Investigation of some social determinants of receiving mother and child healthcare services inthe women living in Shiraz, Iran in 2012

Leila Malek Makan1, Hamideh Mahdavi Azad2, Mehrab Sayadi3, Minoo Alipouri Sakha4
1 M.D. of Community Medicine, Faculty member of Shiraz University of Medical Sciences, Shiraz, Iran, Social Determinants of Health Research Center
2 M.D. of Community Medicine, Shiraz University of Medical Sciences, Shiraz, Iran, Social Determinants of Health Research Center
3 M.Sc. of Biostatistics, Shiraz University of Medical Sciences, Shiraz, Iran, Social Determinants of Health Research Center
4 PhD student of Health Policymaking, Shiraz University of Medical Sciences, Shiraz, Iran, Social Determinants of Health Research Center
Abstract: Background and Objectives: Providing healthcare during pregnancy is one of the major health issues in any community and is considered as a health index, as well. Regarding the analysis of using healthcare services, several conceptual models have been proposed among which, Anderson's behavioral model has received more attention. According to this model, social factors play a determining role in consumption of healthcare services. The present study also aimed to determine the social factors affecting healthcare consumption.

Materials and Methods: The present descriptive, cross-sectional study was conducted on 735 women between 15 and 49 years old who had children and were selected through multiple sampling. The study data were collected using a researcher-made questionnaire. Then, the data were entered into the SPSS statistical software and analyzed using descriptive statistics and nominal multiple logistic regression test.
Results: The present study was conducted on 735 women with the mean age of 30.57+5.72 years. Most of the study women (628 ones, 85.4%) were homemakers and 317 women (43.1%) had high school education. Besides, 570 women (77.6%) had no incomes and 94 ones (12.8%) mentioned that they had received no services during pregnancy. Nevertheless, 368 (56.1%), 222 (33.8%), and 66 (10.1%) women had received services from government, private, and both centers, respectively. Overall, level of education, income, and men's as well as women's occupation affected the selection of government or private centers for receiving services.

Conclusion: According to the results, a large number of the subjects had not received services and in case they had, it was from the private sector. Moreover, social factors, such as the level of education, income, and occupation, were effective in receiving services.
Keywords: Social factors, Service consumption, Mother and child health. 
 
 
مركز تحقيقات عوامل اجتماعی موثر بر سلامت
دانشگاه علوم پزشكي شيراز  
  آدرس: شيراز، بلوار زند، ساختمان مرکزی دانشگاه علوم پزشکی شیراز
 
تلفن: 2122495,2122320