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Women's health in urban Mali: Social predictors and health itineraries

Listed author(s):
  • Bove, Riley M.
  • Vala-Haynes, Emily
  • Valeggia, Claudia R.
Registered author(s):

    Social and marital factors may influence women's health outcomes. This is of particular relevance in sub-Saharan Africa, where women's health indicators lag behind the rest of the world. Our study examines the impact of social mediators of women's health during key events (pregnancy and illness) in urban Mali. In this cross-sectional study, we interviewed 324 women aged 15–80, living in Bamako, the capital city, in 1999. We used mixed quantitative and qualitative methods to obtain detailed histories of pregnancy and illness during specific time periods preceding the survey. We examined the role of marital factors (polygyny, widowhood), social factors (sources of support and scales derived for social network and social power), and household wealth on women's therapeutic itineraries. We compared the sociodemographic characteristics of our sample with those of the 2001 Mali Demographic and Health Survey and used their data on contraception to enrich analyses.

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    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 75 (2012)
    Issue (Month): 8 ()
    Pages: 1392-1399

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    Handle: RePEc:eee:socmed:v:75:y:2012:i:8:p:1392-1399
    DOI: 10.1016/j.socscimed.2012.06.012
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    1. Gyimah, Stephen Obeng, 2009. "Polygynous marital structure and child survivorship in sub-Saharan Africa: Some empirical evidence from Ghana," Social Science & Medicine, Elsevier, vol. 68(2), pages 334-342, January.
    2. 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.
    3. 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.
    4. Antony Chapoto & T. S. Jayne & Nicole M. Mason, 2011. "Widows' Land Security in the Era of HIV/AIDS: Panel Survey Evidence from Zambia," Economic Development and Cultural Change, University of Chicago Press, vol. 59(3), pages 511-547.
    5. Bove, Riley & Valeggia, Claudia, 2009. "Polygyny and women's health in sub-Saharan Africa," Social Science & Medicine, Elsevier, vol. 68(1), pages 21-29, January.
    6. Donkor, Ernestina S. & Sandall, Jane, 2007. "The impact of perceived stigma and mediating social factors on infertility-related stress among women seeking infertility treatment in Southern Ghana," Social Science & Medicine, Elsevier, vol. 65(8), pages 1683-1694, October.
    7. Bila, Blandine & Egrot, Marc, 2009. "Gender asymmetry in healthcare-facility attendance of people living with HIV/AIDS in Burkina Faso," Social Science & Medicine, Elsevier, vol. 69(6), pages 854-861, September.
    8. Pick, William M. & Obermeyer, Carla Makhlouf, 1996. "Urbanisation, household composition and the reproductive health of women in a South African city," Social Science & Medicine, Elsevier, vol. 43(10), pages 1431-1441, November.
    9. Patience Aseweh Abor, 2011. "The socio-economic determinants of maternal health care utilization in Ghana," International Journal of Social Economics, Emerald Group Publishing, vol. 38(7), pages 628-648, June.
    10. McTavish, Sarah & Moore, Spencer & Harper, Sam & Lynch, John, 2010. "National female literacy, individual socio-economic status, and maternal health care use in sub-Saharan Africa," Social Science & Medicine, Elsevier, vol. 71(11), pages 1958-1963, December.
    11. Orubuloye, I. O. & Caldwell, John C. & Caldwell, Pat, 1997. "Perceived male sexual needs and male sexual behaviour in southwest Nigeria," Social Science & Medicine, Elsevier, vol. 44(8), pages 1195-1207, April.
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