Determinants of health-seeking behaviors among middle-aged women in Vietnam's rural-urban transition setting
IntroductionThe purpose of this study is to identify the health status and healthcare utilization factors associated with middle-aged women in the rapid urbanization context of Vietnam.MethodsA cross-sectional study with a systematic random sampling technique was conducted in Hung Yen city. A system...
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| Format: | Article |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.967913/full |
| _version_ | 1797956421152669696 |
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| author | Thao Thi Phuong Nguyen Thao Thi Phuong Nguyen Cuong Tat Nguyen Cuong Tat Nguyen Hieu Trung Do Ha Thai Tran Thuc Minh Thi Vu Son Nghiem Giang Thu Vu Carl A. Latkin Cyrus S. H. Ho Cyrus S. H. Ho Roger C. M. Ho Roger C. M. Ho |
| author_facet | Thao Thi Phuong Nguyen Thao Thi Phuong Nguyen Cuong Tat Nguyen Cuong Tat Nguyen Hieu Trung Do Ha Thai Tran Thuc Minh Thi Vu Son Nghiem Giang Thu Vu Carl A. Latkin Cyrus S. H. Ho Cyrus S. H. Ho Roger C. M. Ho Roger C. M. Ho |
| author_sort | Thao Thi Phuong Nguyen |
| collection | DOAJ |
| description | IntroductionThe purpose of this study is to identify the health status and healthcare utilization factors associated with middle-aged women in the rapid urbanization context of Vietnam.MethodsA cross-sectional study with a systematic random sampling technique was conducted in Hung Yen city. A systematic random sampling technique was used to select a sample size of 362 middle-aged women. The collected data included socioeconomic characteristics, health issues, health service utilization, and social support for women in both urban and rural areas. Multivariate regression models were used to determine factors associated with health service utilization and the number of inpatient/outpatient visits.ResultsAmong 362 participants, the main chronic diseases were diabetes (12.8%), cardiovascular diseases (11.3%), and migraines (9.5%). The proportion of using inpatient and outpatient services among middle-aged women was relatively high (35.8 and 61%, respectively). Women having more support from family and friends were less likely to seek healthcare. Living in rural areas significantly increased the number of inpatient treatments. Regarding health service utilization, the percentage of people using outpatient treatment services accounted for 61.0%, while using inpatient treatment services was reported as 35.8%. The average number of outpatient and inpatient visits per participant were 1.3 and 0.9, respectively.ConclusionThis study revealed a relatively high rate of using healthcare services among women at midlife in a rapidly industrializing city in Vietnam. Screening programs should be implemented for early detection and treatment of chronic diseases in middle-aged women, especially for diabetes. Communication strategies should be adapted to raise awareness of rural women about regular health checkups, and counseling services of healthcare providers should be strongly reinforced. Lifestyle interventions and health promotion programs involving social support should be implemented to improve wellbeing and healthcare-seeking behaviors among middle-aged women. |
| first_indexed | 2024-04-10T23:48:48Z |
| format | Article |
| id | doaj.art-1771fc3c664444ebb1e0f472b097d19e |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-10T23:48:48Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj.art-1771fc3c664444ebb1e0f472b097d19e2023-01-10T20:36:14ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-01-011010.3389/fpubh.2022.967913967913Determinants of health-seeking behaviors among middle-aged women in Vietnam's rural-urban transition settingThao Thi Phuong Nguyen0Thao Thi Phuong Nguyen1Cuong Tat Nguyen2Cuong Tat Nguyen3Hieu Trung Do4Ha Thai Tran5Thuc Minh Thi Vu6Son Nghiem7Giang Thu Vu8Carl A. Latkin9Cyrus S. H. Ho10Cyrus S. H. Ho11Roger C. M. Ho12Roger C. M. Ho13Institute for Global Health Innovations, Duy Tan University, Da Nang, VietnamFaculty of Medicine, Duy Tan University, Da Nang, VietnamInstitute for Global Health Innovations, Duy Tan University, Da Nang, VietnamFaculty of Medicine, Duy Tan University, Da Nang, VietnamFaculty of Medicine, Hung Yen Medical College, Hung Yen, VietnamDepartment of General Planning, National Hospital of Traditional Medicine, Hanoi, VietnamInstitute of Health Economics and Technology, Hanoi, VietnamCenter for Applied Health Economics, Griffith University, Brisbane, QLD, AustraliaCenter of Excellence in Evidence-Based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City, VietnamBloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United StatesDepartment of Psychological Medicine, National University Hospital, Singapore, Singapore0Department of Psychological Medicine, National University Health System, Singapore, Singapore1Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore2Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore, SingaporeIntroductionThe purpose of this study is to identify the health status and healthcare utilization factors associated with middle-aged women in the rapid urbanization context of Vietnam.MethodsA cross-sectional study with a systematic random sampling technique was conducted in Hung Yen city. A systematic random sampling technique was used to select a sample size of 362 middle-aged women. The collected data included socioeconomic characteristics, health issues, health service utilization, and social support for women in both urban and rural areas. Multivariate regression models were used to determine factors associated with health service utilization and the number of inpatient/outpatient visits.ResultsAmong 362 participants, the main chronic diseases were diabetes (12.8%), cardiovascular diseases (11.3%), and migraines (9.5%). The proportion of using inpatient and outpatient services among middle-aged women was relatively high (35.8 and 61%, respectively). Women having more support from family and friends were less likely to seek healthcare. Living in rural areas significantly increased the number of inpatient treatments. Regarding health service utilization, the percentage of people using outpatient treatment services accounted for 61.0%, while using inpatient treatment services was reported as 35.8%. The average number of outpatient and inpatient visits per participant were 1.3 and 0.9, respectively.ConclusionThis study revealed a relatively high rate of using healthcare services among women at midlife in a rapidly industrializing city in Vietnam. Screening programs should be implemented for early detection and treatment of chronic diseases in middle-aged women, especially for diabetes. Communication strategies should be adapted to raise awareness of rural women about regular health checkups, and counseling services of healthcare providers should be strongly reinforced. Lifestyle interventions and health promotion programs involving social support should be implemented to improve wellbeing and healthcare-seeking behaviors among middle-aged women.https://www.frontiersin.org/articles/10.3389/fpubh.2022.967913/fullmiddle-agedmenopausechronic diseasehealth-seekinghealth service |
| spellingShingle | Thao Thi Phuong Nguyen Thao Thi Phuong Nguyen Cuong Tat Nguyen Cuong Tat Nguyen Hieu Trung Do Ha Thai Tran Thuc Minh Thi Vu Son Nghiem Giang Thu Vu Carl A. Latkin Cyrus S. H. Ho Cyrus S. H. Ho Roger C. M. Ho Roger C. M. Ho Determinants of health-seeking behaviors among middle-aged women in Vietnam's rural-urban transition setting Frontiers in Public Health middle-aged menopause chronic disease health-seeking health service |
| title | Determinants of health-seeking behaviors among middle-aged women in Vietnam's rural-urban transition setting |
| title_full | Determinants of health-seeking behaviors among middle-aged women in Vietnam's rural-urban transition setting |
| title_fullStr | Determinants of health-seeking behaviors among middle-aged women in Vietnam's rural-urban transition setting |
| title_full_unstemmed | Determinants of health-seeking behaviors among middle-aged women in Vietnam's rural-urban transition setting |
| title_short | Determinants of health-seeking behaviors among middle-aged women in Vietnam's rural-urban transition setting |
| title_sort | determinants of health seeking behaviors among middle aged women in vietnam s rural urban transition setting |
| topic | middle-aged menopause chronic disease health-seeking health service |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.967913/full |
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