加纳妇女生育保健决策自主权和儿童疾病就医行为：2014 年加纳人口与健康调查数据分析。
Women's autonomy in healthcare decision-making and healthcare seeking behaviour for childhood illness in Ghana: Analysis of data from the 2014 Ghana Demographic and Health Survey.
机构信息
Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.
College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia.
出版信息
PLoS One. 2020 Nov 9;15(11):e0241488. doi: 10.1371/journal.pone.0241488. eCollection 2020.
INTRODUCTION
The capacity of women to decide on their healthcare plays a key role in their health. In this study, we examined the association between women's healthcare decision-making capacity and their healthcare seeking behaviour for childhood illnesses in Ghana.
MATERIALS AND METHODS
We used data from the 2014 Ghana Demographic and Health Survey. A total sample of 2,900 women with children less than 5 years was used for the analysis. Data were processed and analysed using STATA version 14.0. Chi-square test of independence and binary logistic regression were carried out to generate the results. Statistical significance was pegged at 95% confidence intervals (CIs). We relied on the 'Strengthening the Reporting of Observational Studies in Epidemiology' (STROBE) statement in writing the manuscript.
RESULTS
Out of the 2,900 women, approximately 25.7% could take healthcare decisions alone and 89.7% sought healthcare for childhood illnesses. Women who decided alone on personal healthcare had 30% reduced odds of seeking healthcare for childhood illnesses compared to those who did not decide alone [AOR = 0.70, CI = 0.51-0.97]. With age, women aged 45-49 had 69% reduced odds of seeking healthcare for childhood illnesses compared to those aged 25-29 [AOR = 0.31, CI = 0.14-0.70]. Women from the Northern and Upper West regions had 72% [AOR: 0.28, CI: 0.11-0.70] and 77% [AOR: 0.23, CI: 0.09-0.58] reduced odds of seeking healthcare for childhood illnesses respectively, compared to those from the Western region.
CONCLUSION
Ghanaian women with autonomy in healthcare decision-making, those who were older and those from the Northern and Upper West regions were less likely to seek healthcare for childhood illness. To reduce childhood mortalities and morbidities in Ghana, we recommend educating women such as those who take healthcare decisions alone, older women and women from deprived regions like the Northern and Upper West regions on the need to seek healthcare for childhood illnesses.
简介
妇女决定自己医疗保健的能力对她们的健康起着关键作用。在这项研究中，我们研究了加纳妇女的医疗保健决策能力与其儿童疾病医疗保健寻求行为之间的关系。
材料与方法
我们使用了 2014 年加纳人口与健康调查的数据。对 2900 名有 5 岁以下子女的妇女进行了分析。使用 STATA 版本 14.0 处理和分析数据。采用独立性卡方检验和二项逻辑回归生成结果。置信区间为 95%（CI）时具有统计学意义。我们在撰写手稿时依赖于“观察性研究的加强报告”（STROBE）声明。
结果
在 2900 名妇女中，约有 25.7%的妇女可以独自做出医疗保健决策，89.7%的妇女为儿童疾病寻求医疗保健。与那些不独自决定的妇女相比，独自决定个人医疗保健的妇女寻求儿童疾病医疗保健的可能性降低了 30%[优势比（AOR）=0.70，95%置信区间（CI）=0.51-0.97]。随着年龄的增长，45-49 岁的妇女与 25-29 岁的妇女相比，寻求儿童疾病医疗保健的可能性降低了 69%[AOR=0.31，CI=0.14-0.70]。来自北部和上西部地区的妇女寻求儿童疾病医疗保健的可能性分别降低了 72%[AOR：0.28，CI：0.11-0.70]和 77%[AOR：0.23，CI：0.09-0.58]，与来自西部地区的妇女相比。
结论
加纳在医疗保健决策方面具有自主权的妇女、年龄较大的妇女和来自北部和上西部地区的妇女，不太可能为儿童疾病寻求医疗保健。为了降低加纳儿童的死亡率和发病率，我们建议对那些独自做出医疗保健决策的妇女、老年妇女和来自北部和上西部等贫困地区的妇女进行教育，让她们认识到为儿童疾病寻求医疗保健的必要性。
Zotero 插件