The impact of socioeconomic and demographic factors on individuals’ behaviour towards their health and general well-being in rural Sindh, Pakistan

Authors

  • Maria Binte Sarfaraz Physiology Department, National University of Medical Science, Rawalpindi, Pakistan
  • Amir Shazad St. George’s University school of medicine, True Blue, Grenada
  • Mustafa Naeem Medical College, Liaquat National Hospital & Medical College, Karachi Pakistan
  • Rahil Barkat Indus Hospital Research Center, Indus Hospital & Health Network, Karachi Pakistan
  • Chutimon Narawish International College, Rangsit University, Lak Hok. Thailand
  • Camilo Andres Avendano Caprilesez Medicine, Universidad del Norte · Barranquilla, Columbia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20214986

Keywords:

Socio-economic factors, Demographic factors, Healthcare facilities, General well-being, Pakistan

Abstract

Background: Health and general well-being might sound like a mundane concept for most developed nations; however, it is not perceived similarly in underdeveloped areas of the developing nations. In Pakistan, the concept becomes even more foreign and muddled with certain stubborn biases which needs to be accessed. Therefore, we conducted a study to identify the impact of socioeconomic and demographic factors associated with behaviors regarding health and general well-being.

Methods: A cross-sectional study was conducted in rural health centers (RHCs) of five districts of Sindh, Pakistan, from October 2020 to December 2020. A survey questionnaire was designed to collect data on socio-economic and demographic factors and their impacts on behavior towards health and general well-being. Statistical analysis was performed using STATA Version 16.0. Chi-square test and logistic regression analysis were used to determine the extent of association between predictor variables and outcome variables.

Results: A total of 969 respondents participated in the study. The mean age of the respondents was 35.70 (±13.17) years. Majority of the participants (82.77%) had limited access to the required health care facility and only (3.61%) of respondents reported that they regularly consult with disease specialists. Multivariable logistic regression revealed the ability to bear disease expenses (OR=0.55, p=0.009), level of education (OR=1.81, p=0.026), female gender (OR=0.30, p=0.048), access to required health facilities (OR=0.58, p=0.012) were significantly associated with positive behavior towards health and general well-being.

Conclusions: The study shows that ease of access to healthcare facilities would encourage the population to seek more healthy behaviors. Resources for promoting healthy lifestyle choices in the general population should be more comprehensive for encompassing cognitive beliefs that target psychological and physical health outcomes.  

 

References

Ryff CD, Keyes CL. The structure of psychological well-being revisited. J Pers Soc Psychol. 1995;69:719-27.

Robinson DH, Toledo AH. Historical development of modern anesthesia. J Invest Surg. 2012;25:141-9.

He Z, Cheng Z, Shao T. Factors Influencing Health Knowledge and Behaviors among the Elderly in Rural China. Int J Environ Res Public Health. 2016;13:975.

Sørensen K, Van den Broucke S, Fullam J. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012;12:80-2012.

Lui CK, Chung PJ, Wallace SP, Aneshensel CS. Social status attainment during the transition to adulthood. J Youth Adolesc. 2014;43:1134-50.

Musoke D, Boynton P, Butler C, Musoke MB. Health seeking behaviour and challenges in utilising health facilities in Wakiso district, Uganda. Afr Health Sci. 2014;14:1046-55.

Petersen PE, Kwan S. Equity, social determinants and public health programmes--the case of oral health. Community Dent Oral Epidemiol. 2011;39:481-7.

Hsu M, Ju T, Yen C, Chang C. Knowledge sharing behavior in virtual communities: The relationship between trust, self-efficacy, and outcome expectations. International Journal of Surgery. 2012;65:153-69.

Lantz PM, House JS, Lepkowski JM, Williams DR, Mero RP, Chen J. Socioeconomic factors, health behaviors, and mortality: results from a nationally representative prospective study of US adults. JAMA. 1998;279:1703-8.

Rogers RG, Hummer RA, Nam CB. Living and Dying in the USA: Behavioral, Health, and Social Differentials of Adult Mortality. San Diego, CA: Academic. 2000.

Cutler DM, Lleras-Muney A. Understanding differences in health behaviors by education. J Health Econ. 2010;29:1-8.

ul Huda SN, Burke F. Social and economic disparities, Sindh, Baluchistan and Pakistan-A comparative study. The. Research Journal of Sciences and Technology. 2011;2:49-66.

Jacob R, Arnold LD, Hunleth J, Greiner KA, James AS. Daily hassles' role in health seeking behavior among low-income populations. Am J Health Behav. 2014,38:297-306.

Zouali M. B-cell superantigens: implications for selection of the human antibody repertoire. Immunol Today. 1995;16:399-405.

Cai SR, Zhang SZ, Zhu HH, Zheng S. Barriers to colorectal cancer screening: a case-control study. World J Gastroenterol. 2009;15:2531-6.

Bourne PA, Morris C, Charles CA, Eldemire-Shearer D, Kerr-Campbell MD, Crawford TV. Health literacy and health seeking behavior among older men in a middle-income nation. Patient Relat Outcome Meas. 2010;1:39-49.

Parikh NS, Parker RM, Nurss JR, Baker DW, Williams MV. Shame and health literacy: the unspoken connection. Patient Educ Couns. 1996;27:33-9.

Howard DH, Sentell T, Gazmararian JA. Impact of health literacy on socioeconomic and racial differences in health in an elderly population. J Gen Intern Med. 2006;21:857-61.

Brohi AA, Kakepoto H. Gender Differential Treatment in Social Development: A Sociological Study in Rural Sindh. New Horizons. 2013;1:9.

Shaikh BT, Hatcher J. Health seeking behaviour and health service utilization in Pakistan: challenging the policy makers. J Public Health Oxf. 2005;27:49-54.

Ettner SL. New evidence on the relationship between income and health. J Health Econ. 1996;15:67-85.

Downloads

Published

2021-12-27

How to Cite

Sarfaraz, M. B., Shazad, A., Naeem, M., Barkat, R., Narawish, C., & Avendano Caprilesez, C. A. (2021). The impact of socioeconomic and demographic factors on individuals’ behaviour towards their health and general well-being in rural Sindh, Pakistan. International Journal Of Community Medicine And Public Health, 9(1), 93–99. https://doi.org/10.18203/2394-6040.ijcmph20214986

Issue

Section

Original Research Articles