ArticlePloS one2017
An equity analysis of health examination service utilization by women from underdeveloped areas in western China.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Equitable utilization of non-communicable disease services in low- and middle-income countries; associated factors and intervention effects: a systematic review and meta-analysis.BMC health services research · 2026Pooled it
- Cancer screening as a double-edged sword: short-term cost surge and cross-sectional expenditure patterns among urban retirees in Jiangsu, China.Frontiers in public health · 2026Article
- Predicting Pre- and Post-Diagnostic Depression in Women with Abnormal Pap Screening Tests: A Neural Network Approach.Life (Basel, Switzerland) · 2025Article
- Factors influencing the bariatric surgery treatment of bariatric surgery candidates in underdeveloped areas of China.BMC surgery · 2024Article
- Predictors of skilled maternal health services utilizations: A case of rural women in Ethiopia.PloS one · 2021Article
- Socio-demographic inequalities in the uptake of Papanicolaou tests in Peru: analysis of the 2015-2017 Demographic and Family Health Survey.Epidemiology and health · 2020Article
- Health-Related Quality of Life of People with Self-Reported Hypertension: A National Cross-Sectional Survey in China.International journal of environmental research and public health · 2019Article
- Article
- Inequalities in maternal health care utilization in Benin: a population based cross-sectional study.BMC pregnancy and childbirth · 2018Article
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Authors and funding
7 authors.
Funding
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Abstract
objectiveThis study sought to examine the sources of inequity in health examination service utilization by women from underdeveloped areas in western China.
methodsBased on data from the 5th National Health Service Survey in Shaanxi province, women's utilization of health examination services was examined according to gynecological, cervical smear, and breast examination rates. The equity of health examination service utilization by 15- to 64-year-old women and the factors contributing to inequity were determined using the health concentration index, decomposition of the concentration index, and the horizontal inequity index.
resultsThe examination rates for gynecological, cervical smear, and breast exams for 15- to 64-year-old women in Shaanxi province were 40.61%, 27.08%, and 24.59%, respectively. The horizontal inequity indices of gynecological, cervical smear, and breast examination rates were 0.0480, 0.0423, and 0.0764, respectively, and each examination rate was higher for wealthy individuals. The contribution rates of economic status to the inequalities in gynecological, cervical smear, and breast examination rates were 65.80%, 74.31%, and 56.49%, respectively. The contribution rates of educational status to the inequalities in gynecological, cervical smear, and breast examination rates were 21.01%, 14.83% and 30.00%, respectively. The contribution rates of age to the inequalities in gynecological, cervical smear, and breast examination rates were 25.77%, 26.55%, and 18.40%, respectively.
conclusionsWomen's health examination rates differed between populations with different socio-demographic characteristics. There is pro-wealth inequality in each examination rate. This study found that financial status, age, and education level were the main reasons for the unequal utilization of health examination services.
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