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Peer-reviewedCC BYBMC public health

Determinants of women's exposure to mass media and its influence on healthcare utilization in Somaliland: a multilevel analysis of SLDHS 2020 data.

  • Yahye Hassan Muse1,2
  • Mohamed Abdi Abdullahi3
  • Abdisalam Hassan Muse3
  • Mukhtar Abdi Hassan4,3,5
  • Saralees Nadarajah5
5 affiliations
  1. 1School of Health Sciences and Medicine, University of Hargeisa, Hargeisa, 25263, Somalia. [email protected].
  2. 2Faculty of Science and Humanities, School of Postgraduate Studies and Research (SPGSR), Amoud University, Borama, 25263, Somalia. [email protected].
  3. 3Faculty of Science and Humanities, School of Postgraduate Studies and Research (SPGSR), Amoud University, Borama, 25263, Somalia.
  4. 4School of Health Sciences and Medicine, University of Hargeisa, Hargeisa, 25263, Somalia.
  5. 5Department of Mathematics, University of Manchester, Manchester, M13 9PL, UK.
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Abstract

Background

Mass media is a critical tool for disseminating health information. This study identifies factors associated with women's media exposure and its link to healthcare utilization in Somaliland.Methods

Using SLDHS 2020 data ([Formula: see text]), we applied multilevel binary logistic regression to account for individual and community-level variations., with results reported as adjusted odds ratios (AOR) and 95% confidence intervals (CI) (p < 0.05).Results

Significant disparities in media access exist based on wealth quintile and residential status. Multilevel modeling revealed that community-level factors account for approximately 16% of the variance in media exposure. Women in the highest wealth quintile and those in urban areas had significantly higher odds of exposure compared to nomadic and rural counterparts.Conclusion

Media exposure in Somaliland is shaped by structural, socioeconomic, and community-level barriers rather than individual choice alone. Policymakers should move beyond reliance on traditional broadcasting and prioritize community-based interpersonal communication, mobile/SMS health messaging, and outreach through trusted local health workers to reach uneducated, low-literate, rural, and nomadic women.

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Cite

BibTeXRIS
BibTeX
@article{muse2026determinants,
  title = {{Determinants of women's exposure to mass media and its influence on healthcare utilization in Somaliland: a multilevel analysis of SLDHS 2020 data.}},
  author = {Yahye Hassan Muse and Mohamed Abdi Abdullahi and Abdisalam Hassan Muse and Mukhtar Abdi Hassan and Saralees Nadarajah},
  journal = {BMC public health},
  year = {2026},
  month = jul,
  doi = {10.1186/s12889-026-28528-1},
  url = {https://europepmc.org/article/MED/42928145},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Determinants of women's exposure to mass media and its influence on healthcare utilization in Somaliland: a multilevel analysis of SLDHS 2020 data.
AU  - Yahye Hassan Muse
AU  - Mohamed Abdi Abdullahi
AU  - Abdisalam Hassan Muse
AU  - Mukhtar Abdi Hassan
AU  - Saralees Nadarajah
PY  - 2026
DA  - 2026/07/29
JO  - BMC public health
DO  - 10.1186/s12889-026-28528-1
UR  - https://europepmc.org/article/MED/42928145
AB  - Background  Mass media is a critical tool for disseminating health information. This study identifies factors associated with women's media exposure and its link to healthcare utilization in Somaliland.Methods  Using SLDHS 2020 data ([Formula: see text]), we applied multilevel binary logistic regression to account for individual and community-level variations., with results reported as adjusted odds ratios (AOR) and 95% confidence intervals (CI) (p < 0.05).Results  Significant disparities in media access exist based on wealth quintile and residential status. Multilevel modeling revealed that community-level factors account for approximately 16% of the variance in media exposure. Women in the highest wealth quintile and those in urban areas had significantly higher odds of exposure compared to nomadic and rural counterparts.Conclusion  Media exposure in Somaliland is shaped by structural, socioeconomic, and community-level barriers rather than individual choice alone. Policymakers should move beyond reliance on traditional broadcasting and prioritize community-based interpersonal communication, mobile/SMS health messaging, and outreach through trusted local health workers to reach uneducated, low-literate, rural, and nomadic women.
SN  - 1471-2458
ER  -