Gender differences in cost-related unmet healthcare needs: a national study in Turkiye

dc.authorscopusid 6504270968
dc.authorscopusid 6506756143
dc.authorwosid Davas, Asli/JGD-3406-2023
dc.authorwosid Etiler, Nilay/F-4700-2016
dc.contributor.author Davas, Asli
dc.contributor.author Etiler, Nilay
dc.date.accessioned 2024-10-15T20:20:58Z
dc.date.available 2024-10-15T20:20:58Z
dc.date.issued 2024
dc.department Okan University en_US
dc.department-temp [Davas, Asli] Ege Univ, Fac Med, Dept Publ Hlth, Izmir, Turkiye; [Etiler, Nilay] Univ Nevada Reno UNR, Sch Publ Hlth, Reno, NV USA; [Etiler, Nilay] Istanbul Okan Univ, Sch Med, Istanbul, Turkiye en_US
dc.description.abstract BackgroundUnmet healthcare needs are a complex and multifaceted issue, influenced by individual, socioeconomic, and healthcare system factors. This study aimed to investigate the determinants influencing cost-related unmet healthcare needs within the Turkish population, emphasizing a comprehensive analysis of gender disparities in accessing healthcare services.MethodsThis secondary analysis scrutinizes the 2019 Turkiye Health Survey data of 16,976 individuals aged 15 and older. The dependent variables included cost-related unmet medical, dental, and prescribed medication, and mental services. The independent variables were considered under a three-domain approach for the determination of health service utilization, developed by Andersen. Logistic regression models with predisposing, enabling, and need factors were run for any self-perceived cost-related unmet need for each sex and overall population. Another six regression models for both sexes were run for each subgroup of indivuals with unmet healthcare needs.ResultsThe study revealed that 15.4% of individuals cannot access healthcare due to financial constraints, with 16.8% for women and 13.5% for men. The highest level of unmet needs is associated with accessing dental care services for both sexes. According to multivariate analyses, the unmet need for both sexes decreases with older age and higher education level, and it is greater for those who have difficulties communicating in Turkish. By adding enabling and needs factors, the odds ratios of education decreased for men, while education became nonsignificant for women. Having chronic disease impacts unmet needs for both sexes. However, the inability to perform daily activities due to health problems was not a significant factor for men. Poorer household income increases overall unmet needs. Education is a determinant of both medical and mental care needs.ConclusionsThis pioneering study illuminates the multifaceted gender disparities in cost-related unmet healthcare needs across Turkiye, reflecting the intertwined issues of access influenced by a complex interplay of factors. Our findings underscore the significance of adopting an intersectional approach to address health inequalities. en_US
dc.description.woscitationindex Science Citation Index Expanded
dc.identifier.citationcount 0
dc.identifier.doi 10.1186/s12889-024-19878-9
dc.identifier.issn 1471-2458
dc.identifier.issue 1 en_US
dc.identifier.pmid 39232689
dc.identifier.scopus 2-s2.0-85203123609
dc.identifier.scopusquality Q1
dc.identifier.uri https://doi.org/10.1186/s12889-024-19878-9
dc.identifier.uri https://hdl.handle.net/20.500.14517/6592
dc.identifier.volume 24 en_US
dc.identifier.wos WOS:001306520700006
dc.identifier.wosquality Q2
dc.language.iso en
dc.publisher Bmc en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/openAccess en_US
dc.scopus.citedbyCount 0
dc.subject Unmet healthcare need en_US
dc.subject Cost-related unmet healthcare need en_US
dc.subject Gender disparities Healthcare access Andersen Behavioral Model en_US
dc.title Gender differences in cost-related unmet healthcare needs: a national study in Turkiye en_US
dc.type Article en_US
dc.wos.citedbyCount 0

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