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EDUCATION'S ROLE IN PRIMARY HEALTHCARE UTILIZATION AMONG OLDER PEOPLE IN INDONESIA Laksono, Agung Dwi; Wulandari, Ratna Dwi; Zuardin, Zuardin; Rohmah, Nikmatur
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 1 (2024): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i1.2024.11-24

Abstract

Introduction: The current situation shows that life expectancy is increasing, so the population of older people is also growing. As a vulnerable group, more senior people desperately need primary health care, and barriers to accessing services will increase vulnerability. Aim: The study aimed to investigate the impact of education on primary healthcare utilization among older people. Methods: This cross-sectional study examined 52,893 older people. It employed primary healthcare utilization as an outcome variable and education level as an exposure variable. Furthermore, the study used eight control variables: residence type, age group, gender, marital status, wealth, time travel to primary healthcare, and health insurance. We employed binary logistic regression to examine the data. Results: The study showed that older adults with primary education were 1.050 times more likely than those without to utilize primary healthcare (95% CI 1.046-1.054). Older people with secondary education were 0.643 times less likely to use primary healthcare than those without (95% CI 0.638-0.649). Older adults with secondary education were 0.378 times less likely than those without to use primary healthcare (95% CI 0.372-0.383). Furthermore, the study indicated that all control variables were significantly related to direct healthcare utilization. Conclusion: The study concluded that education level influences primary healthcare utilization among older people in Indonesia. Keywords: elderly people, education, primary healthcare, healthcare evaluation, healthcare access, public health
Religious Concerns on Financial and Psychological Hardship of Cancer Survivors in Eastern Indonesia Zuardin, Zuardin
APLIKATIF: Journal of Research Trends in Social Sciences and Humanities Vol. 3 No. 2 (2024): APLIKATIF: Journal of Research Trends in Social Sciences and Humanities
Publisher : Lembaga Junal dan Publikasi, Universitas Muhammadiyah Buton

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59110/aplikatif.v3i2.439

Abstract

Cancer survivors face significant financial hardship and psychological distress during treatment. This study investigates the role of religiosity as a coping mechanism for cancer survivors experiencing these challenges. Using an explanatory sequential mixed-method approach, the study analyzed data from 817 patients in the quantitative phase and conducted in-depth interviews with 8 informants representing breast, cervical, lung, and prostate cancer. Quantitative findings indicate that 63% of respondents experienced high financial hardship, while 37% faced moderate hardship. Out-of-pocket expenses, including transportation, accommodation, and uncovered medical costs, contributed to these difficulties. Qualitative interviews revealed that financial strain often led to job loss, debt accumulation, and emotional stress, further exacerbating patient challenges. Religiosity emerged as a critical coping strategy, with participants reporting that spiritual practices and reliance on faith provided emotional strength, reduced depression, and enhanced psychological resilience. This study highlights the need for integrated support systems, including expanded insurance coverage, hospital-based spiritual care, and community-driven support programs. The findings contribute to understanding religiosity’s role in managing financial and psychological burdens, particularly in resource-limited settings such as Eastern Indonesia.