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A Comprehensive Examination of Poverty, Health-Seeking Behavior, and Access to Health Services With a Mixed-Methods
Eylül Gülnur Erdogan1, Pınar Duru2
1Faculty of Health Science, Department of Public Health Nursing, Bilecik Seyh Edebali University, Bilecik, Türkiye.
Public Health Nursing (Boston, Mass.)
|October 16, 2025
Summary
Poverty impacts health-seeking behavior and healthcare demand procrastination. Low income and education decrease health-seeking behavior, while transportation and long waits hinder access to care.
Area of Science:
- Socioeconomic determinants of health
- Health services research
- Health inequalities
Background:
- Poverty, health-seeking behavior, and access to health services are interconnected and crucial for understanding health disparities.
- Previous research highlights the complex interplay between socioeconomic status and healthcare utilization.
Purpose of the Study:
- To investigate the relationships between poverty, health-seeking behavior, and access to health services using a mixed-methods approach.
- To identify socioeconomic factors influencing health-seeking behaviors and healthcare demand procrastination.
- To explore challenges faced by individuals in accessing healthcare services.
Main Methods:
- A convergent (sequential) mixed-methods design (QUAN-QUAL) was utilized.
- Quantitative phase: Cross-sectional study with 384 participants using the Health Seeking Behavior Scale and Healthcare Demand Procrastination Scale.
- Qualitative phase: Phenomenological approach with 11 participants through in-depth semi-structured interviews.
Main Results:
- Higher household income correlated with increased health-seeking behavior and healthcare demand procrastination.
- Perceived good general health was associated with increased health-seeking behavior.
- Low income and education levels were linked to decreased health-seeking behavior.
- Workers showed higher healthcare demand procrastination; higher income and better health expenditure distribution reduced this tendency.
- Qualitative findings revealed themes of health service utilization, access, and inequalities, with transportation, waiting times, and staffing as key barriers.
Conclusions:
- Socioeconomic factors like income and education significantly determine health-seeking behavior and healthcare demand procrastination.
- Transportation issues, long waiting times, and inadequate staffing are prominent challenges in accessing health services.
- Addressing these socioeconomic determinants and access barriers is vital for reducing health inequalities.
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