Healthcare Seeking Behaviour in Medical and Non-Medical Students: A Comparative Cross-Sectional Study in Tangerang Indonesia

Dyana Safitri Velies (1) , Gilbert Sterling Octavius (2) , Sherly Sherly (3) , Cindy Riannie (4) , Veli Sungono (5) , Fransisca Handy Agung (6)
(1) Obstetrics and Gynecology Department, Faculty of Medicine, Universitas Pelita Harapan , Indonesia
(2) Faculty of Medicine, Universitas Pelita Harapan , Indonesia
(3) Faculty of Medicine, Universitas Pelita Harapan , Indonesia
(4) Faculty of Medicine, Universitas Pelita Harapan , Indonesia
(5) Public Health Department, Faculty of Medicine, Universitas Pelita Harapan , Indonesia
(6) Child and Adolescent Department, Faculty of Medicine, Universitas Pelita Harapan , Indonesia

Abstract

Background: Adolescence is a phase in life where one grows and learns about necessary skills and particular knowledge. One of the top barriers to seeking health-care in medical students is academic reprisal because they fear that whatever illness will affect them adversely. This study aimed to look at health-care-seeking behaviors in Indonesian medical students as compare to non-medical students.
Methods: A cross-sectional study was done at the Universitas Pelita Harapan, Tangerang, Indonesia. Independent T-test analysis and chi-square performed using SPSS version 25.
Results: There were 428 participants in this study with 261 (60.98%) female respondents. There were a significant mean difference (p = 0.0014) in the age at which they start working for the first time in the medical groups (17.96 years) and non-medical groups (18.75 years). In addition, a significant difference depicted (p = 0.044) on accessing of health-care facilities as medical students (59.26%) as compared to non-medical students (40.74%).
Conclusion: There were a significant mean difference between medical students and non-medical students regarding their health-care-seeking behavior. Although often overlooked, adolescents also require health-care treatments, either medically or mentally.


Abstrak
Latar Belakang: Masa remaja merupakan fase dalam kehidupan dimana seseorang tumbuh dan belajar tentang keterampilan dan pengetahuan yang diperlukan di masa depan. Salah satu hambatan utama untuk mencari perawatan kesehatan pada mahasiswa kedokteran adalah dampak negatif secara akademis karena mereka takut bahwa penyakit yang diderita akan memberi dampak negatif bagi mereka. Penelitian ini bertujuan untuk melihat perilaku pencarian pelayanan kesehatan pada mahasiswa kedokteran di Indonesia dan membandingkannya dengan mahasiswa non kedokteran.
Metode: Studi potong lintang dilakukan di Universitas Pelita Harapan, Tangerang, Indonesia. Analisis Independent T-test dan chi-square dilakukan dengan menggunakan SPSS versi 25.
Hasil: Terdapat 428 peserta dalam penelitian ini dengan 261 (60,98%) responden perempuan. Terdapat perbedaan yang signifikan (p = 0,0014) pada usia pertama kali bekerja pada kelompok medis (17,96 tahun) dan non-medis (18,75 tahun). Perbedaan signifikan (p = 0,044) juga tampak pada akses layanan kesehatan dimana mahasiswa kedokteran (59,26%) lebih sering mengakses fasilitas kesehatan dibandingkan dengan mahasiswa non-medis (40,74%).
Kesimpulan: Terdapat perbedaan rata-rata yang bermakna antara perilaku mahasiswa kedokteran dan mahasiswa non-medis dalam mencari pelayanan kesehatan. Meski sering diabaikan, remaja sesungguhnya membutuhkan perawatan kesehatan, baik secara medis maupun mental.


 

Full text article

Generated from XML file

References

Sawyer SM, Azzopardi PS, Wickremarathne D, Patton GC. The age of adolescence. The Lancet Child & adolescent health. 2018;2(3):223-8.

Barker G. Adolescents,social support and help-seeking behaviour. World Health Organization: World Health Organization; 2007 [cited 2021 9th March]. Available from: http://apps.who.int/iris/bitstream/10665/43778/1/9789241595711_eng.pdf.

Roberts RE, Lewinsohn PM, Seeley JR. Symptoms of DSM-III-R major depression in adolescence: evidence from an epidemiological survey. Journal of the American Academy of Child and Adolescent Psychiatry. 1995;34(12):1608-17.

Kusumaryani M. Ringkasan Studi “Prioritaskan Kesehatan Reproduksi Remaja Untuk Menikmati Bonus Demografi ”: Lembaga Demografi Fakultas Ekonomi dan Bisnis Universitas Indonesia; 2017 [cited 2021 9th March]. Available from: https://ldfebui.org/wp-content/uploads/2017/08/BN-06-2017.pdf.

Kusumawardani N, Rachmalina S, Wiryawan Y, Anwar A, Handayani K, Mubasyiroh R, et al. Perilaku beresiko kesehatan pada pelajar SMP dan SMA di Indonesia: Badan Litbangkes Kementrian Kesehatan RI; 2015 [Available from: https://www.who.int/ncds/surveillance/gshs/GSHS_2015_Indonesia_Report_Bahasa.pdf.

World Health Organization. Strengthen the health sector response to adolescents' health and development: Department of child and adolescent health and development; 2009 [Available from: https://www.who.int/maternal_child_adolescent/documents/cah_adh_flyer_2010_12_en.pdf?ua=1.

Menon V, Sarkar S, Kumar S. A cross-sectional analysis of barriers to health-care seeking among medical students across training period. Journal of Mental Health and Human Behaviour. 2017;22(2):97-103.

Freed LH, Ellen JM, Irwin CE, Jr., Millstein SG. Determinants of adolescents' satisfaction with health care providers and intentions to keep follow-up appointments. The Journal of adolescent health : official publication of the Society for Adolescent Medicine. 1998;22(6):475-9.

Dagnew T, Tessema F, Hiko D. Health service utilization and reported satisfaction among adolescents in Dejen District, Ethiopia: a cross-sectional study. Ethiopian journal of health sciences. 2015;25(1):17-28.

World Health Organization., editor Adolescent health at a glance in South-East Asia Region, 2007 : fact sheet2007 2007; New Delhi: WHO Regional Office for South-East Asia.

Pommier J, Mounchtouris A, Billot L, Romero MI, Zubarew T, Deschamps JP. Self-reported determinants of health service use by French adolescents. International journal of adolescent medicine and health. 2011;13(2):115-30.

Booth ML, Bernard D, Quine S, Kang MS, Usherwood T, Alperstein G, et al. Access to health care among Australian adolescents young people's perspectives and their sociodemographic distribution. The Journal of adolescent health : official publication of the Society for Adolescent Medicine. 2004;34(1):97-103.

Vaz FS, Ferreira AM, Kulkarni MS, Perni SG, Dsouza D, Dsouza LC. Study of health seeking behaviour among medical students in Goa, India. Asian Journal of Medical and Clinical Sciences. 2012;1(3):140-1.

Meyer-Weitz A, Reddy P, Van Den Borne HW, Kok G, Pietersen J. The determinants of health care seeking behaviour of adolescents attending STD clinics in South Africa. Journal of adolescence. 2000;23(6):741-52.

Shahabuddin A, Nöstlinger C, Delvaux T, Sarker M, Delamou A, Bardají A, et al. Exploring Maternal Health Care-Seeking Behavior of Married Adolescent Girls in Bangladesh: A Social-Ecological Approach. PLOS ONE. 2017;12(1):e0169109.

Kabir H, Saha NC, Wirtz AL, Gazi R. Treatment-seeking for selected reproductive health problems: behaviours of unmarried female adolescents in two low-performing areas of Bangladesh. Reproductive Health. 2014;11(1):54.

Farotimi AA, Esike J, Nwozichi CU, Ojediran TD, Ojewole FO. Knowledge, Attitude, and Healthcare-Seeking Behavior Towards Dysmenorrhea among Female Students of a Private University in Ogun State, Nigeria. Journal of Basic and Clinical Reproductive Sciences. 2015;4:33-8.

Givens JL, Tjia J. Depressed medical students' use of mental health services and barriers to use. Academic medicine : journal of the Association of American Medical Colleges. 2002;77(9):918-21.

Sawalha K, Sawalha A, Salih E, Aldhuhori N, Bakie R, Alkilani H, et al. Health Seeking Behaviour among Medical Students in the University of Sharjah. Journal of Pharmacy and Pharmacology. 2017;5.

Cleland J. Asking young people about sexual and reproductive behaviours: World Health Organization.; 2002 [Available from: https://www.who.int/reproductivehealth/topics/adolescence/questionnaire.pdf.

El Kahi HA, Abi Rizk GY, Hlais SA, Adib SM. Health-care-seeking behaviour among university students in Lebanon. Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit. 2012;18(6):598-606.

Toomey SL, Elliott MN, Schwebel DC, Tortolero SR, Cuccaro PM, Davies SL, et al. Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care. Acad Pediatr. 2016;16(8):770-6.

Menon V, Sarkar S, Kumar S. Barriers to healthcare seeking among medical students: a cross sectional study from South India. Postgraduate medical journal. 2015;91(1079):477-82.

Hof SN, Messoussi I, Schuijt MTU, Goeij MCMd, Kunst AE. Healthcare seeking behaviour of students living on their own compared to those living in the parental home: a cross-sectional study. International journal of adolescent medicine and health. 2018;30(5).

Al-Mandhari A, Al-Adawi S, Al-Zakwani I, Al-Shafaee M, Eloul L. Impact of geographical proximity on health care seeking behaviour in northern oman. Sultan Qaboos Univ Med J. 2008;8(3):310-8.

Kumar R, Prinja S, Lakshmi PV. Health care seeking behavior of adolescents: comparative study of two service delivery models. Indian journal of pediatrics. 2008;75(9):895-9.

Authors

Dyana Safitri Velies
dyana.velies@gmail.com (Primary Contact)
Gilbert Sterling Octavius
Sherly Sherly
Cindy Riannie
Veli Sungono
Fransisca Handy Agung
Velies, D. S., Octavius, G. S., Sherly, S., Riannie, C., Sungono, V., & Agung, F. H. (2023). Healthcare Seeking Behaviour in Medical and Non-Medical Students: A Comparative Cross-Sectional Study in Tangerang Indonesia. Health Science Journal of Indonesia, 14(2). https://doi.org/10.22435/hsji.v14i2.5185

Article Details

Dietary intake changes in adolescent girl after iron deficiency anemia diagnosis

Dominikus Raditya Atmaka, Windi Indah Fajar Ningsih, Risnukathulistiwi Maghribi
Abstract View : 1730
Download :1608

The influence of body image and gender in adolescent obesity

Vita Pertiwi, Balgis Balgis, Yusuf Ari Mashuri
Abstract View : 1608
Download :1159

Adolescents school students in Java and Sumatra are in greater risk of obesity

Nunik Kusumawardani, Anissa Rizkianti Rizkianti, Rofingatul Mubasyiroh, Rofingatul Mubasyiroh,...
Abstract View : 387
Download :421