International Institute for Population Sciences (IIPS), Mumbai, India.
J Women Aging. 2023 Mar-Apr;35(2):183-193. doi: 10.1080/08952841.2021.2011562. Epub 2021 Dec 1.
The present study investigates whether the differentials in private and public inpatient healthcare utilization are associated with marital status for men and women aged 60 years and above in India. Binary logistic regression was applied to examine the association of private and public inpatient healthcare utilization with the marital status of the elderly. The study found that widowed men and women generally used public healthcare for hospitalization, while married men and women preferred private healthcare. Our findings also indicated that private inpatient health services expenditure was higher for married elderly than widowed elderly. After controlling all covariates, widowhood was significantly associated with higher use of public healthcare services for women but not for men. India's current health care policy and program may be required to focus on improving the infrastructure quality of current public healthcare systems. It also needs to be favorable for vulnerable sections of society, especially widowed women, to avail better treatment at an affordable cost.
本研究旨在探讨印度 60 岁及以上男性和女性在私人和公共住院医疗利用方面的差异是否与婚姻状况有关。采用二元逻辑回归分析了老年人私人和公共住院医疗利用与婚姻状况的关系。研究发现，丧偶的男性和女性通常使用公共医疗保健住院，而已婚的男性和女性则更喜欢私人医疗保健。我们的研究结果还表明，已婚老年人的私人住院医疗服务支出高于丧偶老年人。在控制所有协变量后，丧偶与女性更多地使用公共医疗保健服务显著相关，但与男性无关。印度当前的医疗保健政策和方案可能需要侧重于改善当前公共医疗保健系统的基础设施质量。它还需要有利于社会弱势群体，特别是丧偶妇女，以负担得起的成本获得更好的治疗。
