Effect of social class and social security on access to healthcare in manisa: A research for inequalities; [Sosyal sınıfın ve saǧlık güvencesinin manisa'daki saǧlık hizmet kullanımı üzerine etkisi: Bir eşitsizlik araştırması]

Nesanir N.; Dinç G.; Cambaz S.; Baysan P.; Şerifhan M.; Deveci S.; Pala T.; Özcan C.

Effect of social class and social security on access to healthcare in manisa: A research for inequalities; [Sosyal sınıfın ve saǧlık güvencesinin manisa'daki saǧlık hizmet kullanımı üzerine etkisi: Bir eşitsizlik araştırması]

Date

2010

Authors

Publisher

Turkiye Klinikleri

Abstract

Objective: In the following study, effect of social class and social security on reaching diagnostic and therapeutic health care services in Manisa is evaluated in both out-patient and in-patient basis. Material and Methods: The households were determined in proportion to targeting populations in health care facilities (health houses) by using cluster sampling method and 11284 people representing the population in Manisa city center (n:232760) was included in the study. The data was collected by pollsters using face to face technique. Crude risks were calculated in different social classes and in those with or without social security for history of health problems and access to diagnostic and therapeutic health care services on outpatient and the inpatient basis. Multivariable risks were revised in accordance with age, sex and chronic health problems. Results: In comparison to unemployed population, the health problems in last 15 days was 1.79 (1.17-2.75) times more common in upper social class and similar figures were also seen in middle social class and lower social class, being 1.51 (1.10 -2.06) and 1.44 (1.04-2.00), respectively. Moreover, reaching to diagnostic\ theraupetic health care services in last 15 days was 1.73 (1.08-1.46) times more common in upper social class and this value was 1.46 (1.03-2.06) in middle social class and 1.53 (1.07-2.20) in lower social class. The revised risks of having diagnostic and therapeutic health care were similar in different social classes. In comparison to those without any social security, it was found that those with social security reported having health problems 1.58 (1.17-2.13) times more, and this was also true for out-patient diagnostic\therapeutic medical care being 2.57 (1.75-3.78) and inpatient being 3.37 (2.11-5.40) times more. Conclusion: There are inequalities against those being unemployed and those without social securities with respect to accessing to health care services. © 2010 by Türkiye Klinikleri.