Purpose Health is one of the most basic human rights. This study aims to examine the pattern of unmet health services needs and barriers to use health services among people with disabilities. Design/methodology/approach This cross-sectional study was conducted among people with disabilities in Sanandaj, the capital of a less economically developed province in western Iran in 2020. In total, 548 samples were selected using random sampling, and data were collected using a questionnaire. Chi-square test and Fisher's exact test were used to examine the relationship between independent variables including demographic variables and dependent variables. Statistical tests were performed using STATA software package. Findings About 64% and 23% of participants needed outpatient and inpatient services, respectively. The gap between the perceived need and using health services for outpatient and inpatient services was reported to be 55% and 30%, respectively. The main reasons for not seeking the required health care were “insufficient coverage of costs by insurance” and “lack of physical access.” Having supplementary insurance and better economic status were significantly correlated with using outpatient care and having supplementary insurance and type of disability had a significant relationship with using inpatient care. Originality/value There was a big gap between the perceived need, seeking for and receiving health services in people with disabilities. Designing and implementing appropriate interventions to reduce barriers on the way of transforming, the need for health services into demand in the population of people with disabilities should be on the agenda of policymakers and relevant managers in the country.
Background: This study aimed to determine the pooled prevalence of anxiety and depression in women with ovarian cancer.Methods: Databases (PubMed [Medline], Scopus, Web of Science, Embase, and PsycInfo) were searched to retrieve all cross-sectional studies between July 2013 and October 2021. All analyses were performed using STATA 16, and the random-effects model was applied to calculate the pooled prevalence with a 95% confidence interval (95%CI).Results: Out of the 18 selected cross-sectional studies, 17 reported depression prevalence, and 16 reported anxiety prevalence in women with ovarian cancer. The pooled prevalence of depression and anxiety was 27% (95%CI: 14%-41%; I2=69.44%) and 33% (95%CI: 21%-44%; I2=78.55%), respectively.Conclusion: Based on this result, the prevalence of depression and anxiety in women with ovarian cancer was higher than in the healthy female population. Thus, health policymakers should provide the facilities for doing more studies such as cohorts to measure the effect of various treatments or interventions to reduce the mental disorders in women with ovarian cancer.
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