Evidence map›Paper›PMID 34855799›Full record

ArticlePloS one2021

Effects of spousal migration on access to healthcare for women left behind: A cross-sectional follow-up study.

Heidi S West, Mary E Robbins, Corrina Moucheraud, Abdur Razzaque, Randall Kuhn

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
6.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Long-term Consequences of Men's Migration for Women's Well-being in a Rural African Setting.Sociological perspectives : SP : official publication of the Pacific Sociological Association · 2023
    Article
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Heidi S WestDepartment of Health Policy and Management, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, United States of America.ORCID 0000-0002-9806-834X
Mary E RobbinsDepartment of Gender Studies, University of California Los Angeles, Los Angeles, CA, United States of America.
Corrina MoucheraudDepartment of Health Policy and Management, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, United States of America.
Abdur RazzaqueHealth and Population Surveillance Division, ICDDR, B, Dhaka, Bangladesh.
Randall KuhnDepartment of Community Health Sciences, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, United States of America.
University of California, Los Angeles · USInternational Centre for Diarrhoeal Disease Research · BD

Funding

UCLA/RAND HEALTH SERVICES RESEARCH TRAINING PROGRAMT32HS000046 · AHRQ · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI EISENBERG, DANIEL · 1992 to 2024
$8.7M
Scientific and Technical CoreP2CHD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Martha Jane Bailey · 2016 to 2026
$6.9M
CALIFORNIA CENTER FOR POPULATION TRAINING PROGRAMT32HD007545 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HIRAM BELTRAN-SANCHEZ, Megan M Sweeney · 2001 to 2026
$4.1M
Long-term Effects of Health and Development Interventions in Rural BangladeshR01AG033713 · NIA · UNIVERSITY OF COLORADO · PI MENKEN, JANE A · 2010 to 2014
$3.1M
AHRQ HHS T32 HS000046NIA NIH HHS R01 AG033713NICHD NIH HHS P2C HD041022NICHD NIH HHS T32 HD007545
6 · The paper itself

Abstract

backgroundWomen left behind by migration represent a unique and growing population yet remain understudied as key players in the context of migration and development. Using a unique longitudinal survey of life in Bangladesh, the Matlab Health and Socioeconomic Surveys, we examined the role of spousal migration in healthcare utilization for women. The objective of this study was to assess realized access to care (do women actually get healthcare when it is needed) and consider specific macrostructural, predisposing, and resource barriers to care that are related to migration. METHODS AND

findingsIn a sample of 3,187 currently married women, we estimated multivariate logistic and multinomial regression models controlling for a wide range of baseline sociodemographic factors measured as far back as 1982. Our analyses also controlled for selection effects and explored two mechanisms through which spousal migration can affect healthcare utilization for women, remittances and frequent contact with spouses. We found that women with migrant spouses were approximately half as likely to lack needed healthcare compared to women whose spouses remained in Bangladesh (predicted probability of not getting needed healthcare 11.7% vs. 21.8%, p<0.001). The improvements in access (logistic regression coefficient for lacking care for left-behind women -0.761 p<0.01) primarily occurred through a reduction in financial barriers to care for women whose spouses were abroad.

conclusionsWives of international migrants showed significantly better access to healthcare even when accounting for selection into a migrant family. While the overall story is one of positive migration effects on healthcare access due to reductions in financial barriers to care, results also showed an increase in family-related barriers such as not being permitted to get care by a family member or travel alone to a facility, indicating that some of the benefits of migration for women left behind may be diluted by gendered family structures.

Indexed as

Health Services AccessibilitySpousesAdultBangladeshCross-Sectional StudiesFemaleFollow-Up StudiesHumansMiddle AgedTransients and MigrantsYoung Adult

Identifiers

PMID34855799
PMCPMC8638922
OpenAlexW3217417692

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.