Preventive health care services utilization and its associated factors among older adults in rural communities in Anambra State, Nigeria

Abstract

Introduction: quality of life and life expectancy of people are improved when preventive health care services are utilized because these identify treatable health problems and puts life-threatening diseases in check. Morbidity and mortality associated with age-related chronic disease among the older adults is on the increase, therefore, this study aims at determining preventive health care services utilization among older adults in rural communities in Anambra State.

Methods: a cross sectional design adopted for this study was carried out on older adults from the ages of 65 years and above in rural communities in Anambra State from October 2019 to January 2020. Data were collected through researcher-administered structured questionnaire. Data were analysed using univariable and multivariable regression analysis.

Results: a total of 1944 older adults participated with an overall cluster percentage of 40.6% older adults utilizing investigated preventive health care services. The results of the multivariable analysis indicates that the following factors were associated with utilization of preventive healthcare services: male gender (aOR: 0.443, 95%CI: 0.281 - 5.472, p=0.47), level of education; primary (aOR:1.536, 95%CI:1.201 - 5.261, p=0.00), secondary (aOR:4.516, 95%CI:3.192 - 6.242, p=0.00), and tertiary (aOR:3.407, 95%CI:3.199 - 5.666, p=0.00)], income of N50,000-N100,000(aOR:2.754, 95%CI:1.066 - 10.766, p=0.01), and N100,000 and above (aOR:4.233, 95%CI:1.846 - 12.811, p=0.00)], and health insurance [aOR:0.691, 95%CI:0.422 - 1.945, p=0.03].

Conclusion: preventive health care services were under-utilized. Creating awareness on the importance of utilizing preventive health care services is highly recommended since most age-related chronic diseases once established may last a lifetime and affect quality of life and wellbeing.