title: Access to health services and care-seeking behaviors after the 2007 Ica earthquake in Peru.
abstract: OBJECTIVE
  To assess care-seeking behaviors, perceptions of quality, and access to health services among populations affected by the 2007 Peruvian earthquake.
  
  
  METHODS
  A stratified cluster survey design was used to allow for comparison between urban, periurban, and rural populations of the 4 provinces most affected by the earthquake. Forty-two clusters of 16 households (n = 672) were interviewed approximately 6 months after the earthquake.
  
  
  RESULTS
  Of all of the respondents, 38% reported that a household member sought medical care within 2 weeks after the earthquake. Earthquake-related injury, presence of a chronic medical condition, and residence in temporary housing were significantly associated with care seeking in adjusted models. Individuals experiencing earthquake-related injuries and those with chronic medical conditions, respectively, were 7.1 times (95% confidence interval [CI] 3.7-13.7) and 1.9 times (95% CI 1.3-2.9) more likely to seek medical care; temporary housing residents were 1.7 times (95% CI 1.0-2.8) more likely to seek care than those residing in permanent housing.
  
  
  CONCLUSIONS
  Earthquake-related injury and chronic medical conditions were associated with care seeking in the first 2 weeks after the 2007 Ica earthquake. Households living in temporary housing were more likely to seek medical care than those residing in permanent structures, suggesting that displaced people are more likely to need medical attention.
authors.affiliation: Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
authors.forename: Amy
authors.initials: A
authors.lastname: Daniels
authors.forename: Erica
authors.initials: E
authors.lastname: Chapin
authors.forename: Daniel
authors.initials: D
authors.lastname: Aspilcueta
authors.forename: Shannon
authors.initials: S
authors.lastname: Doocy
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000533:Altruism; D016000:Cluster Analysis; D004190:Disasters; D055866:Earthquakes; D005260:Female; D015438:Health Behavior; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010465:Perception; D010568:Peru; D011787:Quality of Health Care; D012424:Rural Population; D014505:Urban Population; D055815:Young Adult