Evidence map›Paper›PMID 36997885›Full record

ArticleBMC public health2023

Association between women's household decision-making autonomy and health insurance enrollment in sub-saharan Africa.

Betregiorgis Zegeye, Dina Idriss-Wheeler, Bright Opoku Ahinkorah, Edward Kwabena Ameyaw, Abdul-Aziz Seidu, Nicholas Kofi Adjei, Sanni Yaya

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
9.1field-weighted citation impact, top 2% 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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 4 countries.

Betregiorgis ZegeyeHaSET Maternal and Child Health Research Program, Shewarobit Field Office, Shewarobit, Ethiopia.
Dina Idriss-WheelerInterdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Canada.
Bright Opoku AhinkorahSchool of Public Health, Faculty of Health, University of Technology Sydney, Ultimo, Australia.
Edward Kwabena AmeyawLingnan University Graduate School, Tuen Mun, Hong Kong.
Abdul-Aziz SeiduCentre for Gender and Advocacy, Takoradi Technical University, P.O.Box 256, Takoradi, Ghana.
Nicholas Kofi AdjeiDepartment of Public Health, Policy and Systems, University of Liverpool, Liverpool, UK.
Sanni YayaSchool of International Development and Global Studies, University of Ottawa, 120 University Private, K1N 6N5, Ottawa, ON, Canada. sanni.yaya@uOttawa.ca.
University of Ottawa · CAJames Cook University · AUUniversity of Liverpool · GBUniversity of Technology Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOut of pocket payment for healthcare remains a barrier to accessing health care services in sub-Saharan Africa (SSA). Women's decision-making autonomy may be a strategy for healthcare access and utilization in the region. There is a dearth of evidence on the link between women's decision-making autonomy and health insurance enrollment. We, therefore, investigated the association between married women's household decision making autonomy and health insurance enrollment in SSA.

methodsDemographic and Health Survey data of 29 countries in SSA conducted between 2010 and 2020 were analyzed. Both bivariate and multilevel logistic regression analyses were carried out to investigate the relationship between women's household decision-making autonomy and health insurance enrollment among married women. The results were presented as an adjusted odds ratio (AOR) and the 95% confidence interval (CI).

resultsThe overall coverage of health insurance among married women was 21.3% (95% CI; 19.9-22.7%), with the highest and lowest coverage in Ghana (66.7%) and Burkina Faso (0.5%), respectively. The odds of health insurance enrollment was higher among women who had household decision-making autonomy (AOR = 1.33, 95% CI; 1.03-1.72) compared to women who had no household decision-making autonomy. Other covariates such as women's age, women's educational level, husband's educational level, wealth status, employment status, media exposure, and community socioeconomic status were found to be significantly associated with health insurance enrollment among married women.

conclusionHealth insurance coverage is commonly low among married women in SSA. Women's household decision-making autonomy was found to be significantly associated with health insurance enrollment. Health-related policies to improve health insurance coverage should emphasize socioeconomic empowerment of married women in SSA.

Indexed as

Family CharacteristicsMarriageFemaleGhanaHealth SurveysHumansInsurance, HealthSocial ClassDHSGlobal healthHealth insuranceSub-saharan AfricaUniversal health coverageWomen’s decision-making autonomy

Identifiers

PMID36997885
PMCPMC10064715
OpenAlexW4361266799

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.