A Multivariate logistic regression model of Healthcare service utilization in district Kanpur Nagar, Uttar Pradesh

Authors

DOI:

https://doi.org/10.47203/IJCH.2025.v37i03.016

Keywords:

Health Insurance, Utilization, Binary Variable, Healthcare Services

Abstract

Background: To become a developed economy for good health of citizens is of prime importance. As healthcare facilities are getting costlier day by day, people are either avoiding to utilise health care services or they do incur lot of out of pocket expenditure (OOPE). Several independent factors also affect the utilization of healthcare facility by individual. Aim & Objective: The aim of this study was to explore factors significantly influencing healthcare utilization by constructing a predictive model using multivariate logistic regression. Methodology: A cross-sectional empirical study was conducted across urban and rural areas of district Kanpur Nagar using semi structured, pretested questionnaire. A sample of 400 respondents (264 urban and 136 rural) was selected using probability proportion to size, followed by multi stage random sampling. Analysis was done using different statistical tools. Results: Age, education and income were positively associated with dependent variable healthcare utilization while distance to healthcare facility is negatively associated with healthcare utilization. Conclusions: Result of multivariate logistic regression indicates various factors are significantly associated with healthcare utilization. Health insurance coverage to be increased for elderly and low income individuals, while accessibility for healthcare facility to be increased for rural areas.

Downloads

Download data is not yet available.

References

Ratan S, Nigam S, Midha T, Chaudhary S. A comparative study on treatment seeking behaviour of geriatric population in rural and urban areas of district Kanpur, Uttar Pradesh. Indian J Community Health. 2022;34(4):530–534.

Joseph J, Sankar H, Sharma SK, Nambiar D. Sex differences in disease burden, utilization, and expenditure on primary health care services in Kerala, India. Sci Rep. 2025 May 16;15(1):17116.

Hossain B, James KS, Nagargoje VP, Barman P. Differentials in private and public healthcare service utilization in later life: do gender and marital status have any association? J Women Aging. 2023 Mar-Apr;35(2):183–193.

Kesarwani P, Tripathi AK, Kumar A, Bihari A, Srivastava A. Enablers and barriers of antenatal health utilization among pregnant women in India: a comparative scrutiny from NFHS-4 & 5. Indian J Community Health. 2024;36(6):791–5.

Chaudhuri A. Socio economic inequity in health care utilization & expenditures in richer states in India. Indian J Med Res. 2012 Sep;136(3):368–369.

Krishnamoorthy Y, Kuberan D, Krishnan M, Sinha I, Kanth K, Samuel G. Impact of health insurance coverage on health care utilization during COVID 19 pandemic: a propensity score matched survey analysis in a target region in India. Int J Health Plann Manage. 2023 May;38(3):723–734.

Goswami P, Anand A. Impact of diabetes on healthcare utilization and expenditure among older adults in India. J Diabetes Metab Disord. 2023 Oct 13;23(1):593–601.

Yadav R, Zaman K, Mishra A, Reddy MM, Shankar P, Yadav P, et?al. Health seeking behaviour and healthcare utilization in a rural cohort of North India. Healthcare (Basel). 2022 Apr 19;10(5):757.

Dodd W, King N, Humphries S, Little M, Dewey C. Self-reported morbidity and health service utilization in rural Tamil Nadu, India. Soc Sci Med. 2016 Jul; 161:118–25.

Kaushal SK, Maroof M, Singh LD, Gupta SK, Kumar N. A comparative study on prevalence of lifestyle diseases for National Family Health Survey rounds 5 and 4 in Uttar Pradesh. Indian J Community Health. 2024;36(3):351–358.

Rathore R, Nigam S, Barman SK. A study on utilization of maternal and infant health services in rural area of district Kanpur Nagar. Int J Community Med Public Health. 2023;10(4):1513–1516

Verma N, Bano T, Chopra H, Singh G, Mittal C. Implementation challenges of Pradhan Mantri Jan Arogya Yojana: A cross-sectional study in Meerut, Uttar Pradesh. Indian J Community Health. 2022;34(3):330–333

National Health System Resource Centre. Health dossier 2021: Reflections on key health indicators. New Delhi: NHSRC; 2021. p. 18–20.

Ministry of Health and Family Welfare (MoHFW). National family health survey (NFHS-5). Mumbai: International Institute for Population Sciences (IIPS) and ICF; 2021. p. 171–172.

Ministry of Health and Family Welfare (MoHFW). State health account estimates for UP: 2019-20. New Delhi: NHSRC; 2020. p. 20–21

Kundapur R, Chandramohan S, Shetty V, Modi B. Health insurance in its way to combat financial crisis in breast cancer treatment. Indian J Community Health. 2019;31(3):396–400

Singh SK, Pandey P. Morbidity Profile, Healthcare utilization and associated out-of-pocket expenditure on health among elderly population of Lucknow district, northern India. Trop Med Surg. 2016;4(2):210

Dey DK, Mishra V. Determinants of choice of healthcare services utilization: empirical evidence from India. Indian J Community Health. 2014;26(4):356–363.

Vora K, Yasobant S, Mavalankar D. Predictors of availing maternal health schemes: a community-based study in Gujarat, India. Indian J Community Health. 2014;26(2):174–180.

Kanpur Nagar Nigam. Delimitation of zone 2017 [Internet]. Kanpur: Kanpur Nagar Nigam; 2017 [cited 2024 Dec 2]. Available from: http://kmc.up.nic.in/PDF_Files/others/zonewardlist.pdf [Accessed on 18/01/25].

Downloads

Published

2025-06-30

How to Cite

1.
Chandra A, Srivastava A, Jagwani B, Barman SK, Nagar N. A Multivariate logistic regression model of Healthcare service utilization in district Kanpur Nagar, Uttar Pradesh. Indian Journal of Community Health [Internet]. 2025 Jun. 30 [cited 2026 Jan. 8];37(3):453-8. Available from: https://www.iapsmupuk.org/journal/index.php/IJCH/article/view/3222

Issue

Section

Original Article

Dimensions Badge

Most read articles by the same author(s)