基于调查的妇女赋权指数与撒哈拉以南非洲保健障碍之间的关系。

IF 2.3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Richard Gyan Aboagye, Mainprice Akuoko Essuman, Tarif Salihu, Abdul-Aziz Seidu, John Elvis Hagan, Frank Baiden, Bright Opoku Ahinkorah
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引用次数: 0

摘要

背景:妇女健康是可持续发展目标的重要组成部分。我们研究了妇女赋权如何影响撒哈拉以南非洲获得医疗保健的障碍。方法:该研究纳入了来自21个国家人口与健康调查的188 572名妇女的加权样本数据。采用多水平二元逻辑回归分析来检验妇女赋权与获得医疗保健障碍之间的关系。结果:在对待暴力、社会独立和自主的态度方面处于中高水平的妇女在获得治疗许可方面遇到问题的可能性较小。对暴力持高度态度的妇女在获得治疗资金方面不太可能遇到问题。社会独立性高的女性不太可能在获得治疗资金方面遇到问题。在对待暴力的态度、社会独立和决策方面得分高的妇女,在距离医疗机构较远的地方遇到困难的可能性最低。同样,那些对暴力、社会独立和决策的态度较高的人遇到不愿独自行动的问题的可能性最低。结论:妇女赋权减少了撒哈拉以南非洲获得医疗保健的障碍。设计妇女保健干预方案时,应考虑到妇女对家庭决策、社会独立和对待暴力的态度所作的贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association between the Survey-based Women's Empowerment (SWPER) index and barriers to healthcare in sub-Saharan Africa.

Background: Women's health is an essential component of the Sustainable Development Goals. We examined how women's empowerment influences barriers to healthcare access in sub-Saharan Africa.

Methods: The study included a weighted sample of 188 572 women's data from the Demographic and Health Surveys of 21 countries. A multilevel binary logistic regression analysis was used to examine the association between women's empowerment and barriers to accessing healthcare.

Results: Women in the medium and high categories of attitude towards violence, social independence and autonomy were less likely to experience problems in getting permission to go for treatment. Women who had high attitudes towards violence were less likely to experience problems in getting money for treatment. Women with high social independence were less likely to face problems getting money for treatment. Women with high scores for attitudes towards violence, social independence and decision-making had the lowest likelihood of experiencing difficulty with distance to a health facility. Similarly, those in the high categories for attitude towards violence, social independence and decision-making had the lowest odds of experiencing problems not wanting to go alone.

Conclusions: Women's empowerment decreases the barriers to accessing healthcare in sub-Saharan Africa. Designing healthcare intervention programs for women should consider the contribution that women make to household decision-making, social independence and attitudes towards violence.

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来源期刊
International Health
International Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.50
自引率
0.00%
发文量
83
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.
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