Socioeconomic status and health shocks; analysis of coping strategies in rural households of Enugu State, Nigeria

Q3 Social Sciences

Etude de la Population Africaine Pub Date : 2019-04-24 DOI:10.11564/33-1-1367

Chinasa E. Urama, Y. Adewoyin, E. R. Ukwueze, J. Ene

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引用次数: 2

Abstract

Background: Health burden in rural areas of developing countries is worsened by the limited coverage of health insurance. With constrained access to quality healthcare and constituting two thirds of Nigeria’s poor, this study investigates how rural households cope with health shocks consequent on their socioeconomic status. Method: Data was collected from 600 households in Enugu using a questionnaire. Cross-tabulation, chi square and multiple regression statistical techniques were employed for data analysis. Findings: About 53% of the respondents were male household-heads while borrowing (47.65%), sales of assets (43.85%), diversion of funds (2.00%) and reduced expenditure (6.48%) were the main coping strategies. Education, occupation, and income statistically influenced the coping strategies (P < 0.005) and jointly accounted for 26.5% (R2 = 0.265, P < 0.001) of the variations in coping strategies. Conclusion: Having a rural healthcare policy and mainstreaming the informal sector into the national health insurance scheme will ameliorate health shocks among the rural poor.

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社会经济状况和健康冲击；尼日利亚埃努古州农村家庭应对策略分析

背景:发展中国家农村地区的卫生负担因医疗保险覆盖面有限而恶化。由于获得高质量医疗保健的机会有限，占尼日利亚贫困人口的三分之二，本研究调查了农村家庭如何应对因其社会经济地位而产生的健康冲击。方法:采用问卷调查法对埃努古地区600户家庭进行调查。数据分析采用交叉表法、卡方法和多元回归统计技术。调查结果:约53%的受访者为男性户主，主要应对策略为借贷(47.65%)、变卖资产(43.85%)、挪用资金(2.00%)和缩减支出(6.48%)。教育、职业、收入对应对策略的影响有统计学意义(P < 0.005)，共同占应对策略变异的26.5% (R2 = 0.265, P < 0.001)。结论:制定农村医疗保健政策并将非正规部门纳入国家医疗保险计划主流，将减轻农村贫困人口的健康冲击。

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来源期刊

Etude de la Population Africaine Social Sciences-Demography

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期刊介绍： African Population Studies is a biannual, peer-reviewed journal that publishes original research articles, reviews, commentaries, letters and case studies on topics related to the disciplines represented by the Union for African Population Studies Association. These disciplines include demography, population studies, public health, epidemiology, social statistics, population geography, development studies, economics and other social sciences that deal with population and development interrelationships that are unique and relevant to Africa and global audience.