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The relationship between extended kin resources and children's healthcare utilization: An analysis of family networks

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  • Treleaven, Emily

Abstract

Extended kin serve as key sources of financial, social, and instrumental support for young children and their families. In impoverished settings, the ability to rely on extended kin for investments, information, and/or in-kind support to access health care when needed may be particularly important in buffering children against poor health outcomes and mortality. Given data limitations, little is known about how specific social and economic characteristics of extended kin shape children's healthcare access and health outcomes. We use detailed household survey data from rural Mali, where related households co-reside in extended family compounds, a living arrangement typical across West Africa and other settings globally. We examine how specific social and economic characteristics of extended kin residing in close geographic proximity affect children's healthcare utilization in a sample of 3948 children under five years of age reporting illness in the preceding two weeks. Absolute wealth among extended family networks is associated with utilization of any healthcare and healthcare with a formally-trained provider, an indicator of health service quality (adjusted odds ratio (aOR) = 1.29, 95% CI 1.03, 1.63; aOR = 1.49, 95% CI 1.17, 1.90, respectively). Net of maternal characteristics, educational attainment and decision-making power of extended female relatives of reproductive age in the concession network are powerful predictors of any healthcare utilization (aOR = 1.69, 95% CI 1.18, 2.42; aOR = 1.59, 95% CI 1.27, 1.99, respectively). Labor force participation among extended relatives is not associated with healthcare utilization outcomes among young children, while maternal labor force participation is predictive of utilization of any care and care with a formally-trained provider (aOR = 1.41, 95% CI 1.12, 1.78; aOR = 1.36, 95% CI 1.11, 1.67, respectively). These findings underscore the importance of financial and instrumental support from extended family and illuminate the ways extended families work together to return young children to health in the face of resource constraints.

Suggested Citation

  • Treleaven, Emily, 2023. "The relationship between extended kin resources and children's healthcare utilization: An analysis of family networks," Social Science & Medicine, Elsevier, vol. 321(C).
    • Handle: RePEc:eee:socmed:v:321:y:2023:i:c:s027795362300076x
    DOI: 10.1016/j.socscimed.2023.115720
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    1. Almedom, Astier M., 2005. "Social capital and mental health: An interdisciplinary review of primary evidence," Social Science & Medicine, Elsevier, vol. 61(5), pages 943-964, September.
    2. LaFave, Daniel & Thomas, Duncan, 2017. "Extended families and child well-being," Journal of Development Economics, Elsevier, vol. 126(C), pages 52-65.
    3. Natasha V. Pilkauskas & Mariana Amorim & Rachel E. Dunifon, 2020. "Historical Trends in Children Living in Multigenerational Households in the United States: 1870–2018," Demography, Springer;Population Association of America (PAA), vol. 57(6), pages 2269-2296, December.
    4. Sangeetha Madhavan & Paul Mee & Mark Collinson, 2014. "Kinship in Practice: Spatial Distribution of Children's Kin Networks," Journal of Southern African Studies, Taylor & Francis Journals, vol. 40(2), pages 401-418, March.
    5. Brauner-Otto, Sarah & Baird, Sarah & Ghimire, Dirgha, 2019. "Maternal employment and child health in Nepal: The importance of job type and timing across the child's first five years," Social Science & Medicine, Elsevier, vol. 224(C), pages 94-105.
    6. Carter, Michael R. & Maluccio, John A., 2003. "Social Capital and Coping with Economic Shocks: An Analysis of Stunting of South African Children," World Development, Elsevier, vol. 31(7), pages 1147-1163, July.
    7. Johnson, Ari & Goss, Adeline & Beckerman, Jessica & Castro, Arachu, 2012. "Hidden costs: The direct and indirect impact of user fees on access to malaria treatment and primary care in Mali," Social Science & Medicine, Elsevier, vol. 75(10), pages 1786-1792.
    8. Treleaven, Emily & Ngin, Chanrith, 2021. "When parents are not present: Decision-making dynamics for young children's health and illness in migrant-sending households in rural Cambodia," Social Science & Medicine, Elsevier, vol. 287(C).
    9. Sear, Rebecca & Steele, Fiona & McGregor, Ian A. & Mace, Ruth, 2002. "The effects of kin on child mortality in rural Gambia," LSE Research Online Documents on Economics 247, London School of Economics and Political Science, LSE Library.
    10. Ellis, Amy A. & Winch, Peter & Daou, Zana & Gilroy, Kate E. & Swedberg, Eric, 2007. "Home management of childhood diarrhoea in southern Mali--Implications for the introduction of zinc treatment," Social Science & Medicine, Elsevier, vol. 64(3), pages 701-712, February.
    11. Adams, Alayne M. & Madhavan, Sangeetha & Simon, Dominique, 2002. "Women's social networks and child survival in Mali," Social Science & Medicine, Elsevier, vol. 54(2), pages 165-178, January.
    12. Richards, Esther & Theobald, Sally & George, Asha & Kim, Julia C. & Rudert, Christiane & Jehan, Kate & Tolhurst, Rachel, 2013. "Going beyond the surface: Gendered intra-household bargaining as a social determinant of child health and nutrition in low and middle income countries," Social Science & Medicine, Elsevier, vol. 95(C), pages 24-33.
    13. Colvin, Christopher J. & Smith, Helen J. & Swartz, Alison & Ahs, Jill W. & de Heer, Jodie & Opiyo, Newton & Kim, Julia C. & Marraccini, Toni & George, Asha, 2013. "Understanding careseeking for child illness in sub-Saharan Africa: A systematic review and conceptual framework based on qualitative research of household recognition and response to child diarrhoea, ," Social Science & Medicine, Elsevier, vol. 86(C), pages 66-78.
    14. Turney, Kristin, 2013. "Perceived instrumental support and children's health across the early life course," Social Science & Medicine, Elsevier, vol. 95(C), pages 34-42.
    15. Deon Filmer & Lant Pritchett, 2001. "Estimating Wealth Effects Without Expenditure Data—Or Tears: An Application To Educational Enrollments In States Of India," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 115-132, February.
    16. Miedema, Stephanie Spaid & Haardörfer, Regine & Girard, Amy Webb & Yount, Kathryn M., 2018. "Women’s empowerment in East Africa: Development of a cross-country comparable measure," World Development, Elsevier, vol. 110(C), pages 453-464.
    17. Lépine, Aurélia & Strobl, Eric, 2013. "The Effect of Women’s Bargaining Power on Child Nutrition in Rural Senegal," World Development, Elsevier, vol. 45(C), pages 17-30.
    18. Sonalde Desai & Soumya Alva, 1998. "Maternal education and child health: Is there a strong causal relationship?," Demography, Springer;Population Association of America (PAA), vol. 35(1), pages 71-81, February.
    19. Frost, Michelle Bellessa & Forste, Renata & Haas, David W., 2005. "Maternal education and child nutritional status in Bolivia: finding the links," Social Science & Medicine, Elsevier, vol. 60(2), pages 395-407, January.
    20. Smith-Greenaway, Emily, 2013. "Mothers' reading skills and child survival in Nigeria: Examining the relevance of mothers' decision-making power," Social Science & Medicine, Elsevier, vol. 97(C), pages 152-160.
    21. Hayley Pierce & Ashley Larsen Gibby & Renata Forste, 2016. "Caregiver Decision-Making: Household Response to Child Illness in Sub-Saharan Africa," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 35(5), pages 581-597, October.
    22. Aurélien Dasré & Olivia Samuel & Véronique Hertrich, 2019. "The dynamics of the family network during childhood: A genealogical and longitudinal approach to rural Mali," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 41(9), pages 231-262.
    23. Emily Smith-Greenaway, 2013. "Maternal Reading Skills and Child Mortality in Nigeria: A Reassessment of Why Education Matters," Demography, Springer;Population Association of America (PAA), vol. 50(5), pages 1551-1561, October.
    24. Rebecca Sear & Fiona Steele & Ian McGregor & Ruth Mace, 2002. "The effects of kin on child mortality in rural gambia," Demography, Springer;Population Association of America (PAA), vol. 39(1), pages 43-63, February.
    25. Solomon Kibret Abreha & Solomon Zena Walelign & Yacob Abrehe Zereyesus, 2020. "Associations between women’s empowerment and children’s health status in Ethiopia," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-24, July.
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