title: Health-Seeking Behaviour of Port Harcourt City Residents: A Comparison between the Upper and Lower Socio-Economic Classes.
abstract: This study aimed at establishing the determinants and distribution of the health-seeking behaviours of Port Harcourt residents, and comparing them between the upper and lower socio-economic classes. A descriptive cross-sectional study using 204 respondents was carried out. The socio-economic classification used occupation and average monthly income. Multi-staged sampling technique was used; stage one being by stratified sampling using socio-economic classes for stratification; stage two involved clustered sampling; following which five-sectioned structured questionnaires were administered. Differences (P<0.05) in Health facility used existed: the upper class used mostly Government and Private Hospitals; the lower class additionally used health centres and un-orthodox health facilities. Reasons for using a health facility was similar (P>0.05) as both classes mostly go for treatment or medical check-ups. Health facility preference was mostly for good treatment outcome and accessibility; cost also, for the lower class. Commonly and last used health-care giver differed (P<0.05); upper class mostly saw a doctor, the lower saw the doctor, pharmacist and nurse. Competence; the major reason for health-care giver selection by the upper class differed (P<0.05) from the lower that had previous good treatment outcome and illness severity. The upper socioeconomic classed have better health-seeking behaviours because they use more competent Health facilities and health-care givers.
authors.affiliation: University of Port Harcourt Teaching Hospital , Port Harcourt, Rivers State, Nigeria.
authors.forename: Promise Tamunoipiriala
authors.initials: PT
authors.lastname: Jaja
keywords: health systems management; health-seeking behaviours; public health