Barriers, Inequalities, and Public Perceptions of Healthcare Access During COVID-19 in Kazakhstan: Findings from a National Cross-Sectional Survey.

Barriers, Inequalities, and Public Perceptions of Healthcare Access During COVID-19 in Kazakhstan: Findings from a National Cross-Sectional Survey. | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 28 April 2025 V1 Latest version Share on Barriers, Inequalities, and Public Perceptions of Healthcare Access During COVID-19 in Kazakhstan: Findings from a National Cross-Sectional Survey. Authors : Balnur Iskakova 0000-0002-5862-5375 [email protected] , Alissa Davis , Susan L. Rosenthal , Assel Bukharbayeva , Akbope Myrkassymova , Maral Yerdenova , Assel Izekenova , Aigulsum Izekenova , Kuanysh Karibayev , Baurzhan Zhussupov , and Gaukhar Mergenova Authors Info & Affiliations https://doi.org/10.22541/au.174582736.66602944/v1 415 views 109 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract The COVID-19 pandemic significantly disrupted healthcare access worldwide, including in Kazakhstan, where healthcare disparities may have worsened. This study examines barriers to healthcare access during the pandemic and factors associated with failed access. A cross-sectional survey of 1021 adults was conducted in Kazakhstan between June and July 2021 using a multistage stratified sampling approach. Weighted analyses accounted for selection biases and non-response. Participants reported barriers to COVID-19-related care, access to healthcare services, and the mode of care received (in person, telemedicine, or not accessed). Fear of contracting COVID-19 (38.9%), hospitalization (24.7%), and isolation-related job or income loss (23.9%) were the most common barriers. Among those needing healthcare (n=753), 21.7 % failed to access services, particularly health products (31.7%), emergency care (21.6%), and inpatient medical care (20.2%). Failed access was significantly associated with chronic conditions (ARR 1.54, 95% CI 1.13–2.11), unemployment (ARR 1.70, 95% CI 1.12–2.57), and food insecurity (ARR 1.34, 95% CI 1.02–1.77). These findings highlight the need for targeted policies to ensure equitable healthcare access during public health crises, particularly for vulnerable populations. Supplementary Material File (manuscript.docx) Download 115.61 KB Information & Authors Information Version history V1 Version 1 28 April 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords covid-19 health equity healthcare access kazakhstan Authors Affiliations Balnur Iskakova 0000-0002-5862-5375 [email protected] Asfendiyarov Kazakh National Medical University View all articles by this author Alissa Davis Columbia University School of Social Work View all articles by this author Susan L. Rosenthal Columbia University Vagelos College of Physicians and Surgeons View all articles by this author Assel Bukharbayeva Asfendiyarov Kazakh National Medical University View all articles by this author Akbope Myrkassymova Asfendiyarov Kazakh National Medical University View all articles by this author Maral Yerdenova Asfendiyarov Kazakh National Medical University View all articles by this author Assel Izekenova Kenzhegali Sagadiev University of International Business View all articles by this author Aigulsum Izekenova Asfendiyarov Kazakh National Medical University View all articles by this author Kuanysh Karibayev Asfendiyarov Kazakh National Medical University View all articles by this author Baurzhan Zhussupov Asfendiyarov Kazakh National Medical University View all articles by this author Gaukhar Mergenova Asfendiyarov Kazakh National Medical University View all articles by this author Metrics & Citations Metrics Article Usage 415 views 109 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Balnur Iskakova, Alissa Davis, Susan L. Rosenthal, et al. Barriers, Inequalities, and Public Perceptions of Healthcare Access During COVID-19 in Kazakhstan: Findings from a National Cross-Sectional Survey.. Authorea . 28 April 2025. DOI: https://doi.org/10.22541/au.174582736.66602944/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . 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