Decomposing the causes of socioeconomic-related health inequality among urban and rural populations in China: a new decomposition approach

Cai, Jiaoli; Coyte, Peter C.; Zhao, Hongzhong

doi:10.1186/s12939-017-0624-9

Cited by 73 publications

(69 citation statements)

References 63 publications

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“…The CI of having 5 or more prenatal visits and receiving the first prenatal visit within 12 weeks in rural areas were higher than those in urban areas, which indicates the greater inequalities in pre-delivery services utilization in rural areas. This result is also in line with the finding of a study conducted in urban and rural areas of China [25]. We also found that the CI of delivering at secondary- or higher-level health facilities had the greatest difference between urban and rural areas.…”

Section: Discussionsupporting

confidence: 92%

Socioeconomic inequalities and determinants of maternal health services in Shaanxi Province, Western China

Zhang

et al. 2018

PLoS ONE

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Prenatal health care interventions are effective ways to improve maternal and neonatal health. There have been few large investigations conducted on the inequalities in maternal health services utilization in Shaanxi Province of west China since the health care reform in 2009. This study examined the inequalities and determinants of maternal health services utilization in Shaanxi Province. A household survey was conducted from August to November in 2013. By using a multistage sampling method, local women aged 15–49 who had given birth in the preceding three years were recruited. Information including social-demographic characteristics and maternal health services utilization was collected through a face-to-face interview. A concentration index approach was used to measure inequalities in maternal health services utilization. A logistic regression model was employed to investigate the determinants of maternal health services utilization. There were 8,488 women from urban areas and 18,724 women from rural areas enrolled in this study. The concentration index for all the indicators of maternal health services utilization showed significance in these two areas. In urban areas, the concentration index of having 5 or more prenatal visits, receiving the first prenatal visit within 12 weeks, delivering at secondary- or higher-level health facilities and delivering by C-section were 0.0356, 0.0166, 0.0177 and 0.0591, respectively, while in rural areas, the corresponding figures were 0.0385, 0.0183, 0.0334 and 0.0566, respectively. The determinants related to maternal health services utilization were women’s age at delivery, educational level, employment status, parity, health problems during pregnancy and household income. Inequalities in maternal health services utilization still exist in Shaanxi Province. Providing maternal health services for younger, less educated, unemployed, high parity and poorer women, especially in rural areas, is expected to reduce the inequalities in maternal health services utilization.

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Section: Discussionsupporting

confidence: 92%

Socioeconomic inequalities and determinants of maternal health services in Shaanxi Province, Western China

Zhang

et al. 2018

PLoS ONE

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“…This may be because rich people have access to better nutrition and health care services compared with poor people. Studies in other countries also show a negative correlation between socioeconomic status and poor SRH (2,26,32). In our study, being female was associated with a higher probability of poor SRH.…”

Section: Discussionsupporting

confidence: 76%

“…Another study in China found a similar inequality in SRH (26), and a study in Tehran also showed that poor SRH was more prevalent in poor people (2).…”

Section: Discussionmentioning

confidence: 83%

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Socioeconomic-related inequalities in self-rated health status in Kermanshah city, Islamic Republic of Iran: a decomposition analysis

Rezaei¹,

Hajizadeh²,

Ahmadi³

et al. 2020

East Mediterr Health J

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Background: Socioeconomic-related inequalities in health are a major public health challenge in both developed and developing countries. Little evidence is available on socioeconomic-related inequalities in health in different regions of the Islamic Republic of Iran. Aims: This study aimed to determine socioeconomic-related inequality in poor self-rated health in adults in Kermanshah city, western Islamic Republic of Iran. Methods: This cross-sectional study with stratified sampling obtained data on socioeconomic status, demographic characteristics, behavioural risk factors and self-rated health of 2040 adults (≥ 18 years) in Kermanshah city. A self-administrated questionnaire was used to collect data from the participants. The concentration (C) index and C curve were used to determine the socioeconomic-related inequality in poor self-rated health. A decomposition analysis of the C index was done to identify the factors explaining socioeconomic-related inequality in poor self-rated health. 1 / 11 WHO EMRO | Socioeconomic-related inequalities in self-rated health status in Kermanshah city, Islamic R Results: The crude and age-adjusted prevalence of poor self-rated health was 13.8% and 18.1%, respectively. The estimated C for the whole sample was-0.295, indicating that poor SRH was concentrated in the poor. The decomposition results suggested that socioeconomic status (45.5%), having a chronic health condition (11.9%) and smoking (7.3%) were the main factors contributing to the concentration of poor self-rated health among those of lower socioeconomic status. Conclusion: The concentration of poor self-rated health among the poor in Kermanshah city warrants policy attention. Policies aimed at reducing inequality in wealth distribution and risky health behaviour and preventing chronic health conditions among the poor may mitigate socioeconomic-related inequalities in poor self-rated health in Kermanshah.

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“…(2017) used the CHNS data from 1991 to 2006 to use socioeconomic status as a control variable, and analyzed that medical insurance has improved people's outpatient and hospitalization rates [24]. Specifically, urban workers' medical insurance is most significant.…”

Section: ) Micro Levelmentioning

confidence: 99%

Research Review on Equity in Basic Medical Insurance

Deng¹

2019

JSS

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This study focuses on the equity of basic medical insurance. Through reviewing a large number of relevant literatures, the theoretical sources, measurement methods and empirical research on equity in basic medical insurance are summarized. The study found that scholars currently conduct research on the equity of basic medical insurance mainly from the two theories of welfare economics and social justice theory. Scholars generally use the concentration index, the level index, and the regression method to measure the equity of basic medical insurance. Many empirical studies have shown that basic medical insurance improves the level of health care and health on the one hand, but on the other hand it widens the fair gap between the insured and the non-insured. This paper concluded that the current equity of basic medical insurance still has certain limitations, and future research can progress toward related research. I hope this study can provide a reference for improving health and equity.

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Decomposing the causes of socioeconomic-related health inequality among urban and rural populations in China: a new decomposition approach

Cited by 73 publications

References 63 publications

Socioeconomic inequalities and determinants of maternal health services in Shaanxi Province, Western China

Socioeconomic inequalities and determinants of maternal health services in Shaanxi Province, Western China

Socioeconomic-related inequalities in self-rated health status in Kermanshah city, Islamic Republic of Iran: a decomposition analysis

Research Review on Equity in Basic Medical Insurance

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