Health-seeking Behaviour and Self-rated Health of Adult Men in an Urban Local Government Area in Lagos, Nigeria

  • AO Ogunyemi
  • TO Egemba
  • OO Onigbogi
Keywords: Health Insurance, Health-seeking Behaviour, Men, Self-rated Health, Universal Health Coverage


Background: Evidence from the literature suggests that men are less likely to seek health services compared to women. It is important to understand the factors that influence the health-seeking behaviour of men and how it affects their self-rated health.

Objectives: To assess the health-seeking behaviour and self-rated health perception of adult men in an urban community in Lagos state.

Methods: A descriptive, cross-sectional study was conducted among 300 adult males aged 18 years and above in an urban community in Lagos State, Nigeria. An interviewer-administered questionnaire was used to obtain relevant data. Associations between categorical variables were subjected to statistical analysis.

Results: The health-seeking behaviour of the men in the study area was influenced by factors such as the severity of illness (66.1%), availability of funds (13.1%) and subscription to health insurance (18.2%). A majority (94.7%) self-rated their health as good, very good or excellent. Provision of expert care (45.6%) was considered the most important characteristic of health-seeking behaviour. Alcohol consumption (38.8%) was significantly associated with the health perception of the respondents. The respondents (50.2%) preferred using hospitals, compared to other sources during their last illness episode.

Conclusion: The respondents exhibited a preference for hospital visit during their last illness, confirming appropriate health-seeking behaviour in the absence of economic hindrances and other factors. Respondents with little or no alcohol intake had better self-rated health.


Yahaya AM, Gunduz AY. The importance of healthy human life on economic development. J Soc Sci 2018; 7: 63-67.

World Health Organisation. Economic and social impacts and benefits of health systems. Report by Tammy Boyce and Chris Brown. 2019.Page 3. WHO regional office for Europe, Denmark.

World Health Organisation. Sustainable Development Goal Indicators- United Nations Statistic Division. World Bank Group. "Tracking Universal Health Coverage". April 2020.

World Health Organisation. Constitution of WHO as adopted by the International Health Conference. New York, 19th–22nd June 1946.

Oberoi S, Chaudhary N, Patnaik S, Singh A. Understanding health-seeking behavior. J Fam Med Primary Care 2016 5: 463–464.

Latunji OO, Akinyemi OO. Factors influencing health-seeking behaviour among civil servants in Ibadan, Nigeria. Ann Ibadan Postgrad Med 2018; 16: 52–60.

University of Columbia Wiki. Health Seeking Behaviour. The University of British Columbia. 2015. Available at Accessed on 18 March 2021.

Onwujekwe O, Chukwuogo O, Ezeoke U, Uzochukwu B, Eze S. Asking people directly about preferred health-seeking behaviour yields invalid response: an experiment in south-east Nigeria. J Public Health 2011; 33: 93–100.

Akeju DO, Oladapo OT, Vidler M, Akinmade AA, Qureshi R, Solarin M, et al. Determinants of health care seeking behaviour during pregnancy in Ogun State, Nigeria. Reprod Health 2016; 13: 32.

Mensah CO. Access to health insurance and health-seeking behaviour in a Nigerian sub-urban community. Walden Dissertations and Doctoral Studies 2020. p. 5.

Saeed B, Yawson AE, Nguah S, Agyei-Baffour P, Emmanuel N, Ayesu E. Effect of socio-economic factors in the utilization of different healthcare services among older adult men and women in Ghana. BMC Health Serv Res 2016; 6: 390.

Kuuire VZ, Bisung E, Rishworth A, Dixon J, Luginaah I. Health-seeking behaviour during times of illness: a study among adults in a resource-poor setting in Ghana. J Public Health 2016; 38: e545–e553.

Olanrewaju FO, Ajayi A, Loromeke E, Olanrewaju A, Allo T, Nwannebuife O. Masculinity and men’s health-seeking behaviour in Nigerian academia, Cogent Soc Sci 2019; 5: 1.

Centres for Disease Control and Prevention. Health-related Quality of Life. 2018; Center for Disease Control and Prevention, Atlanta, Georgia. 2018.

Stanojevic JO, Sauliume S, Saumskas L, Birt C, Kersnic J. Determinants of self-rated health in elderly populations in urban areas of Slovenia, Lithuania and UK: findings of the EURO-URHIS 2 survey. Eur J Pub Health 2017; 27: 74-79.

Bombak AE. Self-rated health and public health: a critical perspective. Front Public Health 2013; 1: 15.

Nigeria. Institute of Health Metrics and Evaluation. 2019. Accessed 10 February 2020.

Koriakunta A, Reddy CMP. High-risk behaviour in patients with alcohol dependence. Indian J Psychiatry 2019; 61: 125-130.

Selivanova A, Cramm JM. The relationship between healthy behaviours and healthy outcomes among older adults in Russia. BMC Public Health 2014; 14: 1183.

Camlin CS, Semmondo E, Chamie G, El Ayadi AM, Kwarisiima D, Sang N, et al. Men "missing" from population-based HIV testing: insights from qualitative research. AIDS Care 2016; 28: 67–73.

Parents MC, Hammer JH, Bradstreet TC, Schwartz EN, Jobe T. Men’s mental health help-seeking behaviours: an intersectional analysis. Am J Men’s Health 2018; 12: 64-73.

Van Loenen T, Van den Berg MJ, Faber MJ, Westert GP. Propensity to seek healthcare in different healthcare systems: analysis of patient data in 34 countries. BMC Health Serv Res 2015; 15: 465.

Azuogu BN, Eze NC, AzuoguVC, Onah CK, Ossai EN, Agu AP. Appraisal of healthcare-seeking behaviour and prevalence of workplace injury among artisans in automobile site in Abakaliki, Southeast Nigeria. Niger Med J 2018; 59: 45-49.

Obalum CD, Fiberesima F. Nigerian national health insurance scheme (NHIS): an overview. Niger Postgrad Med J 2012; 19: 167-174.

Cable News Network. 24 hours in Lagos: The city that never sleeps. Available at Accessed 13 March 2021.

Wikipedia. Amuwo Odofin. Available at Accessed 13 March 2021.

Britannica, The Editors of Encyclopedia (2020, June 5). “Lagos” Encyclopedia Britannica. Accessed 26 February 2021.

Adewole DA, Akanbi SA, Osungbade KO, Bello S. Expanding health insurance scheme in the informal sector in Nigeria: awareness as a potential demand-side tool. Pan Afr Med J 2017; 27: 52.

Hardee K, Croce-Galis M, Gay J. Are men well served by family planning programs? Reprod Health 2017; 14: 14.

Adam VY, Aigbokhaode AQ. Sociodemographic factors associated with the healthcare-seeking behavior of heads of households in a rural community in Southern Nigeria. Sahel Med J 2018; 21: 31-36.

Onyeonoro UU, Ogah OS, Ukegbu AU, Chukwuonye II, Madukwe OO, Moses AO. Urban-Rural Differences in Health-Care-Seeking Pattern of Residents of Abia State, Nigeria, and the Implication in the Control of NCDs. Health Serv Insights 2016; 9: 29–36.

Eley NT, Namey E, McKenna K, Carrington JA, Guest G. Beyond the Individual: Social and Cultural Influences on the Health-Seeking Behaviors of African American Men. Am J Men’s Health. 2019: 1–11.

Dowden J, Mushamiri I, McFeely E, Apat D, Sacks J, Amor YB. The impact of “male clinics” on health-seeking behaviors of adult men in rural Kenya. PLoS ONE. 2019; 14: e0224749.

Aregbesola B. Healthcare in Nigeria: Challenges and Recommendations. Social 2019. Accessed 15 March 2021.

Promundo and UNFPA. Strengthening CSO-Government Partnerships to scale up approaches to engaging men and boys for gender equality and SRHR: a tool for Action. Washington, DC, New York: Promundo-US, UNFPA; 2016.

Statista England: SRH among over 50s in 2018/2019, by gender. Published by Conor Stewart, 2020. Available at Accessed 15 March 2021.

Xiao M, Zhang F, Xiao N, Bu X, Tang X, Long Q. Health-Related Quality of Life of Hypertension Patients: A population-based cross-sectional study in Chougqing, China. Int J Environ Res Public Health; 2019; 16: 2348.

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