ArticleInternational journal for equity in health2021
Socioeconomic inequality in congenital heart diseases in Iran.
Article in International journal for equity in health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Prevalence of congenital heart disease in school-aged children and its association with socioeconomic and health service capacity factors: a comparative study of Nepal and China.BMC pediatrics · 2026Article
- The long-term effects of adverse childhood experiences on adult health and behaviors: mediating role of socioeconomic inequality.BMC public health · 2025Article
- Exploring the Intricacies of Social Mobility Trajectories and Perceived Stress in Post-Reform China.Stress and health : journal of the International Society for the Investigation of Stress · 2025Article
- Association of Maternal Dietary Habits and InfantNutrients · 2024Article
- Prenatal diagnosis of Sex determining region Y -box transcription factor 2 anophthalmia syndrome caused by germline mosaicism using next-generation sequencing: A case report.International journal of reproductive biomedicine · 2023Article
- The trend of marriage, childbearing, and divorce and its determinants of socio-economic factors on divorce in Yazd province 2016-2021: A cross-sectional study.International journal of reproductive biomedicine · 2023Article
- Prevalence of congenital anomalies and related factors in live births in Zahedan, Southeast of Iran: A cross-sectional study.International journal of reproductive biomedicine · 2023Article
- Inpatient costs of congenital heart surgery in China: results from the National Centre for Cardiovascular Diseases.The Lancet regional health. Western Pacific · 2023Article
- Associations of socioeconomic status with infectious diseases mediated by lifestyle, environmental pollution and chronic comorbidities: a comprehensive evaluation based on UK Biobank.Infectious diseases of poverty · 2023Article
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Abstract
introductionSocial-economic factors have an important role in shaping inequality in congenital heart diseases. The current study aimed to assess and decompose the socio-economic inequality in Congenital Heart Diseases (CHDs) in Iran.
methodsThis is a cross-sectional research conducted at Shahid Rajaie Cardiovascular Medical and Research Center in Tehran, Iran, as one of the largest referral heart hospitals in Asia. Data were collected primarily from 600 mothers who attended in pediatric cardiology department in 2020. The polychoric principal component analysis (PCA) and Errygers corrected CI (ECI) were used to construct household socioeconomic status and to assess inequality in CHDs, respectively. A regression-based decomposition analysis was also applied to explain socioeconomic-related inequalities. To select the explanatory social, medical/biological, and lifestyle variables, the chi-square test was first used.
resultsThere was a significant pro-rich inequality in CHDs (ECI = -0.65, 95% CI, - 0.72 to - 0.58). The social, medical/biological, and lifestyle variables accounted for 51.47, 43.25, and 3.92% of inequality in CHDs, respectively. Among the social variables, family SES (about 50%) and mother's occupation (21.05%) contributed the most to CHDs' inequality. Besides, in the medical/biological group, receiving pregnancy care (22.06%) and using acid folic (15.70%) had the highest contribution.
conclusionWe concluded that Iran suffers from substantial socioeconomic inequality in CHDs that can be predominantly explained by social and medical/biological variables. It seems that distributional policies aim to reduce income inequality while increasing access of prenatal care and folic acid for disadvantaged mothers could address this inequality much more strongly in Iran.
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