Factors associated with the utilization of health services among patients with hypertension during the Covid-19 pandemic: a cross-sectional study in West Lombok Regency, Indonesia 10.55131/jphd/2022/200204

Main Article Content

Sri Masdiningsih Utami
I Ketut Swarjana
Ni Luh Adi Satriani
Ida Ayu Ningrat Pangruating Diyu

Abstract

The Covid-19 pandemic has had a wide impact on all areas of life, especially health. One of the serious impacts that need to be addressed is the utilization of health services among people with a history of co-morbidities, the most common of which is hypertension. The purpose of this study was to determine the factors associated with the utilization of health services among patients with hypertension during the Covid-19 pandemic in West Lombok Regency, Indonesia. This study used a cross-sectional study design involving 435 hypertensive patients, selected using cluster sampling. The research instrument was a questionnaire, and the data was analyzed using univariate (frequency and proportion), bivariate (Chi-square and Fisher’s exact test), and multivariate analysis (multiple logistic regression). The majority of respondents (72.4%) utilized health services, and from the results of the multivariate analysis, the significant factors associated with the utilization were health status (Adj.OR: 0.25; p<0.001); availability (Adj.OR: 6.79; p<0.001); and acceptability (Adj.OR: 0.06; p<0.001). Improving the utilization of health services among patients with hypertension is necessary, as is expanding access to hypertension health services through strengthening health centers, mobile health center services, community integrated services for non-communicable diseases, and home visits.

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1.
Utami SM, Swarjana IK, Satriani NLA, Diyu IANP. Factors associated with the utilization of health services among patients with hypertension during the Covid-19 pandemic: a cross-sectional study in West Lombok Regency, Indonesia: 10.55131/jphd/2022/200204. JPHD [Internet]. 2022 May 1 [cited 2022 Aug. 10];20(2):43-5. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/256035
Section
Original Articles
Author Biographies

Sri Masdiningsih Utami, Master of Nursing Program, Faculty of Health, Institute of Technology and Health Bali, Bali, Indonesia

1Master of Nursing Program, Faculty of Health, Institute of Technology and Health Bali, Bali, Indonesia

2Bachelor of Nursing Program, School of Health Sciences Mataram, West Nusa Tenggara, Indonesia

I Ketut Swarjana, Master of Nursing Program, Faculty of Health, Institute of Technology and Health Bali, Bali, Indonesia

Master of Nursing Program, Faculty of Health, Institute of Technology and Health Bali, Bali, Indonesia

Ni Luh Adi Satriani, Master of Nursing Program, Faculty of Health, Institute of Technology and Health Bali, Bali, Indonesia

Master of Nursing Program, Faculty of Health, Institute of Technology and Health Bali, Bali, Indonesia

Ida Ayu Ningrat Pangruating Diyu, Master of Nursing Program, Faculty of Health, Institute of Technology and Health Bali, Bali, Indonesia

Master of Nursing Program, Faculty of Health, Institute of Technology and Health Bali, Bali, Indonesia

References

WHO. Hypertension Geneva: World Health Organization [Internet]. 2021 [cited 2021 April 24]. Available from: https://www.who.int/health-topics/hypertension#tab=tab_1.

MoH RI. Basic Health Research "Riset Kesehatan Dasar". Jakarta: Ministry of Health Republic of Indonesia Kementerian Kesehatan Republik Indonesia; 2013.

MoH RI. Basic Health Research "Riset Kesehatan Dasar". Jakarta: Ministry of Health Republic of Indonesia Kementerian Kesehatan Republik Indonesia; 2018.

MoH RI. Report of NTB Province: Basic Health Research 2018 "Laporan Provinsi NTB: Riset Kesehatan Dasar 2018". Jakarta: Ministry of Health Republic of Indonesia Kementerian Kesehatan Republik Indonesia; 2018.

Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo Jr JL, et al. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. Jama. 2003;289(19):2560-71.

MoH RI. Hypertension Problem in Indonesia "Masalah Hipertensi di Indonesia" Jakarta: Ministry of Health Republic of Indonesia Kementerian Kesehatan Republik Indonesia [Internet]. 2012 [cited 2021 March 20]. Available from: https://www. kemkes.go.id/article/view/1909/masalah-hipertensi-di-indonesia.html.

Kalehoff JP, Oparil S. The story of the silent killer. Current Hypertension Reports. 2020;22(9):1-14.

WHO. Health and human rights: World Health Organization [Internet]. 2017 [cited 2021 September 5]. Available from: http://www.who.int/ mediacentre/factsheets/fs323/en/.

Swarjana IK, Natkamol C, Nawarat S, Punyarat L, Kwanjai A. Disparities in utilization of maternal health services in the rural areas of Indonesia: an analysis among provinces with low, middle, and high poverty rates. J Public Hlth Dev. 2020;3(18):49-63.

Phillips KA, Morrison KR, Andersen R, Aday LA. Understanding the context of healthcare utilization: assessing environmental and provider-related variables in the behavioral model of utilization. Health Serv Res. 1998;33(3 Pt 1):571.

Levesque JF, Harris MF, Russell G. Patient-centred access to health care: conceptualising access at the interface of health systems and populations. Int J Equity Health. 2013;12(1):1-9.

Kario K, Morisawa Y, Sukonthasarn A, Turana Y, Chia Y, Park S, et al. COVID‐19 and hypertension-evidence and practical management: Guidance from the HOPE Asia Network. J Clin Hypertens. 2020;22(7):1109-19.

Zhou D, Xi B, Zhao M, Wang L, Veeranki SP. Uncontrolled hypertension increases risk of all-cause and cardiovascular disease mortality in US adults: the NHANES III Linked Mortality Study. Scientific reports. 2018;8(1):1-7.

Oparil S, Acelajado MC, Bakris GL, Berlowitz DR, Cífková R, Dominiczak AF, et al. Hypertension. Nature reviews Disease primers. 2018;4: 18014-.

Moynihan R, Sanders S, Michaleff ZA, Scott AM, Clark J, To EJ, et al. Impact of COVID-19 pandemic on utilisation of healthcare services: a systematic review. BMJ open. 2021;11(3): e045343.

Daniel WW, Cross CL. Biostatistics: a foundation for analysis in the health sciences: Wiley; 2013.

Jawed F, Manazir S, Zehra A, Riaz R. The novel Coronavirus disease (COVID-19) pandemic: Knowledge, attitude, practice, and perceived stress among health care workers in Karachi, Pakistan. Med J Islam Repub Iran. 2020;34:132.

Mahdaviazad H, Keshtkar V, Emami MJ. Osteoporosis guideline awareness among Iranian family physicians: results of a knowledge, attitudes, and practices survey. Prim Health Care Res Dev. 2018;19(5):485-91.

Fitri AS. Evaluation of Hypertension Services During Covid-19 Pandemic in Mlati Health Center II Sleman Regency "Evaluasi Pelayanan Hipertensi Pada Masa Pandemi Covid− 19 di Puskesmas Mlati II Kabupaten Sleman": Diponegoro University; 2021.

Yunus SZSA, Puteh SEW, Ali AM, Daud F. The Covid Impact to Public Healthcare Utilization Among Urban Low-Income Subsidized Community in Klang Valley Malaysia. Health Serv Res Manag Epidemiol. 2021;8: 23333928211002407.

MoH RI. 13.2 Percent of Covid-19 Patient Deaths Having Hypertension "13,2 Persen Pasien COVID-19 yang Meninggal Memiliki Penyakit Hipertensi" Jakarta: Ministry of Health Republic of Indonesia Kementerian Kesehatan Republik Indonesia [Internet]. 2020 [cited 2021 August 27]. Available from: https://www.kemkes.go.id/article/view/20101400002/13-2-persen-pasien-covid-19-yang-meninggal-memiliki-penyakit-hipertensi.html.

Vila-Córcoles A, Ochoa-Gondar O, Satué-Gracia EM, Torrente-Fraga C, Gomez-Bertomeu F, Vila-Rovira A, et al. Influence of prior comorbidities and chronic medications use on the risk of COVID-19 in adults: a population-based cohort study in Tarragona, Spain. BMJ open. 2020;10(12): e041577.

Schiffrin EL, Flack JM, Ito S, Muntner P, Webb RC. Hypertension and COVID-19. Am J Hypertens. 2020.

Zhang J, Wu J, Sun X, Xue H, Shao J, Cai W, et al. Association of hypertension with the severity and fatality of SARS-CoV-2 infection: A meta-analysis. Epidemiol Infect. 2020;148.

Bovet P, Gervasoni JP, Mkamba M, Balampama M, Lengeler C, Paccaud F. Low utilization of health care services following screening for hypertension in Dar es Salaam (Tanzania): a prospective population-based study. BMC public health. 2008;8(1):1-8.

Saah FI, Amu H, Seidu AA, Bain LE. Health knowledge and care seeking behaviour in resource-limited settings amidst the COVID-19 pandemic: A qualitative study in Ghana. Plos one. 2021;16(5):e0250940.

Legido-Q.H., Naheed A, de Silva HA, Jehan I, Haldane V, Cobb B, et al. Patients’ experiences on accessing health care services for management of hypertension in rural Bangladesh, Pakistan and Sri Lanka: A qualitative study. PLoS One. 2019;14(1): e0211100.

Azizah AN, Raodhah S, Surahmawati S, Alam S. Utilization of The Chronic Disease Management Program During The Covid-19 Pandemic. Diversity: Dis Preventive of Res Integr. 2020;1(1):21-9.