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Category: Volume 07 Issue 02 February 2019
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Title: Unhealthy Lifestyle and Poor Healthcare Access: A Cross-Sectional Study in Rural Cross River State, Niger Delta Region, Nigeria

Authors: Eyo OA, Ekpenyong NO, Omoronyia OE, Mkpanam NE, Nwoha D

 DOI: https://dx.doi.org/10.18535/jmscr/v7i2.128

Abstract

Background: Practice of healthy lifestyle and regular medical screening are key cost-effective strategies for disease prevention. Regular medical screening promotes good health, as well as early diagnosis and treatment of diseases. Sustained healthy behavioral practices, regular medical screening and access to effective healthcare services, are therefore key determinants of good health and deterrents of morbidity and mortality. This study was aimed at assessing the practice of unhealthy behaviors, access to health care services and determinants of regular medical screening in a rural setting in the Niger-Delta region of Nigeria.

Methodology: A Cross-sectional study was employed, with use of multistage sampling method to recruit subjects from households in communities in Odukpani Local Government Area of Cross River State, Nigeria. Interviewer-administered questionnaire was used to obtain quantitative data on habits of smoking, alcohol consumption, physical exercise and regular medical screening as well as access to health care services. SPSS version 21.0 was used for data analysis. 

Result: One hundred and eighty-five (185) subjects were surveyed, with a mean age of 35.7 ± 10.4 years. Regular alcohol consumption, smoking and inadequate physical exercise, was found in 152 (82.2%), 20, (10.8%) and 93, (50.3%) subjects, respectively. At least one of the three behavioral risk factors assessed, was found in 9 out of every 10 subjects (167, 90.3%). Eighty-three subjects (44.8%) had had medical screening within the last five years, while eighty (80,43.2%) had never done any screening before. The proportion of subjects that had screening done within the last 5 years was higher among those that were 40 years or older (56.9% vs. 39.4%, p=0.03). The commonest mode of procurement of health care services was through out-of-pocket (OOP) payment (178, 96.2%) and only seven subjects (7, 3.2%) were covered by health insurance.

Conclusion: There is a high prevalence of practice of unhealthy behaviors and irregular or non-medical screening for disease conditions. The predominance of OOP payment for health care services and inadequate health care facilities pose a huge barrier to healthcare access. It is imperative to intensify rural health education, widen the coverage of the National Health Insurance Scheme to cover rural communities and deepen its scope to include services like regular medical screening. The findings from this study should inform further studies to measure disease burden and determine the relationship between the lifestyle factors and disease patterns in Odukpani.

Keywords: Unhealthy lifestyle, medical screening,health care access, Niger Delta Region.

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Corresponding Author

Ekpenyong NO

Department of Community Medicine, University of Calabar, Calabar, Nigeria