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Factors influencing healthcare use among poor older females under the Livelihood Empowerment Against Poverty programme in Atwima Nwabiagya District, Ghana

机译:加纳Atwima Nwabiagya区的“增强生活能力”计划下影响贫困老年女性医疗保健的因素

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Abstract ObjectiveWhile studies show that females utilise?more healthcare services in later life, data on their healthcare use predictions are limited in Ghana. This study therefore fills this gap by examining the predictors of healthcare use among poor older females under the Livelihood Empowerment Against Poverty (LEAP) programme in Atwima Nwabiagya District of Ghana. A sample of 156 poor older females was extracted from an Ageing, Health, Lifestyle and Health Services Survey which was conducted between 1 and 20 June 2018 in Atwima Nwabiagya District. Sequential logistic regression models were used to analyse the data.ResultsThe fully adjusted model showed that respondents aged 85–89?years (AOR?=?0.007, CI 0.001–0.958), those without past illness records (AOR?=?0.027, CI 0.002–0.346) and not diagnosed of chronic non-communicable diseases (AOR?=?0.003, CI 0.001–0.313) were significantly less likely to utilise a health facility compared with their respective counterparts. Non-vegetables consumers (AOR?=?1.2, CI 0.23–2.45) were found to be more likely to utilise healthcare services. These findings have implications for policies towards healthcare use among poor older females in developing countries including Ghana.
机译:摘要目的虽然研究表明女性在以后的生活中会使用更多的医疗服务,但在加纳,有关其医疗使用预测的数据有限。因此,本研究通过在加纳Atwima Nwabiagya区的增强生计能力(LEAP)计划下研究了贫困老年女性中医疗保健使用的预测因素,从而填补了这一空白。 2018年6月1日至20日在Atwima Nwabiagya地区进行的老龄化,健康,生活方式和健康服务调查中抽取了156名贫困老年女性的样本。结果采用完全logistic回归模型进行分析。结果经过完全调整的模型显示,年龄在85-89岁(AOR?=?0.007,CI为0.001-0.958)的受访者没有过去的病历(AOR?=?0.027,CI)与未诊断出慢性非传染性疾病(AOR?=?0.003,CI 0.001-0.313)相比,未使用慢性病的可能性显着降低。非蔬菜消费者(AOR?=?1.2,CI 0.23–2.45)被发现更有可能利用医疗保健服务。这些发现对包括加纳在内的发展中国家的贫困老年妇女的医疗保健政策产生了影响。

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