title: Gender differences in healthcare-seeking during common illnesses in a rural community of West Bengal, India.
abstract: This follow-up observational study examined gender disparities in seeking healthcare and in home management of diarrhoea, acute respiratory infections, and fever among 530 children (263 boys and 267 girls) aged less than five years in a rural community of West Bengal, India, from June 1998 to May 1999. Of 790 episodes detected by a weekly surveillance, 380 occurred among boys and 410 among girls. At the household level, girls were less likely to get home fluids and oral rehydration solutions (ORS) during diarrhoea. Qualified health professionals were consulted more often (p = 0.0094) and sooner for boys than for girls (8.3 +/- 4.5 hours vs 21.2 +/- 9.5 hours), for which parents also travelled longer distances (3.3 km for boys vs 1.6 km for girls). Expenditure per treated episode (Rs 76.76 +/- 69.23 in boys and Rs 44.73 +/- 67.60 in girls) differed significantly (p = 0.023). Results of logistic regression analysis showed that chance of spending more money was 4.2 [confidence interval (CI) 1.6-10.9] times higher for boys. The boys were 4.9 (CI 1.8-11.9) times more likely to be taken early for medical care and 2.6 (CI 1.2-6.5) times more likely to be seen by qualified allopathic doctors compared to girls. Persistence of gender disparities calls for effective interventions for correction.
authors.affiliation: Epidemiology Division, National Institute of Cholera and Enteric Diseases, P-33, C.I.T Road, Scheme XM, Kolkata 700 010 (W.B.), India. draparnapandey@hotmail.com
authors.forename: Aparna
authors.initials: A
authors.lastname: Pandey
authors.forename: Priya Gopal
authors.initials: PG
authors.lastname: Sengupta
authors.forename: Sujit Kumar
authors.initials: SK
authors.lastname: Mondal
authors.forename: Dhirendra Nath
authors.initials: DN
authors.lastname: Gupta
authors.forename: Byomkesh
authors.initials: B
authors.lastname: Manna
authors.forename: Subrata
authors.initials: S
authors.lastname: Ghosh
authors.forename: Dipika
authors.initials: D
authors.lastname: Sur
authors.forename: S K
authors.initials: SK
authors.lastname: Bhattacharya
mesh_terms: D002662:Child Health Services / Q000191:economics / Q000706:statistics & numerical data*; D002675:Child, Preschool; D003710:Demography; D003967:Diarrhea / Q000628:therapy; D005191:Family Characteristics; D005260:Female; D005382:Financing, Personal / Q000706:statistics & numerical data; D005500:Follow-Up Studies; D006801:Humans; D007194:India; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009035:Mothers / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D011159:Population Surveillance; D011287:Prejudice; D019035:Rural Health Services / Q000706:statistics & numerical data*; D012424:Rural Population; D017678:Sex Distribution; D012959:Socioeconomic Factors