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All Journal Mandalika Journal of Medical and Health Studies
G. Palancos, Jacqueline
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Awareness, Self-Efficacy, and Accessibility of Community-Based Healthcare Services Among Older Adults in Timor-Leste Ximenes, Domingos; G. Palancos, Jacqueline; Buli, Cicilia Nadya; Mergal, Beryl Ben; P. Mercado, Giovani; T. Salgueiro, Francisco
Mandalika Journal of Medical and Health Studies Vol 3 No 2 (2025): Mandalika Journal of Medical and Health Studies
Publisher : Mandalika Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59613/mjmh.v3i2.380

Abstract

This study aimed to determine predictors of accessibility to community health services among older adults and to examine the relationship between knowledge, self-efficacy, and use of these services. A quantitative, descriptive-correlational, and cross-sectional research design was used. Participants were selected by probabilistic random sampling in identified communities to ensure representativeness. Data were collected using a structured questionnaire that assessed knowledge about available services, confidence in access to care, and perception of accessibility. Descriptive statistics were used to determine the levels of the main variables, while correlational, comparative, and regression analyses were applied to examine relationships, demographic differences, and predictive factors. The results indicated that knowledge and self-efficacy were significantly associated with accessibility to community health services. Higher levels of knowledge and greater self-efficacy correlated with a better perception of access to care. The selected demographic variables also showed significant differences in accessibility. Knowledge and self-efficacy emerged as significant predictors of accessibility to health services. The results of this study underscore the importance of strengthening health education, capacity-building strategies, and community interventions to improve equitable access to health services among older adults.
Co-Authors Buli, Cicilia Nadya Mergal, Beryl Ben P. Mercado, Giovani T. Salgueiro, Francisco Ximenes, Domingos