Contextual influences on reproductive health service use in Uttar Pradesh, India
Contextual influences on reproductive health service use in Uttar Pradesh, India
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DOI：
10.1111/j.1728-4465.2002.00309.x
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发表时间：
2002-12-01
影响因子：
2.1
通讯作者：
Tsui, AO
中科院分区：
文献类型：
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作者：
Stephenson, R;Tsui, AO
本研究探讨的决定因素，使用四种类型的生殖健康保健服务，在印度北方邦：避孕服务，产前保健，在医疗机构分娩，以及处理生殖道和性传播感染的服务。该分析采用了多层次的建模策略，以评估存在的家庭和社区层面的服务使用的变化。社区层面的特点和生殖保健服务的属性对服务使用的影响进行了检查。结果突出了强大的社区层面的影响，服务使用，虽然类型的社区效果不同的服务类型。个人和家庭的一些因素在决定一个人使用服务方面的作用受到个人所居住社区的特点的影响。结果表明，需要超越个别因素。当检查医疗保健寻求行为，并说明，有，没有单一的“社区”的服务使用的影响。
This study examines-the determinants of the use of four types of reproductive health-care services in Uttar Pradesh, India: contraceptive services, antenatal care, delivery in a medical institution, and services dealing with reproductive tract and sexually transmitted infections. The analysis uses a multilevel modeling strategy to assess the presence of household- and community-level variation in service use. The influence of community-level characteristics and reproductive health-care service attributes on service use is examined. The results highlight strong community-level influences on service use, although the type of community effect varies by service type. The role of some individual and household factors in determining a person's use of services is mediated by the characteristics of the community in which the individual lives. The results demonstrate the need to look beyond individual factors. when examining health-care-seeking behavior, and illustrate that there is, no singular "community" effect on service use.