Help seeking delay was assessed using pre- structured questionnaire. Prediction of help seeking delay due to stigma was identified using logistic regression. Results: Low mean value on the subscales of the Stigma scale indicated low public stigma in the participants. 34% of the study population exhibited moderate to high self stigma. The full model for initial help seeking delay using logistic regression explained 21.8% (Cox and Snell R square) and 31.5% (Nagelkerke R square) of the variance in initial help seeking delay while the model for the recent help seeking delay explained 13.6% (Cox and Snell R square) and 20.8 % (Nagelkerke R square) of the variance in recent help seeking delay. The strongest predictor of both initial and recent help seeking delay was discrimination subscale (OR= 1.11; 95% CI= 1.033- 1.195). Conclusion: Discrimination experienced due to stigmatization leads to delay in help seeking behavior. Public stigma experienced by stigmatized individual acts as a stronger predictor for help seeking delay than self stigma.


Author(s):  
Hui Xiang ◽  
Xiaojun Tang ◽  
Meng Xiao ◽  
Lin Gan ◽  
Kun Chu ◽  
...  

Background: Rural-to-urban migrant workers may serve as a bridge population for the cross-regional spread of hepatitis B vaccination (HBV) due to frequent shifts between their work areas and homelands, and they are less likely to be covered by the national hepatitis B (HB) immunization program. This study aimed to investigate the current inoculation status of HB vaccine among migrant workers and the willingness to be vaccinated among non-vaccinated ones. Methods: We conducted a cross-sectional survey using anonymous interviews with migrant workers selected by two-stage cluster sampling from July to December 2018. Binary logistic regression models were adopted to detect influencing factors associated with HB inoculation status and vaccination willingness. Results: 1574 respondents were recruited in the surveys, and 773 (49.11%) respondents reported that they had been inoculated with HB vaccine. Only 285 (35.58%) non-vaccinated respondents were willing to be inoculated. Logistic regression indicated that younger age, higher education level, less wearing of condoms, higher knowledge scores of HB, and higher risk perception of HBV infection were positively associated with inoculation of HB vaccine. Respondents who were more highly educated, and drinkers, with higher knowledge scores of HB and with higher risk perception of HBV infection were more willing to be vaccinated. Conclusions: the HB vaccination rate of migrant workers in Chongqing was relatively low and only a small section of non-vaccinated migrant workers had vaccination willingness. Health interventions and policies are needed to improve knowledge and cognition of HB among migrant workers, particularly for those who are older, less educated, poor in HB knowledge, less likely to wear condoms, and non-drinkers. Peer education, as well as the combination of traditional and new media, would be accessible and effective ways to disseminate HB related knowledge for migrant workers.


2021 ◽  
Author(s):  
Yong Tian ◽  
Tingyong Feng ◽  
Zhen Wen ◽  
Yipeng Yang ◽  
Jingting Huang

Abstract Background A global public health emergency triggered by the Coronavirus Disease 2019 (COVID-19) epidemic may have a remarkable psychological impact on the population. There is still limited psychological research on police officers, especially on prison police. The present study aims to identify prevalence and influencing factors on mental health status among frontline prison police in China during the prevention and control of the COVID-19 epidemic. Methods A cross-sectional survey with a sample of 981 frontline prison police was conducted by using snowball sampling approach. The self-administered questionnaire consisted of 4 parts: (i) informed consent form; (ii) socio-demographic section; (iii) work and life situations during the prevention and control of the COVID-19 epidemic; (iv) the Chinese version of the 12-item General Health Questionnaire (GHQ-12). Univariate analysis and multivariable logistic regression were performed to identify factors influencing mental health status. Results The prevalence of being prone to mental health problems (GHQ-12 score ≥ 4) was 33.43% among frontline prison police. The results of GHQ-12 factors analysis that the prison police suffered from psychological issues related to anxiety and depression, which main symptoms were unhappy and depressed, lost sleep over worry and constantly under strain. Multivariate logistic regression analysis revealed that male (OR = 1.573, 95% CI: 1.385–1.853), work in closed jail (OR = 2.203, 95% CI: 2.139–2.297), more night shifts (OR = 2.163, 95% CI: 2.031–2.317 ; OR = 2.749, 95% CI: 2.194–2.901), more smoking (OR = 1.100, 95% CI: 1.037–2.168), poor physical condition (OR = 1.947, 95% CI: 1.478–2.250), chronic or serious illness history (OR = 1.870, 95% CI: 1.314–2.660; OR = 2.214, 95% CI: 1.460–2.812) were risk factor for mental health among frontline prison police, while regular diet (OR = 0.779, 95% CI: 0.539–0.928), more physical exercise (OR = 0.702, 95% CI: 0.548–0.899; OR = 0.641, 95% CI: 0.316–0.887), more communication with family members (OR = 0.437, 95% CI: 0.295–0.616) were protective factor. Conclusion The frontline prison police exhibited a high tendency toward mental health problems during the prevention and control of this epidemic. Therefore, continued surveillance of psychological problems and targeted mental health care for frontline prison police were urgently.


Community level health seeking behavior needs investigation since community plays either protective or pathogenic role to health. This study, therefore, intended to examine the health seeking behavior of Afar using a community based cross-sectional survey design. The survey employed both quantitative and qualitative methods to collect relevant data. The findings revealed that a substantial number of participants have had misconceptions and/or erroneous knowledge about the causes and symptoms of illnesses. Besides, most of the participants preferred treatment service from modern health care institutions. Their choice is significantly associated with age and level of education. Moreover, various factors including cost, distance, attitude toward health, decision-making power on health, perceived satisfaction, social capital and socio-religious behaviour affect the utilization of available health care services. In general, the findings implied the presence of a positive health seeking behavior among Afar that can be further strengthened with interventions. The interventions should address the misconceptions about causes/symptoms of illnesses and promote appropriate hierarchy of resort to the utilization of available health care services.


2015 ◽  
Vol 17 (1) ◽  
pp. 14-25 ◽  
Author(s):  
Kristin M. Khalaf ◽  
Karin S. Coyne ◽  
Denise R. Globe ◽  
Edward P. Armstrong ◽  
Daniel C. Malone ◽  
...  

Background: This study was conducted to assess self-reported prevalence and management of lower urinary tract symptoms (LUTS), along with drivers of treatment seeking, among patients with multiple sclerosis (MS). Methods: An online, cross-sectional survey was administered to US-residing participants with self-reported MS to assess presence of LUTS, including urinary incontinence (UI). Participants experiencing LUTS were asked additional questions related to management and current therapies. Multivariate logistic regression identified drivers of treatment-seeking behavior. Results: A total of 1052 participants completed the survey; 1047 were included in the analysis. Nine hundred sixty-six participants (92%) reported at least one LUTS, the most common being post-micturition dribble (64.9%), urinary urgency (61.7%), and a feeling of incomplete emptying (60.7%). Eight hundred twenty-six (79%) reported having some type of UI. Of those with any type of LUTS, 70% (n = 680) had previously discussed urinary symptoms with a health-care provider (HCP), while only 32% (n = 311) had seen an HCP in the past year. Logistic regression found urgency (odds ratio [OR] 1.20 [95% confidence interval (CI), 1.00–1.44]), intermittent urine stream (OR 1.40 [95% CI, 1.15–1.69]), and urgency UI (OR 1.78 [95% CI, 1.22–2.60]) to be significant predictors of seeking treatment. Of those who had discussed LUTS with an HCP, 480 (70.6%) were currently receiving at least one LUTS treatment; the most common treatments were reducing fluid intake, pelvic exercises, oral anticholinergic medications, and avoiding certain foods/alcohol. Conclusions: LUTS are commonly experienced among people with MS but are largely untreated. Proper LUTS assessment and work-up is warranted in MS patients.


Author(s):  
Shwetha . ◽  
K. N. Prasad

Background: Global migrant population is 214 million people, which accounts for approximately 3% of world population.As per 2001 census 307.2 million people, which is 30% population in India were migrants as reported by place of birth, of which 42.1 million were interstate migrants in India. Migrant populations as being a non-native population, are vulnerable and are exposed to many health problems. Most of the health problems of migrants are ascribed to their migration to urban areas, decreased awareness about local health facility, inability to cope with psychological stress, unhealthy sexual practices, and frequent travelling. The objective of the study was to assess the health seeking behavior of the migrant worker in Bengaluru.Methods: This is a cross sectional, exploratory and community based study. The study was conducted in the field practice area of department of Community Medicine of Dr. B. R. Ambedkar Medical College and Hospital, Bengaluru. Total study subjects were 295 were selected by convenient sampling method. The study was conducted between May 2017 to June 2017. Data regarding health seeking behaviour was collected using semi structured questionnaire.Results: Migrants were from different states of our country. 25.7% were from other districts of Karnataka, 58.3% of them belonged to high risk occupation and 41.7% to low risk. Around 85% of the migrants discussed their health problem, 59% of them preferred home remedy as a first priority for their illness & 41% preferred private hospitals for major illness. Around 52.9% of study subjects waited for more than 3days before seeking health care.Conclusions: The health seeking behaviour was poor and delay in seeking healthcare during their illness.


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