Research Article
Volume 4 Issue 1 - 2020
Determinants of Health Service Utilization among Older Adults in Ambo Town, West Shoa Zone, Oromia, Ethiopia
Abiru Neme Negewo*, Wadu Wolancho Debocha and Gadisa Bekele Bedada
Department of Nursing, Institute of Health, School of Nursing and Midwifery, Jimma University, Jimma, Ethiopia
*Corresponding Author: Abiru Neme Negewo, Department of Nursing, Institute of Health, School of Nursing and Midwifery, Jimma University, Jimma, Ethiopia.
Received: August 16, 2019; Published: December 31, 2019




Abstract

Introduction: In any country use of health services by elderly could vary according to the cultural, social, economic and demographic situation of the person who may need care. In certain contexts, it particularly varies with age and sex of the potential service user. However; there is paucity of information on the level and associated factors on health service utilization among elderly population in Ethiopia in general and in the study site in particular.

Objective: To assess utilization of health services and associated factors among population of older adults in Ambo town, West Shoa Zone, Oromia, Ethiopia.

Methods: A community based cross sectional study carried out on 284 elderly populations residing in Ambo town from February- March 2018. The collected data was cleaned, coded and entered into computer and analyzed using SPSS windows version 20.0. Descriptive statistics were done to summarize data. Binary and multiple logistic regression was undertaken to determine the independent predictor of health service utilization. 

Result: The following factors were identified as determinants of health service utilization among the elderly in Ambo: a medical history of at least one chronic condition (OR = 1.737; [0.425 - 2.562]; p < 0.000), who had reported enough money to meet their need were 75% utilize health services when compared to participants who did not have enough money to meet their need 47.3% (OR = 1.587; 95% CI = [1.236 - 2.037], p = 0.004). 

Conclusion and Recommendations: Age, Income, educationmedical history of at least one chronic condition and poor perceived health status were the most pervasive determinants of health service utilization. These factors could help health policy makers and health service providers identify and understand the situation of the elderly and consequently create conducive environment for providing appropriate health services. 

Keywords: Health Service Utilization; Elderly

References

  1. Das S. “The role of family in health and healthcare utilization among elderly”. A Dissertation (2012): 9.
  2. Narapureddy B., et al. “Socio-demographic Profile and Health Care Seeking Behaviour of Rural Geriatric Population of Allahabad District of UP : A Cross Sectional Study”. International Journal of Medical Science and Public Health 1.2 (2012): 7-12. 
  3. Abdulrahem IS. "Health Needs Assessment and Determinants of Health‐ Seeking Behaviour among Elderly Nigerians: A House‐Hold Survey". Annals of African Medicine 6 (2007): 58‐63.
  4. Capezuti E., et al. “Nurses Improving Care for Health system Elders-a model for optimizing the geriatric nursing practice environment”. Journal of Clinical Nursing 21 (2012): 3117-3125.
  5. Tao P., et al. “Reducing the burden of morbidity and medical utilization of older patients by outpatient geriatric services: Implications to primary health-care settings”. Geriatrics and Gerontology International 12 (2012): 612-621.
  6. Bloom DE., et al. “Implications of Population Aging for Economic Growth: PGDA Working Paper” (2011): 64. 
  7. Becker DJ., et al. “Health Services Utilization After Fractures: evidence from medicare”. The Journals of gerontology. Series A, Biological sciences 65.9 (2010): 1012-1020.
  8. Environmental Protection Authority, Federal Democratic Republic of Ethiopia (2012).
  9. Sanjel S., et al. “The Utilization of Health Care Services and their Determinants Among the Elderly Population of Dhulikhel Municipality”. Kathmandu university medical journal 10.1 (2012): 2-7. 
  10. Care I., et al. “The Epidemiology of Dependence in Older People in Nigeria: Prevalence, Determinants, Informal Care, and Health Service Utilization. A 10/66 Dementia Research Group Cross-Sectional Survey”. Journal of the American Geriatrics Society 57.9 (2009): 1620-1627.
  11. Secretary UN and States M.” The voices of older persons” (2002): 133-157.
  12. Emerta Asaminew. “Adopting Private Pension System in Ethiopia” 10.1 (2010): 7-13.
  13. Supranee C. “Elderly health service utilization: the study of Kanchanaburi demographic surveillance system”. Faculty of Graduate Studies, Mahidol Univ. M.A. (Population and Social Research) 3 (2005).
  14. Poor PN. “Pattern of utilization of health services among old age groups in Rural Area of North of Iran”. Turkish Journal of Geriatrics 12.1 (2009): 13-17.
  15. J Agbogidi C and Azodo. “Experiences of the elderly Utilizing Healthcare Services in Edo State”. The Internet Journal of Geriatrics and Gerontology 5.2 (2010): 5.
  16. Aboderin I. “Understanding and Advancing the Health of Older Populations in sub-Saharan Africa: Policy Perspectives and Evidence Needs”. Public Health Reviews 32.2 (2010): 357-376.
  17. González-González et al. “Health care utilization in the elderly Mexican population: Expenditures and determinants”. BMC Public Health 11 (2011): 192. 
  18. Debra S., et al. “The Vulnerable Elders Survey: A Tool for Identifying Vulnerable Older People in the Community”. 49.12 (2001): 1691-1699.
  19. Ho SC., et al. “Impact of Care giving on Health and Quality of Life: A Comparative Population-Based Study of Caregivers for Elderly Persons and Non caregivers”. The Journals of Gerontology Series A, Biological Sciences 64.8 (2009): 873-879. 
  20. Exavery A., et al. “Self-rated health and healthcare utilization among rural elderly Ghanaians in Kassena-Nankana district” (2011): 1-31.
  21. European countries Bulletin of the World Health Organization 82 (2004): 106-114.
  22. Brown C., et al. “Andersen Health Care Utilization Model for Complementary and Alternative Medicine (CAM) Use in African Americans’ of alternative and complementary medicine” 15.8 (2009): 911-919. 
  23. Fleury M., et al. “Comprehensive determinants of health service utilization for mental health reasons in a Canadian catchment area”. International Journal for Equity in Health 11.1 (2012): 20.
  24. Mattson J. “Transportation, Distance, and Health Care Utilization for Older Adults in Rural and Small Urban Areas”. 2.3 (2010): 26-38. 
  25. Sunha Choi. “Longitudinal Changes in Access to Health Care by Immigrant Status among Older Adults: The Importance of Health Insurance as a Mediator.” The Gerontologist 51.2 (2011): 156-169.
  26. Abdulraheem IS., et al. “Prevalence and Correlates of Physical Disability and Functional Limitation among Elderly Rural Population in Nigeria”. Journal of Aging Research 369894 (2011): 13. 
  27. Goodlin S., et al. "Who Will Need Long‐Term Care? Creation and Validation of an Instrument that Identifies Older People at Risk”. Disease Management 7 (2004).
  28. Kalam IMS and Khan HTA. "Morbidities among Older People in Bangladesh: Evidence from an Ageing Survey”. BRAC University Journal III (2006): 75‐83.
  29. Yarlini Balarajan., et al. “Health care and equity in India”. Lancet 377.9764 (2011): 505-515.
  30. Fernández‐MG., et al. "Health services accessibility among Spanish elderly Madrid Spain”. Social Science and Medicine 50 (2000): 17‐26.
  31. Kalam IMS and Khan HTA., "Morbidities Among Older People in Bangladesh: Evidence from an Ageing Survey”. BRAC University Journal III (2006): 75‐83.
  32. Mattson J. Transportation, Distance, and Health Care Utilization for Older Adults in Rural and Small Urban Areas (2010).
  33. Haseen et al. “BMC: self assessed health among Thai elderly”. Geriatrics 10 (2010): 30.
  34. Elderly health service utilization: the study of kanchanaburi demographic surveillance system (2005).
  35. Murata C., et al. “Barriers to Health Care among the Elderly in Japan”. International Journal of Environmental Research and Public Health 7 (2010): 1330-1341. 
  36. TT Awoyemi., et al. “Effect of Distance on Utilization of Health Care Services in Rural Kogi State, Nigeria”. Journal of Human Ecology 35.1 (2011): 1-9.
  37. Fitsum G., et al. “Health services utilization and associated factors in jimma zone, south west Ethiopia”. Ethiopian Journal of Health Sciences 21.4 (2001): 91-100. 
  38. Chuks J Mba. “Population Ageing in Ghana: Research Gaps and the Way Forward”. Journal of Aging Research. 672157 (2010): 8.
  39. Isabella Aboderin. “Advancing Health Service Provision for Older Persons and Age-related No communicable Disease in sub-Saharan Africa: Identifying Key Information and Training Needs”. Journal of African Research on Ageing Network (2008): 8-10.
Citation: Abiru Neme Negewo., et al. “Determinants of Health Service Utilization among Older Adults in Ambo Town, West Shoa Zone, Oromia, Ethiopia”. EC Nutrition 4.1 (2020): 01-15.

PubMed Indexed Article


EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005


EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777


EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347


EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478


EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253


EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033


EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992


EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505


EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793


EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211


EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047


EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560


EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318


EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819


EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840


EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344


EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476


EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658


EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489


EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278


EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108


EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571


EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333


EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883


EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001


EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937


EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723


EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726


EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events


November Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the November issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for Upcoming Issue

ECronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before December 15, 2022.

Certificate of Publication

ECronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

ECronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.