Contextual influences on reproductive health service use in Uttar Pradesh, India

被引:119
作者
Stephenson, R [1 ]
Tsui, AO [1 ]
机构
[1] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Bill & Melinda Gates Inst Populat & Reprod Hlth, Dept Populat & Family Hlth Sci, Baltimore, MD 21205 USA
关键词
D O I
10.1111/j.1728-4465.2002.00309.x
中图分类号
C921 [人口统计学];
学科分类号
摘要
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.
引用
收藏
页码:309 / 320
页数:12
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