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PubMed2000

Help-seeking behavior and self-medication of a population in an urban area in Turkey: cross sectional study.

AIM: To define help-seeking behavior and self-medication among people with different symptoms and complaints in an industrialized urban area of Turkey. METHODS: This cross-sectional study was carried out in the city center of Kocaeli province, Western Turkey, in October-November 1998. To research help-seeking behavior in respect of secondary prevention and curative practices, we randomly selected households (N=812), interviewed the household members at their home, and recorded the reasons for visiting a pharmacy in 6 pharmacies (N=1,331 visits to pharmacy) in the Kocaeli region. RESULTS: The majority of interviewed people knew the meaning and importance of regular medical checkups, and only 7% had never underwent periodic checkups, mainly because of the lack of interest or time. Self-medication was found to be the dominant mode of help-seeking behavior, especially in the case of pain. The proportion of unprescribed to prescribed drugs was 1:1.75, with analgetics, antipyretics, expectorants, and antitussives as the most commonly requested unprescribed drugs. CONCLUSION: A considerable amount of health care occured within the popular sector, with self-medication and pharmacist's advice as dominant modes of behavior. The health care system should take this into account when planning activities aimed at detection of disease.

Adult↗
PubMed1981

Black unwed adolescent fathers: a comparative study of their problems and help-seeking behavior.

THIS RESEARCH EXAMINES THE KINDS OF PROBLEMS THESE YOUNG FATHERS ARE LIKELY TO SEEK HELP FOR AND ADDRESSES ITSELF TO THE QUESTION: Is there a difference in the help-seeking behavior of unwed adolescent fathers who reside in different cities? Despite the complexity and diversity of their difficulties, it was clear from the analyses that the young fathers were likely to have emotional as well as concrete needs. Additionally, it was found that the unmarried adolescent fathers in this research were more similar than they were different in their help-seeking behavior.

Adolescent↗
PubMed1983

Parental facilitation of children's preparatory play behavior in a stressful situation.

Parental behavior has often been cited as a crucial factor in children's ability to cope with stress. However, there has been little study of ways parents help their children adjust to stressful life events. In the present study, 34 parents and children (ages 4-9) were observed preparing for a stressful life event (elective surgery). Parents were asked to prepare their children for the upcoming stress and were given stress-related hospital equipment to use with their child. Specific hypotheses were selected to study the relationships of five parent helping behaviors to children's active preparatory play with stress-relevant materials. Children's preparatory play alone and with an examiner were also observed to test for effects of children on their parents' helping behavior. As expected, parent helping behaviors were significantly related to children's active preparatory play. With the exception of highly directive behavior, however, the relationship of parent helping behavior to child play was dependent on the child's age. This study suggests the importance of further investigating parental involvement in studying the process of children's coping with stress.

Age Factors↗
PubMed2003

Emotional and somatic distress in eastern North Carolina: help-seeking behaviors.

Socio-demographic and cultural factors have been reported to shape help-seeking behavior. However, not much effort has been made to determine the effects of these factors on help-seeking among rural populations. A telephone survey using random-digit dialing was used to explore socio-demographic characteristics and ethnic differences in the types of professionals sought for unexplained somatic and emotional problems (N = 1161) in rural eastern North Carolina. Ethnic differences in comfort with participating in support groups were also examined. The effect of a large natural disaster, Hurricane Floyd and subsequent flooding, on help-seeking choices and comfort with support groups was also assessed. Results showed that the rural population makes a sharp distinction between somatic symptoms and stress-related symptoms. This distinction seemed more pronounced for European-Americans than for African-Americans. In general African-Americans selected help-seeking from clergy more often than European-Americans, although for unexplained somatic symptoms this difference was fostered by Hurricane Floyd with its flooding. African-Americans showed markedly increased comfort with support groups after the hurricane, while European-Americans showed no changes in comfort with support groups as a function of the hurricane. The effects of Hurricane Floyd on African-Americans are interpreted as reflecting an increased salience of community support for African-Americans, significantly through the Baptist Church. Training of clergy should include recognition of stress-related somatic and emotional symptoms and the potential for an important referral role, especially following disasters.

Adolescent↗
PubMed2002

Help-seeking behaviors of blacks and whites dying from coronary heart disease.

OBJECTIVES: This study sought to determine whether blacks and whites with life-threatening cardiac events differ in likelihood of help seeking, types of help sought, or likelihood of reaching the hospital before death. DESIGN: Death certificates were used to identify all coronary heart disease-related deaths occurring in 1988-89 among 45- to 74-year-old, black and white, non-institutionalized residents of three contiguous inner-city districts in Boston, Massachusetts, USA. An informant was interviewed about the decedent's health status, access to care and pre-mortal help-seeking behaviors. RESULTS: Among the 232 decedents analyzed, there were no racial differences in the likelihood of help seeking. Among those who sought help, there were no racial differences in the likelihood of reaching the hospital. However, blacks were more likely than whites to engage in two specific help-seeking behaviors: calling the 911 emergency system, and trying to reach an emergency room. CONCLUSION: In an area where blacks and whites were similar with respect to socioeconomic status and access to care, race did not affect the likelihood of help seeking or the likelihood of succeeding in reaching the hospital before death.

Black or African American↗
PubMed1994

Formal help-seeking behavior of adolescents identifying themselves as having mental health problems.

OBJECTIVE: In response to evidence of poorly met mental health needs, a study of formal help-seeking behavior of adolescents was conducted. METHOD: Responses (n = 17,193) to a school-based survey were examined. Overall, 24.9% identified themselves as having a serious problem. Students who felt they "needed professional help" were contrasted to those who did not. Among students who felt they needed help, those who did not seek it were contrasted to those who did. RESULTS: Deciding professional help was needed was most strongly associated with history of abuse, physical health, suicidal ideation, and gender. Obtaining help was associated with suicidal ideation, informal help-seeking behavior, the interaction between race and socioeconomic status, parental marital status, and having a checkup within the previous year. CONCLUSIONS: This study establishes that different factors influence adolescents' identifying a need and actually obtaining help.

Adolescent↗
PubMed1986

Behavioral manifestations of social support: a microanalytic investigation.

This study was designed to examine the specific interpersonal behaviors that convey support from one person to another. Subjects were 41 undergraduate students who completed a general measure of perceived social support and, subsequently, kept daily records of their social interactions and stressful experiences for 14 days. In addition, they completed a brief depressive mood measure (DACL; Lubin, 1981) each day. Results showed that behaviors reflecting emotional support and informational support occurred as a specific response to stressful life events. Although esteem support was expressed with equal frequency in the presence and absence of stress, it was especially effective in preventing depressive reactions to stressful events. Subjects who perceived themselves as having high levels of perceived social support were more frequently the recipients of helping behaviors following stressful events than those low in perceived support. Perceived social support was only predictive of helping behaviors on days on which at least one stressful event occurred. The total number of helping behaviors received following stressful events was a significant negative predictor of level of depressive mood, although one helping behavior was associated with higher levels of depression. Results are interpreted within the framework of the buffering model of social support.

Depression↗
PubMed1994

The relationship between social support, help-seeking behavior, and psychological distress in psychiatric clients.

A descriptive exploratory design was used to examine the relationship between the level of social support, the level of psychological distress, and the extent of help-seeking behavior in a nonprobability sample of 53 hospitalized adult psychiatric patients. The subjects completed the Norbeck Social Support Questionnaire, the Brief Symptom Inventory, and a researcher-designed Help-Seeking Behavior Questionnaire. The Pearson Product Moment Correlation coefficients and t test were used to analyze the data. No significant correlation was found between the level of psychological distress and either the level of social support or the extent of help seeking. Social support and help seeking were highly correlated. These results have an implication for nursing practice pertaining to the focus of patient treatment both during hospitalization and in postdischarge planning.

Adolescent↗
PubMed1982

Help-seeking behavior among foreign-born and native-born Mexican Americans.

For many aspects of help-seeking behavior, generalizations about ethnic minorities obscure important intraethnic variations. This paper examines the distinction between foreign-born and native-born Mexican Americans and its impact on correlated traits which are significant in the help-seeking process: socioeconomic status, level of acculturation, intensity of religious affiliation, the presence of an extensive social support system, and familiarity with public agencies. Two case studies are presented to illustrate differences in the search for help for emotional problems. Intraethnic diversity is demonstrated with regard to attitude toward and availability of potential sources of help, selection of helping agents in times of emotional need, frequency of consultation, and the relationship between ethnicity and mental health.

Adult↗
PubMed1992

Help-seeking behavior of adults with health problems in Saudi Arabia.

A questionnaire was designed to find out the help-seeking behavior of the adult population in Riyadh, Saudi Arabia. Five hundred sixty-six responders suffered a disturbance of health during the 4 weeks preceding the study. The majority (77%) of these "sick responders," typically married and educated subjects, sought help of medically trained practitioners, mainly from primary health centers. One hundred twenty-one (21.4%) cases had specialist treatment, 79% of which were by self-referral. Ninety-six (17%) cases consulted local healers. A high proportion of the "sick responders" were unaware of their diagnoses after consulting their physicians (29.4%), local healers (33%), or pharmacists (43%). There is still a need to increase health education about correct use of the referral system.

Adult↗
PubMed1985

The origin of helping: the role of variability in reproductive potential.

We investigate the relationship between variation in reproductive potential among members of a family and genetic relatedness to determine which combinations favor natural selection for helping behavior. Conditions favoring helping are derived for the helper, the recipient, and the parents of these individuals. Our analysis reveals that a factor of general significance in the evolution of social organisms is variability in reproductive potential among offspring of a parent. To a limited extent this factor has already been appreciated because of its implicit role in "facultative altruism" and "parental manipulation", or suppression of offspring or sibs; however, the unifying role of variance per se and the ways by which it may act have not been widely appreciated. We show that suppression as a source of intra-brood variance is less powerful in the evolution of sociality than other, natural, sources of variance. The facts of natural history appear to be more consistent with a model utilizing natural variance than with a variance-enhancement model for most vertebrates. We present models for discrete and for overlapping generations. Fecundity of young potential helpers relative to adults is an important source of variance for the origin of helping.

Animals↗
PubMed1986

Determinants of perceived mental health status and help-seeking behavior: preliminary testing of a conceptual model.

This paper presents a preliminary test of the conceptual model of cognitive determinants of the perception of mental health status. Path analysis was used to examine the causal relationships between education, awareness of higher level needs, one's definition of mental health, and self-rating of mental health status. Discriminant analyses was used to evaluate these variables and others as predictors of help-seeking behavior. Results indicate the importance of cognitive factors in the perception of mental health status and support a direct causal interpretation of model variables. Symptom checklist scores and path variables were found to be the best predictors of help-seeking behavior.

Adult↗
PubMed1998

Sociocultural variations in help-seeking behavior for everyday symptoms and chronic disorders.

In this study, we test the assumption that sociocultural differences in use of health services will only occur below a certain level of illness severity. Data are derived from the Curaçao Health Study (n = 2248). Subjects' educational level and degree of proto-professionalization are used as indicators of their sociocultural background. Differences in the likelihood of seeking professional care for several common health problems are analyzed, and are compared with the help-seeking behavior for chronic disorders. As hypothesized, higher educated and proto-professionalized people are less likely to seek care for everyday symptoms. In addition, proto-professionalization is accompanied by a greater likelihood of using over the counter medication. Increasing empowerment of patients appears to lead to increased self care for everyday symptoms. When conditions reach a more serious stage, the differences in help-seeking behavior disappear: for most of the chronic conditions studied, the higher educated and more proto-professionalized individuals are just as likely to seek professional treatment as the less advantaged groups. However, there is a difference as to the type of professional consulted for chronic health problems. Proto-professionalized individuals more often receive specialist treatment, probably because they are better equipped to persuade GPs to refer. The adverse side of patient empowerment may be increasing consumerism: a situation in which patient demands, not medical necessity, determine the care delivered.

Acute Disease↗
PubMed1997

The effects of HIV counseling and testing on risk-related practices and help-seeking behavior.

In an earlier review of the behavioral effects of HIV counseling and testing (HIV CT), Higgins and colleagues (1991) found that the evidence regarding the ability of HIV CT to influence HIV-risk related practices was largely inconclusive. This article reviews 35 domestic and international studies published since that time to reassess the scientific data regarding the ability of HIV CT to motivate changes in risk-related practices and to promote help-seeking behavior. The studies identified for this review were grouped into four categories according to subject population: (1) men who have sex with men, (2) injection and other drug users, (3) women and heterosexual couples, and (4) mixed samples recruited from sexually transmitted disease (STD) clinics and other settings. Findings from the studies reviewed were generally mixed--many provided at least some evidence supporting the ability of HIV CT to motivate risk-reducing and help-seeking behavior, but others did not. The pattern of results varied substantially across, and within, study populations and were often limited by considerable methodological weaknesses.

AIDS Serodiagnosis↗
PubMed2000

Somatization in an immigrant population in Israel: a community survey of prevalence, risk factors, and help-seeking behavior.

OBJECTIVE: Knowledge about the frequency, severity, and risk factors of somatization (somatic manifestations of psychological distress) among immigrants is limited. The authors examined somatic distress in an immigrant population in Israel, explored its relationship with psychological distress symptoms and health-care-seeking behavior, and determined its correlation with the length of residence in Israel. METHOD: Two reliable and validated self-report questionnaires, the Brief Symptom Inventory and the Demographic Psychosocial Inventory, were administered in a cross-sectional community survey of 966 Jewish immigrants from the former Soviet Union who had arrived in Israel within the previous 30 months. RESULTS: The 6-month prevalence rate for somatization was 21.9% and for psychological distress, 55.3%. The current rate of co-occurrence of somatization and psychological distress was 20.4%. The most common physical complaints were heart or chest pain, feelings of weakness in different parts of the body, and nausea. Somatization was positively correlated with the intensity of psychological distress and with help-seeking behavior during the 6 months preceding the survey. Women reported significantly more somatic and other distress symptoms than men. Older and divorced or widowed individuals were more likely to meet the criteria for somatization. Within the first 30 months after resettlement, longer length of residence was associated with higher levels of somatization symptoms. CONCLUSIONS: Somatization is a prevalent problem among individuals in cross-cultural transition and is associated with psychological distress; demographic characteristics such as gender, age, marital status, and duration of immigration; self-reported health problems; and immigrants' help-seeking behavior.

Adolescent↗
PubMed1990

Cognitive-motivational influences on the task-related help-seeking behavior of black children.

The present study examined the relation between children's mastery motivation, self-assessment of performance, and task-related help-seeking behavior during task performance. Average-achieving black American children, varying in mastery motivation as measured by subscales of the Harter's Intrinsic-Extrinsic Orientation in the Classroom Scale, performed a multitrial verbal task and were given the opportunity to seek help on each trial after making a tentative response and assessing their performance by rating their confidence in the correctness of the response. A response-contingent payoff system was implemented to encourage children to restrict their help seeking to those instances in which they perceived that they could not make a correct response without assistance. As predicted, children's self-assessments of performance, regardless of their accuracy, appeared to influence help seeking more than the actual performance outcomes. Neither children's self-assessments of performance nor their overall rate of help seeking varied with level of measured mastery motivation. However, the type of help sought varied as expected with mastery motivation. Children characterized by high intrinsic orientations toward independent mastery in academic achievement contexts sought indirect help (i.e., hints) more often than they sought direct help (i.e., answers), whereas children characterized by low intrinsic orientations toward independent mastery showed no preference. These differences in motivational orientation influenced requests for help only when children perceived their initial solutions to be incorrect. These findings are discussed in the context of the analyses of help seeking as an instrumental learning and achievement strategy. The implications of the findings for analyses of black children's achievement styles are highlighted.

Achievement↗
PubMed1992

Social status and drunk-driving intervention.

The decision to intervene to prevent an inebriated peer from driving drunk is examined in a survey administered to one lower division and two upper division university classes. Of the 303 students who had been in a situation in which someone was too drunk to drive, 65% reported having intervened. Differences in the likelihood of intervention are examined through a log-linear analysis of the age, race and sex of the respondent and the potential drunk driver. The decision to intervene is seen as a naturally occurring form of helping behavior. Two hypotheses derived from the literature on helping behavior are examined: (1) persons are more likely to intervene with persons of lower status in terms of age, race and sex than with persons of higher status and (2) persons are more likely to intervene with those who are similar to themselves in terms of age, race and sex than with those who are different. Analysis reveals that persons are much more likely to experience drunk-driving situations in which the potential driver is similar to them in terms of these social characteristics than situations in which the driver is different. However, neither status differences nor similarity affects the likelihood of intervention.

Alcoholic Intoxication↗
PubMed1996

Self-help and help-seeking behavior patterns in healthy elders.

The challenges and losses that accompany aging may alter task performance and self-care ability. However, resourceful elders maintain independence in daily tasks despite adverse situations. Resourcefulness consists of self-help strategies for coping with adversity. Elders may also seek help from others when faced by challenges or losses. This study examines self-help and help-seeking behaviors in relation to depressive cognitions, adaptive functioning, and life satisfaction among 120 healthy elders. Self-help was significantly correlated with the absence of depressive cognitions and with higher adaptive functioning, but help-seeking was not. Both self-help and help-seeking were significantly correlated with greater life satisfaction. However, self-help and help-seeking were not associated. The findings suggest that healthy elders may benefit from interventions that facilitate self-help and those that teach them to seek outside help. Future research should examine self-help and help-seeking strategies in elders whose physical or psychological health is compromised.

Adaptation, Psychological↗