克服肯尼亚沿海地区单身母亲获得医疗保健服务的障碍。
Overcoming the perceived barriers to health care access among single mothers in coastal Kenya.
机构信息
Vanderbilt University School of Medicine, Nashville, TN, USA,
出版信息
Int J Public Health. 2014 Feb;59(1):189-96. doi: 10.1007/s00038-013-0511-0. Epub 2013 Sep 21.
OBJECTIVES
This study assesses the effects of a comprehensive empowerment intervention on barriers to health care access for single mothers in coastal Kenya.
METHODS
We surveyed 41 single mothers who completed a pilot empowerment program and 60 single mothers who had not yet initiated the program. Comparisons were made using bivariate tests of association and logistic regression.
RESULTS
Women in the pilot program were less likely to report transportation costs (OR = 0.26; 95 % CI [0.11-0.59], p = 0.001) and hospital fees (OR = 0.22 [0.10-0.49], p < 0.001) as barriers. Pilot program mothers were more likely to visit a public hospital for their children (OR = 4.38; [1.58-12.1], p = 0.004) and self (OR = 4.70; [1.54-14.4], p = 0.007) when ill.
CONCLUSIONS
Empowerment programs can alleviate perceived barriers to health care among vulnerable populations.
目的
本研究评估了一项综合性赋权干预措施对肯尼亚沿海地区单身母亲获得医疗保健障碍的影响。
方法
我们调查了 41 名完成试点赋权计划的单身母亲和 60 名尚未开始该计划的单身母亲。使用关联的双变量检验和逻辑回归进行比较。
结果
参加试点计划的女性报告交通费用（OR = 0.26；95%CI [0.11-0.59]，p = 0.001）和医院费用（OR = 0.22 [0.10-0.49]，p < 0.001）作为障碍的可能性较小。试点计划的母亲更有可能带孩子去公立医院就诊（OR = 4.38；[1.58-12.1]，p = 0.004），并且自己生病时也更有可能去公立医院就诊（OR = 4.70；[1.54-14.4]，p = 0.007）。
结论
赋权计划可以减轻弱势群体对医疗保健的感知障碍。
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