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Esmailnasab N, Hassanzadeh J, Rezaeian S, et al. Use of Health Care Services and Associated Factors among Women. Iran J Public Health. 2014;43(1):70-8
Esmailnasab, N., Hassanzadeh, J., Rezaeian, S., & Barkhordari, M. (2014). Use of Health Care Services and Associated Factors among Women. Iranian journal of public health, 43(1), 70-8.
Esmailnasab, Nader, et al. "Use of Health Care Services and Associated Factors among Women." Iranian journal of public health vol. 43,1 (2014): 70-8.
Esmailnasab N, Hassanzadeh J, Rezaeian S, Barkhordari M. Use of Health Care Services and Associated Factors among Women. Iran J Public Health. 2014 Jan;43(1):70-8. PMID: 26060682; PMCID: PMC4454030.
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Iran J Public Health. 2014 Jan;43(1):70-8.

Use of Health Care Services and Associated Factors among Women.

Iranian journal of public health

Nader Esmailnasab, Jafar Hassanzadeh, Shahab Rezaeian, Mehrdad Barkhordari

Affiliations

  1. 1. Kurdistan Research Center for Social Determinants of Health (KRCSDH), School of Medicine, Kurdistan University of Medical Sciences , Sanandaj, Iran.
  2. 2. Dept. of Epidemiology, School of Health, Shiraz University of Medical Sciences , Shiraz, Iran.
  3. 3. Dept. of Public Health, School of Public Health, Shahid Beheshti University of Medical Sciences , Tehran, Iran.

PMID: 26060682 PMCID: PMC4454030

Abstract

BACKGROUND: To estimate the prevalence and analyze factors associated with both public and private health services utilization in women population in a western district of Iran.

METHOD: A cross-sectional study with 1200 individuals aged 18-49 years carried out in different districts of Sanandaj City, western Iran, in 2012. The main outcome variable was use of health service in the previous 12 months. The in-dependent variables were age, education level, place of residence, marital and pregnancy status, household wealth, oc-cupation and duration time of employment, and rating of quality of health services.

RESULTS: The prevalence of public and private health services utilization were 60.8% [95%CI: 57.8, 63.8] and 53.8% [95%CI: 50.8%, 56.8%], respectively (P=0.001). After controlling other investigated factors using logistic regression; the academic educational level (OR=1.36, 95%CI: 1.03, 1.80; OR=1.76, 95%CI: 1.33, 2.33), residents of urban (OR=1.65, 95%CI: 1.10, 2.47; OR=1.60, 95%CI: 1.10, 2.42), pregnancy status (OR=2.38, 95%CI: 1.60, 3.55; OR=2.36, 95%CI: 1.61, 3.47), and high level of quality of health services (OR=1.61, 95%CI: 1.15, 2.27; OR=1.70, 95%CI: 1.20, 2.40) were found to be predictors of utilization of both public and private health care respectively. There was also statistically relation between high level of household wealth (OR=3.01, 95% CI: 2.00, 4.57) and private health services utilization.

CONCLUSIONS: Prevalence of health services utilization varied according to the individual and social factors of popula-tion studied. Present study emphasizes the need to develop care models that focus on the characteristics and demands of the subjects.

Keywords: Health care; Health services; Health services accessibility; Iran; Women

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