Using Household Socioeconomic Indicators to Predict the Utilization of Maternal and Child Health Services Among Reproductive-Aged Women in Rural Yemen
| Autor: | Riitta Luoto, Halima Mouniri, Abdullah N. Alosaimi, Bright I Nwaru, Abdul Wahed Al Serouri |
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| Rok vydání: | 2019 |
| Předmět: |
unmet need for contraception
030219 obstetrics & reproductive medicine Yemen business.industry Maternal and child health Equity (finance) Maternal health care lcsh:RJ1-570 lcsh:Pediatrics socioeconomic factors contraceptive usage Wealth index Pediatrics 03 medical and health sciences equity 0302 clinical medicine antenatal care Environmental health maternal health care Pediatrics Perinatology and Child Health Medicine Original Article 030212 general & internal medicine business Socioeconomic status |
| Zdroj: | Global Pediatric Health Global Pediatric Health, Vol 6 (2019) |
| ISSN: | 2333-794X |
| Popis: | Using principal component analysis (PCA) and integrating both individual and household factors, we had previously derived and proposed 3 socioeconomic indices (namely, wealth index, educational index, and housing quality index) that can be used to classify rural Yemeni women into different socioeconomic statuses (SES). In the current article, we examined whether the PCA-derived indices can be used to predict the use of maternal and child health care services in rural Yemen. We used data from subnational representative multistage sampling cross-sectional household survey conducted in rural Yemen in 2008-2009 among women (N = 6907) who had given birth. The resulting component scores for each SES index were divided into tertiles. Logistic regression was used to study the associations between the SES indices and 4 indicators of maternal health care use. Higher tertiles of each socioeconomic index increased the likelihood of adequate antenatal care use, delivery assistance, and contraceptive use, but decreased the likelihood of unmet need for contraception. Key maternal health indicators can be determined by socioeconomic indicators. Therefore, in planning maternal and child health interventions, considering disparities of care by socioeconomic factors should be taken into account. |
| Databáze: | OpenAIRE |
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