Healthcare utilization among people with disabilities in Iran: what predictors are associated with medical visits?

被引:0
|
作者
Moradi, Fardin [1 ]
Karami, Badriyeh [2 ]
Soofi, Moslem [3 ]
Karamimatin, Behzad [1 ]
Jalili, Faramarz [4 ]
Akbari, Shahram [1 ]
Soltani, Shahin [1 ,5 ]
机构
[1] Kermanshah Univ Med Sci, Hlth Inst, Res Ctr Environm Determinants Hlth, Kermanshah, Iran
[2] Kermanshah Univ Med Sci, Behav Dis Res Ctr, Kermanshah, Iran
[3] Kermanshah Univ Med Sci, Hlth Inst, Social Dev & Hlth Promot Res Ctr, Kermanshah, Iran
[4] Dalhousie Univ, Sch Hlth Adm, Halifax, NS, Canada
[5] Kermanshah Univ Med Sci, Students Res Comm, Kermanshah, Iran
关键词
Disability; Healthcare access; Health inequality; Medical visit; Iran; ACCESS; SERVICES; CHALLENGES; BARRIERS;
D O I
10.1186/s12913-024-12069-7
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
BackgroundEnsuring equitable access to healthcare services for individuals with disabilities poses a significant challenge for healthcare systems. This research aimed to explore the factors affecting medical visits among this population.MethodThis cross-sectional study in Iran involved data from 766 adults with disabilities aged 18 and older. Unadjusted and adjusted logistic regression analyses were used to calculate the odds ratios for medical visits.ResultsThe majority of participants were male (64.36%) and single (54.02%). In the adjusted model, participants with severe disabilities (OR: 1.901, p = 0.025) were more likely to utilize medical visits compared to those with less severe disabilities. Conversely, individuals in the second (OR: 0.420, p = 0.017), fourth (OR: 0.360, p = 0.004), and fifth (OR: 0.319, p = 0.001) wealth quintiles demonstrated a significantly lower likelihood of accessing medical visits in comparison to the reference group.ConclusionsThis study reveals critical disparities in healthcare access for individuals with disabilities in Iran. While individuals with severe disabilities demonstrate a higher likelihood of utilizing medical services, those in lower wealth quintiles face significant barriers to accessing care. These findings emphasize the urgent need for targeted interventions to enhance healthcare equity, ensuring that financial constraints do not hinder medical visits for this vulnerable population.
引用
收藏
页数:10
相关论文
共 50 条
  • [31] What predictors are associated with the social inclusion of people with disabilities? A comparison of community-based rehabilitation participants to the general population in Vietnam
    Mason, Catherine
    Weber, Joerg
    DISABILITY AND REHABILITATION, 2021, 43 (06) : 815 - 822
  • [32] Secondhand smoke and asthma: What are the effects on healthcare utilization among children?
    Jin, Yue
    Seiber, Eric E.
    Ferketich, Amy K.
    PREVENTIVE MEDICINE, 2013, 57 (02) : 125 - 128
  • [33] Gender differences in healthcare utilization and medical indicators among patients with diabetes\
    Shalev, V
    Chodick, G
    Heymann, AD
    Kokia, E
    PUBLIC HEALTH, 2005, 119 (01) : 45 - 49
  • [34] Predictors of Emergency Room and Hospital Utilization Among Adults With Intellectual and Developmental Disabilities (IDD)
    Blaskowitz, Meghan G.
    Hernandez, Brigida
    Scott, Paul W.
    INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, 2019, 57 (02) : 127 - 145
  • [35] Healthcare access and utilization barriers to ophthalmic visits among patients with glaucoma: an All of Us study
    Varkhedi, Varsha
    Wu, Jo-Hsuan
    Saseendrakumar, Bharanidharan
    Acuff, Kaela
    Weinreb, Robert
    Baxter, Sally
    INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE, 2023, 64 (08)
  • [36] Predictors of duration of visits among patients diagnosed with depression in the ambulatory medical care settings
    Hou, X
    VALUE IN HEALTH, 2003, 6 (03) : 347 - 347
  • [37] Medical visits among adults with symptoms commonly associated with an overactive bladder
    Kim, SH
    Boye, M
    Bhattacharyya, SK
    Coyne, K
    Dhawan, R
    BJU INTERNATIONAL, 2006, 97 (03) : 551 - 554
  • [38] Are Preferences for Aggressive Medical Treatment Associated with Healthcare Utilization in the Very Old?
    Albert, Steven M.
    Lunney, June R.
    Ye, Lei
    Boudreau, Robert
    Ives, Diane
    Satterfield, Suzanne
    Kaplan, Cameron M.
    Waters, Teresa
    Ayonayon, Hilsa N.
    Rubin, Susan M.
    Newman, Anne B.
    Harris, Tamara
    JOURNAL OF PALLIATIVE MEDICINE, 2017, 20 (06) : 618 - 624
  • [39] PREDICTORS OF MENTAL HEALTH CRISES AMONG PEOPLE WITH INTELLECTUAL/DEVELOPMENTAL DISABILITIES IN THE START PROGRAM
    Kalb, L.
    Beasley, J.
    Caoili, A.
    Mclaren, J.
    Barnhill, J.
    JOURNAL OF INTELLECTUAL DISABILITY RESEARCH, 2021, 65 (08) : 709 - 709
  • [40] Racial and Ethnic Disparities in Healthcare Access and Utilization Among People With Diabetes in the US
    Hinneh, Thomas
    Metlock, Faith
    Ogungbe, Oluwabunmi V.
    Alharthi, Abeer
    Himmelfarb, Cheryl R. Dennison
    Commodore-Mensah, Yvonne
    CIRCULATION, 2023, 147