The socio-economic determinants of maternal health care utilization in Turkey

The purpose of this study is to investigate the individual-, household- and community-level factors that affect women's use of maternal health care services in Turkey. The data used for the study come from the 1993 Turkey Demographic and Health Survey (TDHS), a nationally representative survey...

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Bibliographic Details
Published in:Social science & medicine (1982) 2000-06, Vol.50 (12), p.1797-1806
Main Authors: Celik, Yusuf, Hotchkiss, David R
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Birth
Data Collection
Delivery, Obstetric - statistics & numerical data
Education
Ethnic Groups
Ethnicity
Female
General aspects
Health care
Health Care Services
Health Care Utilization
Health insurance
Health services
Health services utilization
Health systems. Social services
Humans
Maternal health care
Maternal health services
Maternal Health Services - statistics & numerical data
Maternal health services Health care utilization Turkey
Medical sciences
Middle Aged
Mothers
Multivariate Analysis
Pregnancy
Prenatal Care
Public health. Hygiene
Public health. Hygiene-occupational medicine
Rural areas
Social Class
Socioeconomic Factors
Socioeconomic status
Tropical medicine
Turkey
Urban areas
Use
Women's health
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Summary:The purpose of this study is to investigate the individual-, household- and community-level factors that affect women's use of maternal health care services in Turkey. The data used for the study come from the 1993 Turkey Demographic and Health Survey (TDHS), a nationally representative survey of ever married women 15 to 49 years of age. In order to assess the impact of socio-economic factors on maternal health care utilization, we use logistical regression techniques to estimate models of the prenatal care use and birth delivery assistance among women who have had at least one birth in the three years prior to the survey. Separate models are also estimated for urban and rural women. The results indicate that educational attainment, parity level, health insurance coverage, ethnicity, household wealth and geographic region are statistically significant factors that affect the use of health care services thought essential to reduce infant and child mortality rates. The results of the model are used to provide insights for both micro- and macro-level planning of maternal health service delivery.
ISSN:0277-9536
1873-5347
DOI:10.1016/S0277-9536(99)00418-9