Richard Gyan Aboagye, Mainprice Akuoko Essuman, Tarif Salihu, Abdul-Aziz Seidu, John Elvis Hagan, Frank Baiden, Bright Opoku Ahinkorah
{"title":"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。","authors":"Richard Gyan Aboagye, Mainprice Akuoko Essuman, Tarif Salihu, Abdul-Aziz Seidu, John Elvis Hagan, Frank Baiden, Bright Opoku Ahinkorah","doi":"10.1093/inthealth/ihaf023","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Association between the Survey-based Women's Empowerment (SWPER) index and barriers to healthcare in sub-Saharan Africa.\",\"authors\":\"Richard Gyan Aboagye, Mainprice Akuoko Essuman, Tarif Salihu, Abdul-Aziz Seidu, John Elvis Hagan, Frank Baiden, Bright Opoku Ahinkorah\",\"doi\":\"10.1093/inthealth/ihaf023\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":49060,\"journal\":{\"name\":\"International Health\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-05-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/inthealth/ihaf023\",\"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}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/inthealth/ihaf023","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}
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.
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.