Evidence map›Paper›PMID 36070314›Full record

ArticlePloS one2022

Morbidities, health problems, health care seeking and utilization behaviour among elderly residing on urban areas of eastern Nepal: A cross-sectional study.

Mukesh Poudel, Asmita Ojha, Jeevan Thapa, Deepak Kumar Yadav, Ram Bilakshan Sah, Avaniendra Chakravartty, Anup Ghimire, Shyam Sundar Budhathoki

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Mukesh PoudelEpidemiology and Disease Control Division, Ministry of Health and Population, Kathmandu, Nepal.ORCID 0000-0003-4693-4418
Asmita OjhaHealth Office, Nuwakot, Ministry of health, Bagmati Province, Hetauda, Nepal.
Jeevan ThapaDepartment of Community Health Sciences, Patan Academy of Health Sciences, Lalitpur, Nepal.ORCID 0000-0002-5101-9460
Deepak Kumar YadavSchool of Public Health & Community Medicine B.P Koirala Institute of Health Sciences, Dharan, Nepal.
Ram Bilakshan SahSchool of Public Health & Community Medicine B.P Koirala Institute of Health Sciences, Dharan, Nepal.
Avaniendra ChakravarttySchool of Public Health & Community Medicine B.P Koirala Institute of Health Sciences, Dharan, Nepal.ORCID 0000-0002-5097-2217
Anup GhimireSchool of Public Health & Community Medicine B.P Koirala Institute of Health Sciences, Dharan, Nepal.
Shyam Sundar BudhathokiDepartment of Primary Care and Public Health, School of Public Health, Imperial College London, London, United Kingdom.ORCID 0000-0002-8614-1087
B.P. Koirala Institute of Health Sciences · NPGovernment of Nepal · NPMinistry of Health and Population · NPNepal Development Research Institute · NPPatan Academy of Health Sciences · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMorbidity increases with age and enhances the burden of health problems that result in new challenges to meet additional demands. In the ageing population, health problems, and health care utilization should be assessed carefully and addressed. This study aimed to identify chronic morbidities, health problems, health care seeking behaviour and health care utilization among the elderly.

methodsWe conducted a community based, cross-sectional study in urban areas of the Sunsari district using face-to-face interviews. A total of 530 elderly participants were interviewed and selected by a simple proportionate random sampling technique.

resultsAbout half, 48.3%, elderly were suffering from pre-existing chronic morbidities, of which, 30.9% had single morbidity, and 17.4% had multi-morbidities. This study unfurled more than 50.0% prevalence of health ailments like circulatory, digestive, eye, musculoskeletal and psychological problems each representing the burden of 68.7%, 68.3%, 66.2%, 65.8% and 55.7% respectively. Our study also found that 58.7% preferred hospitals as their first contact facility. Despite the preferences, 46.0% reported visiting traditional healers for treatment of their ailments. About 68.1% reported having difficulty seeking health care and 51.1% reported visits to a health care facility within the last 6 months period. The participants with pre-existing morbidity, health insurance, and an economic status above the poverty line were more likely to visit health care facilities.

conclusionElderly people had a higher prevalence of health ailments, but unsatisfactory health care seeking and health care utilization behaviour. These need further investigation and attention by the public health system in order to provide appropriate curative and preventive health care to the elderly. There is an urgent need to promote geriatric health services and make them available at the primary health care level, the first level of contact with a national health system.

Indexed as

Patient Acceptance of Health CareAgedCross-Sectional StudiesHumansMorbidityNepalPrevalence

Identifiers

PMID36070314
PMCPMC9451091
OpenAlexW4294884677

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.