ArticleInternational journal for equity in health2019
Changes in inequality in utilization of preventive care services: evidence on China's 2009 and 2015 health system reform.
Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Vaccination coverage and influencing factors of four non‑National Immunization Program vaccines: A cross‑sectional survey among children aged 1‒6 years in Beijing, China.Human vaccines & immunotherapeutics · 2026Article
- Does the public health education affect health inequality among the migrant population in China?BMC health services research · 2025Article
- Factors Affecting the Utilization of Preventive Health Services by Middle-Aged Population: A Scoping Review.Iranian journal of public health · 2025Review
- Knowledge and practice of early gastric cancer screening among adults aged ≥ 45 years in China: a cross-sectional study.BMC public health · 2024Article
- Socio-economic inequalities in the use of flu vaccination in Europe: a multilevel approach.Health economics review · 2024Article
- Inequalities changes in health services utilization among middle-aged and older adult disabled people in China: based on CHARLS 2011-2018.Frontiers in public health · 2024Article
- Persistent inequalities in health care services utilisation in Brazil (1998-2019).International journal for equity in health · 2023Article
- Perspectives and evaluation on the effect of financial burden relief of medical insurance for people with catastrophic diseases and its influencing factors.Frontiers in public health · 2023Article
- Can Basic Medical Insurance Reduce Elderly Family Income Inequality in China?Frontiers in public health · 2022Article
- Vaccination coverage estimates and utilization patterns of inactivated enterovirus 71 vaccine post vaccine introduction in Ningbo, China.BMC public health · 2021Article
- The changes in socioeconomic inequalities and inequities in health services utilization among patients with hypertension in Pearl River Delta of China, 2015 and 2019.BMC public health · 2021Article
- The effect of social participation on income-related inequality in health outcome among Chinese older adults.International health · 2021Article
- Preventive health care services utilization and its associated factors among older adults in rural communities in Anambra State, Nigeria.The Pan African medical journal · 2021Article
- What Are the Determinants of the Decision to Purchase Private Health Insurance in China?International journal of environmental research and public health · 2020Article
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Authors and funding
3 authors.
Funding
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Abstract
backgroundEnsuring equal access to preventive care has always been given a priority in health system throughout world. This study aimed to decompose inequality in utilization of preventive care services into its contributing factors and then explore its changes over the period of China's 2009-2015 health system reform.
methodsThe concentration index (CI) and decomposition of the CI was performed to capture income-related inequalities in preventive services utilization and identify contribution of various determinants to such inequality using data from China Health and Nutrition Survey. Then, changes in inequality from 2009 to 2015 were estimated using Oaxaca-type decomposition technique.
resultsThe CI for preventive services utilization dropped from 0.2240 in 2009 to 0.1825 in 2015. Residential location and household income made the biggest contributions to income-related inequalities in these two years. Oaxaca decomposition revealed changes in residential location, regions and medical insurance made positive contributions to decline in inequality. However, alternation in household income, age and medical services utilization pushed the equality toward deterioration.
conclusionThe pro-rich inequality in preventive healthcare services usage is evident in China despite a certain decline in such inequality during observation period. Policy actions on eliminating urban-rural and income disparity should be given the priority to equalize preventive healthcare.
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