ArticleJournal of preventive medicine and public health = Yebang Uihakhoe chi2019
Measuring and decomposing socioeconomic inequality in catastrophic healthcare expenditures in Iran.
Article in Journal of preventive medicine and public health = Yebang Uihakhoe chi, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Catastrophic health expenditure and associated factors in low-, lower-middle and upper-middle-income countries: systematic review and meta-analysis.Global health action · 2026Pooled it
- The socioeconomic and health system determinants of financial protection indicators: a global systematic review (2008-2023).BMJ global health · 2025Pooled it
- Contribution of Medication Expenditures to Catastrophic Health Expenditures in Iran: An Inequality Analysis.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2026Article
- Incidence and mortality trend of liver cancer in Iran from 1990 to 2021: an epidemiological investigation using the Global Burden of Disease study.Annals of medicine and surgery (2012) · 2025Article
- Article
- Exploring dental and medicine health expenditures in Iran: financial protection and inequality analysis.Journal of health, population, and nutrition · 2025Article
- Health systems performance in health outcomes, health financing and COVID-19 pandemic: Lessons from 31 countries.PloS one · 2025Article
- Household financial burden associated with out-of-pocket payments for healthcare in Iran: insights from a cross-sectional survey.BMC health services research · 2024Article
- Prevalence and Determinants of Catastrophic Healthcare Expenditures in Iran From 2013 to 2019.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024Article
- Equity and extent of financial risk protection indicators during COVID-19 pandemic in rural part of Tamil Nadu, India.Heliyon · 2023Article
- The Variations in Catastrophic and Impoverishing Health Expenditures, and Its Determinants in Iran: A Scoping Review.Medical journal of the Islamic Republic of Iran · 2023Article
- Financial risk protection from out-of-pocket health spending in low- and middle-income countries: a scoping review of the literature.Health research policy and systems · 2022Article
- Decomposition of Socioeconomic Inequality in Cardiovascular Disease Prevalence in the Adult Population: A Cohort-based Cross-sectional Study in Northwest Iran.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2022Article
- User fee removal for the poor: a qualitative study to explore policies for social health assistance in Iran.BMC health services research · 2022Article
- Decomposed Trends of Iranian Private Health Expenditures: Should Inequality be Appreciated?Medical journal of the Islamic Republic of Iran · 2022Article
- A 25-Year Trend of Catastrophic Health Expenditure and Its Inequality in China: Evidence from Longitudinal Data.Risk management and healthcare policy · 2022Article
- The impact of out-of pocket payments of households for dental healthcare services on catastrophic healthcare expenditure in Iran.BMC public health · 2021Article
- Incidence of catastrophic healthcare expenditure and its main determinants in Mexican households caring for a person with a mental disorder.Global mental health (Cambridge, England) · 2021Article
- Trend and status of out-of-pocket payments for healthcare in Iran: equity and catastrophic effect.The Journal of the Egyptian Public Health Association · 2020Article
- Measuring Out-of-pocket Payment, Catastrophic Health Expenditure and the Related Socioeconomic Inequality in Peru: A Comparison Between 2008 and 2017.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2020Article
Corrections and comments
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2 authors.
Funding
Abstract
objectivesEquity in financial protection against healthcare expenditures is one the primary functions of health systems worldwide. This study aimed to quantify socioeconomic inequality in facing catastrophic healthcare expenditures (CHE) and to identify the main factors contributing to socioeconomic inequality in CHE in Iran.
methodsA total of 37 860 households were drawn from the Households Income and Expenditure Survey, conducted by the Statistical Center of Iran in 2017. The prevalence of CHE was measured using a cut-off of spending at least 40% of the capacity to pay on healthcare services. The concentration curve and concentration index (C) were used to illustrate and measure the extent of socioeconomic inequality in CHE among Iranian households. The C was decomposed to identify the main factors explaining the observed socioeconomic inequality in CHE in Iran.
resultsThe prevalence of CHE among Iranian households in 2017 was 5.26% (95% confidence interval [CI], 5.04 to 5.49). The value of C was -0.17 (95% CI, -0.19 to -0.13), suggesting that CHE was mainly concentrated among socioeconomically disadvantaged households in Iran. The decomposition analysis highlighted the household wealth index as explaining 71.7% of the concentration of CHE among the poor in Iran.
conclusionsThis study revealed that CHE is disproportionately concentrated among poor households in Iran. Health policies to reduce socioeconomic inequality in facing CHE in Iran should focus on socioeconomically disadvantaged households.
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