Modern Health Service Utilization and Associated Factors among Adults in Southern Ethiopia
Background. The Ethiopian government is striving to improve the health status of its population through the expansion and strengthening of primary health care services in both rural and urban settings of the country. The study aimed to measure modern health service utilization and associated factors...
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description | Background. The Ethiopian government is striving to improve the health status of its population through the expansion and strengthening of primary health care services in both rural and urban settings of the country. The study aimed to measure modern health service utilization and associated factors in Wolaita Sodo town, Ethiopia. Method. A cross-sectional study design was implemented from May to June 2019 in Wolaita Sodo town, Ethiopia. All 786 study participants were selected by multistage systematic random sampling. Data were collected by face-to-face interviews using a pretested structured questionnaire. Data were collected by an open data kit. Stata window version 15.0 was also employed for statistical analysis. Multiple logistic regression was conducted, and a 95% confidence interval was considered for interpretation. Result. Health service utilization was 77.2% with (95% CI of 74.1%, 80.0%). In terms of health facilities in which they visit, first 50.6% were at the public health center and 25.5% of them were at Teaching and Referral Hospital. Respondents with marital status married and widowed have higher odds of utilizing health services compared to single marital status (AOR: 2.96; 95% CI: 1.7–5.2 and 9.0; 95% CI: 1.69–48.0), respectively. Respondents with middle and highest wealth status have higher odds of health service utilization than poor wealth status with AOR (1.75 95% CI 1.03–2.97 and 1.58 95% CI; 1.01, 2.77). Similarly, respondents who had chronic disease and perceived poor health status have higher odds of health service utilization. Conclusion. Modern health services utilization was found to be unsatisfactory. Being married, wealth status being middle and high, having chronic health conditions, and having poor perceived health status were found to have a statistically significant association with health service utilization. |
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The Ethiopian government is striving to improve the health status of its population through the expansion and strengthening of primary health care services in both rural and urban settings of the country. The study aimed to measure modern health service utilization and associated factors in Wolaita Sodo town, Ethiopia. Method. A cross-sectional study design was implemented from May to June 2019 in Wolaita Sodo town, Ethiopia. All 786 study participants were selected by multistage systematic random sampling. Data were collected by face-to-face interviews using a pretested structured questionnaire. Data were collected by an open data kit. Stata window version 15.0 was also employed for statistical analysis. Multiple logistic regression was conducted, and a 95% confidence interval was considered for interpretation. Result. Health service utilization was 77.2% with (95% CI of 74.1%, 80.0%). In terms of health facilities in which they visit, first 50.6% were at the public health center and 25.5% of them were at Teaching and Referral Hospital. Respondents with marital status married and widowed have higher odds of utilizing health services compared to single marital status (AOR: 2.96; 95% CI: 1.7–5.2 and 9.0; 95% CI: 1.69–48.0), respectively. Respondents with middle and highest wealth status have higher odds of health service utilization than poor wealth status with AOR (1.75 95% CI 1.03–2.97 and 1.58 95% CI; 1.01, 2.77). Similarly, respondents who had chronic disease and perceived poor health status have higher odds of health service utilization. Conclusion. Modern health services utilization was found to be unsatisfactory. Being married, wealth status being middle and high, having chronic health conditions, and having poor perceived health status were found to have a statistically significant association with health service utilization.</description><identifier>ISSN: 1687-9805</identifier><identifier>EISSN: 1687-9813</identifier><identifier>DOI: 10.1155/2021/8835780</identifier><identifier>PMID: 33505477</identifier><language>eng</language><publisher>United States: Hindawi</publisher><subject>Adults ; Age ; Analysis ; Chronic diseases ; Chronic illnesses ; Confidence intervals ; Data collection ; Education ; Health care ; Health care facilities ; Health care industry ; Health care reform ; Health facilities ; Health services utilization ; Hospital facilities ; International economic relations ; Marital status ; Maternal & child health ; Medical care ; Mortality ; Open data ; Population ; Public health ; Questionnaires ; Random sampling ; Regression analysis ; Secondary education ; Sociodemographics ; Socioeconomics ; Statistical analysis ; Statistical sampling ; Surveys ; Urban areas ; Urban environments ; Utilization ; Variables</subject><ispartof>Journal of environmental and public health, 2021, Vol.2021, p.8835780-7</ispartof><rights>Copyright © 2021 Shimelash Bitew Workie et al.</rights><rights>COPYRIGHT 2021 John Wiley & Sons, Inc.</rights><rights>Copyright © 2021 Shimelash Bitew Workie et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2021 Shimelash Bitew Workie et al. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c504t-fd87b0fdb92f6ccd8edc92d7c5d9b4cafde0b5a4fca4d9c497ff73ef390da2733</citedby><cites>FETCH-LOGICAL-c504t-fd87b0fdb92f6ccd8edc92d7c5d9b4cafde0b5a4fca4d9c497ff73ef390da2733</cites><orcidid>0000-0002-6159-6309</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7814934/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7814934/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,4010,27902,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33505477$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Jain, Animesh</contributor><contributor>Animesh Jain</contributor><creatorcontrib>Bitew Workie, Shimelash</creatorcontrib><creatorcontrib>Mekonen, Niguse</creatorcontrib><creatorcontrib>Michael, Mulugeta W.</creatorcontrib><creatorcontrib>Molla, Getahun</creatorcontrib><creatorcontrib>Abrha, Solomon</creatorcontrib><creatorcontrib>Zema, Zewde</creatorcontrib><creatorcontrib>Tadesse, Takele</creatorcontrib><title>Modern Health Service Utilization and Associated Factors among Adults in Southern Ethiopia</title><title>Journal of environmental and public health</title><addtitle>J Environ Public Health</addtitle><description>Background. The Ethiopian government is striving to improve the health status of its population through the expansion and strengthening of primary health care services in both rural and urban settings of the country. The study aimed to measure modern health service utilization and associated factors in Wolaita Sodo town, Ethiopia. Method. A cross-sectional study design was implemented from May to June 2019 in Wolaita Sodo town, Ethiopia. All 786 study participants were selected by multistage systematic random sampling. Data were collected by face-to-face interviews using a pretested structured questionnaire. Data were collected by an open data kit. Stata window version 15.0 was also employed for statistical analysis. Multiple logistic regression was conducted, and a 95% confidence interval was considered for interpretation. Result. Health service utilization was 77.2% with (95% CI of 74.1%, 80.0%). In terms of health facilities in which they visit, first 50.6% were at the public health center and 25.5% of them were at Teaching and Referral Hospital. Respondents with marital status married and widowed have higher odds of utilizing health services compared to single marital status (AOR: 2.96; 95% CI: 1.7–5.2 and 9.0; 95% CI: 1.69–48.0), respectively. Respondents with middle and highest wealth status have higher odds of health service utilization than poor wealth status with AOR (1.75 95% CI 1.03–2.97 and 1.58 95% CI; 1.01, 2.77). Similarly, respondents who had chronic disease and perceived poor health status have higher odds of health service utilization. Conclusion. Modern health services utilization was found to be unsatisfactory. Being married, wealth status being middle and high, having chronic health conditions, and having poor perceived health status were found to have a statistically significant association with health service utilization.</description><subject>Adults</subject><subject>Age</subject><subject>Analysis</subject><subject>Chronic diseases</subject><subject>Chronic illnesses</subject><subject>Confidence intervals</subject><subject>Data collection</subject><subject>Education</subject><subject>Health care</subject><subject>Health care facilities</subject><subject>Health care industry</subject><subject>Health care reform</subject><subject>Health facilities</subject><subject>Health services utilization</subject><subject>Hospital facilities</subject><subject>International economic relations</subject><subject>Marital status</subject><subject>Maternal & child health</subject><subject>Medical care</subject><subject>Mortality</subject><subject>Open data</subject><subject>Population</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Random sampling</subject><subject>Regression analysis</subject><subject>Secondary education</subject><subject>Sociodemographics</subject><subject>Socioeconomics</subject><subject>Statistical analysis</subject><subject>Statistical sampling</subject><subject>Surveys</subject><subject>Urban areas</subject><subject>Urban 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Health Service Utilization and Associated Factors among Adults in Southern Ethiopia</title><author>Bitew Workie, Shimelash ; Mekonen, Niguse ; Michael, Mulugeta W. ; Molla, Getahun ; Abrha, Solomon ; Zema, Zewde ; Tadesse, Takele</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c504t-fd87b0fdb92f6ccd8edc92d7c5d9b4cafde0b5a4fca4d9c497ff73ef390da2733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adults</topic><topic>Age</topic><topic>Analysis</topic><topic>Chronic diseases</topic><topic>Chronic illnesses</topic><topic>Confidence intervals</topic><topic>Data collection</topic><topic>Education</topic><topic>Health care</topic><topic>Health care facilities</topic><topic>Health care industry</topic><topic>Health care reform</topic><topic>Health facilities</topic><topic>Health services utilization</topic><topic>Hospital facilities</topic><topic>International economic relations</topic><topic>Marital status</topic><topic>Maternal & child health</topic><topic>Medical care</topic><topic>Mortality</topic><topic>Open data</topic><topic>Population</topic><topic>Public health</topic><topic>Questionnaires</topic><topic>Random sampling</topic><topic>Regression analysis</topic><topic>Secondary education</topic><topic>Sociodemographics</topic><topic>Socioeconomics</topic><topic>Statistical analysis</topic><topic>Statistical sampling</topic><topic>Surveys</topic><topic>Urban areas</topic><topic>Urban environments</topic><topic>Utilization</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bitew Workie, Shimelash</creatorcontrib><creatorcontrib>Mekonen, Niguse</creatorcontrib><creatorcontrib>Michael, Mulugeta W.</creatorcontrib><creatorcontrib>Molla, Getahun</creatorcontrib><creatorcontrib>Abrha, Solomon</creatorcontrib><creatorcontrib>Zema, Zewde</creatorcontrib><creatorcontrib>Tadesse, 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environmental and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bitew Workie, Shimelash</au><au>Mekonen, Niguse</au><au>Michael, Mulugeta W.</au><au>Molla, Getahun</au><au>Abrha, Solomon</au><au>Zema, Zewde</au><au>Tadesse, Takele</au><au>Jain, Animesh</au><au>Animesh Jain</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Modern Health Service Utilization and Associated Factors among Adults in Southern Ethiopia</atitle><jtitle>Journal of environmental and public health</jtitle><addtitle>J Environ Public Health</addtitle><date>2021</date><risdate>2021</risdate><volume>2021</volume><spage>8835780</spage><epage>7</epage><pages>8835780-7</pages><issn>1687-9805</issn><eissn>1687-9813</eissn><abstract>Background. The Ethiopian government is striving to improve the health status of its population through the expansion and strengthening of primary health care services in both rural and urban settings of the country. The study aimed to measure modern health service utilization and associated factors in Wolaita Sodo town, Ethiopia. Method. A cross-sectional study design was implemented from May to June 2019 in Wolaita Sodo town, Ethiopia. All 786 study participants were selected by multistage systematic random sampling. Data were collected by face-to-face interviews using a pretested structured questionnaire. Data were collected by an open data kit. Stata window version 15.0 was also employed for statistical analysis. Multiple logistic regression was conducted, and a 95% confidence interval was considered for interpretation. Result. Health service utilization was 77.2% with (95% CI of 74.1%, 80.0%). In terms of health facilities in which they visit, first 50.6% were at the public health center and 25.5% of them were at Teaching and Referral Hospital. Respondents with marital status married and widowed have higher odds of utilizing health services compared to single marital status (AOR: 2.96; 95% CI: 1.7–5.2 and 9.0; 95% CI: 1.69–48.0), respectively. Respondents with middle and highest wealth status have higher odds of health service utilization than poor wealth status with AOR (1.75 95% CI 1.03–2.97 and 1.58 95% CI; 1.01, 2.77). Similarly, respondents who had chronic disease and perceived poor health status have higher odds of health service utilization. Conclusion. Modern health services utilization was found to be unsatisfactory. Being married, wealth status being middle and high, having chronic health conditions, and having poor perceived health status were found to have a statistically significant association with health service utilization.</abstract><cop>United States</cop><pub>Hindawi</pub><pmid>33505477</pmid><doi>10.1155/2021/8835780</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-6159-6309</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adults Age Analysis Chronic diseases Chronic illnesses Confidence intervals Data collection Education Health care Health care facilities Health care industry Health care reform Health facilities Health services utilization Hospital facilities International economic relations Marital status Maternal & child health Medical care Mortality Open data Population Public health Questionnaires Random sampling Regression analysis Secondary education Sociodemographics Socioeconomics Statistical analysis Statistical sampling Surveys Urban areas Urban environments Utilization Variables |
title | Modern Health Service Utilization and Associated Factors among Adults in Southern Ethiopia |
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