From: Health status and health service utilization in remote and mountainous areas in Vietnam
Factors | Difficulty in general health services access | Difficulty in traditional medicine and services access | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
All | Kinh | Muong | All | Kinh | Muong | |||||||
OR | 95 % CI | OR | 95 % CI | OR | 95 % CI | OR | 95 % CI | OR | 95 % CI | OR | 95 % CI | |
Age (years) | Â | Â | 1.1* | (1.0; 1.1) | Â | Â | Â | Â | 1.1 | (1.0; 1.2) | Â | Â |
Male vs. Female | Â | Â | 0.3 | (0.1; 1.4) | 3.1* | (1.0; 10.2) | Â | Â | Â | Â | Â | Â |
Ethnic: Kinh vs Muong | Â | Â | Â | Â | Â | Â | 4.3** | (1.1; 16.3) | Â | Â | Â | Â |
Education (Elementary - ref) | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 Secondary | 0.5 | (0.2; 1.2) |  |  |  |  |  |  |  |  |  |  |
 College and above | 2.1 | (0.7; 6.5) | 0.2 | (0.0; 1.7) | 10.6*** | (2.7; 41.5) | 5.0** | (1.5; 17.4) |  |  |  |  |
Expenditure (Lowest - ref) | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 High | 0.5 | (0.2; 1.4) |  |  |  |  |  |  |  |  | 3.1* | (0.8; 11.7) |
 Highest | 5.8*** | (1.6; 20.7) |  |  |  |  |  |  |  |  | 8.4* | (1.0; 71.6) |
Household’s income (Lowest - ref) |  |  |  |  |  |  |  |  |  |  |  |  |
 Low | 2.1 | (0.8; 5.7) | 4.3 | (0.5; 36.5) |  |  | 4.5** | (1.2; 16.4) |  |  |  |  |
 Middle |  |  | 0.1* | (0.0; 1.2) |  |  |  |  |  |  |  |  |
 Highest | 0.4 | (0.1; 1.5) |  |  |  |  |  |  |  |  |  |  |
Having problems in (Yes vs. No) | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 Daily activities |  |  |  |  |  |  |  |  |  |  | 5.5** | (1.1; 26.6) |
 Pain or Discomfort |  |  |  |  |  |  | 5.4*** | (1.7; 17.5) |  |  | 3.9* | (1.0; 15.6) |
 Anxiety or Depression |  |  |  |  |  |  | 0.1*** | (0.0; 0.6) |  |  | 0.1** | (0.0; 0.8) |
# health problems (None - ref) | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 1 health issue | 6.0* | (1.0; 37.0) | 17.6** | (1.1; 294.0) |  |  |  |  |  |  | 2.4 | (0.7; 8.9) |
 2 health issues | 3.9 | (0.7; 22.3) | 18.5** | (1.2; 285.1) |  |  |  |  |  |  |  |  |
Distance (<1 km – ref) |  |  |  |  |  |  |  |  |  |  |  |  |
 >2 km | 3.6*** | (1.5; 8.3) | 12.8*** | (2.1; 79.2) | 2.6 | (0.8; 8.3) |  |  |  |  |  |  |
Perceived quality of commune health services | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 Very good - ref |  |  |  |  |  |  |  |  |  |  |  |  |
 Good | 3.0 | (0.8; 12.1) |  |  |  |  |  |  | 0.1* | (0.0; 1.0) |  |  |
 Moderate | 6.0** | (1.0; 34.4) |  |  |  |  |  |  |  |  |  |  |
Perceived of TM service quality (Very good – ref) |  |  |  |  |  |  |  |  |  |  |  |  |
 Good |  |  |  |  |  |  | 6.1** | (1.0; 36.7) |  |  |  |  |
Perceived of effectiveness of TM (Very good - ref) | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 Good |  |  |  |  |  |  | 0.4* | (0.1; 1.1) |  |  | 1.2** | (1.0; 1.5) |
 Moderate | 0.3* | (0.1; 1.1) | 0.2 | (0.0; 1.8) |  |  |  |  |  |  |  |  |
Satisfaction with (Yes vs. No) | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 Availability of health services | 0.2*** | (0.1; 0.7) |  |  | 0.3 | (0.1; 1.5) |  |  |  |  | 0.1** | (0.0; 0.7) |
 Commune general health care services |  |  |  |  |  |  |  |  |  |  | 3.4 | (0.7; 17.3) |
 Commune traditional health care services |  |  |  |  | 0.1** | (0.0; 0.6) |  |  |  |  |  |  |
 Health information and guidance |  |  |  |  |  |  | 6.9** | (1.1; 42.5) |  |  |  |  |
 Convenience of service use |  |  |  |  | 3.3* | (0.8; 13.0) |  |  |  |  |  |  |
 Convenience of integrating western and traditional health services | 0.5 | (0.2; 1.3) |  |  |  |  |  |  |  |  |  |  |
 Inter-professional collaborations |  |  |  |  | 6.4 | (0.7; 61.9) |  |  |  |  |  |  |
 Capacity of health workers |  |  |  |  | 0.2* | (0.0; 1.4) |  |  |  |  |  |  |
 Responsiveness of health workers |  |  |  |  |  |  | 0.1** | (0.0; 0.8) |  |  |  |  |