Choices about treatment for ARI and diarrhea in rural Guatemala
Choices about treatment for ARI and diarrhea in rural Guatemala
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DOI：
10.1016/s0277-9536(01)00260-x
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发表时间：
2002-11-01
影响因子：
5.4
通讯作者：
Gragnolati, M
中科院分区：
文献类型：
--
作者：
Goldman, N;Pebley, AR;Gragnolati, M
本文利用1995年危地马拉家庭健康调查（EGSF）分析儿童疾病与就医行为的关系。EGSF包含关于五岁及以下儿童的疾病性质和时间以及治疗行为的详细日历数据;关于母亲、家庭和社区特征的广泛信息;以及关于社区内和附近传统和生物医学提供者的可获得性的数据。该分析基于870名在访谈前2周内开始患有呼吸道或呼吸道疾病的儿童。估计数来自一个多项logit模型的概率看到一个特定类型的提供者在一个给定的疾病日，作为一个功能的疾病，儿童，母亲和社区的特点。结果表明，现代医疗保健在治疗危地马拉农村儿童传染病方面发挥着重要作用。与疾病相关的症状，其感知的严重程度以及母亲对其原因的信念是决定是否将儿童带到提供者以及访问的提供者类型的重要决定因素。贫困是一个家庭选择如何治疗儿童疾病的严重制约因素，而当收入保持不变时，教育和种族对治疗行为几乎没有影响。此外，社区内现代医疗设施的可用性-包括政府赞助的设施和私人医生-对寻求治疗儿童疾病的提供者的类型产生了重大影响。(C)2002爱思唯尔科技有限公司。保留所有权利。
This paper uses the 1995 Guatemalan Survey of Family Health (EGSF) to analyze the relationship between child illness and health seeking behavior. The EGSF contains detailed calendar data on the nature and timing of illness and treatment behavior for children age five and below; extensive information about the characteristics of mothers, families and communities; and data on the accessibility of traditional and biomedical providers within and near the community. The analysis is based on 870 children who began a diarrheal or respiratory illness during a 2-week period prior to interview. Estimates are derived from a multinomial logit model of the probability of seeing a specific type of provider on a given day of illness, as a function of characteristics of the illness, child, mother, and community. The results indicate that modern medical care plays a major role in the treatment of infectious illness among children in rural Guatemala. The symptoms associated with the illness, their perceived severity, and mother's beliefs about their causes are important determinants of whether a child is brought to a provider and the type of provider visited.. Poverty is a serious constraint on a family's choices about how to treat children's illnesses, whereas education and ethnicity have little effect on treatment behavior when income is held constant. In addition, the availability of modern health facilities within the community-both government-sponsored facilities and private doctors-has a substantial impact on the type of providers sought to treat children's illnesses. (C) 2002 Elsevier Science Ltd. All rights reserved.