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The effects of spousal migration on perinatal healthcare utilization

Over the last three decades, out-migration has become a stable source of income for more than 12 million Bangladeshis. Of those migrants, 90% are men. Due to patriarchal cultural norms in Bangladeshi society, the migration of a male spouse may have significant consequences for the social well-being...

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Autores principales: Khan, Angubeen Gul, West, Heidi, Razzaque, Abdur, Kuhn, Randall
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10258923/
https://www.ncbi.nlm.nih.gov/pubmed/37308841
http://dx.doi.org/10.1186/s12884-023-05590-w
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author Khan, Angubeen Gul
West, Heidi
Razzaque, Abdur
Kuhn, Randall
author_facet Khan, Angubeen Gul
West, Heidi
Razzaque, Abdur
Kuhn, Randall
author_sort Khan, Angubeen Gul
collection PubMed
description Over the last three decades, out-migration has become a stable source of income for more than 12 million Bangladeshis. Of those migrants, 90% are men. Due to patriarchal cultural norms in Bangladeshi society, the migration of a male spouse may have significant consequences for the social well-being and health of left-behind women. In this study, we examine the impact of external (out of country) and internal (rural to urban) spousal migration on the perinatal healthcare utilization of left-behind women. We used data from the 2012 Matlab Health and Socioeconomic Survey (MHSS2) to examine use of antenatal care, presence of a medically qualified attendant at birth, and delivery at a healthcare facility for live births that occurred between 2007 and 2014 for currently married women aged 15-45 (N = 1,458 births among 1,180 women). Adjusted regression models indicated that for births occurring to women with a migrant spouse, odds of receiving antenatal care were significantly higher (OR: 4.1 for births to women with a domestic urban migrant spouse and 4.6 for births to women with an international migrant spouse, p < 0.01). Spousal migration was not linked to having a medically qualified attendant at birth or delivery at a clinic or hospital. Results suggest that spousal migration may be beneficial for receiving health care during a pregnancy, but not for the type of attendant or place of delivery at birth. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-023-05590-w.
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spelling pubmed-102589232023-06-13 The effects of spousal migration on perinatal healthcare utilization Khan, Angubeen Gul West, Heidi Razzaque, Abdur Kuhn, Randall BMC Pregnancy Childbirth Research Over the last three decades, out-migration has become a stable source of income for more than 12 million Bangladeshis. Of those migrants, 90% are men. Due to patriarchal cultural norms in Bangladeshi society, the migration of a male spouse may have significant consequences for the social well-being and health of left-behind women. In this study, we examine the impact of external (out of country) and internal (rural to urban) spousal migration on the perinatal healthcare utilization of left-behind women. We used data from the 2012 Matlab Health and Socioeconomic Survey (MHSS2) to examine use of antenatal care, presence of a medically qualified attendant at birth, and delivery at a healthcare facility for live births that occurred between 2007 and 2014 for currently married women aged 15-45 (N = 1,458 births among 1,180 women). Adjusted regression models indicated that for births occurring to women with a migrant spouse, odds of receiving antenatal care were significantly higher (OR: 4.1 for births to women with a domestic urban migrant spouse and 4.6 for births to women with an international migrant spouse, p < 0.01). Spousal migration was not linked to having a medically qualified attendant at birth or delivery at a clinic or hospital. Results suggest that spousal migration may be beneficial for receiving health care during a pregnancy, but not for the type of attendant or place of delivery at birth. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-023-05590-w. BioMed Central 2023-06-12 /pmc/articles/PMC10258923/ /pubmed/37308841 http://dx.doi.org/10.1186/s12884-023-05590-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Khan, Angubeen Gul
West, Heidi
Razzaque, Abdur
Kuhn, Randall
The effects of spousal migration on perinatal healthcare utilization
title The effects of spousal migration on perinatal healthcare utilization
title_full The effects of spousal migration on perinatal healthcare utilization
title_fullStr The effects of spousal migration on perinatal healthcare utilization
title_full_unstemmed The effects of spousal migration on perinatal healthcare utilization
title_short The effects of spousal migration on perinatal healthcare utilization
title_sort effects of spousal migration on perinatal healthcare utilization
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10258923/
https://www.ncbi.nlm.nih.gov/pubmed/37308841
http://dx.doi.org/10.1186/s12884-023-05590-w
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