2025 年 3 巻 2 号 p. 42-57
Non-communicable diseases (NCDs) represent a significant global health challenge, resulting in 41 million deaths annually, 86% of which are in low- and middle-income countries. In Indonesia, the prevalence of NCDs has increased in recent years. Health-seeking behavior (HSB) varies among individuals and is influenced by personal perspectives on wellness and illness. The factors influencing HSB among NCDs patients in urban and rural communities in Indonesia, remain unknown. This study examined factors influencing HSB among patients with NCDs in both urban and rural communities in Java Island, Indonesia. A random sample of a total of 332 patients with NCDs was selected and a structured questionnaire was utilized for data collection by direct interviews. A quantitative method design with cross-sectional multivariate logistic regression analysis was conducted. The behavioral economics-judgment (p = 0.01, odds ratio [OR] = 2.484); evaluated need (p = 0.016, OR = 1.800); and labor status-informal sector (p = 0.031, OR = 0.489) were significantly associated with HSBs in patients with NCDs. These results emphasize the need for improving the healthcare system in Indonesia by focusing on education, diagnosis, referrals, and patient-required information. Additionally, the findings highlight the necessity for implementing specific methods for health education to engage with informal workers for improving healthcare system. Furthermore, these findings may be insightful for other countries facing similar healthcare challenges.
