Determinants of Eye Care Utilization in Rural South-eastern Nigeria.
To determine the barriers and incentives to eye care utilization (ECU) in Abagana, a rural south-eastern Nigerian community. The study was a population-based cross-sectional mixed method (quantitative and qualitative) survey of adult inhabitants of Abagana, in July-August, 2011. Data on respondents'...
| Publicado en: | Journal of Community Health Vol. 40; no. 5; pp. 881 - 891 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Oct2015
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=109208151&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 109208151 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: Oct2015 vid: 40 iid: 5 pid: 237 pub: Springer Nature artinfo: ui: 109208151 10.1007/s10900-015-0008-2 ppf: 881 ppct: 10 formats: fmt: @attributes: type: P size: 502KB tig: atl: Determinants of Eye Care Utilization in Rural South-eastern Nigeria. aug: au: Arinze, O. Eze, B. Ude, N. Onwubiko, S. Ezisi, C. Chuka-Okosa, C. affil: Department of Ophthalmology, Federal Teaching Hospital, Abakiliki Nigeria Department of Ophthalmology, University of Nigeria Teaching Hospital, Ituku-Ozalla 01139 Nigeria su: Nigeria Focus groups Health services accessibility Health insurance Interviewing Rural conditions Cross-sectional method Chi-squared test Cluster analysis (Statistics) Confidence intervals Eye care Fisher exact test Research methodology Questionnaires Statistical sampling Surveys T-test (Statistics) Logistic regression analysis Sample size (Statistics) Effect sizes (Statistics) Data analysis software Descriptive statistics Odds ratio sug: subj: Focus groups Health services accessibility Health insurance Interviewing Rural conditions Cross-sectional method Nigeria Direct individual life, health and medical insurance carriers Direct group life, health and medical insurance carriers Marketing Research and Public Opinion Polling Chi-squared test Cluster analysis (Statistics) Confidence intervals Eye care Fisher exact test Research methodology Questionnaires Statistical sampling Surveys T-test (Statistics) Logistic regression analysis Sample size (Statistics) Effect sizes (Statistics) Data analysis software Descriptive statistics Odds ratio keyword: Barriers Eye care utilization Incentives Barriers Eye care utilization Incentives ab: To determine the barriers and incentives to eye care utilization (ECU) in Abagana, a rural south-eastern Nigerian community. The study was a population-based cross-sectional mixed method (quantitative and qualitative) survey of adult inhabitants of Abagana, in July-August, 2011. Data on respondents' socio-demographics, barriers and incentives to ECU were collected, and analysed using descriptive and comparative statistics. A p < 0.05 was considered statistically significant. Qualitative data were obtained from focus group discussions and in-depth interviews and analyzed using ATLAS.ti software. The 549 respondents (males 224) were aged 49.8 ± 15.9 SD years (range 18-93 years). Overall, orthodox eye care had ever been sought by 42.4 %, and 46.4 % of those who reported change in vision. Lack of awareness-31.8 %, cost-18.0 %, and fatalistic attitudes-15.9 % were the main ECU barriers. Possession of health insurance (OR 11.49; 95 % CI 4.21-31.34; p = 0.001), family history of eye disorder (OR 3.27, 95 % CI 2.03-5.26; p = 0.001), noticed change in vision (OR 11.30; 95 % CI 1.42-90.09; p = 0.022), current eye disease (OR 4.06; 95 % CI 2.29-7.19; p = 0.001) and systemic co-morbidity (OR 4.33; 95 % CI 2.67-7.02; p = 0.001) were the incentives to ECU. To enhance the low ECU in Abagana community, educational interventions on eye health maintenance and eye health seeking behaviours, and measures to reduce eye care cost are recommended. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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