Use of Health Care Services and Associated Factors Among Women

Background: to estimate the prevalence and analyze factors associated with both public and private health services utilization in women population in a western district of iran. methods: a cross-sectional study with 1200 individuals aged 18-49 years carried out in different districts of sanandaj city,western iran,in 2012. the main outcome variable was use of health service in the previous 12 months. the in-dependent variables were age,education level,place of residence,marital and pregnancy status,household wealth,oc-cupation and duration time of employment,and rating of quality of health services. results: the prevalence of public and private health services utilization were 60.8% [95%ci: 57.8,63.8] and 53.8% [95%ci: 50.8%,56.8%],respectively (p=0.001). after controlling other investigated factors using logistic regression; the academic educational level (or=1.36,95%ci: 1.03,1.80; or=1.76,95%ci: 1.33,2.33),residents of urban (or=1.65,95%ci: 1.10,2.47; or=1.60,95%ci: 1.10,2.42),pregnancy status (or=2.38,95%ci: 1.60,3.55; or=2.36,95%ci: 1.61,3.47),and high level of quality of health services (or=1.61,95%ci: 1.15,2.27; or=1.70,95%ci: 1.20,2.40) were found to be predictors of utilization of both public and private health care respectively. there was also statistically relation between high level of household wealth (or=3.01,95% ci: 2.00,4.57) and private health services utilization. conclusions: prevalence of health services utilization varied according to the individual and social factors of popula-tion studied. present study emphasizes the need to develop care models that focus on the characteristics and demands of the subjects.