Health-care-seeking behaviour in patients with hypertension: experience from a dedicated hypertension centre in Bangladesh

Autor: Mohammad Jahid Hasan, Md Zakir Hossain, Md Anwar Hossain, Koustuv Dalal, Md Abdul Baset, Probal Sutradhar, Mahabubul Alam, Tamanna Tabassum, Jannatul Fardous, Paramita Zaman, Md Abdur Rafi, Md Abdullah Saeed Khan, Mohammad Delwer Hossain Hawlader
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Blood Pressure, Vol 33, Iss 1 (2024)
Druh dokumentu: article
ISSN: 08037051
1651-1999
0803-7051
DOI: 10.1080/08037051.2024.2339434
Popis: Objective: The study aimed to assess health-seeking behaviour (HSB) and associated factors among hypertensive patients in Bangladesh.Methods: This cross-sectional study was conducted in the Hypertension & Research Centre, Rangpur, Bangladesh, between January 2022 and June 2022. A total of 497 hypertensive adults were recruited consecutively. A pre-tested structured questionnaire was deployed by the research team for data collection. Multivariable logistic regression analysis was used to explore the predictors of HSB.Results: The mean age of the hypertensive patients was 52 ± 11 (SD) years. Most of them were aged between 51 and 60 years (33%), female (55%), came from rural areas (57%), and belonged to middle socioeconomic class (68%). One-fourth of the patients (27%) had chosen informal healthcare providers for their first consultation. Fear of stroke (244, 45%), headache (170, 36%), and neck pain (81, 17%) were the three most common compelling causes of their visit to the hypertension centre. Age (aOR 0.78, 95% CI 0.68 − 0.89), male sex (aOR: 1.79, 95% CI 1.05 − 3.10), living in semi-urban (aOR 4.68, 95% CI 1.45 − 15.10) and rural area (aOR 1.68, 95% CI 1.01 − 2.80), farmers as occupation (aOR: 3.24, 95%CI: 1.31 − 8.06) and belonging to lower social economic class (aOR 4.24, 95% CI 1.68 − 10.69) were predictors of visiting informal providers of hypertensive patient. One-fourth of the hypertensive patients received consultation from informal healthcare providers.Conclusions: Raising awareness among patients and proper referral to specialised hypertension centres could promulgate the patients towards appropriate behaviour.
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