Document Detail

Growing inequalities and reproductive health in transitional countries: Kazakhstan and Belarus.
MedLine Citation:
PMID:  20200524     Owner:  NLM     Status:  MEDLINE    
The present study examines how growing socio-economic inequalities in transitional countries that have followed different health policy paths affect women's access to reproductive health care. I conducted surveys in Kazakhstan and Belarus and used logistic regression analyses to determine accessibility to and satisfaction with reproductive health services, reproductive status, and reproductive history based on country of residence. By all measures, access to reproductive health services was most problematic for the low-income women in Kazakhstan but to a significantly lesser extent for economically disadvantaged respondents in Belarus. Differences in education had a significant effect on women's access to reproductive health services in Kazakhstan but were not present in Belarus. Household income was the most powerful predictor of self-perceived health in Kazakhstan, but not in Belarus. The unreformed health-care system in Belarus appears to be more accessible for all women than Kazakhstan's health-care system that underwent significant market-oriented reform.
Natalia Danilovich
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of public health policy     Volume:  31     ISSN:  1745-655X     ISO Abbreviation:  J Public Health Policy     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-04     Completed Date:  2010-05-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8006508     Medline TA:  J Public Health Policy     Country:  England    
Other Details:
Languages:  eng     Pagination:  30-50     Citation Subset:  IM    
The Kazakh National Medical University, 88 Tole Bi Street, Almaty 480012, Kazakhstan.
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MeSH Terms
Cross-Sectional Studies
Health Services Accessibility
Healthcare Disparities*
Logistic Models
Middle Aged
Reproductive Health Services*
Social Class
Young Adult

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