Treatment-Seeking Behaviors and Knowledge, Attitude and Practices among Suspected Dengue Adult Patients at the Hospital for Tropical Diseases, Bangkok, Thailand
Abstract
:1. Introduction
2. Materials and Methods
2.1. Design and Participants
2.2. Instrument and Data Collection
2.3. Statistical Analysis
3. Results
3.1. General Characteristics of Participants and Their Illnesses
3.2. Knowledge, Attitudes and Practices
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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n (N = 167) | % | Inpatient n (%) (N = 154) | Outpatient n (%) (N = 13) | p-Value | ||
---|---|---|---|---|---|---|
Sex: Male | 77 | 46.1 | 70 (45.5) | 7 (53.8) | 0.577 * | |
Age(years), Mean ± SD | 30.2 ± 13.2 | 30.6 ± 13.5 | 25.6 ± 7.4 | 0.043 ** | ||
Educational level (N = 160 #) | 0.198 * | |||||
Below bachelor degree | 75 | 46.9 | 72 (48.6) | 3 (25.0) | ||
Bachelor degree or above | 85 | 53.1 | 76 (51.4) | 9 (75.0) | ||
Occupation (N = 167) | 0.604 *** | |||||
Employed | 67 | 0.40 | 63 (40.9) | 4 (30.8) | ||
Unemployed | 68 | 0.41 | 61 (39.6) | 7 (53.8) | ||
Other | 32 | 19.2 | 30 (19.5) | 2 (15.4) | ||
Income (baht/month) (N = 136 #) | 0.929 * | |||||
<15,000 or no income | 83 | 0.60 | 75 (60.5) | 8 (66.7) | ||
≥15,000 | 53 | 0.40 | 49 (39.5) | 4 (33.3) | ||
Patients’ financial support for treatment (N = 162 #) | 0.019 * | |||||
Self-funding | 27 | 16.7 | 21 (14.1) | 6 (46.2) | ||
Government/security scheme | 135 | 83.3 | 128 (85.9) | 7 (53.8) | ||
Recent or current dengue infection in family or neighborhood | 41 | 24.6 | 38 (24.7) | 3 (23.1) | 0.637 *** | |
Previous dengue infection (N = 163 #) | 29 | 17.8 | 27 (18.0) | 2 (15.4) | 0.999* | |
Patients’ perception of disease before seeking care | 0.883 * | |||||
Dengue | 20 | 12.1 | 18 (11.8) | 2 (16.7) | ||
Other diseases | 145 | 87.9 | 135 (88.2) | 10 (83.3) | ||
Mode of admission to the HTD (N = 166 #) | 0.003 * | |||||
Walk-in | 84 | 50.6 | 72 (47.1) | 12 (92.3) | ||
Referred | 82 | 49.4 | 81 (52.9) | 1 (7.7) | ||
The initially visited health care facility (N = 160 #) | 0.350 *** | |||||
HTD | 23 | 14.4 | 20 (13.3) | 3 (30.0) | ||
University hospitals | 19 | 11.9 | 19 (12.6) | 0 (0) | ||
Government hospitals/centers | 50 | 31.2 | 47 (31.3) | 3 (30.0) | ||
Private hospitals/clinics | 51 | 31.9 | 49 (32.7) | 2 (20.0) | ||
Other | 17 | 10.6 | 15 (10.0) | 2 (20.0) | ||
Days of fever (days), Mean ± SD | 4.9 ± 1.7 | 5.0 ± 1.7 | 3.1 ± 1.3 | 0.001 ** | ||
Days of fever | 0.001 * | |||||
1–4 days | 64 | 38.3 | 53 (34.4) | 11 (84.6) | ||
≥5 days | 103 | 61.7 | 101 (65.6) | 2 (15.4) | ||
Final diagnosis | 0.003 *** | |||||
DF | 120 | 71.8 | 113 (73.4) | 7 (53.8) | ||
DHF | 22 | 13.2 | 22 (14.3) | 0 (0) | ||
Non-dengue febrile illness | 25 | 15.0 | 19 (12.3) | 6 (46.2) |
Factors/Outcomes | Early Care-Seeking (N = 64) | Late Care-Seeking (N = 103) | p-Value | |
---|---|---|---|---|
Sex: Male | 28 (43.8) | 49 (47.6) | 0.636 * | |
Age (years), Mean ±SD | 30.3 ± 14.0 | 30.3 ± 12.7 | 0.999 ** | |
Education level (N = 160 #) | 0.596 * | |||
Below Bachelor degree | 26 (43.3) | 49 (49.0) | ||
Bachelor degree or above | 34 (56.7) | 51 (51.0) | ||
Occupation (N = 167) | 0.947 *** | |||
Employed | 23 (35.9) | 39 (37.9) | ||
Unemployed | 29 (45.3) | 44 (42.7) | ||
Other | 12 (18.8) | 20 (19.4) | ||
Income (baht/month) (N = 136 #) | 0.999 * | |||
<15,000 or no income | 32 (60.4) | 51 (61.4) | ||
≥15,000 | 21 (39.6) | 32 (38.6) | ||
Patients’ financial support for treatment (N = 162 #) | ||||
Self-funding | 16 (26.7) | 11 (10.8) | 0.015 * | |
Government/security scheme | 44 (73.3) | 91 (89.2) | ||
Recent or current dengue infection in family or neighborhood | 22 (34.4) | 19 (18.4) | 0.034 * | |
Previous dengue infection (N = 163 #) | 11 (17.7) | 18 (17.8) | 0.999 * | |
Patients’ perception of disease before seeking care | 0.993 * | |||
Dengue | 8 (12.9) | 12 (11.7) | ||
Other diseases | 54 (87.1) | 91 (88.3) | ||
Mode of admission to HTD (N = 166 #) | 0.001 * | |||
Walk-in | 43 (68.3) | 41 (39.8) | ||
Referred | 20 (31.7) | 62 (60.2) | ||
The first visited health care facility (N = 160 #) | 0.001 *** | |||
HTD | 16 (26.2) | 7 (7.0) | ||
University hospitals | 3 (4.9) | 16 (16.2) | ||
Government hospitals/centers | 18 (29.5) | 32 (32.3) | ||
Private hospitals/clinics | 13 (21.3) | 38 (38.4) | ||
Other | 11 (18.0) | 6 (6.1) | ||
Clinical outcomes | 0.795 *** | |||
-DF | 47 (73.4) | 73 (70.9) | ||
-DHF | 7 (10.9) | 15 (14.6) | ||
-Non-dengue febrile illness | 10 (15.6) | 15 (14.6) | ||
Complications | ||||
-Bleeding | 9 (14.1) | 16 (15.5) | 0.999 * |
Knowledge | Correct Answer | n (%) |
---|---|---|
1. Mode of transmission | Mosquito bite: Aedes aegypti | 154 (92.2) |
2. Symptoms of dengue infection | High grade fever and headache | 150 (89.9) |
3. Epidemic season | Rainy season/all year | 153 (91.6) |
4. Treatment | Supportive treatment | 135 (80.8) |
5. Prevention | Avoid mosquito bite | 150 (89.8) |
Statement | N | Yes n (%) | No n (%) |
---|---|---|---|
You practice dengue prevention during the outbreak. | 165 | 88 (53.3) | 77 (46.7) |
You always perform vector control in your house. | 165 | 90 (54.5) | 75 (45.5) |
You will notify the public health officer to perform vector control after your infection. | 163 | 132 (81.0) | 31 (19.0) |
n | % | Yes n (%) | No n (%) | p-Value | ||
---|---|---|---|---|---|---|
Sex: Male | 76 | 45.8 | 69 (45.4) | 7 (50.0) | 0.785 * | |
Age(years), Mean ± SD | 30.3 ± 13.2 | 30.7 ± 13.5 | 24.7 ± 8.5 | 0.028 ** | ||
Education level (N = 159 #) | 0.997 * | |||||
Below Bachelor degree | 74 | 46.5 | 68 (47.0) | 6 (42.9) | ||
Bachelor degree or above | 85 | 53.5 | 77 (53.1) | 8 (57.1) | ||
Occupation (N = 165 #) | 0.840 *** | |||||
Employed | 65 | 39.4 | 34 (38.6) | 31 (40.3) | ||
Unemployed | 68 | 41.2 | 38 (43.2) | 30 (39.0) | ||
Other | 32 | 19.3 | 16 (18.2) | 16 (20.8) | ||
Income (baht/month) (N = 135 #) | 0.077 * | |||||
<15,000 or no income | 82 | 60.7 | 71 (58.2) | 11 (84.6) | ||
≥15,000 | 53 | 39.3 | 51 (41.8) | 2 (15.4) | ||
Patients’ financial support for treatment (N = 161 #) | 0.256 * | |||||
Self-funding | 27 | 16.8 | 23 (15.6) | 4 (28.6) | ||
Government/security scheme | 134 | 83.2 | 124 (84.4) | 10 (71.4) | ||
Recent or current dengue infection in family or neighborhood | 41 | 24.6 | 41 (27.0) | 0 (0) | 0.031 * | |
Previous dengue infection (N = 163 #) | 29 | 17.8 | 27 (18.0) | 2 (15.4) | 0.999 * |
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Piroonamornpun, P.; Looareesuwan, P.; Luvira, V.; Wongchidwon, N.; Pakdeewut, P.; Lawpoolsri, S.; Phonrat, B. Treatment-Seeking Behaviors and Knowledge, Attitude and Practices among Suspected Dengue Adult Patients at the Hospital for Tropical Diseases, Bangkok, Thailand. Int. J. Environ. Res. Public Health 2022, 19, 6657. https://doi.org/10.3390/ijerph19116657
Piroonamornpun P, Looareesuwan P, Luvira V, Wongchidwon N, Pakdeewut P, Lawpoolsri S, Phonrat B. Treatment-Seeking Behaviors and Knowledge, Attitude and Practices among Suspected Dengue Adult Patients at the Hospital for Tropical Diseases, Bangkok, Thailand. International Journal of Environmental Research and Public Health. 2022; 19(11):6657. https://doi.org/10.3390/ijerph19116657
Chicago/Turabian StylePiroonamornpun, Pittaya, Panita Looareesuwan, Viravarn Luvira, Nantawan Wongchidwon, Piyanan Pakdeewut, Saranath Lawpoolsri, and Benjaluck Phonrat. 2022. "Treatment-Seeking Behaviors and Knowledge, Attitude and Practices among Suspected Dengue Adult Patients at the Hospital for Tropical Diseases, Bangkok, Thailand" International Journal of Environmental Research and Public Health 19, no. 11: 6657. https://doi.org/10.3390/ijerph19116657