Predictors of health insurance uptake among residents of Lagos, Nigeria
Introduction Health insurance is a health-financing mechanism to protect people from catastrophic healthcare costs and limits out-of-pocket spending on healthcare, which is directly linked to poverty. This study assesses the extent of health-insurance uptake and associated factors in Lagos, Nigeria....
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| Format: | Article |
| Language: | English |
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European Publishing
2023-07-01
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| Series: | Population Medicine |
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| Online Access: | https://www.populationmedicine.eu/Predictors-of-health-insurance-uptake-among-residents-of-Lagos-Nigeria,169666,0,2.html |
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| author | Olufemi Erinoso Afolabi Oyapero Oluwabukunmi Familoye Adenike Omosun Adeyinka Adeniran Yetunde Kuyinu |
| author_facet | Olufemi Erinoso Afolabi Oyapero Oluwabukunmi Familoye Adenike Omosun Adeyinka Adeniran Yetunde Kuyinu |
| author_sort | Olufemi Erinoso |
| collection | DOAJ |
| description | Introduction
Health insurance is a health-financing
mechanism to protect people from catastrophic healthcare
costs and limits out-of-pocket spending on healthcare, which
is directly linked to poverty. This study assesses the extent
of health-insurance uptake and associated factors in Lagos,
Nigeria.
Methods
We conducted a cross-sectional survey of
consenting adults residing in Lagos, Nigeria. Participants
were enrolled at general outpatient clinics of four
public health facilities in Lagos State. Sociodemographic
characteristics and data on health-insurance uptake were
obtained and grouped into uninsured, National Health-
Insurance Scheme (NHIS) and Private Health-Insurance
(PHI). Factors associated with health-insurance uptake was
determined using chi-squared tests and logistic regression
models. Statistical significance was placed at p<0.05.
Results
A total of 1000 respondents were enrolled in the
study. Overall, 9.5% of participants had health-insurance:
NHIS (5.6%) and PHI (3.9%). Males had a higher healthinsurance
uptake than females (p=0.035). Respondents who
were married had higher odds of health-insurance uptake
than those that were single (AOR=2.23; 95% CI: 1.20–4.16;
p=0.01). Similarly, respondents who had a secondary-school
diploma had higher odds of having a health insurance
compared to those with less than a secondary-school
education (AOR=5.20; 95% CI: 1.14–23.68; p=0.03).
Conclusions
Our findings suggest a low rate of healthinsurance
uptake in the population. Being male, married
and possessing a secondary school diploma or higher were
associated with higher odds of health insurance uptake.
Policy measures should focus on expanding access to health
insurance, particularly among the less educated and the
informal employment sector. |
| format | Article |
| id | doaj-art-00a91feb1ff44f74af42fdf26cf72f79 |
| institution | OA Journals |
| issn | 2654-1459 |
| language | English |
| publishDate | 2023-07-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Population Medicine |
| spelling | doaj-art-00a91feb1ff44f74af42fdf26cf72f792025-08-20T02:11:21ZengEuropean PublishingPopulation Medicine2654-14592023-07-015July1710.18332/popmed/169666169666Predictors of health insurance uptake among residents of Lagos, NigeriaOlufemi Erinoso0Afolabi Oyapero1https://orcid.org/0000-0003-4433-8276Oluwabukunmi Familoye2Adenike Omosun3Adeyinka Adeniran4Yetunde Kuyinu5School of Public Health, University of Nevada, Reno, United StatesDepartment of Preventive Dentistry, Lagos State University College of Medicine, Lagos, NigeriaCollege of Medicine, Lagos State University College of Medicine, Lagos, NigeriaStatistics Unit, Lagos State Ministry of Health, Lagos, NigeriaDepartment of Community Health and Primary Health Care, Lagos State University College of Medicine, Ikeja, Lagos, NigeriaDepartment of Community Health and Primary Health Care, Lagos State University College of Medicine, Ikeja, Lagos, NigeriaIntroduction Health insurance is a health-financing mechanism to protect people from catastrophic healthcare costs and limits out-of-pocket spending on healthcare, which is directly linked to poverty. This study assesses the extent of health-insurance uptake and associated factors in Lagos, Nigeria. Methods We conducted a cross-sectional survey of consenting adults residing in Lagos, Nigeria. Participants were enrolled at general outpatient clinics of four public health facilities in Lagos State. Sociodemographic characteristics and data on health-insurance uptake were obtained and grouped into uninsured, National Health- Insurance Scheme (NHIS) and Private Health-Insurance (PHI). Factors associated with health-insurance uptake was determined using chi-squared tests and logistic regression models. Statistical significance was placed at p<0.05. Results A total of 1000 respondents were enrolled in the study. Overall, 9.5% of participants had health-insurance: NHIS (5.6%) and PHI (3.9%). Males had a higher healthinsurance uptake than females (p=0.035). Respondents who were married had higher odds of health-insurance uptake than those that were single (AOR=2.23; 95% CI: 1.20–4.16; p=0.01). Similarly, respondents who had a secondary-school diploma had higher odds of having a health insurance compared to those with less than a secondary-school education (AOR=5.20; 95% CI: 1.14–23.68; p=0.03). Conclusions Our findings suggest a low rate of healthinsurance uptake in the population. Being male, married and possessing a secondary school diploma or higher were associated with higher odds of health insurance uptake. Policy measures should focus on expanding access to health insurance, particularly among the less educated and the informal employment sector.https://www.populationmedicine.eu/Predictors-of-health-insurance-uptake-among-residents-of-Lagos-Nigeria,169666,0,2.htmlhealth insurancenational health insurance schemeprivate health insuranceuniversal health coverage |
| spellingShingle | Olufemi Erinoso Afolabi Oyapero Oluwabukunmi Familoye Adenike Omosun Adeyinka Adeniran Yetunde Kuyinu Predictors of health insurance uptake among residents of Lagos, Nigeria Population Medicine health insurance national health insurance scheme private health insurance universal health coverage |
| title | Predictors of health insurance uptake among residents of Lagos, Nigeria |
| title_full | Predictors of health insurance uptake among residents of Lagos, Nigeria |
| title_fullStr | Predictors of health insurance uptake among residents of Lagos, Nigeria |
| title_full_unstemmed | Predictors of health insurance uptake among residents of Lagos, Nigeria |
| title_short | Predictors of health insurance uptake among residents of Lagos, Nigeria |
| title_sort | predictors of health insurance uptake among residents of lagos nigeria |
| topic | health insurance national health insurance scheme private health insurance universal health coverage |
| url | https://www.populationmedicine.eu/Predictors-of-health-insurance-uptake-among-residents-of-Lagos-Nigeria,169666,0,2.html |
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