ArticleInternational journal for equity in health2015
Determinants of access to healthcare by older persons in Uganda: a cross-sectional study.
Article in International journal for equity in health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries.International journal of environmental research and public health · 2018Pooled it
- Prevalence and correlates of depression among older persons in rural eastern Uganda: a cross-sectional survey.Global health action · 2026Article
- Multilevel modified Poisson regression analysis of barriers to healthcare access among pregnant women in high and very high maternal mortality sub-Saharan African countries: insights from demographic and health surveys data.Archives of public health = Archives belges de sante publique · 2026Article
- What influences the perceived access to healthcare services? An investigation using Structural Equation Modeling.Frontiers in public health · 2026Article
- Exploring individual and structural factors influencing healthcare seeking behavior in the context of the Senegal's Universal Health Coverage program: a multilevel analysis from the ANRS-12399 Soignants Sénégal study.BMC health services research · 2025Article
- National health insurance enrolment among elderly ghanaians: the role of food security status.BMC primary care · 2024Article
- Psychological distress among family caregivers of persons with Alzheimer's disease and related dementias in Uganda.BMC geriatrics · 2024Article
- Specialist care visits outside the hospital by South Australian older adults.BMC health services research · 2024Article
- "These are just finishing our medicines": older persons' perceptions and experiences of access to healthcare in public and private health facilities in Uganda.BMC health services research · 2024Article
- Access to Healthcare and Health Literacy in Croatia: Empirical Investigation.Healthcare (Basel, Switzerland) · 2023Article
- Understanding Unmet Care Needs of Rural Older Adults with Chronic Health Conditions: A Qualitative Study.International journal of environmental research and public health · 2023Article
- Progress towards the UNAIDS 90-90-90 targets among persons aged 50 and older living with HIV in 13 African countries.Journal of the International AIDS Society · 2022Article
- "We are never taught anything about the elderly." Establishing the gap in elderly health care competencies in nursing education in Uganda.BMC nursing · 2022Article
- Care of Older Persons in Eastern Africa: A Scoping Review of Ethical Issues.Frontiers in public health · 2022Article
- Perceptions about the accessibility of healthcare services among ethnic minority women: a qualitative study among Arab Bedouins in Israel.International journal for equity in health · 2021Article
- Exploring country-wide equitable government health care facility access in Uganda.International journal for equity in health · 2021Article
- Prevalence of Severe Neurocognitive Impairment and Its Association with Socio-Demographics and Functionality Among Ugandan Older Persons: A Hospital-Based Study.Clinical interventions in aging · 2021Article
- Does health insurance contribute to improved utilization of health care services for the elderly in rural Tanzania? A cross-sectional study.Global health action · 2020Article
- Predictors of healthcare utilisation among poor older people under the livelihood empowerment against poverty programme in the Atwima Nwabiagya District of Ghana.BMC geriatrics · 2020Article
- Self-reported maternal morbidity: Results from the community level interventions for pre-eclampsia (CLIP) baseline survey in Sindh, Pakistan.Pregnancy hypertension · 2019Article
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Abstract
backgroundOlder persons report poor health status and greater need for healthcare. However, there is limited research on older persons' healthcare disparities in Uganda. Therefore, this paper aimed at investigating factors associated with older persons' healthcare access in Uganda, using a nationally representative sample.
methodsWe conducted secondary analysis of data from a sample of 1602 older persons who reported being sick in the last 30 days preceding the Uganda National Household Survey. We used frequency distributions for descriptive data analysis and chi-square tests to identify initial associations. We fit generalized linear models (GLM) with the poisson family and the log link function, to obtain incidence risk ratios (RR) of accessing healthcare in the last 30 days, by older persons in Uganda.
resultsMore than three quarters (76%) of the older persons accessed healthcare in the last 30 days. Access to healthcare in the last 30 days was reduced for older persons from poor households (RR = 0.91, 95% CI: 0.83-0.99); with some walking difficulty (RR = 0.90, 95% CI: 0.83-0.97); or with a lot of walking difficulty (RR = 0.84, 95% CI: 0.75-0.95). Conversely, accessing healthcare in the last 30 days for older persons increased for those who earned wages (RR = 1.08, 95% CI: 1.00-1.15) and missed work due to illness for 1-7 days (RR = 1.19, 95% CI: 1.10-1.30); and 8-14 days (RR = 1.19, 95% CI: 1.07-1.31). In addition, those who reported non-communicable diseases (NCDs) such as heart disease, hypertension or diabetes (RR = 1.09, 95% CI: 1.01-1.16); were more likely to access healthcare during the last 30 days.
conclusionIn the Ugandan context, health need factors (self-reported NCDs, severity of illness and mobility limitations) and enabling factors (household wealth status and earning wages in particular) were the most important determinants of accessing healthcare in the last 30 days among older persons.
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