Research Center for Pharmaceutical Ingredients and Traditional Medicine, National Research and Innovation Agency, Jakarta, Indonesia
Research Center for Public Health and Nutrition, National Research and Innovation Agency, Jakarta, Indonesia
Rural Remote Health. 2023 Jul;23(3):7701. doi: 10.22605/RRH7701. Epub 2023 Jul 25.
The presence of traditional health services (THS) is expected by governments to fill the lack of modern health facilities available in rural areas. Also, the proportion of poor people in rural areas has been increasing more rapidly than it has in urban areas. The present study analyzed the socioeconomic status and THS utilization in rural Indonesia.
This cross-sectional study analyzed data from the 2018 Indonesian Basic Health Survey. The study analyzed 357 556 adults (age ≥15 years), examining age, gender, marital status, education, and occupation as control factors, in addition to socioeconomic status (SES; with five divisions from 'lowest' to 'highest') and THS utilization. Binary logistic regression was used to evaluate the data.
The results show that those with lower SES were 1.111 times more likely to utilize THS than those with the lowest SES (adjusted odds ratio (AOR) 1.111; 95% confidence interval (CI) 1.085-1.137). Those with middle SES were 1.113 times more likely than those with the lowest SES to utilize THS (AOR 1.113; 95%CI 1.086-1.140). Meanwhile, those with a higher SES are 1.166 times more likely than those with the lowest SES to use THS in rural Indonesia (AOR 1.166; 95%CI 1.139-1.194). Those with the highest SES were 1.166 times more likely than those with the lowest SES to use THS in rural Indonesia (AOR 1.166; 95%CI 1.134-1.200).
The study concluded that SES status relates to THS utilization in rural Indonesia. All SES levels are more likely than those with the lowest SES to utilize the THS in rural Indonesia. The results indicate that although all SES levels can receive it, the lowest SES group rarely accesses THS.
政府期望传统卫生服务（THS）的存在能够弥补农村地区现代卫生设施的不足。此外，农村地区贫困人口的比例增长速度比城市地区更快。本研究分析了印度尼西亚农村的社会经济地位和 THS 利用情况。
本横断面研究分析了 2018 年印度尼西亚基本健康调查的数据。该研究分析了 357556 名成年人（年龄≥15 岁），除了社会经济地位（SES；分为“最低”到“最高”五个等级）和 THS 利用情况外，还将年龄、性别、婚姻状况、教育程度和职业作为控制因素进行了检查。采用二项逻辑回归分析数据。
结果表明，SES 较低的人比 SES 最低的人更有可能利用 THS，调整后的优势比（AOR）为 1.111（95%置信区间（CI）为 1.085-1.137）。SES 为中等的人比 SES 最低的人更有可能利用 THS，AOR 为 1.113（95%CI 为 1.086-1.140）。而 SES 较高的人比 SES 最低的人更有可能在印度尼西亚农村使用 THS，AOR 为 1.166（95%CI 为 1.139-1.194）。SES 最高的人比 SES 最低的人更有可能在印度尼西亚农村使用 THS，AOR 为 1.166（95%CI 为 1.134-1.200）。
本研究得出结论，SES 状况与印度尼西亚农村的 THS 利用有关。所有 SES 水平都比 SES 最低的人更有可能在印度尼西亚农村利用 THS。结果表明，尽管所有 SES 水平都可以获得 THS，但 SES 最低的群体很少使用 THS。
