Inequity in access to healthcare in Sweden – does it exist?: An investigation on vertical and horizontal inequities of healthcare utilisation regarding young people in the north of Sweden
Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
Background: Previous studies in Sweden have detected inequities in access to healthcare services in varying ways. There is limited information targeting the younger populations, in between childhood and adulthood. The aim of this study was to explore possible inequities in young peoples’ (age 16-24) access to healthcare services in the north of Sweden.
Methods: The study used data from the survey Health on Equal Terms (n = 2726) for health variables and from national registers for sociodemographic characteristics. Calculations of frequency of healthcare utilisation were used to estimate the utilisation of healthcare services of the different groups in the study. Crude and multivariate regression analysis (prevalence ratio) were used to assess i) vertical equity, adjusting for sociodemographic characteristics and ii) horizontal equity, adjusting for need-variables.
Results: GP was the most common healthcare service used by the study population and more women than men utilised healthcare services. Vertical inequity was detected for both men and women in the case of youth clinics. Horizontal inequities were found for both men and women in relation to all three healthcare services included in the study, but with varying results.
Conclusion: The findings suggests that inequities in access exists for young persons in the north of Sweden, and that the associations between sociodemographic characteristics and healthcare utilisation are complex and are in need of further investigations.
Place, publisher, year, edition, pages
2016. , 30 p.
Centre for Public Health Report Series, ISSN 1651-341x ; 2016:31
Inequity, access to healthcare, young people, north of Sweden
Public Health, Global Health, Social Medicine and Epidemiology
IdentifiersURN: urn:nbn:se:umu:diva-131629OAI: oai:DiVA.org:umu-131629DiVA: diva2:1075235
Hälsa på lika vilkor, Landstingen i Norrbotten, Västerbotten, Västernorrland och Jämtland
Master's Programme in Public Health
2016-05-23, Umeå Universitet, Umeå, 11:04 (English)
San Sebastian, Miguel, Professor
Goicolea, Isabel, Associate Professor