umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Equityin healthcare utilization among older people in South Africa:: a cross sectional study
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
2017 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: The population of the elderly in South Africa is rising and there is a heavy burden of disease in the country. Healthcare inequalities in the country have been documented however there is limited research on disparities in health in the elderly. The purpose of this study was to analyse the principles of horizontal equity and vertical equity in healthcare utilization in the elderly population in South Africa.

Methods: A cross sectional study based on data of 3840 older persons collected from the World Health Organization (WHO) Study on global AGEing and adult health (SAGE) Wave 1 in South Africa. Data on healthcare utilization, socioeconomic variables of wealth and education, sex, age, insurance, residence, ethnicity, self-rated health and morbidity were collected. Frequency tables were used for descriptive statistics while bivariate and multivariate logistic regressions analyses were used to calculate odds ratios and 95 % confidence interval to investigate the association between healthcare utilization and socioeconomic or need variables.

Results: Level of education of primary school or less, high school and high wealth status were associated with outpatient utilization while morbidity and worse self-rated health were also significantly associated with outpatient healthcare utilization. There was no association between level of education or wealth status and hospitalization. Increased morbidity was associated with hospitalization while the association between hospitalization and worse self-rated health was not significant.

Conclusion: Findings from the study suggest that there was horizontal inequity in the utilization of outpatient healthcare services which was pro-educated and pr0-rich. On the other hand, utilization of inpatient healthcare services was found to be equitable. There was vertical equity in the utilization of both inpatient and outpatient healthcare services. Addressing the pro-rich and pro-educated inequities in healthcare utilization is essential to achieve equity in utilization of healthcare.

Place, publisher, year, edition, pages
2017. , p. 20
Series
Centre for Public Health Report Series, ISSN 1651-341X ; 2017:3
Keywords [en]
Equity, healthcare, South Africa, older people, inequalities
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-140763OAI: oai:DiVA.org:umu-140763DiVA, id: diva2:1150357
External cooperation
WHO SAGE - Paul Kowal
Educational program
Master's Programme in Public Health
Presentation
2017-05-22, Natural Sciences building N260, Umeå University, Umeå, 08:00 (English)
Supervisors
Examiners
Available from: 2017-12-19 Created: 2017-10-18 Last updated: 2017-12-19Bibliographically approved

Open Access in DiVA

No full text in DiVA

Search in DiVA

By author/editor
Sikaulu, Derrick
By organisation
Epidemiology and Global Health
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar

urn-nbn

Altmetric score

urn-nbn
Total: 5 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf