ArticleJournal of health, population, and nutrition2019
Determinants of health seeking behavior for chronic non-communicable diseases and related out-of-pocket expenditure: results from a cross-sectional survey in northern Bangladesh.
Article in Journal of health, population, and nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of HIV in slums area: a systematic review and meta-analysis.BMC infectious diseases · 2024Pooled it
- Exploring pension access and health-seeking behavior among older adults in South Kerala: A mixed-methods study.Journal of family medicine and primary care · 2026Article
- Factors influencing parents' healthcare-seeking behaviour for their ill children: a cross-sectional study based on China family panel studies.Frontiers in public health · 2026Article
- Determinants of outpatient healthcare-seeking behaviors among the rural poor affected by chronic conditions in India: a population-based cross-sectional study in seven states.Global health action · 2025Article
- Prevalence and correlates of health care utilization for non-communicable diseases in Bangladesh.BMC health services research · 2025Article
- Healthcare Cost Coverage and Hypertension and Diabetes Care Step Movement: A Five-Year Follow-Up Study in a Malaysian Semi-Rural Community.Health science reports · 2025Article
- Health seeking by people living with non-communicable diseases in a pluralistic health system: the role of informal healthcare providers.International journal for equity in health · 2025Article
- Article
- Assessing the determinants of out-of-pocket health expenditures among Cambodian households in informal employment using survey data.International journal for equity in health · 2025Article
- Enhancing healthcare utilization and reducing preventable hospitalizations: exploring the healthcare-seeking propensity of patients with non-communicable diseases in Rural China.BMC public health · 2025Article
- Lifetime economic burden of hemophilia using a nationwide real-world healthcare data.PloS one · 2025Article
- Knowledge, attitude, and utilization of traditional medicine within the plural medical system in West Java, Indonesia.BMC complementary medicine and therapies · 2024Article
- Article
- Financial risk protection against noncommunicable diseases: trends and patterns in Bangladesh.BMC public health · 2022Article
- Information seeking about COVID-19 and associated factors among chronic patients in Bahir Dar city public hospitals, Northwest Ethiopia: a cross-sectional study.BMC infectious diseases · 2022Article
- The Health-Seeking Behavior among Malaysian Adults in Urban and Rural Areas Who Reported Sickness: Findings from the National Health and Morbidity Survey (NHMS) 2019.International journal of environmental research and public health · 2022Article
- The choice of medical facility and associated factors among Chinese advanced colorectal cancer patients: a cross-sectional multi-center study.Annals of translational medicine · 2022Article
- Exploring health-seeking behavior for non-communicable chronic conditions in northern Bangladesh.PLOS global public health · 2022Article
- Association between social integration and medical returns among the migrant elderly following children to Jinan City China.BMC public health · 2021Article
- In-hospital and 30-day major adverse cardiac events in patients referred for ST-segment elevation myocardial infarction in Dhaka, Bangladesh.BMC cardiovascular disorders · 2021Observational
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn spite of high prevalence rates, little is known about health seeking and related expenditure for chronic non-communicable diseases in low-income countries. We assessed relevant patterns of health seeking and related out-of-pocket expenditure in Bangladesh.
methodsWe used data from a household survey of 2500 households conducted in 2013 in Rangpur district. We employed multinomial logistic regression to assess factors associated with health seeking choices (no care or self-care, semi-qualified professional care, and qualified professional care). We used descriptive statistics (5% trimmed mean and range, median) to assess related patterns of out-of-pocket expenditure (including only direct costs).
resultsEight hundred sixty-six (12.5%) out of 6958 individuals reported at least one chronic non-communicable disease. Of these 866 individuals, 139 (16%) sought no care or self-care, 364 (42%) sought semi-qualified care, and 363 (42%) sought qualified care. Multivariate analysis confirmed that the following factors increased the likelihood of seeking qualified care: a higher education, a major chronic non-communicable disease, a higher socio-economic status, a lower proportion of chronic household patients, and a shorter distance between a household and a sub-district public referral health facility. Seven hundred fifty-four (87 %) individuals reported out-of-pocket expenditure, with drugs absorbing the largest portion (85%) of total expenditure. On average, qualified care seekers encountered the highest out-of-pocket expenditure, followed by those who sought semi-qualified care and no care, or self-care.
conclusionOur study reveals insufficiencies in health provision for chronic conditions, with more than half of all affected people still not seeking qualified care, and the majority still encountering considerable out-of-pocket expenditure. This calls for urgent measures to secure better access to care and financial protection.
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