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Research

Healthcare-seeking behaviour in case of influenza-like illness in the French general population and factors associated with a GP consultation: an observational prospective study

Matthieu Ariza, Caroline Guerrisi, Cécile Souty, Louise Rossignol, Clément Turbelin, Thomas Hanslik, Vittoria Colizza and Thierry Blanchon
BJGP Open 2018; 1 (4): bjgpopen17X101253. DOI: https://doi.org/10.3399/bjgpopen17X101253
Matthieu Ariza
Graduate Researcher, Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Paris , France
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Caroline Guerrisi
Epidemiologist, Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Paris , France
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Cécile Souty
Biostatistician, Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Paris , France
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Louise Rossignol
GP, Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Paris , France
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Clément Turbelin
GP, Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Paris , France
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Thomas Hanslik
Internist Physician, UFR des Sciences de la Santé Simone-Veil, Université de Versailles Saint-Quentin-en-Yvelines, Versailles , France Internist Physician, Service de Médecine Interne, Hôpital Ambroise Paré, Assistance Publique — Hôpitaux de Paris, APHP, Boulogne-Billancourt , France Internist Physician, Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Paris , France
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Vittoria Colizza
Senior Researcher, Institute for Scientific Interchange, ISI Foundation, Turin , Italy Senior Researcher, Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Paris , France
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Thierry Blanchon
Public Health Physician, Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Paris , France
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  • For correspondence: thierry.blanchon@upmc.fr
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Abstract

Background GP consultation rates for influenza-like illness (ILI) are poorly known in France and there is a paucity of literature on this topic. In the few articles that have been published, the results are heterogeneous.

Aim The aim of the present study was to estimate the proportion of ILI inducing a GP consultation, and to assess its determinants.

Design & setting Participants of a French web-based cohort study who reported ≥1 ILI episode between 2012 and 2015 were included. Sociodemographic characteristics, access to health care, and health status variables were collected.

Method Healthcare-seeking behaviour was analysed and factors associated with a GP consultation identified using a conditional logistic regression.

Results Of the 6023 ILI episodes reported, 1961 (32.6%) led to a GP consultation, with no difference between those at risk of influenza complications and those not (P = 0.42). A GP consultation was more frequent for individuals living in a rural area (odds ratio [OR] = 1.21, 95% confidence interval [CI] = 1.02 to 1.43); those with a lower educational level (OR = 1.43, 95% CI = 1.18 to 1.74); those using the internet to find information about influenza (OR = 1.63, 95% CI = 1.30 to 2.03); patients presenting with worrying symptoms (fever, cough, dyspnoea, sputum, or asthenia); patients having a negative perception of their own health status (OR = 1.51, 95% CI = 1.07 to 2.13; and those having declared a personal doctor (OR = 2.86, 95% CI = 1.72 to 4.76). A GP consultation was less frequent for individuals using alternative medicine (OR = 0.68, 95% CI = 0.58 to 0.78).

Conclusion This study allows the identification of specific factors associated with GP consultation for an ILI episode. These findings may help to coordinate health information campaigns and to raise awareness, especially among individuals at risk of influenza complications.

  • influenza-like illness
  • healthcare seeking behaviour
  • general population
  • web-based study
  • general practice
  • Received October 16, 2016.
  • Accepted May 4, 2017.
  • Copyright © The Authors 2017

This article is Open Access: CC BY license (https://creativecommons.org/licenses/by/4.0/)

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Healthcare-seeking behaviour in case of influenza-like illness in the French general population and factors associated with a GP consultation: an observational prospective study
Matthieu Ariza, Caroline Guerrisi, Cécile Souty, Louise Rossignol, Clément Turbelin, Thomas Hanslik, Vittoria Colizza, Thierry Blanchon
BJGP Open 2018; 1 (4): bjgpopen17X101253. DOI: 10.3399/bjgpopen17X101253

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Healthcare-seeking behaviour in case of influenza-like illness in the French general population and factors associated with a GP consultation: an observational prospective study
Matthieu Ariza, Caroline Guerrisi, Cécile Souty, Louise Rossignol, Clément Turbelin, Thomas Hanslik, Vittoria Colizza, Thierry Blanchon
BJGP Open 2018; 1 (4): bjgpopen17X101253. DOI: 10.3399/bjgpopen17X101253
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Keywords

  • influenza-like illness
  • healthcare seeking behaviour
  • general population
  • web-based study
  • general practice

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