利用孕产妇医疗保健服务:由女性领导的家庭是否处于不良状态?
Subhasree Ghatak1, Meghna Dutta2
1Research Scholar, Department of Humanities and Social Sciences, Indian Institute of Technology Patna, Patna, India. subhasree.ghatak@gmail.com.
BMC pregnancy and childbirth
|April 22, 2024
概括
在印度,由女性领导的家庭中的女性使用孕产妇医疗保健服务的比例低于由男性领导的家庭中的女性. 教育和财富等社会经济因素显著影响服务利用率,突出需要有针对性的支持.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 卫生经济学 卫生经济学
背景情况:
- 使用孕产妇保健服务对于降低孕产妇死亡率至关重要.
- 社会经济因素在很大程度上影响了这些服务的获取和使用.
- 家长的性别是对母亲获得医疗保健的未经研究的决定因素.
研究的目的:
- 调查印度家庭主人的性别与产妇医疗保健服务利用之间的联系.
- 确定改变这种关联的社会经济因素.
- 为旨在改善孕产妇健康结果的政策干预提供信息.
主要方法:
- 利用印度国家家庭健康调查-V (2019-2021) 的数据.
- 根据产前护理,熟练的分娩协助和产后护理来定义产妇医疗保健服务的利用率.
- 采用双变物流回归分析,控制个人,家庭主,家庭和配偶的特征.
主要成果:
- 与男性主管家庭相比,女性主管家庭的妇女利用产妇医疗保健服务的可能性低19%.
- 高等教育,城市居住,改善的财富五分位数和获得医疗保健设施与使用率的增加有关.
- 一个相互作用效应表明,财富五分位数的改善积极调节了女性主管家庭使用孕产妇医疗保健服务的情况.
结论:
- 女性主管家庭面临更大的财务负担,加剧了在获得孕产妇医疗保健方面的差异.
- 政策和研究应专注于缓解经济脆弱的女性主管家庭面临的性和生殖健康挑战.
- 解决社会经济决定因素是确保公平使用孕产妇医疗保健的关键.
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