产妇保健中的社会经济不平等：孟加拉国区域差异分析。
Socioeconomic inequality in maternal healthcare: An analysis of regional variation in Bangladesh.
机构信息
Centre for Health Economics Research and Evaluation (CHERE), UTS Business School, University of Technology, Sydney (UTS), PO Box 123, Broadway, NSW 2007, Australia; CMCRC Health Market Quality Research Program, GPO Box 970, Sydney, NSW 2001, Australia; The Canadian Centre for Health Economics (CCHE), the University of Toronto, 155 College Street, 4th Floor, Toronto, ON, Canada M5T 3M6.
Department of Sociology, University of Alabama at Birmingham, Heritage Hall 460E, 1401 University Blvd., Birmingham, AL 35233, USA.
出版信息
Health Place. 2018 Jul;52:205-214. doi: 10.1016/j.healthplace.2018.06.004. Epub 2018 Jun 27.
Socioeconomic inequality in the utilisation of maternal healthcare services is well-documented in Bangladesh. However, the spatial dimension of this inequality is largely unexplored in the literature. This study examined the regional variation of wealth-related inequality in the utilisation of maternal healthcare services using data from Bangladesh Demographic and Health Survey, 2014. The highest extent of pro-wealthy inequality was found in Chittagong and Sylhet for ANC services compared to Khulna and Rangpur where inequality was the lowest. Pro-wealthy inequality was the lowest in Rangpur while Dhaka and Barisal tended to have the greatest degree of inequality for delivery care services. Policy efforts aiming to tackle socioeconomic inequality in maternal healthcare should consider this spatial dimension of inequality in Bangladesh.
在孟加拉国，孕产妇医疗服务利用方面的社会经济不平等现象已得到充分记录。然而，文献中对此不平等现象的空间维度还没有充分的研究。本研究利用 2014 年孟加拉国人口与健康调查的数据，考察了孕产妇医疗服务利用方面与财富相关的不平等现象的区域差异。与库米拉和朗布尔相比，在接受 ANC 服务方面，查尔达哈里和锡尔赫特的财富偏向性不平等程度最高。在朗布尔，财富偏向性不平等程度最低，而达卡和巴里萨尔在分娩护理服务方面的不平等程度最高。旨在解决孕产妇医疗服务方面社会经济不平等问题的政策努力应考虑到孟加拉国这一不平等现象的空间维度。
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