ArticleBMC infectious diseases2025
Healthcare-Seeking behavior for acute respiratory infections in a community population in Southwest China during the 2021-2023 influenza seasons.
Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Same household, different choices: variation in health behaviors related to respiratory viruses in Illinois.medRxiv : the preprint server for health sciences · 2026Article
- Article
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13 authors.
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Abstract
backgroundThe healthcare-seeking behavior for acute respiratory infection (ARI) is a crucial denominator in estimating the respiratory disease burden. This study aimed to assess the healthcare-seeking behaviors among community residents with ARI and identify key factors influencing their healthcare preference.
methodsA cross-sectional community questionnaire survey was carried out in Wanzhou, a district in southwest China, following the winter-spring influenza peaks in the 2021-2022 and 2022-2023 seasons. Employing post-stratified estimation and chi-square tests, we adjusted and compared healthcare-seeking rates. We used multinomial logistic regression to discern the factors influencing medical behaviors.
resultsWe collected questionnaires from 9,702 residents of 52 communities. Following demographic adjustment, approximately 19% of the community population had ARI symptoms, with 45% of those infected seeking medical assistance. Compared with the 2021-2022 season, the survey in the 2022-2023 season showed ARI prevalence had an upsurge in individuals aged ≥ 60 (from 21.48 to 26.33%) and among those earning a monthly income below 1000 RMB (from 19.91 to 35.51%), while healthcare-seeking rate showed a significant downtrend for the above groups (from 61.11 to 49.05% for the elderly and 48.45 to 34.17% for low-income individuals). ARI cases had the highest preference of primary healthcare institutions in the 2021-2022 and 2022-2023 seasons (16.58% and 22.06%). The key factors influencing the ARI inclination towards primary healthcare institutions included geographical proximity, familiarity with doctors, educational qualification at or below the primary school, and being a designated facility under medical insurance.
conclusionsPrioritizing the enhancement of geographical convenience and economic measures for particularly vulnerable groups, especially the elderly and low-income populations, is an essential public health strategy in promoting more equitable and timely access to health services. Enhancing the professional capabilities of primary medical institutions in managing acute respiratory infections, specifically through an expanded range of pharmaceuticals, advanced treatment equipment, and a well-trained medical workforce, will help to ease the burden on secondary or tertiary hospitals during the seasonal peaks of ARI.
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