Factors associated with health service utilization in ulaanbaatar, mongolia: A population-based survey

Amarsanaa Gan-Yadam, Ryoji Shinohara, Yuka Sugisawa, Emiko Tanaka, Taeko Watanabe, Maki Hirano, Etsuko Tomisaki, Kentaro Morita, Yoko Onda, entaro Tokutake, Yukiko Mochizuki, Misako Matsumoto, Chihiro Sugita, Tokie Anme

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Understanding patterns of health service utilization can improve health care and increase use of health services. We examined patterns of health service utilization among residents of Ulaanbaatar, Mongolia. Methods: A total of 500 adults were surveyed using paper-based questionnaires. The Χ2 test and multiple logistic regression were used to identify associations between factors. Results: 44.1% of respondents had visited a physician during the previous 12 months. After controlling for determinants, the significant predictors of utilization of health service were attention to health examinations (OR = 3.6, CI: 1.93-6.76), being married (OR = 2.7, CI: 1.50-4.72), being satisfied with the overall cleanliness of the hospital (OR = 2.4, CI: 1.12-5.19), being a nonsmoker (OR = 2.2, CI: 1.21-3.98), having periodic physical examinations (OR = 2.2, CI: 1.25-3.71), not being a hospital patient during the previous 3 years (OR = 2.1, CI: 1.22-3.73), having proper documentation (OR = 1.9, CI: 1.10-3.43), having medical insurance (OR = 1.9, CI: 1.96-3.28), not wanting to receive information on food and nutrition (OR = 0.6, CI: 0.36-0.96), having more than 5 household members (OR = 0.5, CI: 0.50-0.85), low income (OR = 0.5, CI: 0.30-0.85), lack of concern for food and nutrition (OR = 0.5, CI: 0.28-0.84), self-medication during the past 12 months (OR = 0.4, CI: 0.24-0.69), and desire for treatment abroad (OR = 0.4, CI: 0.20-0.60). Conclusions: A number of health-related behaviors and sociodemographic factors were important predictors of health service utilization.

Original languageEnglish
Pages (from-to)320-328
Number of pages9
JournalJournal of Epidemiology
Volume23
Issue number5
DOIs
Publication statusPublished - 2013 Oct 29
Externally publishedYes

Fingerprint

Mongolia
Health Services
Population
Self Medication
Food
Health
Insurance
Documentation
Physical Examination
Logistic Models
Surveys and Questionnaires
Delivery of Health Care
Physicians

Keywords

  • Equity
  • Health service utilization
  • Mongolia

ASJC Scopus subject areas

  • Epidemiology

Cite this

Gan-Yadam, A., Shinohara, R., Sugisawa, Y., Tanaka, E., Watanabe, T., Hirano, M., ... Anme, T. (2013). Factors associated with health service utilization in ulaanbaatar, mongolia: A population-based survey. Journal of Epidemiology, 23(5), 320-328. https://doi.org/10.2188/jea.JE20120123

Factors associated with health service utilization in ulaanbaatar, mongolia : A population-based survey. / Gan-Yadam, Amarsanaa; Shinohara, Ryoji; Sugisawa, Yuka; Tanaka, Emiko; Watanabe, Taeko; Hirano, Maki; Tomisaki, Etsuko; Morita, Kentaro; Onda, Yoko; Tokutake, entaro; Mochizuki, Yukiko; Matsumoto, Misako; Sugita, Chihiro; Anme, Tokie.

In: Journal of Epidemiology, Vol. 23, No. 5, 29.10.2013, p. 320-328.

Research output: Contribution to journalArticle

Gan-Yadam, A, Shinohara, R, Sugisawa, Y, Tanaka, E, Watanabe, T, Hirano, M, Tomisaki, E, Morita, K, Onda, Y, Tokutake, E, Mochizuki, Y, Matsumoto, M, Sugita, C & Anme, T 2013, 'Factors associated with health service utilization in ulaanbaatar, mongolia: A population-based survey', Journal of Epidemiology, vol. 23, no. 5, pp. 320-328. https://doi.org/10.2188/jea.JE20120123
Gan-Yadam, Amarsanaa ; Shinohara, Ryoji ; Sugisawa, Yuka ; Tanaka, Emiko ; Watanabe, Taeko ; Hirano, Maki ; Tomisaki, Etsuko ; Morita, Kentaro ; Onda, Yoko ; Tokutake, entaro ; Mochizuki, Yukiko ; Matsumoto, Misako ; Sugita, Chihiro ; Anme, Tokie. / Factors associated with health service utilization in ulaanbaatar, mongolia : A population-based survey. In: Journal of Epidemiology. 2013 ; Vol. 23, No. 5. pp. 320-328.
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AU - Tanaka, Emiko

AU - Watanabe, Taeko

AU - Hirano, Maki

AU - Tomisaki, Etsuko

AU - Morita, Kentaro

AU - Onda, Yoko

AU - Tokutake, entaro

AU - Mochizuki, Yukiko

AU - Matsumoto, Misako

AU - Sugita, Chihiro

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N2 - Background: Understanding patterns of health service utilization can improve health care and increase use of health services. We examined patterns of health service utilization among residents of Ulaanbaatar, Mongolia. Methods: A total of 500 adults were surveyed using paper-based questionnaires. The Χ2 test and multiple logistic regression were used to identify associations between factors. Results: 44.1% of respondents had visited a physician during the previous 12 months. After controlling for determinants, the significant predictors of utilization of health service were attention to health examinations (OR = 3.6, CI: 1.93-6.76), being married (OR = 2.7, CI: 1.50-4.72), being satisfied with the overall cleanliness of the hospital (OR = 2.4, CI: 1.12-5.19), being a nonsmoker (OR = 2.2, CI: 1.21-3.98), having periodic physical examinations (OR = 2.2, CI: 1.25-3.71), not being a hospital patient during the previous 3 years (OR = 2.1, CI: 1.22-3.73), having proper documentation (OR = 1.9, CI: 1.10-3.43), having medical insurance (OR = 1.9, CI: 1.96-3.28), not wanting to receive information on food and nutrition (OR = 0.6, CI: 0.36-0.96), having more than 5 household members (OR = 0.5, CI: 0.50-0.85), low income (OR = 0.5, CI: 0.30-0.85), lack of concern for food and nutrition (OR = 0.5, CI: 0.28-0.84), self-medication during the past 12 months (OR = 0.4, CI: 0.24-0.69), and desire for treatment abroad (OR = 0.4, CI: 0.20-0.60). Conclusions: A number of health-related behaviors and sociodemographic factors were important predictors of health service utilization.

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