Introduction. Living with diabetes requires patients to have good self-monitoring of their disease and treatment. Appropriate health seeking behavior is important to minimize complications and improve quality of life. Methodology. A community-based, cross-sectional study of disease events and experiences from diagnosis to the time of study was conducted among 460 known diabetics in Tanjong Karang district. The aim of this study was to describe the current pattern of health seeking behavior and its determinants among rural communities. Appropriate diabetic health services utilization was defined as using modern treatment either through oral hypoglycemics or insulin injections, obtained from either a public or private health facility. Result. 85.9% of respondents reported having appropriate health seeking behaviour at the time of the house-to-house community survey. Multivariate logistic regression analysis revealed that appropriate health seeking behaviour was significantly associated with age of respondent, presence of comorbidity, family history of diabetes, distance from health facilities, perceived family support, and history of early treatment seeking at diagnosis and duration of disease. Conclusion. The present population has better appropriate health seeking behavior and provision of knowledge with strong family support in diabetic care which are important in control and prevention of diabetic complication that need to be emphasized. 1. Introduction Diabetes is now regarded as a major public health problem all over the world [1]. The prevalence of diabetes mellitus is reaching epidemic levels worldwide [2, 3]. The World Health Organization (WHO) estimated that the number of people with diabetes mellitus is expected to rise from 171 million in 2000 to 366 million in 2030, as a result of population ageing and urbanization [4]. In Singapore, diabetes mellitus is the 8th leading cause of death with 3% of all deaths being attributable to diabetes alone [5, 6]. In Malaysia, the World Health Organisation has estimated that in 2030, our country would have a total number of 2.48 million people with diabetes compared to 0.94 million in 2000 [7]. Prevalence of people with diabetes aged more than 18 years old increased from 11.6% in 2006 to 15.2% in 2011 [8]. Health seeking behaviour are directly related to disease incidence, prevalence and complication. Early recognition of symptom, presentation to healthcare facilities, and compliance with effective treatment can reduce morbidity and thereby mortality [9]. Diabetes is a common disease causing significant
References
[1]
WHO, Diabetes Mellitus, World Health Organization, Geneva, Switzerland, 2011, http://www.who.int/mediacentre/factsheets/fs311/en/.
[2]
P. Zimmet, K. G. Alberti, and J. Shaw, “Global and societal implications of the diabetes epidemic,” Nature, vol. 414, no. 6865, pp. 782–787, 2001.
[3]
A. F. Amos, D. J. McCarty, and P. Zimmet, “The rising global burden of diabetes and its complications: estimates and projections to the year 2010,” Diabetic Medicine, vol. 14, no. 12, pp. S7–S85, 1997.
[4]
S. Wild, G. Roglic, A. Green, R. Sicree, and H. King, “Global prevalence of diabetes: estimates for the year 2000 and projections for 2030,” Diabetes Care, vol. 27, no. 5, pp. 1047–1053, 2004.
[5]
Ministry of Health—Epidemiology and Disease Control Division, National Health Survey 2004, Ministry of Health, Singapore, 2004.
[6]
Ministry of Health, Clinical Practice Guidelines Diabetes Mellitus, MOH Clinical Practice Guidelines 3/2006, Ministry of Health, Singapore, 2006, http://www.moh.gov.sg/cpg.
[7]
M. Mafauzy, “Diabetes in Malaysia,” Journal of Medicine Malaysia, vol. 61, no. 4, pp. 397–398, 2006.
[8]
Institute for Public Health, National Institute of Health, and Ministry of Health, The Fourth National Health And Morbidity Survey (NHMS IV), Institute for Public Health, National Institute of Health and Ministry of Health, Putrajaya, Malaysia, 2011.
[9]
S. Hausmann-Mueala, J. Muela Ribera, and I. Nyamongo, “Health-seeking behaviour and the health system response,” in Disease Control Priorities Project (DCPP), Working Paper no. 14, 2003, http://pass-international.org/site/images/stories/publications/DCPP_Working_Paper_14_No_Health_seeking_behaviour_and_the_health_system_response.pdf.
[10]
K. M. Cummings, M. H. Becker, and M. C. Maile, “Bringing the models together: an empirical approach to combining variables used to explain health actions,” Journal of Behavioral Medicine, vol. 3, no. 2, pp. 123–145, 1980.
[11]
A. Kroeger, “Anthropological and socio-medical health care research in developing countries,” Social Science and Medicine, vol. 17, no. 3, pp. 147–161, 1983.
[12]
R. Remli and S. C. Chan, “Use of complementary medicine among diabetic patient in a public primary care clinic in Ipoh,” Medical Journal of Malaysia, vol. 58, no. 5, pp. 688–693, 2003.
[13]
Ministry of Health Malaysia, Clinical Practices Guideline, Management of Type 2 Diabetes Mellitus, 2009.
[14]
M. A. Yunus, M. M. T. Nasir, M. Z. Nor Afiah, M. S. Sherina, and M. S. Leong, “Prevalence of self medication and traditional medication among residents in a village in Sepang, Selangor,” Malaysian Journal of Public Health Medicine, vol. 4, no. 2, pp. 30–33, 2003.
[15]
National Health and Morbidity Survey, Annual report, Ministry of Health Malaysia, 2006.
[16]
World Health Organization and Regional Office for the Western Pacific, “2004 Country Health Information Profile: Malaysia,” http://www.who.int/gho/countries/mys.pdf?ua=1.
[17]
S. Krishnaswamy, K. Subramaniam, W. Y. Low, et al., “Factors contributing to utilization of health care services in Malaysia: a population-based study,” Asia-Pacific Journal of Public Health, vol. 21, no. 4, pp. 442–450, 2009.
[18]
B. Khongbuh, I. Walia, and S. Kapoor, “Prevalence of diabetes and treatment seeking behaviour among adult population at Village Dhanas, U.T. Chandigarh,” Nursing and Midwifery Research Journal, vol. 1, no. 3, pp. 138–143, 2005.
[19]
K. Hjelm and F. Atwine, “Health-care seeking behaviour among persons with diabetes in Uganda: an interview study,” BMC International Health and Human Rights, vol. 11, no. 1, article 11, 2011.
[20]
P. A. Bourne, “Socio-demographic determinants of health care-seeking behaviour, self-reported illness and self-evaluated health status in Jamaica,” International Journal of Collaborative Research on Internal Medicine and Public Health, vol. 1, no. 4, pp. 101–130, 2009.
[21]
L. Y. Wong and M. P. Toh, “Understanding of diabetes mellitus and health-preventive behaviour among Singaporeans,” Annals of the Academy of Medicine Singapore, vol. 38, no. 6, pp. 478–486, 2009.