利用孕产妇保健服务：女户主家庭的情况是否较差？
Utilizing maternal healthcare services: are female-headed households faring poorly?
机构信息
Research Scholar, Department of Humanities and Social Sciences, Indian Institute of Technology Patna, Patna, India.
Assistant Professor of Economics, Department of Humanities and Social Sciences, Indian Institute of Technology Patna, Patna, India.
出版信息
BMC Pregnancy Childbirth. 2024 Apr 22;24(1):299. doi: 10.1186/s12884-024-06445-8.
BACKGROUND
Utilization of maternal healthcare services has a direct bearing on maternal mortality but is contingent on a wide range of socioeconomic factors, including the sex of the household head. This paper studies the role of the sex of the household head in the utilization of maternal healthcare services in India using data from the National Family Health Survey-V (2019-2021).
METHODS
The outcome variable of this study is maternal healthcare service utilization. To that end, we consider three types of maternal healthcare services: antenatal care, skilled birth assistance, and postnatal care to measure the utilization of maternal healthcare service utilization. The explanatory variable is the sex of the household head and we control for specific characteristics at the individual level, household-head level, household level and spouse level. We then incorporate a bivariate logistic regression on the variables of interest.
RESULTS
24.25% of women from male-headed households have complete utilization of maternal healthcare services while this proportion for women from female-headed households stands at 22.39%. The results from the bivariate logistic regression confirm the significant impact that the sex of the household head has on the utilization of maternal healthcare services in India. It is observed that women from female-headed households in India are 19% (AOR, 0.81; 95% CI: 0.63,1.03) less likely to utilize these services than those from male-headed households. Moreover with higher levels of education, there is a 25% (AOR, 1.25; 95% CI: 1.08,1.44) greater likelihood of utilizing maternal healthcare services. Residence in urban areas, improved wealth quintiles and access to healthcare facilities significantly increases the chances of maternal healthcare utilization. The interaction term between the sex of the household head and the wealth quintile the household belongs to, (AOR, 1.39; 95% CI: 1.02, 1.89) shows that the utilization of maternal healthcare services improves when the wealth quintile of the household improves.
CONCLUSION
The results throw light on the fact that the added expenditure on maternal healthcare services exacerbates the existing financial burden for the economically vulnerable female-headed households. This necessitates the concentration of research and policy attention to alleviate these households from the sexual and reproductive health distresses.
TRIAL REGISTRATION
Not Applicable.
JEL CLASSIFICATION
D10, I12, J16.
背景
孕产妇医疗服务的利用情况直接关系到产妇的死亡率，但这取决于广泛的社会经济因素，包括家庭户主的性别。本文利用 2019-2021 年全国家庭健康调查五期的数据，研究了家庭户主性别在印度利用孕产妇医疗服务方面的作用。
方法
本研究的因变量是孕产妇医疗服务的利用情况。为此，我们考虑了三种类型的孕产妇医疗服务：产前护理、熟练分娩援助和产后护理，以衡量孕产妇医疗服务的利用情况。解释变量是家庭户主的性别，我们控制了个体层面、家庭户主层面、家庭层面和配偶层面的具体特征。然后，我们对感兴趣的变量进行了二元逻辑回归。
结果
24.25%的男性户主家庭的妇女完全利用了孕产妇医疗服务，而女性户主家庭的这一比例为 22.39%。二元逻辑回归的结果证实了家庭户主的性别对印度利用孕产妇医疗服务的显著影响。研究发现，印度女性户主家庭的妇女利用这些服务的可能性比男性户主家庭的妇女低 19%（AOR，0.81；95%CI：0.63，1.03）。此外，随着教育水平的提高，利用孕产妇医疗服务的可能性增加 25%（AOR，1.25；95%CI：1.08，1.44）。居住在城市地区、改善的财富五分位数和获得医疗设施显著增加了孕产妇医疗服务的利用机会。家庭户主的性别与家庭所属的财富五分位数之间的交互项（AOR，1.39；95%CI：1.02，1.89）表明，随着家庭财富五分位数的提高，孕产妇医疗服务的利用情况得到改善。
结论
结果表明，孕产妇医疗服务的额外支出加剧了经济脆弱的女性户主家庭现有的经济负担。这需要集中研究和政策关注，以减轻这些家庭在性和生殖健康方面的困境。
试验注册
不适用。
JEL 分类：D10、I12、J16。
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