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The gender gap and healthcare: associations between gender roles and factors affecting healthcare access in Central Malawi, June-August 2017.


ABSTRACT:

Background

Women in low and middle-income countries (LMICs) do not have equal access to resources, such as education, employment, or healthcare compared to men. We sought to explore health disparities and associations between gender prioritization, sociocultural factors, and household decision-making in Central Malawi.

Methods

From June-August 2017, a cross-sectional study with 200 participants was conducted in Central Malawi. We evaluated respondents' access to care, prioritization within households, decision-making power, and gender equity which was measured using the Gender-Equitable Men (GEM) scale. Relationships between these outcomes and sociodemographic factors were analyzed using multivariable mixed-effect logistic regression.

Results

We found that women were less likely than men to secure community-sourced healthcare financial aid (68.6% vs. 88.8%, p?ConclusionWomen report greater barriers to healthcare and adhere to more traditional gender roles than men in this Central Malawian population. Women contribute to their own gender's barriers to care and economic empowerment alone is not enough to correct for these socially constructed roles. We found that education and matriarchal societies may protect against gender disparities. Overall, internal and external gender discrimination contribute to a woman's disproportionate lack of access to care.

SUBMITTER: Azad AD 

PROVIDER: S-EPMC7672876 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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Publications

The gender gap and healthcare: associations between gender roles and factors affecting healthcare access in Central Malawi, June-August 2017.

Azad Amee D AD   Charles Anthony G AG   Ding Qian Q   Trickey Amber W AW   Wren Sherry M SM  

Archives of public health = Archives belges de sante publique 20201117 1


<h4>Background</h4>Women in low and middle-income countries (LMICs) do not have equal access to resources, such as education, employment, or healthcare compared to men. We sought to explore health disparities and associations between gender prioritization, sociocultural factors, and household decision-making in Central Malawi.<h4>Methods</h4>From June-August 2017, a cross-sectional study with 200 participants was conducted in Central Malawi. We evaluated respondents' access to care, prioritizati  ...[more]

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