ArticleInternational journal for equity in health2018
Assessing changes in social determinants of health inequalities in South Africa : a decomposition analysis.
Article in International journal for equity in health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Associations between inflammation markers (CRP and IL-6) and depression among adolescents and young adults in Soweto and Durban, South Africa.Brain, behavior, & immunity - health · 2026Article
- Rural-urban disparities in child nutrition in Tabora, Tanzania: a socioeconomic decomposition and implications for food security policy.Frontiers in nutrition · 2026Article
- Article
- Changes in socioeconomic inequality in self-assessed health in South Africa: The contributions of changes in inequalities between and within socioeconomic groups.SSM - population health · 2025Article
- Exploring health outcome disparities in African regional economics communities: a multilevel linear mixed-effect analysis.BMC public health · 2025Article
- People who use drugs and the right to health.Harm reduction journal · 2024Review
- Understanding Socioeconomic Inequalities in Zero-Dose Children for Vaccination in Underserved Settings of Ethiopia: Decomposition Analysis Approach.International journal of environmental research and public health · 2024Article
- Why is there a gap in self-rated health among people with hypertension in Zambia? A decomposition of determinants and rural‒urban differences.BMC public health · 2024Article
- Who really decides? Feeding decisions 'made' by caregivers of children with cerebral palsy.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2024Article
- Vaccine uptake, associated factors and reasons for vaccination status among the South African elderly; findings and next steps.PloS one · 2024Article
- Perceptions of the COVID-19 pandemic: a qualitative study with South African adults.BMC public health · 2023Article
- Factors Explaining the Change in Socioeconomic Inequality of Disability in Iran: A Repeated Cross-sectional Study.Medical journal of the Islamic Republic of Iran · 2023Article
- Assessing the inequality in out-of-pocket health expenditure among the chronically and non-chronically ill in Saudi Arabia: a Blinder-Oaxaca decomposition analysis.International journal for equity in health · 2022Article
- 'I am Dying a Slow Death of White Guilt': Spiritual Carers in a South African Hospice Navigate Issues of Race and Cultural Diversity.Culture, medicine and psychiatry · 2022Article
- Reimagining wellbeing: Using arts-based methods to address sexual, gender and health inequalities.Global public health · 2022Article
- Socioeconomic-Related Inequalities in COVID-19 Vulnerability in South Africa.International journal of environmental research and public health · 2022Article
- Relationships between adiposity distribution and metabolic health in preconception women in South Africa.Obesity science & practice · 2022Article
- Health indicators and poor health dynamics during COVID-19 pandemic.Current psychology (New Brunswick, N.J.) · 2022Article
- How the COVID-19 Pandemic Alters the Landscapes of the HIV and Tuberculosis Epidemics in South Africa: A Case Study and Future Directions.Epidemiologia (Basel, Switzerland) · 2022Article
- "We are doing the best we can to bridge the gap" - service provider perspectives of educational services for autism spectrum disorder in South Africa.Frontiers in psychiatry · 2022Article
Corrections and comments
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Authors and funding
2 authors.
Funding
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Abstract
backgroundDespite various policy interventions that have targeted reductions in socio-economic inequalities in health and health care in post-Apartheid South Africa, evidence suggests that not much has really changed. In particular, health inequalities, which are strongly linked to social determinants of health (SDH), persist. This study, thus, examines how changes in the SDH have impacted health inequalities over the last decade, the second since the end of Apartheid.
methodsData come from information collected on social determinants of health (SDH) and on health status in the 2004, 2010 and 2014 questionnaires of the South African General Household Surveys (GHSs). The health indicators considered include ill-health status and disability. Concentration indices and Oaxaca-Blinder decomposition of change in a concentration index methods were employed to unravel changes in socio-economic health inequalities and their key social drivers over the studied time period.
resultsThe results show that inequalities in ill-health are consistently explained by socio-economic inequalities relating to employment status and provincial differences, which narrowed considerably over the studied periods. Relatedly, disability inequalities are largely explained by shrinking socio-economic inequalities relating to racial groups, educational attainment and provincial differences.
conclusionThe extent of employment, location and education inequalities suggests the need for improved health care management and further delivery of education and job opportunities; greater effort in this regard is likely to be more beneficial in some way.
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