Determinants of access to healthcare by older persons in Uganda: a cross-sectional study

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dc.contributor.authorOjiambo Wandera, Stephen
dc.contributor.authorKwagala, Betty
dc.contributor.authorNtozi, James
dc.date.accessioned2022-03-07T10:12:11Z
dc.date.available2022-03-07T10:12:11Z
dc.date.issued2015
dc.description.abstractOlder persons report poor health status and greater need for healthcare. However, there is limited research on older persons’ healthcare disparities in Uganda. Therefore, this paper aimed at investigating factors associated with older persons’ healthcare access in Uganda, using a nationally representative sample. Methods: We conducted secondary analysis of data from a sample of 1602 older persons who reported being sick in the last 30 days preceding the Uganda National Household Survey. We used frequency distributions for descriptive data analysis and chi-square tests to identify initial associations. We fit generalized linear models (GLM) with the poisson family and the log link function, to obtain incidence risk ratios (RR) of accessing healthcare in the last 30 days, by older persons in Uganda. Results: More than three quarters (76%) of the older persons accessed healthcare in the last 30 days. Access to healthcare in the last 30 days was reduced for older persons from poor households (RR = 0.91, 95% CI: 0.83-0.99); with some walking difficulty (RR = 0.90, 95% CI: 0.83-0.97); or with a lot of walking difficulty (RR = 0.84, 95% CI: 0.75-0.95). Conversely, accessing healthcare in the last 30 days for older persons increased for those who earned wages (RR = 1.08, 95% CI: 1.00-1.15) and missed work due to illness for 1–7 days (RR = 1.19, 95% CI: 1.10-1.30); and 8–14 days (RR = 1.19, 95% CI: 1.07-1.31). In addition, those who reported non-communicable diseases (NCDs) such as heart disease, hypertension or diabetes (RR = 1.09, 95% CI: 1.01-1.16); were more likely to access healthcare during the last 30 days.en_US
dc.identifier.citationWandera, S. O., Kwagala, B., & Ntozi, J. (2015). Determinants of access to healthcare by older persons in Uganda: a cross-sectional study. International journal for equity in health, 14(1), 1-10. 10.1186/s12939-015-0157-zen_US
dc.identifier.otherDOI 10.1186/s12939-015-0157-z
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2442
dc.language.isoenen_US
dc.publisherInternational journal for equity in healthen_US
dc.subjectAfricaen_US
dc.subjectUgandaen_US
dc.subjectUtilizationen_US
dc.subjectHealth careen_US
dc.subjectHealth servicesen_US
dc.subjectElderlyen_US
dc.titleDeterminants of access to healthcare by older persons in Uganda: a cross-sectional studyen_US
dc.typeArticleen_US
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