{"id":"https://openalex.org/W7204156970","doi":"https://doi.org/10.4236/ojepi.2026.163033","title":"Determinants of Care Pathways among People with Reduced Mobility in Major Urban Centers of Benin","display_name":"Determinants of Care Pathways among People with Reduced Mobility in Major Urban Centers of Benin","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7204156970","doi":"https://doi.org/10.4236/ojepi.2026.163033"},"language":"en","primary_location":{"id":"doi:10.4236/ojepi.2026.163033","doi":"https://doi.org/10.4236/ojepi.2026.163033","is_oa":true,"landing_page_url":"https://doi.org/10.4236/ojepi.2026.163033","pdf_url":"https://www.scirp.net/pdf/ojepi_1890959.pdf","source":{"id":"https://openalex.org/S2764602986","display_name":"Open Journal of Epidemiology","issn_l":"2165-7459","issn":["2165-7459","2165-7467"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310320480","host_organization_name":"Scientific Research Publishing","host_organization_lineage":["https://openalex.org/P4310320480"],"host_organization_lineage_names":["Scientific Research Publishing"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Journal of Epidemiology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.scirp.net/pdf/ojepi_1890959.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5083941951","display_name":"Tychique Nougbode","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210119417","display_name":"Universit\u00e9 d'Abomey-Calavi","ror":"https://ror.org/03gzr6j88","country_code":"BJ","type":"education","lineage":["https://openalex.org/I4210119417"]}],"countries":["BJ"],"is_corresponding":true,"raw_author_name":"Tychique Nougbode","raw_affiliation_strings":["Faculty of Health Sciences , University of Abomey-Calavi , Abomey-Calavi , Benin","Regional Institute of Public Health , University of Abomey-Calavi , Abomey-Calavi , Benin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Health Sciences , University of Abomey-Calavi , Abomey-Calavi , Benin","institution_ids":["https://openalex.org/I4210119417"]},{"raw_affiliation_string":"Regional Institute of Public Health , University of Abomey-Calavi , Abomey-Calavi , Benin","institution_ids":["https://openalex.org/I4210119417"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5138826480","display_name":"Charles-Patrick Makoutode","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210119417","display_name":"Universit\u00e9 d'Abomey-Calavi","ror":"https://ror.org/03gzr6j88","country_code":"BJ","type":"education","lineage":["https://openalex.org/I4210119417"]}],"countries":["BJ"],"is_corresponding":false,"raw_author_name":"Charles-Patrick Makoutode","raw_affiliation_strings":["Regional Institute of Public Health , University of Abomey-Calavi , Abomey-Calavi , Benin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Regional Institute of Public Health , University of Abomey-Calavi , Abomey-Calavi , Benin","institution_ids":["https://openalex.org/I4210119417"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114540790","display_name":"Cyriaque Comlan Degbey","orcid":"https://orcid.org/0000-0002-6037-0287","observed_orcids":["https://orcid.org/0000-0002-6037-0287"]},"institutions":[{"id":"https://openalex.org/I4210119417","display_name":"Universit\u00e9 d'Abomey-Calavi","ror":"https://ror.org/03gzr6j88","country_code":"BJ","type":"education","lineage":["https://openalex.org/I4210119417"]}],"countries":["BJ"],"is_corresponding":false,"raw_author_name":"Cyriaque Degbey","raw_affiliation_strings":["Regional Institute of Public Health , University of Abomey-Calavi , Abomey-Calavi , Benin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Regional Institute of Public Health , University of Abomey-Calavi , Abomey-Calavi , Benin","institution_ids":["https://openalex.org/I4210119417"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070711630","display_name":"Maurice Agonnoud\u00e9","orcid":"https://orcid.org/0000-0001-8056-1921","observed_orcids":["https://orcid.org/0000-0001-8056-1921"]},"institutions":[{"id":"https://openalex.org/I4210113655","display_name":"Universit\u00e9 de Parakou","ror":"https://ror.org/025wndx93","country_code":"BJ","type":"education","lineage":["https://openalex.org/I4210113655"]}],"countries":["BJ"],"is_corresponding":false,"raw_author_name":"Maurice Agonnoude","raw_affiliation_strings":["National School of Technicians in Public Health and Epidemiological Surveillance , University of Parakou , Parakou , Benin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National School of Technicians in Public Health and Epidemiological Surveillance , University of Parakou , Parakou , Benin","institution_ids":["https://openalex.org/I4210113655"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5046753074","display_name":"Charles Jerome Sossa","orcid":"https://orcid.org/0000-0001-5886-2875","observed_orcids":["https://orcid.org/0000-0001-5886-2875"]},"institutions":[{"id":"https://openalex.org/I4210119417","display_name":"Universit\u00e9 d'Abomey-Calavi","ror":"https://ror.org/03gzr6j88","country_code":"BJ","type":"education","lineage":["https://openalex.org/I4210119417"]}],"countries":["BJ"],"is_corresponding":false,"raw_author_name":"Charles Jer\u00f4me-Sossa","raw_affiliation_strings":["Regional Institute of Public Health , University of Abomey-Calavi , Abomey-Calavi , Benin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Regional Institute of Public Health , University of Abomey-Calavi , Abomey-Calavi , Benin","institution_ids":["https://openalex.org/I4210119417"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5083941951"],"corresponding_institution_ids":["https://openalex.org/I4210119417"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.56537972,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"16","issue":"03","first_page":"500","last_page":"514"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14358","display_name":"Healthcare Quality and Satisfaction","score":0.33959999680519104,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T14358","display_name":"Healthcare Quality and Satisfaction","score":0.33959999680519104,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13633","display_name":"Public Health and Social Inequalities","score":0.3391000032424927,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.06480000168085098,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/reduced-mobility","display_name":"reduced mobility","score":0.9800000190734863},{"id":"https://openalex.org/keywords/care-pathways","display_name":"care pathways","score":0.9430000185966492},{"id":"https://openalex.org/keywords/barriers-to-care","display_name":"barriers to care","score":0.7319999933242798},{"id":"https://openalex.org/keywords/suboptimal-care","display_name":"suboptimal care","score":0.7680000066757202},{"id":"https://openalex.org/keywords/cultural-beliefs-and-practices","display_name":"cultural beliefs and practices","score":0.7870000004768372},{"id":"https://openalex.org/keywords/patient-education","display_name":"patient education","score":0.9089999794960022},{"id":"https://openalex.org/keywords/public-hospitals","display_name":"public hospitals","score":0.7360000014305115},{"id":"https://openalex.org/keywords/benin","display_name":"Benin","score":0.6830000281333923}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.838699996471405},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.7002999782562256},{"id":"https://openalex.org/C64341305","wikidata":"https://www.wikidata.org/wiki/Q4919225","display_name":"Bivariate analysis","level":2,"score":0.6528000235557556},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6151999831199646},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.5292999744415283},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.48010000586509705},{"id":"https://openalex.org/C196187386","wikidata":"https://www.wikidata.org/wiki/Q1050187","display_name":"Sociocultural evolution","level":2,"score":0.47429999709129333},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.45500001311302185},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.44440001249313354},{"id":"https://openalex.org/C45555294","wikidata":"https://www.wikidata.org/wiki/Q28113351","display_name":"Inequality","level":2,"score":0.40860000252723694},{"id":"https://openalex.org/C161584116","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate statistics","level":2,"score":0.3799999952316284},{"id":"https://openalex.org/C165148211","wikidata":"https://www.wikidata.org/wiki/Q5431887","display_name":"Social inequality","level":3,"score":0.3492000102996826},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.31040000915527344},{"id":"https://openalex.org/C110888244","wikidata":"https://www.wikidata.org/wiki/Q187588","display_name":"Social class","level":2,"score":0.30300000309944153},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.2906000018119812},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.2897000014781952},{"id":"https://openalex.org/C78491826","wikidata":"https://www.wikidata.org/wiki/Q3045352","display_name":"Social determinants of health","level":3,"score":0.2840999960899353}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.4236/ojepi.2026.163033","doi":"https://doi.org/10.4236/ojepi.2026.163033","is_oa":true,"landing_page_url":"https://doi.org/10.4236/ojepi.2026.163033","pdf_url":"https://www.scirp.net/pdf/ojepi_1890959.pdf","source":{"id":"https://openalex.org/S2764602986","display_name":"Open Journal of Epidemiology","issn_l":"2165-7459","issn":["2165-7459","2165-7467"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310320480","host_organization_name":"Scientific Research Publishing","host_organization_lineage":["https://openalex.org/P4310320480"],"host_organization_lineage_names":["Scientific Research Publishing"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Journal of Epidemiology","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.4236/ojepi.2026.163033","doi":"https://doi.org/10.4236/ojepi.2026.163033","is_oa":true,"landing_page_url":"https://doi.org/10.4236/ojepi.2026.163033","pdf_url":"https://www.scirp.net/pdf/ojepi_1890959.pdf","source":{"id":"https://openalex.org/S2764602986","display_name":"Open Journal of Epidemiology","issn_l":"2165-7459","issn":["2165-7459","2165-7467"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310320480","host_organization_name":"Scientific Research Publishing","host_organization_lineage":["https://openalex.org/P4310320480"],"host_organization_lineage_names":["Scientific Research Publishing"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Journal of Epidemiology","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.8974000215530396,"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204156970.pdf","grobid_xml":"https://content.openalex.org/works/W7204156970.grobid-xml"},"referenced_works_count":7,"referenced_works":["https://openalex.org/W2068155640","https://openalex.org/W2139726867","https://openalex.org/W2785041071","https://openalex.org/W3128388195","https://openalex.org/W4292096774","https://openalex.org/W4386759556","https://openalex.org/W4399551366"],"related_works":["https://openalex.org/W7165052388","https://openalex.org/W7213804953","https://openalex.org/W4403537669","https://openalex.org/W2979312625","https://openalex.org/W3123812838","https://openalex.org/W7029938015","https://openalex.org/W4386708384","https://openalex.org/W4282006409","https://openalex.org/W7168652606","https://openalex.org/W2979306835"],"abstract_inverted_index":{"Background:":[0],"Barriers":[1],"to":[2,11,31,36,142],"healthcare":[3,38,102],"access":[4,141],"among":[5],"people":[6,127],"with":[7,66,128],"reduced":[8,129],"mobility":[9,130],"contribute":[10],"complex":[12],"and":[13,55,72,79,90,117,121,137,144],"suboptimal":[14,37],"care":[15,124],"pathways.":[16],"In":[17],"Benin,":[18],"the":[19,33],"factors":[20,34,110],"influencing":[21],"these":[22,41],"pathways":[23,39,103,125],"remain":[24],"insufficiently":[25],"documented.":[26],"Objective:":[27],"The":[28,45],"objective":[29],"was":[30,47,64],"identify":[32],"contributing":[35],"for":[40,105,126],"individuals.":[42],"Study":[43],"Framework:":[44],"study":[46,63],"conducted":[48,65],"in":[49,52,57,69,140],"public":[50],"hospitals":[51],"Cotonou,":[53,70],"Porto-Novo":[54],"Parakou":[56],"Benin.":[58],"Methods:":[59],"A":[60],"cross-sectional":[61],"analytical":[62],"497":[67],"participants":[68],"Porto-Novo,":[71],"Parakou.":[73],"Data":[74],"were":[75,86],"collected":[76],"via":[77],"questionnaire":[78],"then":[80],"analyzed":[81],"using":[82,88],"Stata":[83],"11.0.":[84],"Associations":[85],"investigated":[87],"bivariate":[89],"multivariate":[91],"logistic":[92],"regression":[93],"at":[94],"a":[95],"significance":[96],"level":[97],"of":[98,107,147],"5%.":[99],"Results:":[100],"Suboptimal":[101],"accounted":[104],"86.72%":[106],"cases.":[108],"Five":[109],"remained":[111],"significantly":[112],"associated:":[113],"illness-related":[114],"cultural":[115],"beliefs":[116],"practices":[118],"(p":[119],"Conclusion":[120],"Contribution:":[122],"Optimizing":[123],"requires":[131],"strengthening":[132],"patient":[133],"education,":[134],"reducing":[135],"social":[136],"financial":[138],"inequalities":[139],"care,":[143],"better":[145],"consideration":[146],"sociocultural":[148],"realities.":[149]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2026-08-26T00:00:00"}