Chronic Non-Communicable Disease and Healthcare Access in Middle-Aged and Older Women Living in Soweto, South Africa
Chronic Non-Communicable Disease and Healthcare Access in Middle-Aged and Older Women Living in Soweto, South Africa
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DOI：
10.1371/journal.pone.0078800
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发表时间：
2013-10-29
期刊：
影响因子：
3.7
通讯作者：
Norris, Shane A.
中科院分区：
文献类型：
--
作者：
Ibanez-Gonzalez, Daniel Lopes;Norris, Shane A.
本研究的目的是描述居住在索韦托的中年和老年妇女的医疗保健服务，信仰和做法。这是一项对南非索韦托出生至20岁队列的主要（女性）照顾者的横断面研究。作为常规年度数据收集的一部分，该研究工具对1102名护理人员进行了管理。超过一半的受访者（50.7%）报告至少患有一种慢性非传染性疾病（CND），其中只有一小部分（33.3%）报告在过去6个月内获得医疗服务。据报告，私人诊所和政府诊所的可利用率很高（分别为75.1%和61.5%）。CND妇女对保健服务的利用率低是保健管理方面的一个问题。有必要进一步调查医疗保健信念是如何形成的，以及支持索韦托持续管理CND的方案的可行性。
The aim of the current study was to describe the healthcare access, beliefs, and practices of middle-aged and older women residing in Soweto. This is a cross-sectional study of the primary (female) caregivers of the Birth to Twenty Cohort, based in Soweto, South Africa. The study instrument was administered to 1 102 caregivers as part of routine annual data collection. Over half the respondents (50.7%) reported having at least one chronic non-communicable disease (CND), only a small portion (33.3%) of whom reported accessing a healthcare service in the last 6 months. Reported availability of private medical practice and government clinics was high (75.1% and 61.5% respectively). The low utilisation of healthcare services by women with CND is a concern in terms of healthcare management. There is a need to further investigate how healthcare beliefs are formed, as well as the feasibility of programmes to support the ongoing management of CND in Soweto.