Table 3. Access to general health services amongst people with and without disabilities.
| Disability (n, %) | No disability (n, %) | aOR (95% CI) | |
|---|---|---|---|
| Current treatment for chronic conditions § | |||
| Diabetes | 43 (81%) | 29 (88%) | 0.6 (0.1, 3.1) |
| Hypertension | 95 (88%) | 52 (88%) | 1.4 (0.5, 4.1) |
| Asthma | 22 (61%) | 10 (43%) | 2.2 (0.7, 7.4) |
| Any of above‡ | 113 (77%) | 66 (75%) | 1.3 (0.7–2.4) |
| Health seeking amongst people experiencing a health problem in last 12 months ß | |||
| Sought treatment for health problem | 68 (96%) | 27 (100%) | n/a |
| Where went for services β | |||
| Same island | 25 (37%) | 8 (30%) | Reference |
| Another island | 32 (47%) | 13 (48%) | 1.1 (0.3, 3.8) |
| Abroad | 11 (16%) | 6 (22%) | 0.7 (0.2, 2.8) |
| At least somewhat satisfied with services receivedβ | 54 (79%) | 25 (93%) | 0.3 (0.1, 1.5) |
| Reported difficulties when typically using health services † | |||
| Paying for services | 119 (31.5%) | 39 (11.8%) | 3.7 (2.4, 5.5)*** |
| Distance to facility | 148 (39.4%) | 66 (20.1%) | 2.9 (2.1, 4.2)*** |
| Transport to facility | 165 (43.9%) | 79 (24.0%) | 2.7 (1.9, 3.8)*** |
| Having someone accompany | 91 (24.2%) | 28 (8.5%) | 3.7 (2.3, 5.8)*** |
| (Women only) Lack of female service providers | 43 (20.0%) | 51 (26.2%) | 0.8 (0.5, 1.2) |
| Staff availability | 156 (41.3%) | 110 (33.5%) | 1.6 (1.1, 2.2)** |
| Lack of medications | 166 (43.9%) | 106 (32.1%) | 1.8 (1.3, 2.5)*** |
| Negative attitudes from staff | 55 (14.6%) | 27 (8.2%) | 2.0 (1.2, 3.4)** |
§Amongst people reporting being diagnosed with a chronic condition
‡ If reported multiple chronic conditions, treatment coverage defined as having received treatment for all conditions
β Amongst those who experienced a health problem in the last 12 months and sought treatment
* p < .05
** p < .01, p<0.001 (adjusted for age, gender, location)
†Reported experiencing difficulties ‘often’ compared to ‘never’/‘sometimes’