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首页> 外文期刊>BMC Public Health >Measuring women's perceived ability to overcome barriers to healthcare seeking in Burkina Faso
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Measuring women's perceived ability to overcome barriers to healthcare seeking in Burkina Faso

机译：衡量妇女在布基纳法索克服克服寻求医疗保健障碍的感知能力

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Background In sub-Saharan Africa, women must overcome numerous barriers when they need modern healthcare. Respect of gender norms within the household and the community may still influence women's ability to obtain care. A lack of gender-sensitive instruments for measuring women's ability to overcome barriers compromises attempts to adequately quantify the burden and risk of exclusion they face when seeking modern healthcare. The aim of this study was to create and validate a synthetic measure of women's access to healthcare from a publicly available and possibly internationally comparable population-based survey. Method Seven questionnaire items from the Burkina Faso 2003 DHS were combined to create the index. Cronbach's alpha coefficient was used to test the reliability of the index. Exploratory factor analyses (EFA) and confirmatory factor analyses (CFA) were applied to evaluate the factorial structure and construct validity of the index while taking into account the hierarchical structure of the data. Results The index has a Cronbach's alpha of 0.75, suggesting adequate reliability. In EFA, three correlated factors fitted the data best. In CFA, the construct of perceived ability to overcome barriers to healthcare seeking emerged as a second-order latent variable with three domains: socioeconomic barriers, geographical barriers and psychosocial barriers. Model fit indices support the index's global validity for women of reproductive age in Burkina Faso. Evidence for construct validity comes from the finding that women's index scores increase with household living standard. Conclusion The DHS items can be combined into a reliable and valid, gender-sensitive index quantifying reproductive-age women's perceived ability to overcome barriers to healthcare seeking in Burkina Faso. The index complies conceptually with the sector-cross-cutting capability approach and enables measuring directly the perceived access to healthcare. Therefore it can help to improve the design and evaluation of interventions that aim to facilitate healthcare seeking in this country. Further analyses may examine how far the index applies to similar contexts.
机译：背景技术在撒哈拉以南非洲地区，妇女在需要现代医疗保健时必须克服许多障碍。在家庭和社区内尊重性别规范仍然可能影响妇女获得照料的能力。缺乏衡量妇女克服障碍能力的对性别问题敏感的工具，无法妥善地量化她们在寻求现代医疗保健时所面临的负担和排斥风险。这项研究的目的是通过公开的，可能与国际可比的基于人口的调查，创建并验证妇女获得医疗保健服务的综合指标。方法将来自布基纳法索2003 DHS的七个问卷调查项目组合起来以创建指数。克朗巴赫（Cronbach）的alpha系数用于测试索引的可靠性。探索性因素分析（EFA）和验证性因素分析（CFA）用于评估指数的阶乘结构并构造索引的有效性，同时考虑数据的层次结构。结果该指数的Cronbach系数为0.75，表明具有足够的可靠性。在全民教育中，三个相关因素最适合该数据。在CFA中，克服克服寻求医疗保健障碍的感知能力的构造作为具有以下两个领域的二阶潜在变量出现：社会经济障碍，地理障碍和社会心理障碍。模型拟合指数支持该指数对布基纳法索育龄妇女的全球有效性。构造效度的证据来自以下发现：女性指数得分随家庭生活水平的提高而增加。结论DHS项目可以组合为可靠，有效，性别敏感的指标，以量化育龄妇女克服在布基纳法索寻求医疗保健的障碍的感知能力。该指数在概念上符合跨部门能力方法，可以直接衡量人们对医疗保健的认知程度。因此，它可以帮助改善旨在促进该国寻求医疗保健的干预措施的设计和评估。进一步的分析可以检查索引在多大程度上适用于相似的上下文。

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