Demographic and economic correlates of health security in West Sumatra province - Indonesia

Ninuk Hariyani; Dessi Febriyanti; Marpaleni; Judith Wigati Darmastuti; Suha Mudhish Abduljalil Ahmed; Kaushik Sengupta

doi:10.1016/j.heliyon.2023.e21142

Demographic and economic correlates of health security in West Sumatra province - Indonesia

Heliyon. 2023 Oct 18;9(11):e21142. doi: 10.1016/j.heliyon.2023.e21142. eCollection 2023 Nov.

Authors

Ninuk Hariyani^{1

2}, Dessi Febriyanti^{3

4}, Marpaleni^{5

6}, Judith Wigati Darmastuti¹, Suha Mudhish Abduljalil Ahmed⁷, Kaushik Sengupta⁸

Affiliations

¹ Department of Dental Public Health, Faculty of Dental Medicine, Universitas Airlangga, Indonesia.
² Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia.
³ Central Board of Statistics, West Sumatra province, Indonesia.
⁴ Trainer of the 2017 Indonesian National Socio-Economic Survey's National Instructor, Indonesia.
⁵ Central Board of Statistics, South Sumatra province, Indonesia.
⁶ Population and Geography Study Program, Flinders University, Australia.
⁷ Dental Health Science Postgraduate Program, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
⁸ Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

Abstract

Objectives: Access to health insurances could indicate the degree of health security among communities. Indonesia made a commitment to attain universal health insurance coverage by the end of 2019. However, until today it has not reached the goal of 100% coverage. Therefore, there is a need to portray the demographic and economic correlates of health insurance coverage in an area to improve health security achievement.

Methods: This secondary analysis was based on the 2017 Indonesian national socio-economic survey conducted in the West Sumatra province. Multivariable models using logistic regression were used to estimate the odds ratios (OR) for being uninsured.

Results: The results showed that health security, in terms of insurance coverage, was influenced by demographic and economic factors. Young and middle-aged individuals were more likely to be uninsured than older ones (OR = 1.49 and OR = 1.21, respectively). People from a lower educated family, or with lower consumption per capita have higher risk of being uninsured (OR = 3.00 and OR = 1.26, respectively).

Conclusion: Insurance coverage was influenced by demographic and economic factors. Policymakers should consider demographic and economic factors related to the implementation of universal health coverage. Campaign about the importance of universal health coverage should reach all citizens.

Keywords: Demographic; Health security; Indonesia; Socioeconomic; Universal health insurance.