PA-749 Gender power dynamics in healthcare decision-making: a cross-section study in Southern Malawi Article Swipe
Isotta Triulzi
,
Ilaria Palla
,
Bryan Mthiko
,
Fausto Ciccacci
,
Darlinton Thole
,
Giuseppe Turchetti
,
Stefano Orlando
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1136/bmjgh-2023-edc.289
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1136/bmjgh-2023-edc.289
Background Gender is a social determinant of health. Gender power dynamics can impact women's and children's health outcomes. The Demographic and Health Survey (2015) showed that 68% of women participated in decisions about their own healthcare in Malawi, but there is a lack of information on the socio-determinants and gender attitudes associated with primary health decision-making. This study aims to examine these factors during the male clinic days (health education activities) in four healthcare facilities in Southern Malawi. Methods We included men who participated in the male clinic days between August and November 2022. The main outcome of interest was the extent of women's participation in their own healthcare. We designed a questionnaire that included the Gender-equitable Men Scale (GEM), which measures attitudes toward gender equality on a scale of 0 to 1. In addition, we collected socio-demographic, relationship, and family-related variables. Univariable and multivariable analyses revealed the association between the main and the other variables. Results 422 men were included in this study. The average GEM score was 0.53 (0.37–0.67; 95% CI: 0.004). Among the participants, 64.2% (271/422) reported that their female partners did not have the final say in healthcare decisions. When female partners assumed primary decision-making roles (35.8%, 151/422), men reported higher levels of gender-equitable attitudes compared to cases where men were the primary decision-makers (0.57 vs 0.47, p=0.004). Factors such as higher education level, location, formal employment, and male village chiefs emerged as the main socio-determinants associated with women's decision-making role in health. Conclusion This study emphasizes the significance of socio-economic factors and gender-equitable attitudes in healthcare decision-making. This suggests the need for targeted interventions involving both men and women in discussions about healthcare decisions.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/bmjgh-2023-edc.289
- https://gh.bmj.com/content/bmjgh/8/Suppl_10/A118.2.full.pdf
- OA Status
- gold
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4392409318
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4392409318Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1136/bmjgh-2023-edc.289Digital Object Identifier
- Title
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PA-749 Gender power dynamics in healthcare decision-making: a cross-section study in Southern MalawiWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-12-01Full publication date if available
- Authors
-
Isotta Triulzi, Ilaria Palla, Bryan Mthiko, Fausto Ciccacci, Darlinton Thole, Giuseppe Turchetti, Stefano OrlandoList of authors in order
- Landing page
-
https://doi.org/10.1136/bmjgh-2023-edc.289Publisher landing page
- PDF URL
-
https://gh.bmj.com/content/bmjgh/8/Suppl_10/A118.2.full.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://gh.bmj.com/content/bmjgh/8/Suppl_10/A118.2.full.pdfDirect OA link when available
- Concepts
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Section (typography), Power (physics), Health care, Dynamics (music), Computer science, Political science, Psychology, Physics, Law, Pedagogy, Operating system, Quantum mechanicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.showed | 24 |
| abstract_inverted_index.social | 4 |
| abstract_inverted_index.study. | 163 |
| abstract_inverted_index.toward | 123 |
| abstract_inverted_index.(35.8%, | 200 |
| abstract_inverted_index.(health | 68 |
| abstract_inverted_index.0.004). | 173 |
| abstract_inverted_index.Factors | 222 |
| abstract_inverted_index.Malawi, | 37 |
| abstract_inverted_index.Malawi. | 77 |
| abstract_inverted_index.assumed | 196 |
| abstract_inverted_index.average | 165 |
| abstract_inverted_index.between | 89, 149 |
| abstract_inverted_index.emerged | 235 |
| abstract_inverted_index.examine | 60 |
| abstract_inverted_index.factors | 62, 255 |
| abstract_inverted_index.health. | 7, 246 |
| abstract_inverted_index.outcome | 96 |
| abstract_inverted_index.primary | 53, 197, 216 |
| abstract_inverted_index.village | 233 |
| abstract_inverted_index.women's | 13, 103, 242 |
| abstract_inverted_index.November | 92 |
| abstract_inverted_index.Southern | 76 |
| abstract_inverted_index.analyses | 145 |
| abstract_inverted_index.compared | 209 |
| abstract_inverted_index.designed | 110 |
| abstract_inverted_index.dynamics | 10 |
| abstract_inverted_index.equality | 125 |
| abstract_inverted_index.included | 80, 114, 160 |
| abstract_inverted_index.interest | 98 |
| abstract_inverted_index.measures | 121 |
| abstract_inverted_index.partners | 183, 195 |
| abstract_inverted_index.reported | 179, 203 |
| abstract_inverted_index.revealed | 146 |
| abstract_inverted_index.suggests | 263 |
| abstract_inverted_index.targeted | 267 |
| abstract_inverted_index.(271/422) | 178 |
| abstract_inverted_index.151/422), | 201 |
| abstract_inverted_index.addition, | 134 |
| abstract_inverted_index.attitudes | 50, 122, 208, 258 |
| abstract_inverted_index.collected | 136 |
| abstract_inverted_index.decisions | 31 |
| abstract_inverted_index.education | 69, 226 |
| abstract_inverted_index.involving | 269 |
| abstract_inverted_index.location, | 228 |
| abstract_inverted_index.outcomes. | 17 |
| abstract_inverted_index.p=0.004). | 221 |
| abstract_inverted_index.associated | 51, 240 |
| abstract_inverted_index.children's | 15 |
| abstract_inverted_index.decisions. | 192, 278 |
| abstract_inverted_index.emphasizes | 250 |
| abstract_inverted_index.facilities | 74 |
| abstract_inverted_index.healthcare | 35, 73, 191, 260, 277 |
| abstract_inverted_index.variables. | 141, 155 |
| abstract_inverted_index.Demographic | 19 |
| abstract_inverted_index.Univariable | 142 |
| abstract_inverted_index.activities) | 70 |
| abstract_inverted_index.association | 148 |
| abstract_inverted_index.determinant | 5 |
| abstract_inverted_index.discussions | 275 |
| abstract_inverted_index.employment, | 230 |
| abstract_inverted_index.healthcare. | 108 |
| abstract_inverted_index.information | 44 |
| abstract_inverted_index.participated | 29, 83 |
| abstract_inverted_index.significance | 252 |
| abstract_inverted_index.(0.37–0.67; | 170 |
| abstract_inverted_index.interventions | 268 |
| abstract_inverted_index.multivariable | 144 |
| abstract_inverted_index.participants, | 176 |
| abstract_inverted_index.participation | 104 |
| abstract_inverted_index.questionnaire | 112 |
| abstract_inverted_index.relationship, | 138 |
| abstract_inverted_index.family-related | 140 |
| abstract_inverted_index.socio-economic | 254 |
| abstract_inverted_index.decision-makers | 217 |
| abstract_inverted_index.decision-making | 198, 243 |
| abstract_inverted_index.<h3>Methods</h3> | 78 |
| abstract_inverted_index.<h3>Results</h3> | 156 |
| abstract_inverted_index.Gender-equitable | 116 |
| abstract_inverted_index.decision-making. | 55, 261 |
| abstract_inverted_index.gender-equitable | 207, 257 |
| abstract_inverted_index.socio-demographic, | 137 |
| abstract_inverted_index.socio-determinants | 47, 239 |
| abstract_inverted_index.<h3>Background</h3> | 0 |
| abstract_inverted_index.<h3>Conclusion</h3> | 247 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 7 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/5 |
| sustainable_development_goals[0].score | 0.5699999928474426 |
| sustainable_development_goals[0].display_name | Gender equality |
| citation_normalized_percentile.value | 0.21432843 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |