Health seeking behaviors in influenza-like illness among healthcare providers in Angthong Province, Thailand

This cross-sectional study aimed to describe and determine relationship betweeninfluencing factors and health seeking behaviors (HSB) in influenza-like illness (ILI) among 290 of physicians, dentists, and nurses in 7 hospital in Angthong. The most were 35 - 50 years old and 92.8% were female. They were nurses 84.8%, physicians and dentists7.6% for each group. Only 65,22.4% had underlying disease and 38.3% got ILI during 1-3 months ago. Hand washing was the most way they behave (97.6%) and gloves were always used 74.5%. Annual checkup was performed 92.4%. Television was a mass media which used the most (205, 70.7%). 42.5% were confidence to take care themselves when they got ILI 67.9% got influenza vaccination in 2012. They were aware more about influenza transmission to their patients (228, 78.6%) and 233 (80.3%) thought influenza vaccination was a part of their responsibility. 55.2% had basic knowledge about influenza Inappropriate behavior; These influencing factors including male, more awareness of influenza transmission to patient, using PPE, and time since the most recent ILI were influencing factors of do nothing HSB. Male was more likely to do this HSB than female (OR= 10.09, p-value<0.001, 95%CI 3.122-32.612). And high score of knowing reason for staying at home was less likely to do self-medication without suggestion (OR= 0.86, p-value<0.015, 95%CI 0.764-0.971). Appropriate behavior; Influencing factors of self-medication with suggestion were using PPE, perception score and time since the most recent ILI. Using PPE was more likely to do this HSB than less use (OR= 1.29, p-value<0.016, 95%CI 1.049-1.582). Influencing factor of see doctor were male, married (ref=single), knowing cause of ILI, exposed to mass media, and perception score. Exposed to mass media was more likely to see doctor than unexposed (OR= 2.89, p-value<0.011, 95%CI 1.279-6.521). Influencing factor of rest at home were knowing how to prevent seasonal influenza and dentist (ref= doctor). Dentist was more likely to rest at home than doctor (OR= 8.50, p-value <0.014, 95%CI 1.549-46.611). *Very few of the study factors were significant with health seeking behaviour, suggesting that more researches needed to understand the determinate of the these behaviours.横断面研究（cross-sectional study）旨在描述并分析泰国安通府（Angthong）7家医院的290名医师、牙医与护士群体中，流感样病例（influenza-like illness, ILI）相关影响因素与健康就医行为（health seeking behaviors, HSB）之间的关联。该研究对象以35~50岁人群居多，其中女性占比92.8%；职业分布上，护士占84.8%，医师与牙医各占7.6%。仅22.4%的研究对象（共65人）患有基础疾病，38.3%的人群在近1~3个月内罹患ILI。洗手是最常见的防护行为（占比97.6%），74.5%的研究对象始终佩戴手套；92.4%的人群会进行年度体检。电视是最常使用的大众传播媒介（205人，占比70.7%）。42.5%的研究对象表示罹患ILI时有能力自行护理，67.9%的人群在2012年接种了流感疫苗。多数研究对象知晓流感可传播给患者（228人，占比78.6%），另有233人（占比80.3%）认为流感疫苗接种是自身工作职责的一部分；55.2%的研究对象具备流感相关基础知识。针对不当健康就医行为：导致无任何就医行为的影响因素包括男性、对流感可传播给患者的认知程度更高、个人防护装备（personal protective equipment, PPE）使用情况，以及末次罹患ILI后的时间间隔。男性相较于女性更易出现此类无就医行为（优势比（odds ratio, OR）=10.09，P<0.001，95%置信区间（confidence interval, CI）：3.122~32.612）。知晓居家隔离原因的得分越高，越不易出现无医嘱自行用药的行为（OR=0.86，P<0.015，95%CI：0.764~0.971）。针对恰当健康就医行为：经医嘱自行用药的影响因素包括PPE使用情况、认知得分以及末次罹患ILI后的时间间隔。相较于较少使用PPE的群体，经常使用PPE者更易出现经医嘱自行用药的行为（OR=1.29，P<0.016，95%CI：1.049~1.582）。就医行为的影响因素包括性别、婚姻状况（以未婚为参照）、ILI病因认知情况、大众媒介接触情况以及认知得分。接触大众媒介的群体相较于未接触者更易就医（OR=2.89，P<0.011，95%CI：1.279~6.521）。居家休息行为的影响因素包括季节性流感预防知识掌握情况以及职业（以医师为参照）。牙医相较于医师更易采取居家休息的行为（OR=8.50，P<0.014，95%CI：1.549~46.611）。*本研究中仅有极少数相关因素与健康就医行为存在显著关联，提示未来需开展更多研究以明确此类行为的决定因素。