Health status and socio-economic factors associated with health facility utilization in rural and urban areas in Zambia

Zyaambo, Cosmas; Siziya, Seter; Fýlkesnes, Knut

doi:10.1186/1472-6963-12-389

Cited by 41 publications

(44 citation statements)

References 29 publications

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“…This fact can be associated with the demand for health services in outpatient assistance, composed mostly for programs that benefit women health care in different cycles of life, and that they promote and reflect in the increased demand and use of health services, especially for older women. (17) This may be a consequence of the predominance use of health services, which corroborates the results of randomized clinical trial, (18) whose women had 1.4 times more chances of using the health service when compared with men.…”

Section: Discussionsupporting

confidence: 67%

Tendência de hospitalizações por diabetes mellitus: implicações para o cuidado em saúde

et al. 2015

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Objective: To analyze the trend in hospitalizations for diabetes mellitus in a period of 15 years, according to gender and age group. Methods: Descriptive study, with time series data from hospitalization for diabetes mellitus in individuals of both genders, aged 20 or more, data obtained in the information system of the unified health system and analyzed according to descriptive statistics and polynomial regression. Results: A total of 117,717 hospitalizations were registered, 61.6% were women. The general trend was stable, although it has been increasing for men (r²=0.83; p<0.001) and stable for women. Age group 50 -59 and older than 80 years (r²=0.78; p<0.001 for both) showed increasing trend for men, while for all ages it was stable or it was declining for women. Conclusion: The trend in hospitalization for diabetes mellitus stratified by gender and age was increasing just for men in the age group of 50 -59 years and older than 80 years. ResumoObjetivo: Analisar a tendência de hospitalizações por diabetes mellitus em um período de 15 anos, segundo sexo e faixa etária. Métodos: Estudo descritivo, de séries temporais com dados de hospitalização por diabetes mellitus em indivíduos de ambos os sexos, com 20 ou mais anos, obtidos no sistema de informações do sistema único de saúde e analisados segundo estatística descritiva e regressão polinomial. Resultados: Foram registradas 117.717 hospitalizações, sendo 61,6% de mulheres. A tendência geral foi de estabilidade, embora tenha sido crescente para os homens (r²=0,83; p<0,001) e estável para mulheres. As faixas etárias de 50 a 59 e maiores de 80 anos (r²=0,78; p<0,001 ambos) apresentaram tendência crescente para homens, enquanto para todas as idades houve estabilidade ou em declínio para mulheres. Conclusão: A tendência de hospitalização por diabetes mellitus estratificada por sexo e idade, foi crescente apenas para homens entre 50 a 59 anos e maiores de 80 anos.

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Section: Discussionsupporting

confidence: 67%

Tendência de hospitalizações por diabetes mellitus: implicações para o cuidado em saúde

et al. 2015

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“…One study showed that those who have taken an HIV test and knew their results are more likely to have a higher level of education[32]. UAI is not only a primary cause of HIV transmission, but has also been shown to be connected with HIV testing: MSM with UAI in the past year was associated with not having a recent HIV test, and MSM with more unprotected sex had lower intentions of being tested [33], [34].…”

Section: Discussionmentioning

confidence: 99%

Willingness to Use the Oral Fluid HIV Rapid Test among Men Who Have Sex with Men in Beijing, China

Zheng

et al. 2013

PLoS ONE

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BackgroundEarly detection of HIV infection enables timely care and treatment. However, many men who have sex with men (MSM) remain unaware of their HIV status because they do not or are unable to access HIV testing services. Oral fluid HIV rapid tests have the potential to increase HIV testing. This study is the first to evaluate willingness to use the oral fluid test among MSM in China.MethodsA cross-sectional study was conducted in Beijing from July to October, 2012. Data were collected by self-administered questionnaires.ResultsOf 262 who participated in the survey, 223(85.1%) reported that they were willing to use the oral fluid HIV rapid test. Willingness to use the oral fluid test was associated with higher education (adjusted odds ratio (AOR): 2.40, 95% confidence interval (CI): 1.13–5.10), lack of unprotected anal intercourse (UAI) with male partners in the past one month (AOR: 2.38; 95% 95%CI: 1.15–4.95), having taken more than 4 HIV tests (AOR: 3.54; 95%CI:1.52–8.28), and having ever heard of the oral fluid HIV rapid test from gay friends or gay organizations (AOR: 3.24, 95%CI: 1.40–7.51). Among those who expressed willingness to use the oral fluid HIV rapid test, the median amount of money they were willing to pay was 8 dollars. Among the 39 participants who were unwilling to use the oral fluid test, 79.5% (31/39) expressed concerns about the accuracy of the oral fluid HIV rapid test results and 17.9%(7/39) reported that they were not familiar with the oral fluid test and did not know how to use such a test.ConclusionsA high proportion of MSM in Beijing appear to be willing to use the oral fluid HIV rapid test. Appropriate cost and education measures could help improve acceptance of the oral fluid test.

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“…Education can be assumed to be associated with an increased awareness of illnesses, symptoms, and availability of services. Moreover, educational level is a good proxy of socioeconomic position by enhancing the ability to cope with the various costs involved [38]. In addition, education is likely to enhance female autonomy so that women develop greater confidence and capabilities to make decisions regarding their children’s health [39].…”

Section: Discussionmentioning

confidence: 99%

Inequalities in health care utilization for common childhood illnesses in Ethiopia: evidence from the 2011 Ethiopian Demographic and Health Survey

Ayalneh

Fetene

Lee

2017

Int J Equity Health

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Background: Globally, 5.9 million children under the age of five died in 2015. More than half and almost one-third of those deaths occurred in sub-Saharan Africa and South Asia, respectively. Diarrhea and Pneumonia, which were the major causes of the problem, accounted for more than two million deaths of the world's youngest children every year. Like other developing countries, child health services utilization is low in Ethiopia. The aim of this study was to identify the determinant factors for the inequalities in medical treatment seeking behavior for common childhood illnesses in Ethiopia. Methods: Data were obtained from the Ethiopian Demographic and Health Survey (EDHS) 2011. All children who had diarrhea, cough, and fever in the 2 weeks preceding the survey were included. A total of 1620 children with diarrhea, 2082 with fever, and 2134 with cough were included in the analyses. Multivariate logistic regression with a 95% confidence interval, adjusted odds-ratio, and a P < 0.05 were used to determine the independent effect of each variable. Results: Household wealth-status, maternal and paternal education, and religion were found to be associated with the inequality in the use of child health services. Respondents from households with the richest, richer, and middle wealth status had higher odds of seeking medical treatment for childhood diarrhea, cough, and fever than that of the poorest ones. Maternal and paternal educational status was also associated with medical treatment seeking behavior for childhood diarrhea and fever, respectively. Conclusion: Household wealth and educational status of parents were possible determinant factors for the inequalities observed in health care seeking behavior. Policy interventions aimed at improving the appropriate medical treatment seeking behavior for common childhood illnesses are desirable. Practical economic policies aimed at moving those in the lower wealth quintile are essential to bridge the gap between the rich and the poor. Studies comprising qualitative and quantitative methods are recommended to further explore other determinants of health care utilization.

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Health status and socio-economic factors associated with health facility utilization in rural and urban areas in Zambia

Cited by 41 publications

References 29 publications

Tendência de hospitalizações por diabetes mellitus: implicações para o cuidado em saúde

Tendência de hospitalizações por diabetes mellitus: implicações para o cuidado em saúde

Willingness to Use the Oral Fluid HIV Rapid Test among Men Who Have Sex with Men in Beijing, China

Inequalities in health care utilization for common childhood illnesses in Ethiopia: evidence from the 2011 Ethiopian Demographic and Health Survey

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