Contextual Influences on Reproductive Wellness in Northern India
Year: 2003
Type: article
Study design: Observational Study
Abstract: OBJECTIVES: There has been a growing recognition of the importance of contextual influences on health outcomes. This article examines community-level influences on 5 reproductive wellness outcomes in Uttar Pradesh, India. METHODS: Multilevel modeling is used to estimate household and community-level effects on wellness, with hierarchically organized data from a statewide survey of villages, urban blocks, households, women, health providers, and staff. RESULTS: The household and community have a strong contextual influence on wellness, although the models explain more of the variation in outcomes between households than between communities. CONCLUSIONS: Communities influence wellness outcomes through the socioeconomic environment and the characteristics of the health infrastructure. The specific dimensions of the community and health infrastructure varied between the outcomes.
Authors: Rob Stephenson, Amy Ong Tsui
Institution: Johns Hopkins University
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2124455506