Sociodemographic patterns of health insurance coverage in Namibia
| العنوان: | Sociodemographic patterns of health insurance coverage in Namibia |
|---|---|
| المؤلفون: | Elizabeth H. Young, Sophie H. Allcock, Manjinder S. Sandhu |
| المساهمون: | Apollo - University of Cambridge Repository, Allcock, Sophie [0000-0003-4496-8825], Sandhu, Manjinder [0000-0002-2725-142X] |
| المصدر: | International Journal for Equity in Health International Journal for Equity in Health, Vol 18, Iss 1, Pp 1-11 (2019) |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Adolescent, Population, Context (language use), Insurance Coverage, Education, 03 medical and health sciences, symbols.namesake, Young Adult, Health insurance, Health care, medicine, Prevalence, Humans, Women, Poisson regression, 10. No inequality, education, Health policy, Social policy, Demography, Wealth, education.field_of_study, 030505 public health, Insurance, Health, business.industry, Health Policy, Public health, lcsh:Public aspects of medicine, Research, 1. No poverty, Public Health, Environmental and Occupational Health, Health services research, lcsh:RA1-1270, Middle Aged, Patient Acceptance of Health Care, Health Surveys, Namibia, Social Class, symbols, Female, Health Expenditures, 0305 other medical science, business |
| الوصف: | Introduction Health insurance has been found to increase healthcare utilisation and reduce catastrophic health expenditures in a number of countries; however, coverage is often unequally distributed among populations. The sociodemographic patterns of health insurance in Namibia are not fully understood. We aimed to assess the prevalence of health insurance, the relation between health insurance and health service utilisation and to explore the sociodemographic factors associated with health insurance in Namibia. Such findings may help to inform health policy to improve financial access to healthcare in the country. Methods Using data on 14,443 individuals, aged 15 to 64 years, from the 2013 Namibia Demographic and Health Survey, the association between health insurance and health service utilisation was investigated using multivariable mixed effects Poisson regression analyses, adjusted for sociodemographic covariates and regional, enumeration area and household clustering. Multivariable mixed effects Poisson regression analyses were also conducted to explore the association between key sociodemographic factors and health insurance, adjusted for covariates and clustering. Effect modification by sex, education level and wealth quintile was also explored. Results Just 17.5% of this population were insured (men: 20.2%; women: 16.2%). In fully-adjusted analyses, education was significantly positively associated with health insurance, independent of other sociodemographic factors (higher education RR: 3.98; 95% CI: 3.11–5.10; p |
| وصف الملف: | application/octet-stream; application/pdf |
| تدمد: | 1475-9276 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e464e28a59f076dea070354eb08f4fe1Test https://pubmed.ncbi.nlm.nih.gov/30670031Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....e464e28a59f076dea070354eb08f4fe1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14759276 |
|---|