Home Health seeking behaviour and health awareness among rural and urban adolescents in Dehradun District, Uttarakhand, India
Article
Licensed
Unlicensed Requires Authentication

Health seeking behaviour and health awareness among rural and urban adolescents in Dehradun District, Uttarakhand, India

  • Tuhin Kumar , Piyalee Pal and Prabhdeep Kaur EMAIL logo
Published/Copyright: November 10, 2015

Abstract

Background:

Adolescents constituted 19% population of India in 2011. Adolescents have health seeking behaviour different from that of adults. We estimated the utilisation of available health care services by adolescents and awareness regarding various health issues in the urban and rural Dehradun District, Uttarakhand, India. We also described knowledge and practices of public sector health care providers.

Methodology:

We conducted a cross-sectional survey among adolescents 10–19 years in the urban Dehradun and rural Chakrata block of the Dehradun District. We used cluster sampling with sample size 680 each in urban and rural areas. We collected data from adolescents using semi structured questionnaire on health awareness and utilisation of health care services. Public sector health care providers were surveyed about their knowledge and practices regarding adolescents health.

Results:

We surveyed 1463 adolescents. The overall mean age was 14.4 (2.6) years, about half being females. Half of the adolescents who had any illness used the public sector. Awareness about anaemia was 48% in urban and 12% in rural areas. A higher proportion of females (Rural: 89%, Urban: 76%) were aware of condoms as contraceptives than males (Rural: 68%, Urban: 12%). Only 62% of doctors and 49% of paramedical staff had knowledge regarding services under Adolescents Reproductive and Sexual Health (ARSH).

Conclusion:

Awareness regarding various health issues was low among males as compared to females, especially in rural areas. School based health promotion programs should be carried out to increase awareness among adolescents. Health facilities should be strengthened to provide adolescent friendly health services to enhance utilisation.


Corresponding author: Prabhdeep Kaur, Scientist D, National Institute of Epidemiology (Indian council of Medical research), # R-127, 3rd Avenue, Tamil Nadu Housing Board, Ayapakkam, Chennai, India, Phone: +914426136233, Mobile: +91 9840644203, Fax: +914426136233, E-mail:

Acknowledgments

This study was funded by the extramural funding by Indian Council of Medical Research (ICMR). We thank Government of Uttarakhand, India for their support in conducting this study.

  1. Source of support: Indian Council of Medical Research (ICMR), Government of India.

  2. Conflict of interest statement: None declared.

References

1. UNICEF. Progress for Children: a report card on adolescents. UNICEF, 2012.Search in Google Scholar

2. Sawyer SM, Afifi RA, Bearinger LH, Blakemore S-J, Dick B, et al. Adolescence: a foundation for future health. Lancet 2012;379:1630–40.10.1016/S0140-6736(12)60072-5Search in Google Scholar

3. Ministry of Health and Family Welfare. Startegy Handbook, Rashtriya Kishor Swasthya Karyakram. Ministry of Health and Family Welfare, New Delhi. Government of India, 2014.Search in Google Scholar

4. James K. India’s demographic change: opportunities and challenges. Science 2011;333:576–80.10.1126/science.1207969Search in Google Scholar PubMed

5. Census of India 2011. Dehradun District, New Delhi, Ministry of Home Affairs, 2011. [cited 2015 April]. Available from: http://www.census2011.co.in/census/district/578-dehradun.html.Search in Google Scholar

6. Futures Group I. IFPS Technical Assistance Project (ITAP). Promoting Adolescent Reproductive Health in Uttarakhand and Uttar Pradesh, India. Gurgaon, Haryana, 2012.Search in Google Scholar

7. Sunitha S, Gururaj G. Health behaviours and problems among young people in India: cause for concern and call for action. Indian J Med Res 2014;140:185.Search in Google Scholar

8. Ministry of Health and Family Welfare. Implementation guide on RCH II ARSH strategy for satate and district programme managers. Government of India, 2006.Search in Google Scholar

9. Ministry of Health and Family Welfare. Adolescent Reproductive and Sexual Health (ARSH). Uttarkhand Health and Family Welfare Society. Government of Uttarkhand. [cited 2015 15 April]. Available from: http://www.ukhfws.org/details.php?pgID=mn_2568.Search in Google Scholar

10. World Health Organization. Adolescent health [cited 2015 15 April]. Available from: http://www.who.int/topics/adolescent_health/en/.Search in Google Scholar

11. Ministry of health and family welfare. Key Indicators for Uttarakhand from NFHS-3. National family health survey III 2005–06. Government of India, 2006. Available from: http://www.rchiips.org/nfhs/nfhs3.shtml.Search in Google Scholar

12. Patel H, Solanki H, Gosalia V, Vora F, Singh M. A study of awareness of nutrition and anaemia among college going students of Mahila College of Bhavnagar. Community Med 2013;4:300–3.Search in Google Scholar

13. Kotecha P, Patel SV, Mazumdar V, Baxi R, Misra S, et al. Reproductive health awareness among urban school going adolescents in Vadodara city. Indian J Psychiatry 2012;54:344.10.4103/0019-5545.104821Search in Google Scholar PubMed PubMed Central

14. Mishra A, Nanda P, Speizer IS, Calhoun LM, Zimmerman A, et al. Men’s attitudes on gender equality and their contraceptive use in Uttar Pradesh India. Reprod Health 2014;11:41.10.1186/1742-4755-11-41Search in Google Scholar PubMed PubMed Central

15. Brindis CD, Geierstanger SP, Wilcox N, McCarter V, Hubbard A. Evaluation of a peer provider reproductive health service model for adolescents. Perspect Sex Reprod Health 2005;37:85–91.10.1363/3708505Search in Google Scholar

16. Mavedzenge SN, Luecke E, Ross DA. Effectiveness of HIV prevention, treatment and care interventions among adolescents: a systematic review of systematic reviews. New York: UNICEF Technical Brief, 2013.Search in Google Scholar

17. Ministry of Human Resource Development (MHRD). Adolescence Education Programme. Government of India, 2015. [cited 2015 15 April]. Available from: http://mhrd.gov.in/adolescence_programme.Search in Google Scholar

18. Vir SC, Singh N, Nigam AK, Jain R. Weekly iron and folic acid supplementation with counseling reduces anemia in adolescent girls: a large-scale effectiveness study in Uttar Pradesh, India. Food Nutr Bull 2008;29:186–94.10.1177/156482650802900304Search in Google Scholar PubMed

19. Ministry of Health and Family Welfare. Weekly Iron Folic Acid Supplementation (WIFS). Adolescent Health. RMNCH+A. National Health Mission. Government of India. Available from: http://nrhm.gov.in/nrhm-components/rmnch-a/adolescent-health/weekly-iron-folic-acid-supplementation-wifs/background.html.Search in Google Scholar

20. Ambresin A-E, Bennett K, Patton GC, Sanci LA, Sawyer SM. Assessment of youth-friendly health care: a systematic review of indicators drawn from young people’s perspectives. J Adolesc Health 2013;52:670–81.10.1016/j.jadohealth.2012.12.014Search in Google Scholar PubMed

21. Bhuiya I, Rob U, Chowdhury AH, Rahman L, Haque N, et al. Improving adolescent reproductive health in Bangladesh. Washington, DC: Frontier, Population Council, 2004.10.31899/rh4.1114Search in Google Scholar

22. Yadav R, Mehta R, Pandey A, Adhikari T. Evaluation of adolescent – friendly health services in India. Health and Population: Perspectives and Issues 2009;32:96–104.Search in Google Scholar

23. Dickson KE, Ashton J, Smith J-M. Does setting adolescent-friendly standards improve the quality of care in clinics? Evidence from South Africa. Int J Qual Health Care 2007;19:80–9.10.1093/intqhc/mzl070Search in Google Scholar PubMed

24. Moyo I, Bond K, Williams T, Mueller L. Reproductive health antecedents, attitudes, and practices among youth in Gweru, Zimbabwe: findings prior to and following the introduction of youth-friendly services: pathfinder international, Focus on Young Adults Project; 2000.Search in Google Scholar

Received: 2015-5-15
Accepted: 2015-8-16
Published Online: 2015-11-10
Published in Print: 2017-4-1

©2015 Walter de Gruyter GmbH, Berlin/Boston

Articles in the same Issue

  1. The first cigarette and then………
  2. Postnatal testosterone may be an important mediator of the association between prematurity and male neurodevelopmental disorders: a hypothesis
  3. Dietary habits and sedentary behaviors among health science university students in Bahrain
  4. Diet quality and physical activity in relation to childhood obesity
  5. Determinants of cigarette smoking among school adolescents on the island of Java, Indonesia
  6. Oral health impact, dental caries experience, and associated factors in 12–15-year-old school children in India
  7. The effects of educating mothers and girls on the girls’ attitudes toward puberty health: a randomized controlled trial
  8. Challenges and results of a school-based intervention to manage excess weight among school children in Tunisia 2012–2014
  9. The effectiveness of an adolescent reproductive health education intervention in Uganda
  10. Comparison of parental socio-demographic factors in children and adolescents presenting with internalizing and externalizing disorders
  11. Health seeking behaviour and health awareness among rural and urban adolescents in Dehradun District, Uttarakhand, India
  12. Knowledge and perception of young adults in Nigeria on effectiveness of condom use in prevention of sexually transmitted infections
  13. Media exposure, interactive health literacy, and adolescents’ susceptibility to future smoking
  14. Disordered eating and body image issues and their associated factors among adolescents in urban secondary schools in Sarawak, Malaysia
  15. Normal weight obesity among young adults in Trinidad and Tobago: prevalence and associated factors
  16. Prevalence and correlates of suicidal ideation and attempts among children and adolescents
  17. Neurogenic speech sequelae following suicide attempt by hanging: a case report
  18. Tubo-ovarian abscess in non sexually active adolescents
  19. Implicit emotion regulation: linking childhood oppositional defiant disorder with adult depression and bipolar disorder?
  20. Knowledge, attitude, self-efficacy and estimation of frequency of condom use among Iranian students based on a crosswise model: more explanation is needed for the crosswise model
Downloaded on 2.10.2025 from https://www.degruyterbrill.com/document/doi/10.1515/ijamh-2015-0046/html
Scroll to top button