Evaluation of health-seeking behaviour among older people during the COVID-19 pandemic in Bali and Yogyakarta, Indonesia
Journal Title: Journal of Public Health and Development - Year 2023, Vol 21, Issue 1
Abstract
The COVID-19 pandemicposes the highest risk to older people with comorbidities, as the rapid spread of the virus reducesthe community's access to formal healthcare facilities. This leads to the search for medical alternatives from several informal health sources. Therefore, this study aims to evaluate healthcare-seeking behaviour(HSB)among older people during the COVID-19 pandemic. It also aims to determine the factors influencing this behaviour. Data were obtained from Older PeopleCommunity-Based Study in Bali and Yogyakarta province, Indonesia, between December 2020 and March 2021, using a phone survey technique. These wereanalyzed using bivariate (Chi-square test) and multivariate (logistic regression) analyses, to examine the association between the binary outcome of HSB types and explanatory factors. The result showedthat 58.3%of the 1241 participants were female, as most were elementary graduates (31.5%) with the average age being 69 years old.During the pandemic period,49.8% sought medical care at formal health facilities, with a 36% reduction observed in the visitations to formal wellness centres, compared to the pre-pandemic interval. In the multivariate logistic regression, some positive and significant factors were found to influence HSBin visiting formal health facilities. These factors includedhigher education level/university (AOR=2.04, p<0.05), unemployedstatus (AOR=1.36, p<0.05), unhealthy lifestyle (AOR=2.53, p<0.001), chronic hypertension disease (AOR=1.78, p<0.001), diabetes (AOR=3.73, p<0.001), and lung disorder (AOR=2.76, p<0.01). In addition, the proportion of inappropriate HSB was relatively high, leading to the necessity to apply the following alternative healthcare techniques, (1) Telephone consultation with professional clinicians, and (2) Provision ofvillage-level care agents, to help monitor older persons' medical conditions during a health crisis.
Authors and Affiliations
Ni Wayan Suriastini, Bondan Sikoki, Rodhiah Umaroh, Dani Alfah, Endra Dwi Mulyanto, Naryanta, Amalia Rifana Widiastuti, Kusmaintan Widya Lestari
Keywords
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- EP ID EP719825
- DOI 10.55131/jphd/2023/210109
- Views 43
- Downloads 0
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