Differentials in private and public healthcare service utilization in later life: do gender and marital status have any association?

Hossain, Babul; James, K. S.; Nagargoje, Varsha P.; Barman, Papai

doi:10.1080/08952841.2021.2011562

Cited by 7 publications

(7 citation statements)

References 38 publications

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“…This supports the literature which has found that women with higher income and higher educational attainment were more likely to choose private health providers over public providers and to seek care (10,12). While this study found no signi cant associations between civil/marital status in choosing any of the health facility options, other studies have found that married men and women reported a preference for private health care compared to widowed individuals (11).…”

Section: Resultssupporting

confidence: 87%

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The Type of Health Service Utilization in Mumbai Slums including Mobile Health Services: A Community Based Survey

Patwardhan

Khushalani

et al. 2022

Preprint

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Objective Sociodemographic factors influence slum dwellers health seeking behaviors such as choosing a health facility. To better understand the health-seeking behaviors among the slum dwelling residents in Mumbai, India, a cross-sectional community needs assessment was conducted under the support of the Rural India Supporting Trust (RIST). Results 432 respondents reported using some type of health facility within the past year, including 172 reporting use of private hospitals, 208 reporting use of public hospitals, 23 reporting use of Community Health clinics, and 29 reporting use of some other form of healthcare service. Logistic regression showed that female participants were significantly negatively associated with choosing a general practitioner (log-odds: -0.22, SE: 0.08). Higher education (log-odds: 0.16, SE: 0.08) and higher income (log-odds: 0.28, SE: 0.10) are significantly positively associated with choosing a private hospital. High income was found to be significantly negatively associated with choosing a government hospital (log-odds: -0.23, SE: 0.10). Education was also found to be significantly negatively associated with choosing a community health center (log-odds: -0.40, SE: 0.20). This study showed that health-seeking behaviors for health facilities are consistent with previously published results.

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Section: Resultssupporting

confidence: 87%

“…One previous study found that health care expenditure, which is associated with using private care over public, was lower for women than for men in India (8). Another study found that older women were more likely to access public over private health care in comparison to older men (11).…”

Section: Resultsmentioning

confidence: 99%

The Type of Health Service Utilization in Mumbai Slums including Mobile Health Services: A Community Based Survey

Patwardhan

Khushalani

et al. 2022

Preprint

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“…Another possibility is that marital status is related to health-seeking behaviour, which further influences the SRH. It has been shown that married women seek more health care, obtain better quality health care, and spend more on health care than separated, divorced, or widowed women [ 20 , 50 , 61 , 62 ]. On the other hand, evidence suggests that unmarried women neglect health-related concerns since they rely on other household members for their health-related demands, adversely influencing their perceived health state.…”

Section: Discussionmentioning

confidence: 99%

“…In India, where male dominance continues to exist, the culture is highly normative, patrilineal, and patriarchal [ 47 – 49 ]. Previous research has demonstrated that gender inequalities in marriage and health outcomes strongly persist [ 18 , 20 , 50 – 53 ]. At the same time, several studies have focused on self-reported health and marital status in India.…”

Section: Introductionmentioning

confidence: 99%

Association between poor self-reported health and unmarried status among adults: examining the hypothesis of marriage protection and marriage selection in the Indian context

Hossain

James

2022

BMC Public Health

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Background The link between marital status and health differences has long been a topic of debate. The substantial research on marriage and health has been conducted under two important hypotheses: marital protection and marriage selection. While the majority of evidence on the marriage-health relationship using these hypotheses comes from developed countries, there is a lack of evidence from Asia, particularly from India. Objectives The current study examines theoretical frameworks of marriage i.e., marital protection and marriage selection in the Indian setting concurrently, bringing substantial empirical evidence to explore the link between marriage and health, considering this subject in the context of self-reported health (SRH). Secondly, this study will aid in investigating age and gender differences in marriage and health. Methods Using the Study on Global AGEing and Adult Health (SAGE), a cohort study of individuals aged 50 years and older with a small section of individuals aged 18 to 49 for comparative reasons, the present study population was 25 years and above individuals with complete marital information. Logistic regressions were employed to explore the connection between marital status and self-reported health. In the marriage protection hypothesis, the follow-up poor SRH was the dependent variable, whereas the initial unmarried status was the independent variable. For the marriage selection effects, initial poor SRH as the independent variable and follow-up unmarried status as the dependent variable had considered. Results Examining the marital protection hypothesis, the initial unmarried status (OR: 2.14; CI at 95%: 1.17, 3.92) was associated with the followed-up SRH transition from good to poor between 2007 and 2015 for young men, while initial unmarried status was linked with a lower likelihood of stable good SRH and a higher likelihood of stable poor SRH status across all age categories among women. Focusing on the marriage selection hypothesis, among young men, a significant association exists between the initial poor SRH and departure in marital status from married to unmarried. Young women with initial poor SRH (OR: 0.68; CI at 95%: 0.40, 1.00) had lower odds of stable married. In comparison, women with initially poor SRH, irrespective of age, were more likely to have higher odds of being stably unmarried. Conclusion Marriage indeed protects health. There are also shreds of evidence on health-selected marital status in India. Taken together, the aspect of marital protection or marriage selection is gender and age-specific in India. The findings contribute to a more comprehensive understanding of the relationship between marriage and health, which may have significant implications for health-related public policies aimed at unmarried women.

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“…These measures can provide experience for other aging countries. Hossain et al revealed the differences in gender, marriage, and other characteristics in the use of gerontological services ( 7 ). In the context of filial culture, Zang pointed out that when Chinese senior people choose the type of care, the influence of filial culture is very important ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

Study on the time and scale of mutual aid for aging care under the background of active aging

Yu,

Wang,

Qiao

2024

Front. Public Health

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BackgroundChina has entered an aging society and will likely become the fastest-aging country in the world. The demand for aging care services has greatly increased. In recent years, the model of mutual aid for aging care has met the needs of older adults, especially those in rural areas. In this case, how much time should be spent on mutual aid for the older adult in terms of time and how much influence the size of the group has in terms of space are two very important questions when studying mutual aid for aging care.MethodsAn overlapping generations model is built in this article, which includes representative agents, representative enterprises, the endowment insurance system constructed by the government, and the behavior of representative agents in mutual aid for aging care under the background of active aging.ResultsIn the base case, the optimal proportion of time to participate in the mutual aid group is 9.31%, and the optimal proportion of time is influenced by the benchmark time of care and the size of the care group. With the increase in the benchmark time of care, the optimal proportion of time increases correspondingly, but the increase is decreasing. With the increase in the size of the care group, the optimal proportion of time decreases, but after the size reaches 4 or 5, the impact becomes very small. When parents' psychological preference coefficient changes from 0.1 to 0.9, that is, when parents change from introverted to extroverted personalities, the optimal proportion of time and parents' utility will also change.ConclusionFor children who usually take care of their parents for a long benchmark time, the optimal time to participate in the mutual aid group based on personal utility maximization is also long. Second, as the size of the group increases, the time for representative agents to participate in the mutual aid group gradually decreases. In addition, the model of mutual aid for aging care is highly correlated with parents' personalities, and extrovert parents benefit more from this model.

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Differentials in private and public healthcare service utilization in later life: do gender and marital status have any association?

Cited by 7 publications

References 38 publications

The Type of Health Service Utilization in Mumbai Slums including Mobile Health Services: A Community Based Survey

The Type of Health Service Utilization in Mumbai Slums including Mobile Health Services: A Community Based Survey

Association between poor self-reported health and unmarried status among adults: examining the hypothesis of marriage protection and marriage selection in the Indian context

Study on the time and scale of mutual aid for aging care under the background of active aging

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