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Associations between Perception of Help-Seeking Behaviors and Quality of Life among Older People in Rural Communities: A Cross-Sectional Study

Author

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  • Ryuichi Ohta

    (Community Care, Unnan City Hospital, 96-1 Iida, Daito-Cho, Unnan 699-1221, Japan)

  • Chiaki Sano

    (Department of Community Medicine Management, Faculty of Medicine, Shimane University, 89-1 Enya Cho, Izumo 693-8501, Japan)

Abstract

Older people’s help-seeking behaviors (HSBs) may be limited because of various factors and are essential in improving healthcare in aging societies. This cross-sectional study investigated the association between perception of HSBs, concrete HSBs, quality of life (QOL), and other variables among people over 65 in rural Japan using standardized questionnaires. Participants were divided into high or low health status index score groups based on a median split. Logistic regression was used to assess the association between perception of HSBs and high QOL while controlling for age, sex, living conditions, annual health checks, having chronic diseases, regular clinic visits, smoking, habitual alcohol consumption, education, living conditions, social support, social capital, socioeconomic status (SES), and health literacy. Participants in the high QOL group were younger ( p < 0.001), and had fewer chronic diseases and regular clinic visits than those in the low QOL group ( p < 0.001). The multivariate logistic regression model revealed that age, chronic diseases, tobacco usage, family consultation, and consulting primary care physicians negatively predicted QOL. High SES, social capital and support, and HSB intention positively predicted QOL. Self-efficacy and intention regarding HSBs should be investigated to improve health among older rural people.

Suggested Citation

  • Ryuichi Ohta & Chiaki Sano, 2022. "Associations between Perception of Help-Seeking Behaviors and Quality of Life among Older People in Rural Communities: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(20), pages 1-10, October.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13331-:d:943540
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    References listed on IDEAS

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    1. Ryuichi Ohta & Mikiya Sato & Jun Kitayuguchi & Tetsuhiro Maeno & Chiaki Sano, 2021. "Potential Help-Seeking Behaviors Associated with Better Self-Rated Health among Rural Older Patients: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(17), pages 1-8, August.
    2. Qinfeng Zhao & Jian Wang & Stephen Nicholas & Elizabeth Maitland & Jingjie Sun & Chen Jiao & Lizheng Xu & Anli Leng, 2020. "Health-Related Quality of Life and Health Service Use among Multimorbid Middle-Aged and Older-Aged Adults in China: A Cross-Sectional Study in Shandong Province," IJERPH, MDPI, vol. 17(24), pages 1-13, December.
    3. Linda L Coventry & Johanna W van Schalkwyk & Peter L Thompson & Scott A Hawkins & Desley G Hegney, 2017. "Myocardial infarction, patient decision delay and help‐seeking behaviour: a thematic analysis," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(13-14), pages 1993-2005, July.
    4. Miriam Karinja & Goonaseelan Pillai & Raymond Schlienger & Marcel Tanner & Bernhards Ogutu, 2019. "Care-Seeking Dynamics among Patients with Diabetes Mellitus and Hypertension in Selected Rural Settings in Kenya," IJERPH, MDPI, vol. 16(11), pages 1-15, June.
    5. Ryuichi Ohta & Yoshinori Ryu & Chiaki Sano, 2022. "Improvement in Quality of Life through Self-Management of Mild Symptoms during the COVID-19 Pandemic: A Prospective Cohort Study," IJERPH, MDPI, vol. 19(11), pages 1-9, May.
    6. Ryuichi Ohta & Yoshinori Ryu & Daisuke Kataoka & Chiaki Sano, 2021. "Effectiveness and Challenges in Local Self-Governance: Multifunctional Autonomy in Japan," IJERPH, MDPI, vol. 18(2), pages 1-14, January.
    7. Ryuichi Ohta & Mikiya Sato & Jun Kitayuguchi & Tetsuhiro Maeno & Chiaki Sano, 2021. "The Association between the Self-Management of Mild Symptoms and Quality of Life of Elderly Populations in Rural Communities: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(16), pages 1-10, August.
    8. John A Ford & Rachel Turley & Tom Porter & Tom Shakespeare & Geoff Wong & Andy P Jones & Nick Steel, 2018. "Access to primary care for socio-economically disadvantaged older people in rural areas: A qualitative study," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-14, March.
    9. Ryuichi Ohta & Yoshinori Ryu & Chiaki Sano, 2022. "Older People’s Help-Seeking Behaviors in Rural Contexts: A Systematic Review," IJERPH, MDPI, vol. 19(6), pages 1-12, March.
    10. Ryuichi Ohta & Yoshinori Ryu & Jun Kitayuguchi & Chiaki Sano & Karen D. Könings, 2021. "Educational Intervention to Improve Citizen’s Healthcare Participation Perception in Rural Japanese Communities: A Pilot Study," IJERPH, MDPI, vol. 18(4), pages 1-11, February.
    11. Kasumi Nishikawa & Ryuichi Ohta & Chiaki Sano, 2022. "Factors Associated with Motivation for General Medicine among Rural Medical Students: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(9), pages 1-15, April.
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    1. Ryuichi Ohta & Takuji Katsube & Chiaki Sano, 2022. "Challenges in Help-Seeking Behaviors among Rural Older People Mitigated through Family Physician-Driven Outreach: A Systematic Review," IJERPH, MDPI, vol. 19(24), pages 1-8, December.

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