Disparities in Gynecological Healthcare Service Utilization Among Ethnic Minority Women in Vietnam.

Autor: Oanh LTK; Faculty of Health Policy and Economics, Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang District, North Tu Liem, Hanoi, 100000, Vietnam. ltko@huph.edu.vn., Thao TTP; Faculty of Health Policy and Economics, Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang District, North Tu Liem, Hanoi, 100000, Vietnam., Ha BTT; Faculty of Health Policy and Economics, Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang District, North Tu Liem, Hanoi, 100000, Vietnam., Ha NT; Faculty of Health Policy and Economics, Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang District, North Tu Liem, Hanoi, 100000, Vietnam., Duong DTT; Faculty of Health Policy and Economics, Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang District, North Tu Liem, Hanoi, 100000, Vietnam., Long KQ; Faculty of Health Policy and Economics, Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang District, North Tu Liem, Hanoi, 100000, Vietnam., Trang NTT; Faculty of Health Policy and Economics, Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang District, North Tu Liem, Hanoi, 100000, Vietnam., Quang CH; Faculty of Health Policy and Economics, Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang District, North Tu Liem, Hanoi, 100000, Vietnam., Van Minh H; Faculty of Health Policy and Economics, Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang District, North Tu Liem, Hanoi, 100000, Vietnam.
Jazyk: angličtina
Zdroj: Journal of racial and ethnic health disparities [J Racial Ethn Health Disparities] 2023 Oct; Vol. 10 (5), pp. 2155-2166. Date of Electronic Publication: 2022 Aug 26.
DOI: 10.1007/s40615-022-01395-3
Abstrakt: The study aimed to investigate differences in the prevalence of gynecological healthcare service utilization in 12 ethnic minority groups and associated socio-demographic correlates with gynecological healthcare service utilization in Vietnam. Based on the national survey on healthcare utilization among 6912 people in 12 ethnic minorities, 900 women aged 21-49 years were included in the final analysis. Prevalence of gynecological healthcare service utilization in 12 ethnic minority groups was measured, based on the question "Have you ever used any gynecological healthcare services?" Socio-demographic characteristics including region, ethnicity, age, marital status, literacy level, education level, languages spoken, occupation, religion, household economy status, using contraception, and distance to the nearest healthcare facility were examined. The association between gynecological healthcare service utilization and socio-demographic characteristics was assessed by using logistic regression. The results showed that the prevalence of gynecological healthcare service utilization was 62.0% (95% CI: 58.7-65.2%), which ranged from 36.5 (Mnong) to 87.7% (Bru Van Kieu). Bru Van Kieu women had significantly higher odds of gynecological healthcare service utilization (OR = 9.42, 95% CI = 3.71-23.91), compared to those in Khmer ethnicity. Besides, Ba Na, Cham Ninh Thuan, and Dao women also had significantly higher odds of gynecological healthcare service utilization (Ba Na: OR = 5.73, 95% CI = 2.15-15.26; Cham Ninh Thuan: OR = 4.24, 95% CI = 1.79-10.06; Dao: OR = 3.43, 95% CI = 1.49-7.90), compared to those in Khmer ethnicity. Getting married, being older, being not poor, and using contraception had significantly higher odds of using gynecological healthcare services. Health education specialists and healthcare workers should be aware of these issues so that they can provide appropriate gynecological healthcare services and ensure high coverage of routine gynecological exams in ethnic minority women in reproductive age.
(© 2022. W. Montague Cobb-NMA Health Institute.)
Databáze: MEDLINE
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