Nishan Md Nahid Hassan, Akter Khadiza, Sharmin Afroza, Tithi Tazmin Akter, Ahmed M Z E M Naser Uddin
Department of Public Health, North South University, Dhaka, Bangladesh.
Department of Nursing, International University of Business Agriculture and Technology, Dhaka, Bangladesh.
PLoS One. 2025 Mar 17;20(3):e0298782. doi: 10.1371/journal.pone.0298782. eCollection 2025.
Emphasizing the global commitment to universal health coverage, this research addresses geographical variations and challenges faced by young females across low and lower-middle-income countries. Therefore, the objective of this study is to determine the factors that influence the decision-making of young females when it comes to seeking healthcare services in low or lower-middle-income countries.
We examined healthcare usage among female youth across eight countries. We used data from the DHS and employed regression and Chi2 tests for our analysis. Our focus was on females aged 15 to 24 and their visits to healthcare facilities. To ensure the validity of our findings, we used weighted sampling to represent the population.
We had a total sample of 51,298 female youth groups between the ages of 15 and 24 who participated in our study. When it comes to the demographics of the participants, most of those in the 15-19 age group were from Burkina Faso (54.26%), while most of those in the 20-24 age group were from Ghana (50.19%). The impact of education varied across countries; primary education led to increased healthcare utilization in Kenya, Tanzania, and Cambodia, but unexpected trends were observed in Burkina Faso.
Education significantly influences healthcare utilization, positively impacting both primary and secondary education. Rural residents face challenges accessing timely healthcare. Geographical challenges, like diseases and limited accessibility, contribute to varied healthcare usage in Kenya and the Philippines. Addressing infrastructure issues is critical, emphasizing education and promoting transparency to enhance healthcare equity.
本研究强调全球对全民健康覆盖的承诺,探讨低收入和中低收入国家年轻女性所面临的地理差异和挑战。因此,本研究的目的是确定在低收入或中低收入国家,影响年轻女性寻求医疗服务决策的因素。
我们研究了八个国家女性青年的医疗服务使用情况。我们使用了来自人口与健康调查(DHS)的数据,并运用回归分析和卡方检验进行分析。我们关注的是15至24岁的女性及其前往医疗机构的就诊情况。为确保研究结果的有效性,我们采用加权抽样来代表总体。
我们的研究共有51298个15至24岁的女性青年群体参与。就参与者的人口统计学特征而言,15 - 19岁年龄组的大多数人来自布基纳法索(54.26%),而20 - 24岁年龄组的大多数人来自加纳(50.19%)。教育的影响因国家而异;在肯尼亚、坦桑尼亚和柬埔寨,小学教育导致医疗服务利用率提高,但在布基纳法索观察到了意外的趋势。
教育对医疗服务利用有显著影响,对小学和中学教育都有积极作用。农村居民在及时获得医疗服务方面面临挑战。诸如疾病和可及性有限等地理挑战,导致肯尼亚和菲律宾的医疗服务使用情况各不相同。解决基础设施问题至关重要,要强调教育并促进透明度以提高医疗公平性。