From: Evolutionary concept analysis of health seeking behavior in nursing: a systematic review
Antecedents | Supporting references |
---|---|
3–1: Social factors | ➢ Social networks [20, 21] and families [22] have solid roles in decision making for seeking health. |
➢ Number of other sick people and children under 5 years old in the family [22] and birth order of children [44]. | |
➢ Family size [14, 44] | |
3–2: Cultural factors | ➢ Cultural beliefs about health which lead to self-care as well as using home remedies and consultation [13, 16, 19, 35, 37, 47, 51–53] as one of the barriers to health-seeking behavior |
➢ Gender inequalities exist in all communities and social classes and have negative effects on women health [13, 16, 38, 49, 54], women autonomy [17, 55] and men’s dominant role [13, 20] | |
➢ Cultural preferences [15, 16] | |
➢ Traditional interventions and professional attitude [37, 41, 45] | |
➢ Superstition, rumors and legends [37] | |
➢ Fear of stigma [45] | |
➢ Previous and current perception of disease [30, 45] | |
➢ Understanding the value of health [38] | |
➢ Cultural taboos [51] | |
➢ Negative cultural experiences such as pressure to succeed, win or physical violence [44] | |
➢ Expectations of aging [12, 22, 39, 41, 56, 57] | |
➢ Absence of the head of household or other key decision makers [54] | |
➢ Head of household’s awareness, occupation and level of education [15, 41, 46, 49] | |
➢ Ethnicity [16, 22, 56] | |
➢ Marital status [22, 36] | |
➢ Denial of disease, especially by women [45]. | |
3–3: Economic Factors | ➢ Family income [14, 16, 17, 20, 22, 23, 38, 41, 42, 44, 47, 51, 56] |
➢ Treatment and commute costs [13, 19, 20, 57] | |
➢ Having insurance [16, 22, 51] | |
3–4: Disease pattern and issues related to health services | ➢ Physical access to health services [12–17, 19–23, 41, 51] |
➢ Distance to health service center [14, 46, 58] | |
➢ Poor performance of health services [13, 58] | |
➢ Availability of drugs [13, 17, 19, 51, 58] | |
➢ Can buy OTC medications without or with consulting a pharmacist [19, 47, 51] Expected quality of services [11, 15, 50] | |
➢ Pluralism or existence of different health systems in a cultural setting [23, 35, 49] | |
➢ Attitude toward health personnel [13, 41] | |
➢ Perceived severity of illness [13, 22, 41, 42] | |
➢ Knowledge and duration of illness [22] | |
➢ Lack of suitable referral system [23, 32] |