Evidence map›Paper›PMID 40281498›Full record

ArticleBMC health services research2025

Barriers to healthcare access: a multilevel analysis of individual- and community-level factors affecting female youths' access to healthcare services in Senegal.

Hailu Aragie, Habtu Kifle Negash, Mihret Getnet, Winta Tesfaye, Yibeltal Yismaw Gela, Tseganesh Asefa, Maru Mandefro Woldeyes, Hiwot Tezera Endale

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Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Hailu AragieDepartment of Human Anatomy, School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia. hailuaragie995@gmail.com.
Habtu Kifle NegashDepartment of Human Anatomy, School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Mihret GetnetDepartment of Epidemiology, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Winta TesfayeDepartment of Human Physiology, School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Yibeltal Yismaw GelaDepartment of Human Physiology, School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Tseganesh AsefaDepartment of Medical Nursing, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Maru Mandefro WoldeyesDepartment of Gynecology and Obstetrics, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Hiwot Tezera EndaleDepartment of Medical Biochemistry, School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite the importance of preventive and curative healthcare use, female youths show a lower likelihood of usage. Factors such as language barriers, autonomy, household economic status, residence, and the education levels of individuals and their spouses influence this dynamic, but with limited evidence from Senegal. Thus, this study explores the magnitude and factors influencing healthcare access among female youths in Senegal.

methodsThis study used data from the 2023 Senegal Demographic and Health Survey (weighted sample size = 7,107). Multilevel logistic regression was used to test both individual and community-level factors associated with the outcome variable, barriers to accessing healthcare services. Adjusted odds ratios (AORs) with 95% confidence intervals (95% CI) were calculated to identify significant associations.

resultThe overall prevalence of barriers to accessing healthcare services among female youths was 69.40%. After adjusting for other variables in the final model, it was found that female youths who had no formal education (AOR = 2.11), primary education (AOR = 1.98), secondary education (AOR = 1.54), no health insurance coverage (AOR = 1.42), lived in poor households (AOR = 2.77), unmarried (AOR = 1.47), or lived in communities with high poverty levels (AOR = 1.87) faced significantly greater barriers to accessing healthcare.

conclusionTo improve healthcare access for female youth in Senegal, targeted strategies must prioritize advancing educational opportunities, fostering economic empowerment, and expanding health insurance coverage. Special emphasis should be placed on addressing the unique challenges faced by unmarried female youth through tailored support programs. Furthermore, community-wide interventions to reduce poverty and enhance overall socioeconomic conditions are essential for creating a sustainable and equitable healthcare environment.

Indexed as

Health Services AccessibilityAdolescentAdultFemaleHumansLogistic ModelsMultilevel AnalysisResidence CharacteristicsSenegalSocioeconomic FactorsYoung AdultBarriers to careFemale youthsHealthcare disparitiesHealth services accessibilityHealth services researchSenegal

Identifiers

PMID40281498
PMCPMC12032635

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LicenceCC BY-NC-ND
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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.