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Effect of climate variability on healthcare expenditure of food crop farmers in Southwest, Nigeria
International Journal of Biometeorology ( IF 3.2 ) Pub Date : 2021-01-20 , DOI: 10.1007/s00484-021-02079-z
Adewale Isaac Olutumise , Igbekele Amos Ajibefun , Akinyemi Gabriel Omonijo

This study empirically evaluated the effect of climate variability on the healthcare status and catastrophic health expenditure of the food crop farmers in Southwest, Nigeria. Cross-sectional data were sourced through a well-structured questionnaire and direct personal interview and used for the analysis. A multi-stage sampling technique was used to select 459 respondents, while descriptive statistics, multinomial logit and binary logistic regressions were used for the data analysis. Results revealed that farmers perceived increase in heavy rainfall, storms, floods, cases of ailments/diseases and pollutant concentration and decrease in food production. Creating sanitation programmes, planting of shade trees and use of medicine/herbs were the main adaptation strategies frequently used to combat the effects of climate change on their health. Self-medication was commonly used as a source of treatment, while age, education, income and climate variables were the main factors influencing preference to healthcare utilisation using multinomial logit regression. Results of logistic regression revealed that education, marital status, dependants, female household, environmental sanitation, extreme weather events and elderly persons were the main determinants of catastrophic health expenditure in the area. Therefore, a robust synergy among meteorological forecast, health surveillance and better disaster management should be established among the farmers. This will help in guiding against diseases and extreme weather events and improve adaptive capacity.

中文翻译:

气候变异对尼日利亚西南部粮食作物农民医疗保健支出的影响

本研究凭经验评估了气候变化对尼日利亚西南部粮食作物农民的医疗保健状况和灾难性健康支出的影响。横断面数据来自结构良好的问卷和直接的个人访谈,并用于分析。使用多阶段抽样技术选择 459 名受访者,同时使用描述性统计、多项 logit 和二元逻辑回归进行数据分析。结果显示,农民感知到强降雨、风暴、洪水、疾病/疾病病例和污染物浓度增加,以及粮食产量下降。制定卫生计划、种植遮荫树和使用药物/草药是经常用于应对气候变化对其健康影响的主要适应策略。自我药疗通常被用作治疗来源,而年龄、教育、收入和气候变量是影响使用多项 logit 回归医疗保健偏好的主要因素。Logistic 回归结果显示,教育、婚姻状况、受抚养人、女性家庭、环境卫生、极端天气事件和老年人是该地区灾难性卫生支出的主要决定因素。因此,应在农民中建立气象预报、健康监测和更好的灾害管理之间的强大协同作用。这将有助于指导抵御疾病和极端天气事件并提高适应能力。使用多项 logit 回归,收入和气候变量是影响医疗保健利用偏好的主要因素。Logistic 回归结果显示,教育、婚姻状况、受抚养人、女性家庭、环境卫生、极端天气事件和老年人是该地区灾难性卫生支出的主要决定因素。因此,应在农民中建立气象预报、健康监测和更好的灾害管理之间的强大协同作用。这将有助于指导抵御疾病和极端天气事件并提高适应能力。使用多项 logit 回归,收入和气候变量是影响医疗保健利用偏好的主要因素。Logistic 回归结果显示,教育、婚姻状况、受抚养人、女性家庭、环境卫生、极端天气事件和老年人是该地区灾难性卫生支出的主要决定因素。因此,应在农民中建立气象预报、健康监测和更好的灾害管理之间的强大协同作用。这将有助于指导抵御疾病和极端天气事件并提高适应能力。极端天气事件和老年人是该地区灾难性卫生支出的主要决定因素。因此,应在农民中建立气象预报、健康监测和更好的灾害管理之间的强大协同作用。这将有助于指导抵御疾病和极端天气事件并提高适应能力。极端天气事件和老年人是该地区灾难性卫生支出的主要决定因素。因此,应在农民中建立气象预报、健康监测和更好的灾害管理之间的强大协同作用。这将有助于指导抵御疾病和极端天气事件并提高适应能力。
更新日期:2021-01-20
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