ArticleInternational journal for equity in health2017
Analysis of inequality in maternal and child health outcomes and mortality from 2000 to 2013 in China.
Article in International journal for equity in health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 45 citations in OpenAlex.
- The effect of maternal and child health resource allocation on efficiency in China.Scientific reports · 2026Article
- Reducing urban-rural disparities in maternal and child mortality in China: a 33-year analysis and projection to 2030.Journal of global health · 2026Article
- Urban-rural disparities in the trends and causes of maternal deaths in Jinan, 1991-2025: a longitudinal trend analysis.Frontiers in public health · 2026Article
- EQ-5D-Y-3L population norms for children in Mainland China derived from a national survey 2023-2024.Health and quality of life outcomes · 2025Article
- Evaluation and dynamic evolution of maternal and child health services in township health centers in ethnic minority areas of Guangxi, China.Primary health care research & development · 2025Article
- Maternal social determinants of health: the hidden face of perinatal mortality in Mexico.International journal for equity in health · 2025Article
- Spatiotemporal disparities in maternal mortality and the role of multiscale administrative levels: a 20-year study across Chinese counties.Frontiers in public health · 2025Article
- Spatiotemporal trends and geographic disparities in spatial accessibility to maternal and child health services in Nanning, China: impact of two-child policies.BMC health services research · 2024Article
- The global burden, risk and inequality of maternal obstructed labor and uterine rupture from 1990 to 2019.BMC public health · 2024Article
- Association between maternal health service utilization and under-five mortality rate in China and its provinces, 1990-2017.BMC pregnancy and childbirth · 2024Article
- Trend and Equity in Maternal and Child Health Resource Allocation in China Since the New Health System Reform: A Nationwide Study from 2008 to 2020.Risk management and healthcare policy · 2024Article
- Does the Healthy China 2030 Policy Improve People's Health? Empirical Evidence Based on the Difference-in-Differences Approach.Risk management and healthcare policy · 2024Article
- Global achievement of maternal health-related sustainable development goals targets among women exposed to intimate partner violence.BMC women's health · 2023Article
- Measuring the Inequalities in the Distribution of Public Healthcare Resources by the HRDI (Health Resources Density Index): Data Analysis from 2010 to 2019.Healthcare (Basel, Switzerland) · 2022Article
- The Effect of Nursing Intervention Model Using Mobile Nursing System on Pregnancy Outcome of Pregnant Women.Journal of healthcare engineering · 2022Article
- Hukou-based rural-urban disparities in maternal health service utilization and delivery modes in two Chinese cities in Guangdong Province.International journal for equity in health · 2021Article
- Anatomy of provincial level inequality in maternal mortality in China during 2004-2016: a new decomposition analysis.BMC public health · 2020Article
- Determinants of life expectancy and clustering of provinces to improve life expectancy: an ecological study in Indonesia.BMC public health · 2020Article
- Efficiency of health resource utilisation in primary-level maternal and child health hospitals in Shanxi Province, China: a bootstrapping data envelopment analysis and truncated regression approach.BMC health services research · 2020Article
- Maternal Health and Green Spaces in China: A Longitudinal Analysis of MMR Based on Spatial Panel Model.Healthcare (Basel, Switzerland) · 2019Article
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
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Abstract
backgroundInequality in maternal and child health seriously hinders the overall improvement of health, which is a concern in both the United Nations Sustainable Development Goals (SDGs) and Healthy China 2030. However, research on the equality of maternal and child health is scarce. This study longitudinally assessed the equality trends in China's maternal and child health outcomes from 2000 to 2013 based on place of residence and gender to improve the fairness of domestic maternal and child health.
methodsData on China's maternal and child health monitoring reports were collected from 2000 to 2013. Horizontal and vertical monitoring were performed on the following maternal and child health outcome indicators: incidence of birth defects (IBD), maternal mortality rate (MMR), under 5 mortality rate (U5MR) and neonatal mortality rate (NMR). The newly developed HD*Calc software by the World Health Organization (WHO) was employed as a tool for the health inequality assessment. The between group variance (BGV) and the Theil index (T) were used to measure disparity between different population groups, and the Slope index was used to analyse the BGV and T trends.
resultsThe disparity in the MMR, U5MR and NMR for the different places of residence (urban and rural) improved over time. The BGV (Slope BGV = -32.24) and T (Slope T = -7.87) of MMR declined the fastest. The gender differences in the U5MR (Slope BGV = -0.06, Slope T = -0.21) and the NMR (Slope BGV = -0.01, Slope T = 0.23) were relatively stable, but the IBD disparity still showed an upward trend in both the place of residence and gender strata. A decline in urban-rural differences in the cause of maternal death was found for obstetric bleeding (Slope BGV = -14.61, Slope T = -20.84). Improvements were seen in the urban-rural disparity in premature birth and being underweight (PBU) in children under 5 years of age. Although diarrhoea and pneumonia decreased in the U5MR, no obvious gender-based trend in the causes of death was observed.
conclusionWe found improvement in the disparity of maternal and child health outcomes in China. However, the improvements still do not meet the requirements proposed by the Healthy China 2030 strategy, particularly regarding the rise in the IBD levels and the decline in equality. This study suggests starting with maternal and child health services and focusing on the disparity in the causes of death in both the place of residence and gender strata. Placing an emphasis on health services may encourage the recovery of the premarital check and measures such as prenatal and postnatal examinations to improve equality.
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