Unmet health care needs among pregnant women during COVID‐19 pandemic and its determinants in Kurdistan province, Iran: A cross‐sectional study

Abstract Background and Aims The aim of this study was to assess unmet needs for health care and its determinants during COVID‐19 pandemic among pregnant women in Iran. Methods This cross‐sectional study was performed among pregnant women in Kurdistan province in 2020 with a sample size of 800 peopl...

Full description

Bibliographic Details
Main Authors: Abdorrahim Afkhamzadeh, Azad Shokri, Hossein Safari, Elham Nouri, Amjad Mohamadi Bolbanabad, Shina Amirihosseini, Bakhtiar Piroozi
Format: Article
Language:English
Published: Wiley 2022-09-01
Series:Health Science Reports
Subjects:
Online Access:https://doi.org/10.1002/hsr2.804
_version_ 1797772387952885760
author Abdorrahim Afkhamzadeh
Azad Shokri
Hossein Safari
Elham Nouri
Amjad Mohamadi Bolbanabad
Shina Amirihosseini
Bakhtiar Piroozi
author_facet Abdorrahim Afkhamzadeh
Azad Shokri
Hossein Safari
Elham Nouri
Amjad Mohamadi Bolbanabad
Shina Amirihosseini
Bakhtiar Piroozi
author_sort Abdorrahim Afkhamzadeh
collection DOAJ
description Abstract Background and Aims The aim of this study was to assess unmet needs for health care and its determinants during COVID‐19 pandemic among pregnant women in Iran. Methods This cross‐sectional study was performed among pregnant women in Kurdistan province in 2020 with a sample size of 800 people who were selected by multistage sampling method. Data were collected using a structured questionnaire that was completed through interviews. Also, multiple logistic regression was used to determine the relationship between independent variables and outcome variable. Statistical tests were performed using Stata software package. Results The highest unmet needs for health care were related to dental services with 66%, rehabilitation services with 58.6%, and psychological services with 43.2% and the lowest were related to hospital services with 12%, midwifery services with 15.6%, and physician visit services with 39.1%. The most important reasons for unmet needs for health care were fear of getting COVID‐19 and the cost of the services. The variables of age group and spouse education for physician visit services; age group for midwifery services; age group, education and employment status for dental services; age group, supplementary insurance and economic status for rehabilitation services; and age group and economic status for psychological services were significantly associated with unmet needs for health care (p < 0.05). Conclusion A significant percentage of health care needs of pregnant women was unmet, for which the fear of getting COVID‐19 and financial barriers were the main reasons.
first_indexed 2024-03-12T21:50:06Z
format Article
id doaj.art-5836acb645994639b5a8b75c8bcf1566
institution Directory Open Access Journal
issn 2398-8835
language English
last_indexed 2024-03-12T21:50:06Z
publishDate 2022-09-01
publisher Wiley
record_format Article
series Health Science Reports
spelling doaj.art-5836acb645994639b5a8b75c8bcf15662023-07-26T04:11:54ZengWileyHealth Science Reports2398-88352022-09-0155n/an/a10.1002/hsr2.804Unmet health care needs among pregnant women during COVID‐19 pandemic and its determinants in Kurdistan province, Iran: A cross‐sectional studyAbdorrahim Afkhamzadeh0Azad Shokri1Hossein Safari2Elham Nouri3Amjad Mohamadi Bolbanabad4Shina Amirihosseini5Bakhtiar Piroozi6Social Determinants of Health Research Center, Research Institute for Health Development Kurdistan University of Medical Sciences Sanandaj IranSocial Determinants of Health Research Center, Research Institute for Health Development Kurdistan University of Medical Sciences Sanandaj IranHealth Promotion Research Center Iran University of Medical Science Tehran IranStudent Research Committee Kurdistan University of Medical Sciences Sanandaj IranSocial Determinants of Health Research Center, Research Institute for Health Development Kurdistan University of Medical Sciences Sanandaj IranSocial Determinants of Health Research Center, Research Institute for Health Development Kurdistan University of Medical Sciences Sanandaj IranSocial Determinants of Health Research Center, Research Institute for Health Development Kurdistan University of Medical Sciences Sanandaj IranAbstract Background and Aims The aim of this study was to assess unmet needs for health care and its determinants during COVID‐19 pandemic among pregnant women in Iran. Methods This cross‐sectional study was performed among pregnant women in Kurdistan province in 2020 with a sample size of 800 people who were selected by multistage sampling method. Data were collected using a structured questionnaire that was completed through interviews. Also, multiple logistic regression was used to determine the relationship between independent variables and outcome variable. Statistical tests were performed using Stata software package. Results The highest unmet needs for health care were related to dental services with 66%, rehabilitation services with 58.6%, and psychological services with 43.2% and the lowest were related to hospital services with 12%, midwifery services with 15.6%, and physician visit services with 39.1%. The most important reasons for unmet needs for health care were fear of getting COVID‐19 and the cost of the services. The variables of age group and spouse education for physician visit services; age group for midwifery services; age group, education and employment status for dental services; age group, supplementary insurance and economic status for rehabilitation services; and age group and economic status for psychological services were significantly associated with unmet needs for health care (p < 0.05). Conclusion A significant percentage of health care needs of pregnant women was unmet, for which the fear of getting COVID‐19 and financial barriers were the main reasons.https://doi.org/10.1002/hsr2.804accessCOVID‐19equityunmet healthcare needsutilization
spellingShingle Abdorrahim Afkhamzadeh
Azad Shokri
Hossein Safari
Elham Nouri
Amjad Mohamadi Bolbanabad
Shina Amirihosseini
Bakhtiar Piroozi
Unmet health care needs among pregnant women during COVID‐19 pandemic and its determinants in Kurdistan province, Iran: A cross‐sectional study
Health Science Reports
access
COVID‐19
equity
unmet healthcare needs
utilization
title Unmet health care needs among pregnant women during COVID‐19 pandemic and its determinants in Kurdistan province, Iran: A cross‐sectional study
title_full Unmet health care needs among pregnant women during COVID‐19 pandemic and its determinants in Kurdistan province, Iran: A cross‐sectional study
title_fullStr Unmet health care needs among pregnant women during COVID‐19 pandemic and its determinants in Kurdistan province, Iran: A cross‐sectional study
title_full_unstemmed Unmet health care needs among pregnant women during COVID‐19 pandemic and its determinants in Kurdistan province, Iran: A cross‐sectional study
title_short Unmet health care needs among pregnant women during COVID‐19 pandemic and its determinants in Kurdistan province, Iran: A cross‐sectional study
title_sort unmet health care needs among pregnant women during covid 19 pandemic and its determinants in kurdistan province iran a cross sectional study
topic access
COVID‐19
equity
unmet healthcare needs
utilization
url https://doi.org/10.1002/hsr2.804
work_keys_str_mv AT abdorrahimafkhamzadeh unmethealthcareneedsamongpregnantwomenduringcovid19pandemicanditsdeterminantsinkurdistanprovinceiranacrosssectionalstudy
AT azadshokri unmethealthcareneedsamongpregnantwomenduringcovid19pandemicanditsdeterminantsinkurdistanprovinceiranacrosssectionalstudy
AT hosseinsafari unmethealthcareneedsamongpregnantwomenduringcovid19pandemicanditsdeterminantsinkurdistanprovinceiranacrosssectionalstudy
AT elhamnouri unmethealthcareneedsamongpregnantwomenduringcovid19pandemicanditsdeterminantsinkurdistanprovinceiranacrosssectionalstudy
AT amjadmohamadibolbanabad unmethealthcareneedsamongpregnantwomenduringcovid19pandemicanditsdeterminantsinkurdistanprovinceiranacrosssectionalstudy
AT shinaamirihosseini unmethealthcareneedsamongpregnantwomenduringcovid19pandemicanditsdeterminantsinkurdistanprovinceiranacrosssectionalstudy
AT bakhtiarpiroozi unmethealthcareneedsamongpregnantwomenduringcovid19pandemicanditsdeterminantsinkurdistanprovinceiranacrosssectionalstudy