Dataset Information

Associated factors of doctor visits made by urban-dwelling older adults in Sri Lanka: an application of Anderson's model of health service utilization.

ABSTRACT:

Background

Although universal free healthcare is available for all Sri Lankan citizens, older adults face somewhat unique obstacles when utilizing available healthcare services. The aim of this study was to examine some vital predisposing, enabling, and need factors associated with doctor visits made by urban-dwelling older adults in Sri Lanka.

Methods

A representative sample of 880 urban-dwelling older adults (aged 60 years and above) was surveyed using an interviewer-administered questionnaire. Number of doctor visits, self-rated health, physical activity, and socio-demographic and self-report health conditions were collected. The data were analyzed using chi-squared tests and multinomial logistic regression.

Results

Participants' mean age was 70.01 (± 6.02) years. The majority was women (75.0%). The mean number of doctor visits was 6.77 (± 5.92) per year. Nearly half of the participants (47.0%) had made, on average, at least one doctor visit per month. Older men and those of aged 80 years and above were the least likely to make frequent doctor visits. Participants who were physically active and who rated their health as poor were more likely to make frequent doctor visits after adjustment for age, gender, and educational level.

Conclusions

Doctor visits made by Sri Lankan older adults are satisfactory. The factors that best explain high frequency of doctor visits by older adults are female gender, younger age, higher physical activity and poor self-rated health. Attention should be paid to examine possible accessible and affordable issues related to doctor visits by bedridden or physically dependent older adults in advanced age categories.

SUBMITTER: Wickramarachchi BI

PROVIDER: S-EPMC9275041 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

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Publications

Associated factors of doctor visits made by urban-dwelling older adults in Sri Lanka: an application of Anderson's model of health service utilization.

Wickramarachchi Bimba I BI Siop Sidiah J SJ Perera Bilesha B

BMC geriatrics 20220711 1

<h4>Background</h4>Although universal free healthcare is available for all Sri Lankan citizens, older adults face somewhat unique obstacles when utilizing available healthcare services. The aim of this study was to examine some vital predisposing, enabling, and need factors associated with doctor visits made by urban-dwelling older adults in Sri Lanka.<h4>Methods</h4>A representative sample of 880 urban-dwelling older adults (aged 60 years and above) was surveyed using an interviewer-administere ...[more]

PMID: 35820836

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Project description:BackgroundThe occurrence of climate change at an unprecedented scale has resulted in alterations of ecosystems around the world. Numerous studies have reported on the potential to slow down climate change through the sequestration of carbon in soil and trees. Freshwater wetlands hold significant potential for climate change mitigation owing to their large capacity to sequester atmospheric carbon dioxide (CO2). Wetlands among all terrestrial ecosystems have the highest carbon density and are found to store up to three to five times more carbon than terrestrial forests. The current study was undertaken to quantify carbon stocks of two carbon pools: aboveground biomass (AGB) and belowground biomass (BGB). Chosen study sites; Kolonnawa wetland and Thalawathugoda wetland park are distributed within the Colombo wetland complex. Colombo was recognized as one of the 18 global Ramsar wetland cities in 2018. A combination of field measurements and allometric tree biomass regression models was used in the study. Stratification of the project area was performed using the normalized difference vegetation index (NDVI).ResultsThe AGB carbon stock, across strata, is estimated to be in the range of 13.79 ± 3.65-66.49 ± 6.70 tC/ha and 8.13 ± 2.42-52.63 ± 10.00 tC/ha at Kolonnawa wetland and Thalawathugoda wetland park, respectively. The BGB carbon stock is estimated to be in the range of 2.47 ± 0.61-10.12 ± 0.89 tC/ha and 1.56 ± 0.41-8.17 ± 1.39 tC/ha at Kolonnawa wetland and Thalawathugoda wetland park, respectively. The total AGB carbon stock of Kolonnawa wetland was estimated at 19,803 ± 1566 tCO2eq and that of Thalawathugoda wetland park was estimated at 4180 ± 729 tCO2eq.ConclusionsIn conclusion, the study reveals that tropical freshwater wetlands contain considerable potential as carbon reservoirs. The study suggests the use of tropical freshwater wetlands in carbon sequestration enhancement plans in the tropics. The study also shows that Annona glabra, an invasive alien species (IAS), has the potential to enhance the net sink of AGB carbon in these non-mangrove wetlands. However, further studies are essential to confirm if enhanced carbon sequestration by Annona glabra is among the unexplored and unreported benefits of the species.

Project description:BackgroundThe leprosy services utilization by the patients at the clinic and field level should be high to achieve the target of eliminating leprosy as a public health problem in Sri Lanka. Furthermore, assessing patient and health system delay of a diagnosis and patient knowledge on disease are of equal importance to reveal the accurate picture.Methods and findingsA descriptive cross-sectional study was conducted to assess the utilization of government healthcare services by 672 adult leprosy patients in Western Province (WP). Paucibacillary patients diagnosed at least six months and above, and Multibacillary patients diagnosed at least 12 months and above were selected by consecutive sampling method. An interviewer-administered questionnaire (IAQ) was used for data collection. Clinic utilization by leprosy patients was 87.8%. The mean patient-related delay (time taken from the onset of symptoms to the encounter of a doctor/health facility for the first time) was 16.8 months and health care system delay (time taken from the date of clinic registration to start of treatment) was 21.2 days. The overall delay was 17.5 months. Services provided by the Medical Officer of Health (MOH) office for families affected with leprosy was known by 53.8% (n = 298) of patients. Majority of family contacts were examined at the hospitals (n = 299, 44%), 30.8% (n = 207) by the Public Health Inspectors (PHI) and 7% (n = 46) at the MOH offices. PHIs had visited 56.7% (n = 401) of the patient's houses and 54% (n = 363) had received health education by PHI. Mean knowledge score was 50.7 (SD = 17.9). More than half (57.9%, n = 389) of the study sample had a good or very good knowledge level.ConclusionsUtilization of clinic services was satisfactory. However, a considerable patient-related delay was found. Half of the patients were aware of available field services and a majority of contact screening was conducted at hospitals. Patient knowledge on leprosy was satisfactory.

Dataset Information

Associated factors of doctor visits made by urban-dwelling older adults in Sri Lanka: an application of Anderson's model of health service utilization.

Background

Methods

Results

Conclusions

Publications

Associated factors of doctor visits made by urban-dwelling older adults in Sri Lanka: an application of Anderson's model of health service utilization.

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