{"title":"Who receives adequate antenatal care in Nigeria? Socioeconomic inequalities and women's access to maternal healthcare.","authors":"Omotayo Adewale Haruna-Ogun","doi":"10.1080/07399332.2026.2748044","DOIUrl":null,"url":null,"abstract":"<p><p>Antenatal care (ANC) utilization is an important indicator of women's health equity and maternal healthcare access. We applied the Social Determinants of Health framework to examine socioeconomic and demographic factors associated with ANC utilization among women in Nigeria using data from the 2018 Nigeria Demographic and Health Survey (<i>N</i> = 21,792). Using survey-weighted logistic regression analyses, we found that women in the richest wealth quintile (aOR = 3.47, 95% CI: 2.77-4.34) and women with higher education (aOR = 4.20, 95% CI: 3.36-5.25) had significantly greater odds of completing at least four ANC visits. Employment status, age, religion, geopolitical region, and birth order were also significantly associated with ANC utilization. Our findings highlight how multiple dimensions of socioeconomic position shape women's access to maternal healthcare and contribute to persistent inequalities in maternal health equity within resource-constrained settings.</p>","PeriodicalId":47836,"journal":{"name":"Health Care for Women International","volume":" ","pages":"1-23"},"PeriodicalIF":1.2000,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Care for Women International","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/07399332.2026.2748044","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Antenatal care (ANC) utilization is an important indicator of women's health equity and maternal healthcare access. We applied the Social Determinants of Health framework to examine socioeconomic and demographic factors associated with ANC utilization among women in Nigeria using data from the 2018 Nigeria Demographic and Health Survey (N = 21,792). Using survey-weighted logistic regression analyses, we found that women in the richest wealth quintile (aOR = 3.47, 95% CI: 2.77-4.34) and women with higher education (aOR = 4.20, 95% CI: 3.36-5.25) had significantly greater odds of completing at least four ANC visits. Employment status, age, religion, geopolitical region, and birth order were also significantly associated with ANC utilization. Our findings highlight how multiple dimensions of socioeconomic position shape women's access to maternal healthcare and contribute to persistent inequalities in maternal health equity within resource-constrained settings.
期刊介绍：
Health Care for Women International is a critically acclaimed, international publication that provides a unique interdisciplinary approach to health care and related topics that concern women around the globe. Published twelve times a year, Health Care for Women International includes the newest research, theories, and issues in the fields of public health, social science, health care practice, and health care policy. Scholars and practitioners address topics such as cultural differences, alternative lifestyles, domestic violence, public health issues associated with the aging of the population, maternal morbidity and mortality, infectious diseases, and a host of other gender-based ethical issues. The editor also encourages discussion topics, inviting readers to comment on articles that focus on specific aspects of health issue for women.
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