PMID- 36368763
OWN - NLM
STAT- MEDLINE
DCOM- 20221115
LR  - 20221120
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 12
IP  - 11
DP  - 2022 Nov 11
TI  - Healthcare-seeking behaviour of marginalised older people in urban slums: a 
      cross-sectional survey study in Khulna City, Bangladesh.
PG  - e066376
LID - 10.1136/bmjopen-2022-066376 [doi]
LID - e066376
AB  - OBJECTIVES: This study aimed to measure healthcare-seeking behaviour and 
      determine its associated factors among older people in the slums of the Khulna 
      City Corporation (KCC) areas of Bangladesh. DESIGN: Cross-sectional survey. 
      SETTINGS: Four slums in the KCC areas of Bangladesh. PARTICIPANTS: The 
      participants were selected following a two-stage area probability sampling with 
      the following specifications: they must be aged >/=60 years and must have lived in 
      the slums of KCC for at least 5 consecutive years. OUTCOME MEASURES: A 
      semistructured interview schedule was administered to determine participants' 
      healthcare-seeking behaviour, with healthcare-seeking behaviour measured through 
      a dichotomous response of 'yes' or 'no'. RESULTS: 636 participants were included 
      in the study. Gastrointestinal problems (75.3%) and aches and pains (71.5%) were 
      the two most common health problems among older people in the slums of KCC. Older 
      adults in their 80s had higher adjusted odds of attaining healthcare services 
      (adjusted OR (AOR)=2.028; 95% CI: 1.140 to 3.609; p<0.05) than other older 
      people, while educated older people (AOR=0.664; 95% CI: 0.441 to 1.000; 
      p<0.05) and those with greater satisfaction with domains of life (SDL index; 
      AOR=0.860; 95% CI: 0.811 to 0.912; p<0.01) were less inclined to seek 
      healthcare services than their counterparts. Additionally, widows/widowers 
      (AOR=2.218; 95% CI: 1.080 to 4.556; p<0.05) and married people (AOR=2.750; 
      95% CI: 1.329 to 5.689; p<0.01) had higher adjusted odds of seeking healthcare 
      services than those who were divorced/separated. CONCLUSION: Age, education, 
      marital status and SDL index were significant predictors for the 
      healthcare-seeking behaviour of older people in KCC slums. Effective strategies 
      need to be implemented to reduce existing access barriers to healthcare services 
      for older people in the slum areas of urban Bangladesh.
CI  - (c) Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No 
      commercial re-use. See rights and permissions. Published by BMJ.
FAU - Jahan, Nusrat
AU  - Jahan N
AUID- ORCID: 0000-0002-3043-2707
AD  - Sociology Discipline, Social Science School, Khulna University, Khulna, 
      Bangladesh.
FAU - Akter, Shahinur
AU  - Akter S
AUID- ORCID: 0000-0003-3539-556X
AD  - Sociology Discipline, Social Science School, Khulna University, Khulna, 
      Bangladesh.
FAU - Heme, Morsheda Akter
AU  - Heme MA
AUID- ORCID: 0000-0002-9169-5690
AD  - Sociology Discipline, Social Science School, Khulna University, Khulna, 
      Bangladesh.
FAU - Chandra, Dipika
AU  - Chandra D
AUID- ORCID: 0000-0002-6778-8395
AD  - Sociology Discipline, Social Science School, Khulna University, Khulna, 
      Bangladesh.
FAU - Polly, Afsana
AU  - Polly A
AUID- ORCID: 0000-0001-7506-8059
AD  - Sociology Discipline, Social Science School, Khulna University, Khulna, 
      Bangladesh.
FAU - Siddiqua, Laila
AU  - Siddiqua L
AUID- ORCID: 0000-0001-9143-2738
AD  - Architecture Discipline, Science, Engineering and Technology School, Khulna 
      University, Khulna, Bangladesh.
FAU - Rahman, Rumana
AU  - Rahman R
AUID- ORCID: 0000-0003-2514-0037
AD  - English Discipline, Arts and Humanities School, Khulna, Bangladesh.
FAU - Mohsin, Kaniz Fatima
AU  - Mohsin KF
AUID- ORCID: 0000-0002-6009-9896
AD  - Economics Discipline, Social Science School, Khulna University, Khulna, 
      Bangladesh.
FAU - Hossain, Md Tanvir
AU  - Hossain MT
AUID- ORCID: 0000-0003-0315-6900
AD  - Sociology Discipline, Social Science School, Khulna University, Khulna, 
      Bangladesh tanvirku05@soc.ku.ac.bd.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20221111
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
SB  - IM
MH  - Humans
MH  - Aged
MH  - *Poverty Areas
MH  - Cross-Sectional Studies
MH  - Bangladesh
MH  - *Patient Acceptance of Health Care
MH  - Surveys and Questionnaires
PMC - PMC9660562
OTO - NOTNLM
OT  - PUBLIC HEALTH
OT  - Quality in health care
OT  - SOCIAL MEDICINE
COIS- Competing interests: None declared.
EDAT- 2022/11/12 06:00
MHDA- 2022/11/16 06:00
PMCR- 2022/11/11
CRDT- 2022/11/11 20:43
PHST- 2022/11/11 20:43 [entrez]
PHST- 2022/11/12 06:00 [pubmed]
PHST- 2022/11/16 06:00 [medline]
PHST- 2022/11/11 00:00 [pmc-release]
AID - bmjopen-2022-066376 [pii]
AID - 10.1136/bmjopen-2022-066376 [doi]
PST - epublish
SO  - BMJ Open. 2022 Nov 11;12(11):e066376. doi: 10.1136/bmjopen-2022-066376.