Factors Influencing the Utilization of Health Services Among Fisherman
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Background: Utilization of healthcare services is a key factor in determining the health status of a community. Fisherman, as a coastal community group, are at high health risk due to their occupation. However, many fisherman still prefer self-medication over formal healthcare services. Purpose: To identify factors influencing the utilization of healthcare services among fisherman in Kampung Nelayan Untia. Methods: This study employed a quantitative research method with a cross-sectional study approach, using total sampling of 50 fishermen. The research was conducted in Kampung Nelayan, Kelurahan Untia, from December 2024 to March 2025. Data were analyzed using univariate and bivariate analysis with the chi-square test. Results: There was a significant relationship between knowledge and healthcare service utilization among fishermen in Kampung Nelayan Untia (p=0.018). However, there was no significant relationship between economic status and healthcare service utilization (p=0.434), no relationship between accessibility and healthcare service utilization (p=0.190), a significant relationship between health insurance ownership and healthcare service utilization (p=0.041), and no relationship between perception and healthcare service utilization (p=0.130). Conclusion: There is a significant relationship between knowledge and health insurance ownership with healthcare service utilization among fishermen in Kampung Nelayan Untia. However, economic status, accessibility, and perception do not show a significant relationship with healthcare service utilization. It is recommended that the health department or community health centers (Puskesmas) conduct health education programs to raise awareness among fishermen about the importance of healthcare and regular medical check-ups.
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