Perceived ill-health and health seeking behavior in two communities in the nam theun 2 hydroelectric project area in Lao Peoples Democratic Republic

作     者：Sayasone S Erlanger TE Kaul S Sananikhom P Tanner M Utzinger J Odermatt P 

作者机构：Department of Public Health and EpidemiologySwiss Tropical InstituteBaselSwitzerland Institut de la Francophonie pour la Medecine TropicaleVientianeLao PDR International SOSSingapore Nam Theun 2 Power CompanyVientianeLao PDR Nam Theun 2 Power CompanyVientianeLao PDR 

出 版 物：《Asian Pacific Journal of Tropical Medicine》 (亚太热带医药杂志（英文版）)

年 卷 期：2009年第2卷第6期

页      面：63-70页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：financial support was granted by the Swiss National Science Foundation the Swiss Agency for Development and Cooperation(projects no.3270B0 - 110020 to SS and PO and no.PPOOB - 102883 to TEE and JU) 

主　　题：Self-reported ill-health Health seeking behavior Lao PDR Nam Theun 2 hydroelectric project 

摘      要：Objective:To compare perceived ill-health and health seeking behavior between two communities affected by the large Nam Theun 2 hydroelectric project in central Lao People’s Democratic Republic(PDR).Methods: Two different affected areas;Nakai plateaubeing remote,sparcely populated and mountainous,and Xe Bang Fai lowland plains,more densely populated and comparatively affluent were *** were obtained from two cross-sectional household-based health and socio-economic ***:We found pronounced differences in the frequency of self-reported fever,cough,headache and myalgia according to *** the Nakai plateau,45.1%of the individuals with ill-health report(recall period;2 weeks) went to a local health volunteer compared to only 7.2%in the Xe Bang Fai area(P 0.001 ).In Nakai,there were disproportionately more illiterates seeking help from local health volunteers when compared to those who attended at least primary schooling(49.2%versus 17.5%,P 0.01 ).Self-medication with antimalarials was more common in Xe Bang Fai than on Nakai(32.3%versus 7.0%,P 0.001).The mean amount of money spent per health consultation was US $ 1.7 in Nakai and US $ 7.2 in Xe Bang ***:The observed differences in self-reported ill-health and health seeking behavior among these two Lao communities need to be considered when implementing setting-specific mitigation measures as part of the public health action plan of the Nam Theun 2 hydroelectric project.