Factors associated with health services financier among temporary sheltered homeless in urban Malaysia

Autor: Idayu Badilla Idris, Siti Waffa Abdul Jabar, Azimatun Noor Aizuddin
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Adult
Male
medicine.medical_specialty
Multivariate analysis
Adolescent
Urban Population
030209 endocrinology & metabolism
Health Services Accessibility
03 medical and health sciences
Face-to-face
Young Adult
0302 clinical medicine
Acquired immunodeficiency syndrome (AIDS)
Health financier
Health utilization
Environmental health
Surveys and Questionnaires
Epidemiology
Health care
Medicine
Healthcare Financing
Humans
030212 general & internal medicine
Health financing
Aged
Government
business.industry
Public health
lcsh:Public aspects of medicine
Research
Public Health
Environmental and Occupational Health
Malaysia
lcsh:RA1-1270
Health Services
Middle Aged
Patient Acceptance of Health Care
medicine.disease
Cross-Sectional Studies
Ill-Housed Persons
Health service
Female
Homeless
Biostatistics
business
Zdroj: BMC Public Health
BMC Public Health, Vol 19, Iss S4, Pp 1-10 (2019)
ISSN: 1471-2458
Popis: Background The presence of homelessness in Malaysia is not a new issue. The existence of homeless population is growing, along with the development of this country. With the increasing number of homelessness, the range of issues, such as health services financier among them, has surfaced. However, there was limited study conducted on this subject. The main objective of this study was thus, to identify the financier of health services among the homelessness in Kuala Lumpur and factors associated with it. Methods In this cross-sectional study, we include 196 homeless people aged above 18 years, Malaysian who were able to communicate with interviewers, and respondents who were not aggressive. These respondents were transits at Pusat Transit Gelandangan Kuala Lumpur and Anjung Singgah Kuala Lumpur and were available during interview sessions. They were selected via simple random sampling and were interviewed via face to face guided interviews using a validated structured questionnaire. Data were analysed descriptively, as well as using bivariate and multivariate analysis to explore the associated factors. Results The study showed that 57.7% homeless utilized the health services with only 37.8% assessed government health services. Only 42.5% of the respondents use their own money and 46.9% received aids to finance their health. Major influencing factors that influence homeless people to use their own money for health services were education level, income and disability, with adjusted OR (95% CI) of 3.15 (1.07–9.25), 0.08 (0.029–3.07) and 0.05 (0.003–0.88) while p value was 0.037
Databáze: OpenAIRE
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