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Health Behaviour and Illness Behaviour

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Medical Sociology in Africa

Abstract

This chapter presents another major topic in health social sciences: health and illness behaviours. Social responses to health and illness have been widely researched for various kinds of medical conditions. The chapter proceeds with a definition of health behaviour, introducing associated concepts such as preventive health behaviour (PHB), protective health behaviour, and health-seeking behaviour. The concept of risk behaviour is examined with its specific patterns including sedentary lifestyle, alcohol and drug use, smoking behaviour and use of tobacco, sexual behaviour, and dietary behaviour. Illness behaviour is presented by examining its various conceptions. The Chrisman’s stages of illness behaviour are presented as a conceptual discourse in understanding health-seeking behaviour. The chapter ends with a discussion of factors affecting health and illness behaviours (including illness attributes/perception, socioeconomic status, gender, education, age, religion, and location) with some illustration from the African context.

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References

  • Adudans, M. K., Montandon, M., Kwena, Z., Bukusi, E. A., & Cohen, C. R. (2011). Prevalence of forced sex and associated factors among women and men in Kisumu, Kenya. African Journal of Reproductive Health, 15(4), 87–97.

    Google Scholar 

  • Afolabi, B. M., Brieger, W. R., & Salako, L. A. (2004). Management of childhood febrile illness prior to clinic attendance in urban Nigeria. Journal of Health and Population Nutrition, 22(1), 46–51.

    Google Scholar 

  • Alonzo, A. A. (1979). Everyday illness behaviour: A situational approach to health status Deviations. Social Science & Medicine, 13A, 397–404.

    Google Scholar 

  • Alonzo, A. A. (1980). Acute illness behaviour: A conceptual exploration and specification. Social Science & Medicine, 14A, 515–526.

    Google Scholar 

  • Alonzo, A. A. (1993). Health behaviour: Issues, contradictions and dilemmas. Social Science & Medicine, 37(8), 1019–1034.

    Google Scholar 

  • Amzat, J. (2009). Home management of childhood malaria and treatment failure among mothers of under-five children in Offa, Nigeria. PhD Thesis submitted to the Department of Sociology, University of Ibadan, Nigeria.

    Google Scholar 

  • Amzat, J. (2011). Assessing the progress of malaria control in Nigeria. World Health and Population, 12(3), 42–51.

    Google Scholar 

  • Amzat, J., & Grandi, G. (2011). Gender context of personalism in bioethics. Developing World Bioethics, 11(3), 136–145.

    Google Scholar 

  • Andersson, N., Paredes-Solís, S., Milne, D., Omer, K., Marokoane, N., Laetsang, D., & Cockcroft, A. (2012). Prevalence and risk factors for forced or coerced sex among school-going youth: National cross-sectional studies in 10 southern African countries in 2003 and 2007. BMJ Open, 2, e000754. doi:10.1136/bmjopen-2011–000754.

    Google Scholar 

  • Băban, A., & Crăciun, C. (2007). Changing health-risk behaviour: A review of theory and evidence-based intervention in health psychology. Journal of Cognitive and Behavioral Psychotherapies, VII(1), 45–67.

    Google Scholar 

  • Beiersmann, C., Sanou, A., Wladarsch, E., Allegri, M., Kouyaté, B., & Müller, O. (2007). Malaria in rural Burkina Faso: Local illness concepts, patterns of traditional treatment and influence on health-seeking behaviour. Malaria Journal, 6, 106. doi:10.1186/1475-2875-6-106.

    Google Scholar 

  • Bloland, P. B., Ettling, M., & Meek, S. (2000). Combination therapy for malaria in Africa: Hype or hope. Bulletin of the World Health Organization, 78, 1378–1388.

    Google Scholar 

  • Carver, A., Timperio, A., & Crawford, D. (2008). Playing it safe: The influence of neighbourhood safety on children’s physical activity—a review. Health & Place, 14(2), 217–227.

    Google Scholar 

  • Chrisman, N. J. (1977). The health seeking process: An analysis of the natural history of illness. Culture, Medicine and Psychiatry, 1, 351–377.

    Google Scholar 

  • Clark, E. G., & Leavell, H. R. (1953). Levels of application of preventive medicine. In H. R. Leavell & E. G. Clark (Eds.), Textbook of preventive medicine (pp. 7–27). NY: McGraw-Hill.

    Google Scholar 

  • Cramm, J. M., Finkenflügel, H. J., Møller, V., & Nieboer, A. P. (2010). TB treatment initiation and adherence in a South African community influenced more by perceptions than by knowledge of tuberculosis. BMC Public Health, 10, 72. doi:10.1186/1471-2458-10-72.

    Google Scholar 

  • Crane, C., & Martin, M. (2002). Adult illness behaviour: The impact of childhood experience. Personality and Individual Differences, 32(5), 785–798.

    Google Scholar 

  • Crespo-fierro, M. (1997). Compliance/adherence and care management of HIV disease. J. Assoc Nurses in AIDS Care, 8(4), 43–54.

    Google Scholar 

  • Cutler, D. M., & Lleras-Muney, A. (2007). Education and health: A policy brief. National Poverty Centre. Michigan: USA.

    Google Scholar 

  • Dake, J. A., Price, J. H., Maziarz, L., & Ward, B. (2012). Prevalence and correlates of sexting behaviour in adolescents. American Journal of Sexuality Education, 7(1), 1–15.

    Google Scholar 

  • Deressa, W. (2007). Treatment-seeking behaviour for febrile illness in an area of seasonal malaria transmission in rural Ethiopia. Malaria Journal, 6, 49. doi:10.1186/1475-2875-6-49.

    Google Scholar 

  • Derman, E. W., Patel, D. N., Nossel, C. J., & Schwellnus, M. P. (2008). Healthy lifestyle interventions in general practice. SA Family Practice, 50(4), 6–12.

    Google Scholar 

  • Fabrega, H. (1973). Towards a model of illness behaviour. Medical Care, 11(6), 470–484.

    Google Scholar 

  • Gabe, J., Bury, M., & Elston, M. A. (2004). Key concepts in medical sociology. London: Sage Publications.

    Google Scholar 

  • Greif, M. J., Dodoo, F. N., & Jayaraman, A. (2011). Urbanisation, poverty and sexual behaviour: The tale of five African cities. Urban Studies, 48(5), 947-957.

    Google Scholar 

  • Guttmacher Institute. (2012). In brief: Facts about abortions in Africa. http://www.guttmacher.org/pubs/IB_AWW-Africa.pdf. Accessed 20 Feb. 2013.

  • Harpham, T. (1996). Urban health in The Gambia: A review. Health & Place, 2(1), 45–49.

    Google Scholar 

  • Harris, D. M., & Guten, S. (1979). Health-protective behaviour: An exploratory study. Journal of Health and Social Behavior, 20(1), 17–29.

    Google Scholar 

  • Heinemann, L., Gottfried Enderlein, G., & Stark, H. (2012). The risk factor concept in cardiovascular disease. http://www.ilo.org/safework_bookshelf/english?content&nd=857170028. Accessed 6 May 2012.

  • Hulka, B. S., & Moorman, P. G. (2008). Breast cancer: Hormones and other risk factors. Maturitas, 61(1–2), 203–13.

    Google Scholar 

  • Igun, U. A. (1979). Stages in health-seeking: A descriptive model. Social Science & Medicine,13A, 445–456.

    Google Scholar 

  • Islam, S. M. S., & Johnson, C. A. (2007). Western media’s influence on Egyptian adolescents’ smoking behaviour: The mediating role of positive beliefs about smoking. Nicotine and Tobacco Research, 9(1), 57–64.

    Google Scholar 

  • Jegede, A. S., Amzat, J., Salami, K. K., Adejumoh, P. O., & Oyetunde, M. O. (2006). What women do to prevent and treat malaria: Experiences from market women in Ibadan, Nigeria. African Journal for the Psychological Study of Social Issues, 9(1), 165–178.

    Google Scholar 

  • Karanja, J., Wambari, E., Okumu, D., Odhaimbo, E., Karuri, I., Muthwii, S. M., Kibe, M., Osawa, N., & Osaki, Y. (2002). A study of awareness of malaria among Kibera population: Implication for community based intervention. Journal of National Institute of Public Health, 51(1), 51–55.

    Google Scholar 

  • Kasl, S. U., & Cobb, S. (1966). Health behaviour, illness behaviour, and sick role behaviour. Archives of Environmental Health, 12, 246–266.

    Google Scholar 

  • Khan, M., Rasolofomanana, J. R., McClamroch, K. J., Ralisimalala, A., Zafimanjaka, M., Behets, F., & Weir, S. S. (2008). High-risk sexual behaviour at social venues in Madagascar. Sexually Transmitted Diseases, 35(8), 738–745.

    Google Scholar 

  • Levitt, N. (2008). Diabetes in Africa: Epidemiology, management and healthcare challenges. Heart, 94(11), 1376–1382.

    Google Scholar 

  • Lofholm, P. W., & Katzung, B. G. (2009). Rational prescribing and prescription writing. In B. G. Katzung (Ed.), Basic and clinical pharmacology (11th ed., pp. 1127–1136). Appleton & Lange.

    Google Scholar 

  • Lundberg, P., Johansson, E., Okello, E., Allebeck, P., & Thorson, A. (2012). Sexual risk behaviours and sexual abuse in persons with severe mental illness in Uganda: A qualitative study. PLoS ONE, 7(1), e29748.

    Google Scholar 

  • Marmorstein, N. R. (2009). Longitudinal associations between alcohol problems and depressive symptoms: Early adolescence through early adulthood. Alcohol Clin Exp Res, 33(1), 49–59.

    Google Scholar 

  • Martinez, P., Røislien, J., Naidoo, N., & Clausen, T. (2011). Alcohol abstinence and drinking among African women: Data from the world health Surveys. BMC Public Health, 11, 160. doi:10.1186/1471-2458-11-160.

    Google Scholar 

  • Mashita, R. J., Themane, M. J., Monyeki, K. D., & Kemper, H. C. G. (2011). Current smoking behaviour among rural South African children: Ellisras longitudinal study. BMC Pediatrics, 11, 58. doi:10.1186/1471-2431-11-58.

    Google Scholar 

  • Mbanya, J. C. N., Motala, A. A., Sobngwi, E., Assah, F. K., & Enoru, S. T. (2010). Diabetes in sub-Saharan Africa. The Lancet, 375(9733), 2254–2266.

    Google Scholar 

  • McCombie, S. C. (2002). Self-treatment for malaria: The evidence and methodological issues. Health Policy and Planning, 17(4), 333–344.

    Google Scholar 

  • Mechanic, D. (1995). Sociological dimensions of illness behaviour. Social Science & Medicine, 41(9), 1207–1216.

    Google Scholar 

  • Mechanic, D. (1962). The concept of illness behaviour. Journal of Chronic Diseases, 15, 189–194.

    Google Scholar 

  • Morland, K. B., & Evenson, K. R. (2009). Obesity prevalence and the local food environment. Health & Place, 15(2), 491–495.

    Google Scholar 

  • Mpofu, E., Caldwell, L., Smith, E., Flisher, A. J., Mathews, C., Wegner, L., & Vergnani, T. (2006). Rasch modelling of the structure of health risk behaviour in South African adolescents. Journal of Applied Measurement, 7(3), 323–34.

    Google Scholar 

  • Mukanga, D., Tibenderana, J. K., Peterson, S., Pariyo, G. W., Kiguli, J., Waiswa, P., Babirye, R., Ojiambo, G., Kasasa, S., Pagnoni, F., & Kallander, K. (2012). Access, acceptability and utilization of community health workers using diagnostics for case management of fever in Ugandan children: A cross-sectional study. Malaria Journal, 11, 121. doi:10.1186/1475-2875-11-121.

    Google Scholar 

  • Mwenesi, H., Harpha, T., & Snow, R. W. (1995). Child malaria treatment practices among mothers in Kenya. Social Science and Medicine, 40(9), 1271–1277.

    Google Scholar 

  • Nsimba, S. E. D., Massele, A. Y., Eriksen, J., Gustafsson, L. L., Tomson, G., & Warsame, M. (2002). Case management of malaria in under-fives at primary healthcare facilities in a Tanzanian District. Tropical Medicine and International Health, 7(3), 201–209.

    Google Scholar 

  • Nuwaha, F. (2002). People’s perception of malaria in Mbarara, Uganda. Tropical Medicine and International Health, 7(5), 462–470.

    Google Scholar 

  • Oman, D., & Thoresen, C. E. (2002). ‘Does religion cause health?’: Differing interpretations and diverse meanings. Journal of Health Psychology, 7(4), 365–380.

    Google Scholar 

  • Parsons, T. (1951). The social system. Glencoe: Free Press.

    Google Scholar 

  • Peltzer, K. (2009). Health behaviour and protective factors among school children in four African countries. International Journal of Behavioral Medicine, 16, 172–180.

    Google Scholar 

  • Petrie, K. J., Jago, L. A., & Devcich, D. A. (2007). The role of illness perceptions in patients with medical conditions. Current Opinion in Psychiatry, 20, 163–167.

    Google Scholar 

  • Rutta, A. S. M., Francis, F., Mmbando, B. P., Ishengoma, D. S., Sembuche, S. H., Malecela, E. K., Sadi, J. Y., Kamugisha, M. L., & Lemnge, M. M. (2012). Using community-owned resource persons to provide early diagnosis and treatment and estimate malaria burden at community level in north-eastern Tanzania. Malaria Journal, 11, 152. doi:10.1186/1475-2875-11-152.

    Google Scholar 

  • Sarkar, C., Gallacher, J., & Webster, C. (2013). Built environment configuration and change in body mass index: The Caerphilly Prospective Study (CaPS). Health & Place, 19, 33–44.

    Google Scholar 

  • Segall, A. (1976). The sick role concept: Understanding illness behaviour. Journal of Health and Social Behavior, 17, 163–170.

    Google Scholar 

  • Shuper, P. A., Neuman, M., Kanteres, F., Baliunas, D., Joharchi, N., & Rehm, J. (2010). Causal considerations on alcohol and HIV/AIDS—a systematic review. Alcohol, 45(2), 159–166.

    Google Scholar 

  • Sosa-Estani, S., Colantonio, L., & Segura, E. L. (2012). Therapy of chagas disease: Implications for levels of prevention. Journal of Tropical Medicine, 2012, 10. doi:10.1155/2012/292138.

    Google Scholar 

  • Steptoe, A., & Wardle, J. (2004). Health-related behaviour: Prevalence and links with disease. In A. Kaptein & J. Weinmen (Eds.), Health psychology (pp. 21–51). BPS: Blackwell.

    Google Scholar 

  • Stoler, J., Fink, G., Weeks, J. R., Otoo, R. A., Ampofo, J. A., & Hill, A. G. (2012). When urban taps run dry: Sachet water consumption and health effects in low-income neighbourhood of Accra, Ghana. Health & Place, 18(2), 250–262.

    Google Scholar 

  • Suchman, E. A. (1965). Stages of illness and medical care. Journal of Health and Human Behavior, 6, 114–128.

    Google Scholar 

  • Szabo, C. P., & Allwood, C. W. (2004). A cross-cultural study of eating attitudes in adolescent South African females. World Psychiatry, 3(1), 41–44.

    Google Scholar 

  • Szabo, C. P., & Allwood, C. W. (2006). Body figure preference in South African adolescent females: A cross cultural study. African Health Science, 6(4), 201–206.

    Google Scholar 

  • Temple, J. R., Paul, J. A., van den Berg, P., Le, V. D., McElhany, A., & Temple, B. W. (2012). Teen sexting and its association with sexual behaviors. Archives of Pediatrics & Adolescent Medicine, 166(9), 828–833. doi:10.1001/archpediatrics.2012.835.

    Google Scholar 

  • The Hunger Project. (2012). Empowering women and men to end their hunger. http://www.thp.org/africa. Accessed 19 May 2012.

  • Turrell, G., Haynes, M., Wilson, L., & Giles-Corti, B. (2013). Can the built environment reduce health inequalities? A study of neighbourhood socioeconomic disadvantage and walking for transport. Health & Place, 19, 89–98.

    Google Scholar 

  • Twaddle, A. C. (1969). Health decisions and sick role variations: an exploration. Journal of Health and Social Behavior, 10, 105–115.

    Google Scholar 

  • Twaddle, A. C. (1974). The concept of health status. Social Science & Medicine, 8, 29–28.

    Google Scholar 

  • Uzochukwu, B. S. C., & Onwujekwe, O. E. (2004). Socio-economic differences and health seeking behaviour for the diagnosis and treatment of malaria: A case study of four local government areas operating the Bamako initiative programme in south-east Nigeria. International Journal for Equity in Health, 3, 6. doi:10.1186/1475-9276-3-6.

    Google Scholar 

  • Vearey, J., Palmary, I., Thomas, L., Nunez, L., & Drimie, S. (2010). Urban health in Johannesburg: The importance of place in understanding intra-urban inequalities in a context of migration and HIV. Health & Place, 16(4), 694–702.

    Google Scholar 

  • WHO. (2005). WHO multi-country study on women’s health and domestic violence against women: Summary report of initial results on prevalence, health outcomes and women’s responses. Geneva: WHO.

    Google Scholar 

  • World Health Organization (WHO). (2009). 10 facts about women’s health. http://www.who.int/gender/documents/10facts_womens_health_en.pdf. Assessed 21 May 2012.

  • World Health Organization (WHO). (2012). World Malaria Report 2012. Geneva: WHO.

    Google Scholar 

  • Young, J. T. (2004). Illness behaviour: A selective review and synthesis. Sociology of Health & Illness, 26(1), 1–31.

    Google Scholar 

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Authors and Affiliations

  1. Department of Sociology, Usmanu Danfodiyo University, Sokoto, Nigeria

    Jimoh Amzat

  2. AG3 Epidemiology & Intern Public Health, Faculty of Health Sciences, University of Bielefeld, Bielefeld, Germany

    Oliver Razum

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  1. Jimoh Amzat
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  2. Oliver Razum
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Correspondence to Jimoh Amzat .

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Amzat, J., Razum, O. (2014). Health Behaviour and Illness Behaviour. In: Medical Sociology in Africa. Springer, Cham. https://doi.org/10.1007/978-3-319-03986-2_3

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