ArticleOpen forum infectious diseases2023
Predictors of Seeking Care for Influenza-Like Illness in a Novel Digital Study.
Article in Open forum infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Participant self-collected versus research coordinator-collected nasal swabs for respiratory viral surveillance following influenza-like illness.Frontiers in public health · 2026Trial
- Characterization of Influenza-Like Illness Burden Using Commercial Wearable Sensor Data and Patient-Reported Outcomes: Mixed Methods Cohort Study.Journal of medical Internet research · 2023Trial
- Assessment of influenza burden, preventive behaviours, and vaccination uptake among multi-ethnic university students in the United Arab Emirates: a cross-sectional study.BMC infectious diseases · 2026Article
- Real-time digital prescriptions unlock influenza dynamics: evidence from 21 million transactions.NPJ digital medicine · 2026Article
- Suppression and resurgence: the evolving epidemiology of seasonal influenza from 2015 to 2024 in a core urban district of Beijing, China.Frontiers in public health · 2026Article
- Spatial variation in socio-economic vulnerability to Influenza-like Infection for the US population.PLoS computational biology · 2026Article
- Nationwide spatial epidemiological dataset of over 100,000 influenza-like illness notifications in Iran by county (2015-2019).BMC research notes · 2025Article
- Severity-dependent test-seeking behaviors and test-negative designs: impact on estimated vaccine effectiveness and utility of analytic and design choices.American journal of epidemiology · 2024Article
- Epidemiological inference at the threshold of data availability: an influenza A(H1N2)v spillover event in the United Kingdom.Journal of the Royal Society, Interface · 2024Article
- Number of Influenza Risk Factors Informs an Adult's Increased Potential of Severe Influenza Outcomes: A Multiseason Cohort Study From 2015 to 2020.Open forum infectious diseases · 2024Article
- Adjusting for Case Under-Ascertainment in Estimating RSV Hospitalisation Burden of Older Adults in High-Income Countries: a Systematic Review and Modelling Study.Infectious diseases and therapy · 2023Article
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Previous research has estimated that >50% of individuals experiencing influenza-like illness (ILI) do not seek health care. Understanding factors influencing care-seeking behavior for viral respiratory infections may help inform policies to improve access to care and protect public health. We used person-generated health data (PGHD) to identify factors associated with seeking care for ILI. Methods: Two observational studies (FluStudy2020, ISP) were conducted during the United States 2019-2020 influenza season. Participants self-reported ILI symptoms using the online Evidation platform. A log-binomial regression model was used to identify factors associated with seeking care. Results: Of 1667 participants in FluStudy2020 and 47 480 participants in ISP eligible for analysis, 518 (31.1%) and 11 426 (24.1%), respectively, sought health care. Participants were mostly female (92.2% FluStudy2020, 80.6% ISP) and aged 18-49 years (89.6% FluStudy2020, 89.8% ISP). In FluStudy2020, factors associated with seeking care included having health insurance (risk ratio [RR], 2.14; 95% CI, 1.30-3.54), more severe respiratory symptoms (RR, 1.53; 95% CI, 1.37-1.71), and comorbidities (RR, 1.37; 95% CI, 1.20-1.58). In ISP, the strongest predictor of seeking care was high symptom number (RR for 6/7 symptoms, 2.14; 95% CI, 1.93-2.38). Conclusions: Using PGHD, we confirmed low rates of health care-seeking behavior for ILI and show that having health insurance, comorbidities, and a high symptom burden were associated with seeking health care. Reducing barriers in access to care for viral respiratory infections may lead to better disease management and contribute to protecting public health.
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