ArticleHealthcare (Basel, Switzerland)2022
Health Seeking Behaviour and Healthcare Utilization in a Rural Cohort of North India.
Article in Healthcare (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Post-COVID syndrome in Pakistan, India, and Bangladesh: a systematic narrative review of epidemiology, clinical manifestations, and healthcare system responses.Frontiers in public health · 2026Pooled it
- Health-seeking behavior and its determinants for non-communicable diseases in India - a systematic review and meta-analysis.Frontiers in public health · 2025Pooled it
- Tiered diagnosis and value-based healthcare: can the outpatient reimbursement policy for medical costs in retail pharmacies promote both?BMC health services research · 2026Article
- Geographical and age disparities in psychological help-seeking among university students.Discover mental health · 2026Article
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- Preventive strategies for chronic liver disease: A critical review of awareness, vaccine and screening programmes.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026Review
- The patterns and determinants of healthcare utilisation of older adults in rural Odisha, India - a cross-sectional study.BMC geriatrics · 2025Article
- Evaluating cognitive impairment among a geriatric population in India using the Indian Council of Medical Research (ICMR)-multilingual dementia research and assessment (MUDRA) toolbox.Indian journal of psychiatry · 2025Article
- Geographic disparities in inpatient service in primary care and patients' choice of first point of consultation: a linked cross-sectional survey and administrative data analysis in Shaanxi of China.International journal for equity in health · 2025Article
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- Smoking During Pregnancy and Its Association with Maternal Health Among Women of Reproductive Age in Alabama: An Analysis Using the Three Delays Model and PRAMS Phase 8 Data.Healthcare (Basel, Switzerland) · 2025Article
- BREATHLEssness in INDIA (BREATHE-INDIA): realist review to develop explanatory programme theory about breathlessness self-management in India.NPJ primary care respiratory medicine · 2025Review
- Education as a predictor of liver testing behaviour: Insights from a large-scale MASLD awareness survey in India.PloS one · 2025Article
- Differences in healthcare access between Rohingya refugees and their host community in Cox's Bazar, Bangladesh.Frontiers in public health · 2025Article
- Perceptions of health and healthcare needs in low-resource settings: qualitative insights from Bengaluru's urban slum and rural areas.Frontiers in public health · 2025Article
- Factors Associated with Health-Seeking Behavior in Indonesia: Evidence from the Indonesian Family Life Survey 2014.Medicina (Kaunas, Lithuania) · 2024Article
- Article
- Healthcare-seeking behavior and out-of-pocket payments in Erbil, Kurdistan Region of Iraq.Journal of health, population, and nutrition · 2024Article
- Geospatial Analysis of Parental Healthcare-Seeking Behavior in the Vicinity of Multispecialty Hospital in India.International journal of MCH and AIDS · 2024Article
- The impact of Covid-19 in Chhattisgarh, India: A descriptive study.Journal of family medicine and primary care · 2024Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe healthcare infrastructure of a country determines the health-seeking behaviour of the population. In developing countries such as India, there is a great disparity in the distribution of healthcare institutions across urban and rural areas with disadvantages for people living in rural areas.
objectivesOur objectives were to study the health-seeking behavior and factors associated with the use of formal healthcare among the Gorakhpur Health and Demographic Surveillance System (GHDSS) cohort of North India.
methodsThe study was conducted in 28 villages from two rural blocks in the Gorakhpur district of eastern Uttar Pradesh, North India. Structured questionnaires were used to collect the data with regard to demographics, health-seeking behaviour and healthcare utilization. An adjusted odds ratio with 95% confidence interval was used to report the factors associated with the utilization of healthcare.
resultsOut of 120,306 individuals surveyed, 19,240 (16%) individuals reported having any health problem in the last 15 days. Of them, 90% sought healthcare for their health needs. The formal healthcare utilization was 79%. The use of public health facilities was very low (37%) with most of the people seeking treatment from private healthcare (63%). Females, people with a higher level of education (graduate and above), and those belonging to rich and middle tercile were more likely to use formal healthcare services. Among different ailments, respiratory problems, gastrointestinal problems, and musculoskeletal problems were associated with decreased use of formal healthcare.
conclusionAbout four in five individuals surveyed who had health problems sought treatments from formal healthcare with three in five preferring private institutions to public healthcare facilities due to a perceived higher level of treatment quality and nearby availability. There is an urgent need to re-establish community trust among public healthcare facilities with a focus on delivering on-site health care and enhancing the quality of services offered by public healthcare institutions.
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Registered trials
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 OpenQuestion graph.