Pokhrel Subhash, Snow Rachel, Dong Hengjin, Hidayat Budi, Flessa Steffen, Sauerborn Rainer
Department of Tropical Hygiene and Public Health, University of Heidelberg, INF 324, D-69120 Heidelberg, Germany.
Health Policy. 2005 Sep 28;74(1):100-9. doi: 10.1016/j.healthpol.2004.12.013. Epub 2005 Jan 20.
To study the gender role in child health care utilization in Nepal.
We analysed 8112 individual observations of age </=15 years from 2847 households in 274 communities, obtained from the 1996 Nepal Living Standard Survey. Four steps of a health seeking action, namely illness reporting, choosing an external care, choosing a specific health care provider, and spending money to treat the sick child, were examined using discrete/continuous choice models.
There was no statistically significant difference between boys and girls by demographic, socio-economic and geographical status in the sample. However, gender was associated with all four utilization decision steps. While the net effect of being a boy was modest in illness reporting (p<0.10), it appeared stronger in the choice of external care, in the choice of public provider and in the choice of expenditure with the private provider (p<0.05).
Gender role not only affects illness reporting but also affects the decision to choose a health care provider and how much to spend on the sick child, i.e. it affects the entire steps of a health seeking action.
研究尼泊尔儿童医疗保健利用中的性别角色。
我们分析了1996年尼泊尔生活标准调查中来自274个社区2847户家庭的8112条年龄≤15岁个体的观测数据。使用离散/连续选择模型对寻求医疗行动的四个步骤，即疾病报告、选择外部护理、选择特定医疗保健提供者以及花钱治疗患病儿童进行了研究。
样本中男孩和女孩在人口统计学、社会经济和地理状况方面没有统计学上的显著差异。然而，性别与所有四个利用决策步骤相关。虽然男孩在疾病报告方面的净效应较小（p<0.10），但在选择外部护理、选择公共提供者以及选择在私人提供者处的支出方面似乎更强（p<0.05）。
性别角色不仅影响疾病报告，还影响选择医疗保健提供者的决策以及为患病儿童支出的金额，即它影响寻求医疗行动的整个步骤。
