Socio-Economic Status and Overnight Hospital Stays: Evidence from the Panel Component of the Nigerian Household Survey

16 Pages Posted: 22 Jun 2015

See all articles by Conrad Puozaa

Conrad Puozaa

Department of Economics, University of Mississippi

Date Written: April 17, 2015

Abstract

An individual’s socioeconomic status is one of the most important determinants of health care utilization. Yet, income as an indicator of socio-economic status is often underreported in survey data. This problem is compounded in African countries due to the existence of a large informal sector and cultural practices. To overcome this situation, this paper constructs a five-scale index based on households’ assets. This alternate measure of one’s socio-economic status is included as an explanatory variable in a negative binomial regression that examines the determinants of overnight hospital stays in Nigeria. My analysis suggests overnight hospital stays tend to decrease in both monetary and asset-based measures of socioeconomic status; although income tends to overstate this effect. Since the poor are more likely to stay more nights in a hospital, this may be an indication that the poor generally delay visits to health care facilities due to the predominance of user fees in the Nigerian health care system. To reduce this trend, there is the need for an expanded and affordable primary health care system that takes into account the local socio-economic environment. Finally, the study finds that the severity of ill-health is the single most important determinant of overnight hospital stays.

Keywords: Socio-economic Index, Hospitalization, Overnight Hospital Stay, Health Care Utilization

JEL Classification: D04, I18, R28

Suggested Citation

Puozaa, Conrad, Socio-Economic Status and Overnight Hospital Stays: Evidence from the Panel Component of the Nigerian Household Survey (April 17, 2015). Available at SSRN: https://ssrn.com/abstract=2620004 or http://dx.doi.org/10.2139/ssrn.2620004

Conrad Puozaa (Contact Author)

Department of Economics, University of Mississippi ( email )

Oxford, MS
United States

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