Aragie Hailu, Negash Habtu Kifle, Getnet Mihret, Tesfaye Winta, Gela Yibeltal Yismaw, Asefa Tseganesh, Woldeyes Maru Mandefro, Endale Hiwot Tezera
Department of Human Anatomy, School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Department of Epidemiology, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
BMC Health Serv Res. 2025 Apr 26;25(1):607. doi: 10.1186/s12913-025-12761-2.
Despite the importance of preventive and curative healthcare use, female youths show a lower likelihood of usage. Factors such as language barriers, autonomy, household economic status, residence, and the education levels of individuals and their spouses influence this dynamic, but with limited evidence from Senegal. Thus, this study explores the magnitude and factors influencing healthcare access among female youths in Senegal.
This study used data from the 2023 Senegal Demographic and Health Survey (weighted sample size = 7,107). Multilevel logistic regression was used to test both individual and community-level factors associated with the outcome variable, barriers to accessing healthcare services. Adjusted odds ratios (AORs) with 95% confidence intervals (95% CI) were calculated to identify significant associations.
The overall prevalence of barriers to accessing healthcare services among female youths was 69.40%. After adjusting for other variables in the final model, it was found that female youths who had no formal education (AOR = 2.11), primary education (AOR = 1.98), secondary education (AOR = 1.54), no health insurance coverage (AOR = 1.42), lived in poor households (AOR = 2.77), unmarried (AOR = 1.47), or lived in communities with high poverty levels (AOR = 1.87) faced significantly greater barriers to accessing healthcare.
To improve healthcare access for female youth in Senegal, targeted strategies must prioritize advancing educational opportunities, fostering economic empowerment, and expanding health insurance coverage. Special emphasis should be placed on addressing the unique challenges faced by unmarried female youth through tailored support programs. Furthermore, community-wide interventions to reduce poverty and enhance overall socioeconomic conditions are essential for creating a sustainable and equitable healthcare environment.
尽管预防性和治疗性医疗保健的使用很重要，但青年女性使用医疗保健的可能性较低。语言障碍、自主性、家庭经济状况、居住地点以及个人及其配偶的教育水平等因素会影响这一动态情况，但来自塞内加尔的相关证据有限。因此，本研究探讨了塞内加尔青年女性获得医疗保健的程度及其影响因素。
本研究使用了2023年塞内加尔人口与健康调查的数据（加权样本量 = 7107）。采用多水平逻辑回归来检验与结果变量（获得医疗服务的障碍）相关的个体和社区层面的因素。计算了具有95%置信区间（95%CI）的调整后优势比（AOR），以确定显著关联。
青年女性获得医疗服务的障碍总体患病率为69.40%。在最终模型中对其他变量进行调整后发现，未接受过正规教育的青年女性（AOR = 2.11）、接受过小学教育的（AOR = 1.98）、接受过中学教育的（AOR = 1.54）、没有医疗保险的（AOR = 1.42）、生活在贫困家庭的（AOR = 2.77）、未婚的（AOR = 1.47）或生活在贫困水平较高社区的（AOR = 1.87）在获得医疗保健方面面临的障碍明显更大。
为改善塞内加尔青年女性获得医疗保健的情况，有针对性的策略必须优先考虑增加教育机会、促进经济赋权以及扩大医疗保险覆盖范围。应特别强调通过量身定制的支持计划来应对未婚青年女性面临的独特挑战。此外，全社区减少贫困和改善整体社会经济状况的干预措施对于创造可持续和公平的医疗保健环境至关重要。
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