Ansong Eric
a School of Law and Social Sciences , University of East London , London , United Kingdom.
Women Health. 2015;55(5):485-504. doi: 10.1080/03630242.2015.1022815. Epub 2015 Apr 2.
This article examined the association between household consumer durable assets and maternal health-seeking behavior. Several studies have suggested a relationship between households' socioeconomic status (SES) and health outcomes. However, SES is a multidimensional concept that encompasses variables, such as wealth, education, and income. By grouping these variables together as one construct, prior studies have not provided enough insight into possible independent associations with health outcomes. This study used data from the 2008 Ghana Demographic and Health Survey of 2,065 women aged between 15 and 49 years to examine the association between household consumer durables (a component of SES) and maternal health-seeking behavior in Ghana. Results from a set of generalized linear models indicated that household consumer durable assets were positively associated with four measures of maternal health-seeking behaviors, namely, seeking prenatal care from skilled health personnel, delivery by skilled birth attendant, place of delivery, and the number of antenatal visits. Also, households with more assets whose residents lived in urban areas were more likely to use skilled health personnel before and during delivery, and at an approved health facility, compared those who lived in rural areas. Implications for health interventions and policies that focus on the most vulnerable households are discussed.
本文研究了家庭耐用消费品资产与孕产妇寻求医疗行为之间的关联。多项研究表明家庭社会经济地位(SES)与健康结果之间存在关联。然而,社会经济地位是一个多维概念,包含财富、教育和收入等变量。通过将这些变量归为一个结构,先前的研究并未充分洞察与健康结果可能存在的独立关联。本研究使用了2008年加纳人口与健康调查中2065名年龄在15至49岁之间女性的数据,来研究家庭耐用消费品(社会经济地位的一个组成部分)与加纳孕产妇寻求医疗行为之间的关联。一组广义线性模型的结果表明,家庭耐用消费品资产与孕产妇寻求医疗行为的四项指标呈正相关,这四项指标分别是:从专业卫生人员处寻求产前护理、由专业助产士接生、分娩地点以及产前检查次数。此外,与农村地区的家庭相比,资产较多且居民居住在城市地区的家庭在分娩前和分娩期间更有可能使用专业卫生人员,并在经批准的医疗机构分娩。文中还讨论了针对最脆弱家庭的健康干预措施和政策的影响。