An issue of culture: the effects of daily activities on prenatal care utilization patterns in rural South Africa
An issue of culture: the effects of daily activities on prenatal care utilization patterns in rural South Africa
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DOI：
10.1016/j.socscimed.2004.02.033
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发表时间：
2004-11-01
影响因子：
5.4
通讯作者：
McCray, TM
中科院分区：
文献类型：
--
作者：
McCray, TM
在发达国家，来自各个学科的研究人员对医疗设施的利用进行了广泛的分析。然而，仍然需要更好地了解影响发展中国家农村妇女的时间和空间因素。这种探索的一个重要部分是解决时间限制和文化背景。在花时间完成整个家庭所依赖的基本任务之后，农村妇女是否还有“可支配时间”去医疗机构就诊？本研究的背景是Ubombo Magdalle区，南非夸祖鲁纳塔尔的一个北方农村地区。环境因素和社会经济因素，激励或劝阻妇女利用产前护理解决使用多项logit模型。文献中记载的影响产前护理利用率的许多因素，即年龄和产次，并不适用于这一领域。另一方面，取水作为一项日常活动，通常与产前护理利用无关，但对利用率有重大影响。(C)2004 Elsevier Ltd.保留所有权利。
Utilization of healthcare facilities has been extensively analyzed in developed countries by researchers from a wide range of disciplines. However, there is still a need to develop a better understanding of the temporal and spatial factors that affect rural women within developing countries. An important piece of this exploration is addressing time constraints and the cultural context. After time has been spent attending to essential tasks that the entire family is dependent upon, do rural women have "disposable time" left to visit a healthcare facility? The setting for this study is the Ubombo Magisterial District, a northern rural area of KwaZulu Natal, South Africa. Environmental factors and socio-economical factors that motivate or discourage women from utilizing prenatal care are addressed using a multinomial logit model. Many of the factors documented in literature as affecting prenatal care utilization, i.e. age and parity, do not apply in this area. On the other hand, fetching water as a daily activity, which is usually not associated with prenatal care utilization, has a significant effect on utilization. (C) 2004 Elsevier Ltd. All rights reserved.