Malhotra Chetna, Malhotra Rahul, Østbye Truls, Subramanian S V
Duke-NUS Graduate Medical School, Singapore
Duke-NUS Graduate Medical School, Singapore.
Asia Pac J Public Health. 2014 Jul;26(4):401-13. doi: 10.1177/1010539511420418. Epub 2012 May 31.
The objective of this study was to examine the association of maternal autonomy with preventive and curative child health care utilization in India. Data from the National Family Health Survey 2005-2006 were used to ascertain association of maternal autonomy (in 3 dimensions: decision making, access to financial resources, freedom of movement) with child's primary immunization status (indicative of preventive health care use) and treatment seeking for child's acute respiratory infection (indicative of curative health care use). Low maternal freedom of movement was associated with higher odds of incomplete primary immunization of the child and for not seeking treatment for the child's acute respiratory infection. Low maternal financial access was associated with increased odds for incomplete primary immunization of the child. The findings show that improvement in autonomy of Indian mothers, especially their freedom of movement, may help improve utilization of health care for their children.
本研究的目的是考察印度母亲的自主权与儿童预防性和治疗性医疗保健利用之间的关联。利用2005 - 2006年全国家庭健康调查的数据，确定母亲自主权（在三个维度：决策、获得财政资源、行动自由）与儿童的初次免疫状况（指示预防性医疗保健利用情况）以及儿童急性呼吸道感染的治疗寻求情况（指示治疗性医疗保健利用情况）之间的关联。母亲行动自由受限与儿童初次免疫不完全以及不寻求治疗儿童急性呼吸道感染的较高几率相关。母亲获得财政资源受限与儿童初次免疫不完全的几率增加相关。研究结果表明，印度母亲自主权的改善，尤其是她们的行动自由，可能有助于提高其子女的医疗保健利用率。
