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© 1988 Oxford University Press

research-article

Who Consults and Where? Sociocultural Differentiation in Access to Health Care in Urban Africa

DIDIER FASSIN*, EMILE JEANNEE**, DOMINIQUE CÈBE{dagger} and MARC RÉVEILLON**

*Institut Santé et Développement 15–21 rue de l'Ecole de Médecine, 75270 Paris Cedex 06, France
**Projet de Soins de Santé primaires à Pikine BP 10015, Dakar, Senegal
{dagger}Institut National de la Santé et de le Recherche Médicale U 164 16 avenue Paul Vaillant-Couturier, 94807 Villejuif Cedex, France

Fassin D (Institut Santé et Développement 15–21 rue de l'Ecole de Médecine, 75270 Paris Cedex 06, France), Jeannée E, CÈbe D and Réveillon M. Who consults and where? Sociocultural differentiation in access to health care in urban Africa. International Journal of Epidemiology 1988, 17: 858–864.

Sociocultural differentiation in health behaviour was studied among 500 mothers randomly chosen in the suburban area of Dakar, Senegal. Variables were age, marital status, educational level, socioeconomic conditions, urban experience, town integration, village attachment social insurance, ethnic group and disease categories. Access to health care was considered for the last illness of the mother and her youngest child under five. Town integration and disease category (and social insurance for children) were the only variables correlated with the number of consultations. Socioeconomic level and social insurance (and educational level for mothers) were associated with preference for private rather than public health systems.

Received 1 February 1988


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