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Determinants of better health: A cross-sectional assessment of positive deviants among women in West Bengal

Resource type
Authors/contributors
Title
Determinants of better health: A cross-sectional assessment of positive deviants among women in West Bengal
Abstract
Background: Rural women in West Bengal have been found to have low rates of formal education, poor health knowledge, high rates of malnutrition and anemia, and low levels of empowerment. Despite these difficult circumstances, some women have positive health outcomes compared to women with similarly disadvantaged backgrounds. The purpose of this study is to identify factors associated with positive health outcomes among women with primary education or less. Methods. Multivariable regression models were built for outcomes of positive deviance to better characterize the factors in a woman's life that most impact her ability to deviate from the status quo. Results: Positive deviants in this context are shown to be women who are able to earn an income, who have access to information through media sources, and who, despite little schooling, have marginally higher levels of formal education that lead to improved health outcomes. Conclusions: Study findings indicate that positive deviant women in disadvantaged circumstances can achieve positive outcomes amidst a host of contextual barriers that would predict poor health outcomes. Focusing on areas such as enhancing access to media sources, facilitating self-help groups for married women, and promoting prolonged education and delayed marriage for girls may improve health knowledge and behavior among married women with low levels of education. © 2013 Long et al.; licensee BioMed Central Ltd.
Publication
BMC Public Health
Volume
13
Issue
1
Pages
372-381
Date
2013
Language
English
DOI
10.1186/1471-2458-13-372
ISSN
1471-2458
Short Title
Determinants of better health
Archive
Scopus
Library Catalog
Scopus
Citation
Long, K. N. G., Gren, L. H., Rees, C. A., West, J. H., Hall, P. C., Gray, B., & Crookston, B. T. (2013). Determinants of better health: A cross-sectional assessment of positive deviants among women in West Bengal. BMC Public Health, 13(1), 372–381. Scopus. https://doi.org/10.1186/1471-2458-13-372