• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

相似文献

1
Barriers to healthcare access among reproductive age women in extremely high and very high maternal mortality countries: Multilevel mixed effect analysis.极高和极高孕产妇死亡率国家育龄妇女获得医疗保健的障碍：多层次混合效应分析。
PLoS One. 2024 Sep 25;19(9):e0304975. doi: 10.1371/journal.pone.0304975. eCollection 2024.
2
Mixed effects analysis of factors associated with health insurance coverage among women in sub-Saharan Africa.撒哈拉以南非洲地区女性医疗保险覆盖相关因素的混合效应分析。
PLoS One. 2021 Mar 19;16(3):e0248411. doi: 10.1371/journal.pone.0248411. eCollection 2021.
3
Socio-economic and cultural factors associated with the utilization of maternal healthcare services in Togo: a cross-sectional study.多哥产妇利用医疗保健服务的社会经济和文化因素：一项横断面研究。
Reprod Health. 2023 Jul 25;20(1):109. doi: 10.1186/s12978-023-01644-6.
4
Exploring inequalities in access to and use of maternal health services in South Africa.探讨南非产妇健康服务获取和利用方面的不平等现象。
BMC Health Serv Res. 2012 May 21;12:120. doi: 10.1186/1472-6963-12-120.
5
Maternal health after Ebola: unmet needs and barriers to healthcare in rural Sierra Leone.埃博拉疫情后的产妇健康：塞拉利昂农村地区医疗服务的未满足需求和障碍。
Health Policy Plan. 2020 Feb 1;35(1):78-90. doi: 10.1093/heapol/czz102.
6
The influence of social and cultural practices on maternal mortality: a qualitative study from South Punjab, Pakistan.社会和文化实践对产妇死亡率的影响：来自巴基斯坦旁遮普省南部的定性研究。
Reprod Health. 2021 May 18;18(1):97. doi: 10.1186/s12978-021-01151-6.
7
Mixed effects analysis of factors associated with barriers to accessing healthcare among women in sub-Saharan Africa: Insights from demographic and health surveys.撒哈拉以南非洲地区妇女获得医疗保健障碍相关因素的混合效应分析：来自人口与健康调查的见解。
PLoS One. 2020 Nov 9;15(11):e0241409. doi: 10.1371/journal.pone.0241409. eCollection 2020.
8
Routine Healthcare Utilization Among Reproductive-Age Women Residing in a Rural Maternity Care Desert.农村孕产妇保健荒漠地区育龄期妇女的常规医疗保健利用情况。
J Community Health. 2021 Feb;46(1):108-116. doi: 10.1007/s10900-020-00852-6.
9
Six in ten female youths in low-income East African countries had problems in accessing health care: a multilevel analysis of recent demographic and health surveys from 2016-2021.东非低收入国家十分之六的年轻女性在获得医疗保健方面存在问题：对2016年至2021年近期人口与健康调查的多层次分析
BMC Health Serv Res. 2024 Apr 26;24(1):533. doi: 10.1186/s12913-024-10934-z.
10
Realizing women´s right to maternal health: A study of awareness of rights and utilization of maternal health services among reproductive age women in two rural districts in Tanzania.实现妇女的母婴健康权利：坦桑尼亚两个农村地区育龄妇女对母婴健康服务权利的认识和利用情况研究。
PLoS One. 2019 May 9;14(5):e0216027. doi: 10.1371/journal.pone.0216027. eCollection 2019.

本文引用的文献

1
Spatial distribution and determinants of barriers of health care access among female youths in Ethiopia, a mixed effect and spatial analysis.埃塞俄比亚青年女性获得医疗保健机会的障碍的空间分布及其决定因素：混合效应和空间分析。
Sci Rep. 2023 Dec 6;13(1):21517. doi: 10.1038/s41598-023-48473-y.
2
A Comprehensive, Community-Based Coalition to Address Racial Disparities in Chronic Disease: REACH in Allegheny County, Pennsylvania.一项全面的、以社区为基础的联盟，旨在解决宾夕法尼亚州阿勒格尼县慢性病中的种族差异：REACH。
Prog Community Health Partnersh. 2023;17(3):465-476.
3
Socioeconomic inequality in barriers for accessing health care among married reproductive aged women in sub-Saharan African countries: a decomposition analysis.撒哈拉以南非洲国家已婚育龄妇女获得医疗保健障碍的社会经济不平等：分解分析。
BMC Womens Health. 2022 Apr 25;22(1):130. doi: 10.1186/s12905-022-01716-y.
4
Married women's decision-making autonomy on contraceptive use and its associated factors in Ethiopia: A multilevel analysis of 2016 demographic and health survey.埃塞俄比亚已婚妇女在避孕措施使用上的决策自主权及其相关因素：对2016年人口与健康调查的多层次分析
SAGE Open Med. 2022 Jan 21;10:20503121211068719. doi: 10.1177/20503121211068719. eCollection 2022.
5
Breaking Barriers to Healthcare Access: A Multilevel Analysis of Individual- and Community-Level Factors Affecting Women's Access to Healthcare Services in Benin.打破医疗保健获取障碍：个体和社区层面因素对贝宁妇女获得医疗保健服务的影响的多水平分析。
Int J Environ Res Public Health. 2021 Jan 17;18(2):750. doi: 10.3390/ijerph18020750.
6
Mixed effects analysis of factors associated with barriers to accessing healthcare among women in sub-Saharan Africa: Insights from demographic and health surveys.撒哈拉以南非洲地区妇女获得医疗保健障碍相关因素的混合效应分析：来自人口与健康调查的见解。
PLoS One. 2020 Nov 9;15(11):e0241409. doi: 10.1371/journal.pone.0241409. eCollection 2020.
7
Determinants of Access to Health Care Among Women in East African Countries: A Multilevel Analysis of Recent Demographic and Health Surveys from 2008 to 2017.东非国家女性获得医疗保健服务的决定因素：对2008年至2017年近期人口与健康调查的多层次分析
Risk Manag Healthc Policy. 2020 Sep 30;13:1803-1813. doi: 10.2147/RMHP.S263132. eCollection 2020.
8
Factors associated with the perceived barriers of health care access among reproductive-age women in Ethiopia: a secondary data analysis of 2016 Ethiopian demographic and health survey.与埃塞俄比亚育龄期妇女获得医疗保健服务的感知障碍相关的因素：对 2016 年埃塞俄比亚人口与健康调查的二次数据分析。
BMC Health Serv Res. 2020 Jul 25;20(1):691. doi: 10.1186/s12913-020-05485-y.
9
Individual and community level factors associated with anemia among lactating mothers in Ethiopia using data from Ethiopian demographic and health survey, 2016; a multilevel analysis.利用来自埃塞俄比亚人口与健康调查（2016 年）的数据，采用多水平分析方法，探讨与哺乳期母亲贫血相关的个体和社区层面因素。
BMC Public Health. 2020 May 24;20(1):775. doi: 10.1186/s12889-020-08934-9.
10
Satisfaction with Maternal Healthcare Services in the Ketu South Municipality, Ghana: A Qualitative Case Study.加纳Ketu 南部地区产妇医疗保健服务满意度：定性案例研究。
Biomed Res Int. 2019 Apr 10;2019:2516469. doi: 10.1155/2019/2516469. eCollection 2019.

极高和极高孕产妇死亡率国家育龄妇女获得医疗保健的障碍：多层次混合效应分析。

Barriers to healthcare access among reproductive age women in extremely high and very high maternal mortality countries: Multilevel mixed effect analysis.

机构信息

Department of Health Systems and Policy, Institute of Public Health, Collage of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

Department of Epidemiology and Biostatistics, School of Public Health, Collage of Medicine and Health Science, Wollo University, Dessie, Ethiopia.

出版信息

PLoS One. 2024 Sep 25;19(9):e0304975. doi: 10.1371/journal.pone.0304975. eCollection 2024.

DOI:10.1371/journal.pone.0304975
PMID:39321173
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11423991/
Abstract

BACKGROUND

It is widely recognized that maternal deaths in low-resource countries are attributed to deprived access to maternal health services. Therefore, the aim of this study was to assess barriers to healthcare access among reproductive age women in extremely high and very high maternal mortality countries.

METHODS

A community based cross sectional surveys were conducted among 181,472 reproductive age women. Stata version 17.0 was used to analyze the data. Mixed effect binary logistic regression model was analyzed. Odds ratio along with 95% CI was generated to identify factors associated with barriers to healthcare access. A p-value less than 0.05 was declared as statistical significance.

RESULTS

A total of 64.3% (95% CI: 64.06, 64.54) reproductive age women faced barriers to healthcare access. Young age, no formal education, poor wealth index, no media exposure, multiparty, no health insurance coverage, and rural residence were significantly associated with barriers to healthcare access.

CONCLUSION

More than six in ten reproductive age women had barriers to healthcare access in extremely high and very high maternal mortality countries. Increasing extensive health education, minimizing financial hardship by expanding health insurance may minimize barriers to healthcare access with attention to rural resident reproductive age women.

摘要

背景

人们普遍认识到，在资源匮乏的国家，产妇死亡是由于无法获得孕产妇保健服务造成的。因此，本研究旨在评估极高和非常高孕产妇死亡率国家生殖年龄妇女获得医疗保健的障碍。

方法

对 181472 名生殖年龄妇女进行了基于社区的横断面调查。使用 Stata 版本 17.0 分析数据。采用混合效应二元逻辑回归模型进行分析。生成比值比（OR）及其 95%置信区间（CI），以确定与获得医疗保健障碍相关的因素。p 值小于 0.05 被认为具有统计学意义。

结果

共有 64.3%（95%CI：64.06，64.54）的生殖年龄妇女面临获得医疗保健的障碍。年轻、没有正规教育、贫困财富指数、没有媒体接触、多党派、没有医疗保险覆盖以及居住在农村，与获得医疗保健的障碍显著相关。

结论

在极高和非常高孕产妇死亡率国家，超过十分之六的生殖年龄妇女面临获得医疗保健的障碍。通过扩大医疗保险来增加广泛的健康教育，减轻经济困难，可能会最大限度地减少农村生殖年龄妇女获得医疗保健的障碍。