ArticleJournal of epidemiology and global health2013
Socioeconomic inequity in health care utilization, Iran.
Article in Journal of epidemiology and global health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed.
- National spatiotemporal patterns of influenza-like illness in Iran: A pre-COVID-19 study (2015-2019).PloS one · 2025Article
- Association Between Dental Expenditure and Socioeconomic Status in Iran.International dental journal · 2024Article
- Population aging management from the perspective of the health field of Iran and other countries: A scoping review.Journal of education and health promotion · 2024Article
- Social disparities and inequalities in healthcare access and expenditures among Iranians exposed to sulfur mustard: a national study using spatio-temporal analysis.BMC health services research · 2023Article
- Factors associated to patients' referral to public or private Covid-19 healthcare centers in Tabriz, Iran.BMC health services research · 2023Article
- Scoping review of outpatient health services utilization among women.Primary health care research & development · 2023Article
- Inequality in households' access to primary health care (PHC): a case study in Kerman, southeast Iran.BMC health services research · 2022Article
- Distributional health and financial consequences of increased cigarette tax in Iran: extended cost-effectiveness analysis.Health economics review · 2021Article
- Three Decades of Healthcare System Reform in Iran from the Perspective of Universal Health Coverage: A Macro-Qualitative Study.Iranian journal of medical sciences · 2021Article
- Outpatient health service utilization and associated factors: A cross-sectional population-based study in Tehran in 2019.Medical journal of the Islamic Republic of Iran · 2021Article
- Health equity in Iran: A systematic review.Medical journal of the Islamic Republic of Iran · 2021Review
- Intersectional equity in health care: assessing complex inequities in primary and secondary care utilization by gender and education in northern Sweden.International journal for equity in health · 2020Article
- Tracking socio-economic inequalities in healthcare utilization in Iran: a repeated cross-sectional analysis.BMC public health · 2020Article
- Integrated framework to improve health policy implementation in the way of Iran 2025 vision: Bridging policy to practice gap in developing countries.Journal of education and health promotion · 2020Article
- A qualitative study of the barriers to utilizing healthcare services among the tribal population in Assam.PloS one · 2020Article
- Predisposing and enabling factors associated with public denture service utilization among older Thai people: a cross-sectional population-based study.BMC oral health · 2019Article
- Socioeconomic inequalities in metastasis, recurrence, stage and grade of breast cancer: a hospital-based retrospective cohort study.Journal of preventive medicine and hygiene · 2019Article
- Socio-Economic Status Inequity in Self Rated Health in Patients with Breast Cancer.Open access Macedonian journal of medical sciences · 2019Article
- Economic Inequality in Outpatient Healthcare Utilization: The Case of Iran.Journal of research in health sciences · 2018Article
- Socioeconomic Inequalities in Gastroesophageal Reflux Disorder: Results from an Iranian Cohort Study.Middle East journal of digestive diseases · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelledReducing poor-rich inequities in health is one of the priorities of both national and international organizations and is also one of the main challenges of health sectors in Iran. Since, in the view of policy making, quantifying the size of inequity in health care utilization (HCU) is a prerequisite for achieving this goal, the current study aimed to determine and compare the socioeconomic inequity in HCU by concentration (C) index and odds ratio (OR).
methodsA total of 758 households, consisting of 2,131 subjects who were aged 15 or older, were involved in this cross-sectional study, and their data were gathered through interviews. Household economic index (HEI) was created by the factor analysis from the asset data. The C index and OR were used as measures to determine the overall inequity in HCU according to sex (male/female), living area (urban/rural), insurance, and types of HCU (general physician [GP], specialist, and Health Workers [HWs]).
resultsThe overall rate of HCU was 66.4%. The rates of using GP, specialist care, and HW care were 21.4%, 21.6% and 21.8%, respectively. The overall inequity in HCU was equal to 0.05 (95% confidence interval; -0.069 to 0.165). The C indexes in HCU, according to the subgroups of HCU, were measured as 0.11 (0.09-0.12) for GP, 0.115 (0.01-0.13) for specialist and -0.065 (-0.08 to -0.05) for HWs. Although the rate of utilization increased from poor to rich quintiles, the inequity regarding sex and living area was also low and non-significant.
conclusionPeople with higher HEI used more specialist and GP care, while people with lower HEI used more HW care. The inequity in HCU was low and non-significant in different quintiles of males, females, urban and rural, as well as those who were insured.
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