Spatial distribution and factors associated with health insurance subscription among women in Ghana.

IF 2.3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Health Pub Date : 2024-11-04 DOI:10.1093/inthealth/ihad092

Richard Gyan Aboagye, Ebenezer N K Boateng, Yaw Marfo Okyere, Joshua Okyere, Kwamena Sekyi Dickson, Abdul-Aziz Seidu, Bright Opoku Ahinkorah

{"title":"Spatial distribution and factors associated with health insurance subscription among women in Ghana.","authors":"Richard Gyan Aboagye, Ebenezer N K Boateng, Yaw Marfo Okyere, Joshua Okyere, Kwamena Sekyi Dickson, Abdul-Aziz Seidu, Bright Opoku Ahinkorah","doi":"10.1093/inthealth/ihad092","DOIUrl":null,"url":null,"abstract":"Background: This study examined the spatial distribution and factors associated with health insurance subscription among women in Ghana.Methods: We analysed a representative sample of 9380 women aged 15-49 y from the 2014 Ghana Demographic and Health Survey. Descriptive and multilevel regression analyses were performed. The study also employed spatial analysis techniques, including spatial autocorrelation, hotspot analysis, cluster and outlier analysis, as well as geographically weighted regression to explore the geographic distribution and predictors of non-subscription to health insurance.Results: The analysis revealed a moderately high prevalence of health insurance subscription among women in Ghana (62.4%). The spatial analyses indicated substantial variations in health insurance subscription across different regions in Ghana. The coastal and middle zones reported higher rates of non-subscription compared with the northern zone. We observed that young women (aged 20-24 y) had a lower likelihood of subscribing compared with adolescent girls (aged 15-19 y). Also, higher educational attainment, listening to the radio, being in a marital union and higher wealth status were positively associated with health insurance subscription.Conclusions: The study calls for targeted interventions and policies to promote equitable access to healthcare services, focusing on improving health infrastructure in coastal and middle zones, educational campaigns for individuals with lower education levels, leveraging media platforms for health insurance awareness and implementing equitable and affordable processes for individuals in poorer households.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"610-624"},"PeriodicalIF":2.3000,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532672/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/inthealth/ihad092","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Background: This study examined the spatial distribution and factors associated with health insurance subscription among women in Ghana.

Methods: We analysed a representative sample of 9380 women aged 15-49 y from the 2014 Ghana Demographic and Health Survey. Descriptive and multilevel regression analyses were performed. The study also employed spatial analysis techniques, including spatial autocorrelation, hotspot analysis, cluster and outlier analysis, as well as geographically weighted regression to explore the geographic distribution and predictors of non-subscription to health insurance.

Results: The analysis revealed a moderately high prevalence of health insurance subscription among women in Ghana (62.4%). The spatial analyses indicated substantial variations in health insurance subscription across different regions in Ghana. The coastal and middle zones reported higher rates of non-subscription compared with the northern zone. We observed that young women (aged 20-24 y) had a lower likelihood of subscribing compared with adolescent girls (aged 15-19 y). Also, higher educational attainment, listening to the radio, being in a marital union and higher wealth status were positively associated with health insurance subscription.

Conclusions: The study calls for targeted interventions and policies to promote equitable access to healthcare services, focusing on improving health infrastructure in coastal and middle zones, educational campaigns for individuals with lower education levels, leveraging media platforms for health insurance awareness and implementing equitable and affordable processes for individuals in poorer households.

查看原文本刊更多论文

加纳妇女健康保险的空间分布和相关因素。

背景：本研究调查了加纳妇女健康保险认购的空间分布和相关因素。方法：我们分析了2014年加纳人口与健康调查中9380名15-49岁女性的代表性样本。进行描述性和多水平回归分析。该研究还采用了空间分析技术，包括空间自相关、热点分析、聚类和异常值分析，以及地理加权回归，以探索不订阅医疗保险的地理分布和预测因素。结果：分析显示，加纳妇女的医疗保险订阅率中等偏高（62.4%）。空间分析表明，加纳不同地区的医疗保险认购率存在显著差异。与北部地区相比，沿海和中部地区的未订阅率更高。我们观察到，与青春期女孩（15-19岁）相比，年轻女性（20-24岁）订阅的可能性较低。此外，较高的教育程度、听广播、婚姻状况和较高的财富状况与医疗保险的订阅呈正相关。结论：该研究呼吁采取有针对性的干预措施和政策，促进公平获得医疗服务，重点是改善沿海和中部地区的卫生基础设施，为教育水平较低的个人开展教育运动，利用媒体平台提高健康保险意识，并为贫困家庭的个人实施公平和负担得起的流程。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： International Health is an official journal of the Royal Society of Tropical Medicine and Hygiene. It publishes original, peer-reviewed articles and reviews on all aspects of global health including the social and economic aspects of communicable and non-communicable diseases, health systems research, policy and implementation, and the evaluation of disease control programmes and healthcare delivery solutions. It aims to stimulate scientific and policy debate and provide a forum for analysis and opinion sharing for individuals and organisations engaged in all areas of global health.