{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:49:29Z","timestamp":1790700569175,"version":"4.1.0"},"reference-count":25,"publisher":"CAIRN","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,9,6]]},"abstract":"<jats:p>Introduction\u00a0: Le renoncement aux soins pour raisons financi\u00e8res est un indicateur de l\u2019accessibilit\u00e9 \u00e9conomique aux soins. Objectif\u00a0: L\u2019objectif de ce travail \u00e9tait d\u2019identifier les d\u00e9terminants du renoncement aux soins pour raisons financi\u00e8res chez les femmes en zone p\u00e9riurbaine \u00e0 Abidjan. M\u00e9thode\u00a0: Il s\u2019agit d\u2019une \u00e9tude transversale, r\u00e9alis\u00e9e de mars \u00e0 mai 2019, aupr\u00e8s des femmes de 18\u00a0ans et plus dans le quartier d\u2019Anonkoi-3, au nord de la ville d\u2019Abidjan. Les caract\u00e9ristiques sociod\u00e9mographiques, \u00e9conomiques, celles de l\u2019\u00e9tat de sant\u00e9 et du renoncement aux soins ont \u00e9t\u00e9 renseign\u00e9es \u00e0 partir d\u2019un questionnaire. Les associations entre le renoncement aux soins pour raisons financi\u00e8res et chacune des caract\u00e9ristiques \u00e9tudi\u00e9es ont \u00e9t\u00e9 mesur\u00e9es au moyen de mod\u00e8les de r\u00e9gression logistiques au risque 5\u00a0%. R\u00e9sultats\u00a0: Les 423 femmes enqu\u00eat\u00e9es avaient un \u00e2ge m\u00e9dian de 28 \u00b1 11\u00a0ans. Seules 30\u00a0% d\u2019entre elles b\u00e9n\u00e9ficiaient d\u2019une couverture maladie. Le taux de renoncement aux soins \u00e9tait de 59,1\u00a0%. Ce renoncement \u00e9tait plus marqu\u00e9 \u00e0 l\u2019achat de m\u00e9dicaments, pour les examens biologiques, les soins dentaires et les actes chirurgicaux. Le nombre de personnes \u00e0 charge ( p \u00a0=\u00a00,035), le jeune \u00e2ge ( p \u00a0\u2264\u00a00,035), le faible niveau d\u2019instruction ( p \u00a0=\u00a00,024), le faible niveau de revenus ( p \u00a0\u2264\u00a00,004), l\u2019absence de vie associative ( p \u00a0=\u00a00,004) et la perception d\u2019un mauvais \u00e9tat de sant\u00e9 ( p \u00a0=\u00a00,021) ont \u00e9t\u00e9 identifi\u00e9s comme d\u00e9terminants du renoncement aux soins pour raisons financi\u00e8res. Conclusion\u00a0: L\u2019autonomisation, l\u2019alphab\u00e9tisation, l\u2019instruction sanitaire des femmes et l\u2019adh\u00e9sion \u00e0 la couverture maladie universelle devraient contribuer \u00e0 lever l\u2019obstacle financier de l\u2019acc\u00e8s aux soins des femmes.<\/jats:p>","DOI":"10.3917\/spub.212.0285","type":"journal-article","created":{"date-parts":[[2021,9,20]],"date-time":"2021-09-20T09:52:56Z","timestamp":1632131576000},"page":"285-293","source":"Crossref","is-referenced-by-count":5,"title":["Renoncement aux soins pour raisons financi\u00e8res des femmes d\u2019un quartier p\u00e9riurbain d\u2019Abidjan en C\u00f4te d\u2019Ivoire"],"prefix":"10.3917","volume":"Vol. 33","author":[{"given":"Julie-Ghislaine","family":"Sackou-Kouakou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e9r\u00f4me","family":"Kouam\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Laure","family":"Tiad\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aka Ang\u00e8le","family":"Desquith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aissata","family":"Dagnogo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annita","family":"Hounsa-Alla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R\u00e9gine","family":"Attia-Konan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madikiny","family":"Coulibaly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kouakou Luc","family":"Kouadio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2273","reference":[{"key":"rb1","doi-asserted-by":"publisher","first-page":"169-197","DOI":"10.3406\/estat.2014.10426","article-title":"Le renoncement aux soins m\u00e9dicaux et dentaires : une analyse \u00e0 partir des donn\u00e9es de l\u2019enqu\u00eate<i> SRCV <\/i>","volume":"469","author":"Chaupain-Guillot Sabine","year":"2014","journal-title":"Economie et statistique","ISSN":"https:\/\/id.crossref.org\/issn\/0336-1454","issn-type":"print"},{"key":"rb2","doi-asserted-by":"publisher","first-page":"465-472","DOI":"10.1016\/j.socscimed.2009.10.027","article-title":"Subjective unmet need and utilization of health care services in Canada: What are the equity implications?","volume":"70","author":"Allin Sara","year":"2010","journal-title":"Social Science & Medicine","ISSN":"https:\/\/id.crossref.org\/issn\/0277-9536","issn-type":"print"},{"key":"rb3","doi-asserted-by":"publisher","first-page":"63-107","DOI":"10.3917\/rfe.164.0063","article-title":"D\u00e9terminants du renoncement aux soins des femmes durant leur grossesse","volume":"Vol. XXXI","author":"Ancelot Lydie","year":"2017","journal-title":"Revue fran\u00e7aise d'\u00e9conomie","ISSN":"https:\/\/id.crossref.org\/issn\/0769-0479","issn-type":"print"},{"key":"rb4","unstructured":"4 Despr\u00e9s C, Dourgnon P, Fantin R, Jusot F. 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