{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T06:17:48Z","timestamp":1783577868908,"version":"3.55.0"},"reference-count":15,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p>\n                    Somalia faces a dual crisis of high chronic disease burden and extreme climate vulnerability. This study examines the predictors of health-seeking behavior (HSB) for chronic diseases among Somali households. Using data from the 2020 Somali Demographic and Health Survey (SDHS), survey-weighted probit model was applied to a sample of 69,998 individuals to analyze predictors of regular treatment-seeking behavior. Approximately 6.6% of the population reported a chronic disease, with 48.8% of those individuals seeking regular treatment. Wealth (AME\u202f=\u202f0.094,\n                    <jats:italic>p<\/jats:italic>\n                    \u202f&amp;lt;\u202f0.001) and urban residence (AME\u202f=\u202f0.078,\n                    <jats:italic>p<\/jats:italic>\n                    \u202f&amp;lt;\u202f0.001) were the strongest predictors of HSB. Secondary education increased HSB by 6.2 percentage points (\n                    <jats:italic>p<\/jats:italic>\n                    \u202f=\u202f0.012). Conversely, climate-induced livestock loss significantly hindered HSB, reducing the probability of treatment-seeking by 3.4 percentage points (\n                    <jats:italic>p<\/jats:italic>\n                    \u202f=\u202f0.035). Internet access was not a significant predictor. Climate shocks create an economic barrier that prevents vulnerable households from managing chronic conditions. Policy interventions should focus on integrating NCD care into climate adaptation strategies and reducing the rural\u2013urban health gap.\n                  <\/jats:p>","DOI":"10.3389\/fpubh.2026.1869640","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T05:34:48Z","timestamp":1783575288000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The asset-vulnerability trap: climate shocks and health-seeking behavior for chronic diseases in Somalia"],"prefix":"10.3389","volume":"14","author":[{"given":"Abdirashid Jama","family":"Abdullahi","sequence":"first","affiliation":[{"name":"Faculty of Business and Economics, Amoud University","place":["Borama, Somaliland, Somalia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdirizak","family":"Mohamed Moumin","sequence":"additional","affiliation":[{"name":"Faculty of Business and Economics, Amoud University","place":["Borama, Somaliland, Somalia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khadar Mowlid","family":"Abdi","sequence":"additional","affiliation":[{"name":"Faculty of Business and Economics, Amoud University","place":["Borama, Somaliland, Somalia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"5353171","DOI":"10.2139\/ssrn.5353171","article-title":"Access to health and health seeking behaviors of climate migrants in Bangladesh: a comparative study on rural and urban slums","author":"Islam","year":"2024","journal-title":"Available SSRN"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"326","DOI":"10.1016\/S0140-6736(16)31404-0","article-title":"Care of non-communicable diseases in emergencies","volume":"389","author":"Slama","year":"2017","journal-title":"Lancet"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1352275","DOI":"10.3389\/fpubh.2024.1352275","article-title":"Unraveling diarrheal disease knowledge, understanding, and management practices among climate change vulnerable coastal communities in Ghana","volume":"12","author":"Boafo","year":"2024","journal-title":"Front Public Heal"},{"key":"ref4","volume-title":"The State of Public Health in Somalia: Top 5 Challenges and Strategies for Improvement","author":"Abdi","year":"2025"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"6138","DOI":"10.3390\/ijerph19106138","article-title":"Effects of climatic factors on diarrheal diseases among children below 5 years of age at national and subnational levels in Nepal: an ecological study","volume":"19","author":"Dhimal","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1030","DOI":"10.1093\/ije\/dym148","article-title":"Association between climate variability and hospital visits for non-cholera diarrhoea in Bangladesh: effects and vulnerable groups","volume":"36","author":"Hashizume","year":"2007","journal-title":"Int J Epidemiol"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1163\/15691330-bja10135","article-title":"Life in transition: a study of climate migrants\u2019 adaptation and perceptions in urban slums and rural villages in Bangladesh","volume":"24","author":"Islam","year":"2024","journal-title":"Comp Sociol"},{"key":"ref8","volume-title":"Health-Seeking Behavior in Conflict-Affected Settings: a Cross-Sectional Study of Internally Displaced Persons in Somalia","author":"Tahlil","year":"2024"},{"key":"ref9","volume-title":"The Impact of Climate Change and Climate Variability on the Pastoralist Communities in Moyle District","author":"Salah","year":"2024"},{"key":"ref10","first-page":"2","volume-title":"Tackling Non-Communicable Diseases in Somalia: A Pathway to SDG 3","author":"Bashir","year":"2025"},{"key":"ref11","volume-title":"Health Behaviors and Health Literacy: Questing the Role of Weak Social Ties Among Older Persons in Rural and Urban Ghana","author":"Amoah","year":"2022"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"582","DOI":"10.1093\/heapol\/czz079","article-title":"Determinants of health insurance enrolment in Ghana: evidence from three national household surveys","volume":"34","author":"Salari","year":"2019","journal-title":"Health Policy Plan"},{"key":"ref13","first-page":"200","volume-title":"The Role of Health Policy in Improving Health Outcomes and Health Equity","author":"Maddox","year":"2024"},{"key":"ref14","first-page":"1","volume-title":"Socio-Economic Determinants of Food Security in Pastoral Communities in the Case of Somali Region in Ethiopia: A systematic Review","author":"Duale","year":"2025"},{"key":"ref15","first-page":"19","volume-title":"Climate Change, Urbanization, and the Future of Rural Health: Addressing Challenges and Opportunities","author":"Randenikumara","year":"2025"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1869640\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T05:34:50Z","timestamp":1783575290000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1869640\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,9]]},"references-count":15,"alternative-id":["10.3389\/fpubh.2026.1869640"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1869640","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,9]]},"article-number":"1869640"}}