Geographical Disparities in the Health of Iranian Women: Health Outcomes, Behaviors, and Health-care Access Indicators
Identifieur interne : 000794 ( Main/Exploration ); précédent : 000793; suivant : 000795Geographical Disparities in the Health of Iranian Women: Health Outcomes, Behaviors, and Health-care Access Indicators
Auteurs : Mohsen Bayati [Iran] ; Vahid Yazdi Feyzabadi [Iran] ; Arash Rashidian [Iran]Source :
- International Journal of Preventive Medicine [ 2008-7802 ] ; 2017.
Abstract
Women's health is a key factor affecting the health of the whole population. Tackling inequality in determinants of health is recognized as the main path toward reducing the inequality in health outcomes. This study aimed to analyze the provincial inequality in determinants of women's health and health care in Iran.
Using the Moss's model (2002) as a comprehensive framework of determinants of women's health, including “geopolitical environment,” “culture, norms, sanctions,” “women's roles in reproduction and production,” “health-related mediators,” and “health outcome” categories, we chose 13 indicators. Afterward, using data sources including the Iranian Multiple Indicators of Demographics and Health Survey, the National Organization for Civil Registration, and Statistics Centre of Iran, we analyzed provincial inequality in these indicators in Iran (2011). Gini coefficient and Lorenz curve were used for measuring inequality.
Gini coefficients calculated as follows; life satisfaction level (0.027), literate women (0.398), women with proper knowledge about HIV/AIDS prevention (0.483), unemployed women (0.380), women without an income (0.384), women who use at least one type of mass media (0.389), women who used computer or internet (0.467), women who had received pregnancy care from a skill birth attendant (SBA) (0.420), women who had delivered with the help of an SBA (0.426), women who currently smoke cigarettes (0.603), women who currently consume hookah (0.561), women with at least one chronic disease (0.438), and women's deaths in 2010 and 2011 (0.393 and 0.359, respectively).
We found large provincial disparities in determinants of women's health in Iran. Determinants such as lifestyle, health behavior, health knowledge, and health-care services availability should be considered by health policymakers in addressing the inequality in women's health at a provincial level.
Url:
DOI: 10.4103/ijpvm.IJPVM_67_16
PubMed: 28348721
PubMed Central: 5353772
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Geographical Disparities in the Health of Iranian Women: Health Outcomes, Behaviors, and Health-care Access Indicators</title><author><name sortKey="Bayati, Mohsen" sort="Bayati, Mohsen" uniqKey="Bayati M" first="Mohsen" last="Bayati">Mohsen Bayati</name><affiliation wicri:level="1"><nlm:aff id="aff1">Health Human Resources Research Center, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Health Human Resources Research Center, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz</wicri:regionArea><wicri:noRegion>Shiraz</wicri:noRegion></affiliation></author><author><name sortKey="Feyzabadi, Vahid Yazdi" sort="Feyzabadi, Vahid Yazdi" uniqKey="Feyzabadi V" first="Vahid Yazdi" last="Feyzabadi">Vahid Yazdi Feyzabadi</name><affiliation wicri:level="1"><nlm:aff id="aff2">Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman</wicri:regionArea><wicri:noRegion>Kerman</wicri:noRegion></affiliation></author><author><name sortKey="Rashidian, Arash" sort="Rashidian, Arash" uniqKey="Rashidian A" first="Arash" last="Rashidian">Arash Rashidian</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28348721</idno><idno type="pmc">5353772</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5353772</idno><idno type="RBID">PMC:5353772</idno><idno type="doi">10.4103/ijpvm.IJPVM_67_16</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">002577</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002577</idno><idno type="wicri:Area/Pmc/Curation">002576</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002576</idno><idno type="wicri:Area/Pmc/Checkpoint">000213</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000213</idno><idno type="wicri:Area/Ncbi/Merge">003F61</idno><idno type="wicri:Area/Ncbi/Curation">003F61</idno><idno type="wicri:Area/Ncbi/Checkpoint">003F61</idno><idno type="wicri:doubleKey">2008-7802:2017:Bayati M:geographical:disparities:in</idno><idno type="wicri:Area/Main/Merge">000794</idno><idno type="wicri:Area/Main/Curation">000794</idno><idno type="wicri:Area/Main/Exploration">000794</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Geographical Disparities in the Health of Iranian Women: Health Outcomes, Behaviors, and Health-care Access Indicators</title><author><name sortKey="Bayati, Mohsen" sort="Bayati, Mohsen" uniqKey="Bayati M" first="Mohsen" last="Bayati">Mohsen Bayati</name><affiliation wicri:level="1"><nlm:aff id="aff1">Health Human Resources Research Center, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Health Human Resources Research Center, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz</wicri:regionArea><wicri:noRegion>Shiraz</wicri:noRegion></affiliation></author><author><name sortKey="Feyzabadi, Vahid Yazdi" sort="Feyzabadi, Vahid Yazdi" uniqKey="Feyzabadi V" first="Vahid Yazdi" last="Feyzabadi">Vahid Yazdi Feyzabadi</name><affiliation wicri:level="1"><nlm:aff id="aff2">Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman</wicri:regionArea><wicri:noRegion>Kerman</wicri:noRegion></affiliation></author><author><name sortKey="Rashidian, Arash" sort="Rashidian, Arash" uniqKey="Rashidian A" first="Arash" last="Rashidian">Arash Rashidian</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author></analytic><series><title level="j">International Journal of Preventive Medicine</title><idno type="ISSN">2008-7802</idno><idno type="eISSN">2008-8213</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title><p>Women's health is a key factor affecting the health of the whole population. Tackling inequality in determinants of health is recognized as the main path toward reducing the inequality in health outcomes. This study aimed to analyze the provincial inequality in determinants of women's health and health care in Iran.</p></sec><sec id="st2"><title>Methods:</title><p>Using the Moss's model (2002) as a comprehensive framework of determinants of women's health, including “geopolitical environment,” “culture, norms, sanctions,” “women's roles in reproduction and production,” “health-related mediators,” and “health outcome” categories, we chose 13 indicators. Afterward, using data sources including the Iranian Multiple Indicators of Demographics and Health Survey, the National Organization for Civil Registration, and Statistics Centre of Iran, we analyzed provincial inequality in these indicators in Iran (2011). Gini coefficient and Lorenz curve were used for measuring inequality.</p></sec><sec id="st3"><title>Results:</title><p>Gini coefficients calculated as follows; life satisfaction level (0.027), literate women (0.398), women with proper knowledge about HIV/AIDS prevention (0.483), unemployed women (0.380), women without an income (0.384), women who use at least one type of mass media (0.389), women who used computer or internet (0.467), women who had received pregnancy care from a skill birth attendant (SBA) (0.420), women who had delivered with the help of an SBA (0.426), women who currently smoke cigarettes (0.603), women who currently consume hookah (0.561), women with at least one chronic disease (0.438), and women's deaths in 2010 and 2011 (0.393 and 0.359, respectively).</p></sec><sec id="st4"><title>Conclusions:</title><p>We found large provincial disparities in determinants of women's health in Iran. 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uniqKey="Bodenmann P">P Bodenmann</name></author><author><name sortKey="Ghali, Wa" uniqKey="Ghali W">WA Ghali</name></author><author><name sortKey="Faris, Pd" uniqKey="Faris P">PD Faris</name></author><author><name sortKey="Cornuz, J" uniqKey="Cornuz J">J Cornuz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pietinalho, A" uniqKey="Pietinalho A">A Pietinalho</name></author><author><name sortKey="Pelkonen, A" uniqKey="Pelkonen A">A Pelkonen</name></author><author><name sortKey="Rytil, P" uniqKey="Rytil P">P Rytilä</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Regidor, E" uniqKey="Regidor E">E Regidor</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kawachi, I" uniqKey="Kawachi I">I Kawachi</name></author><author><name sortKey="Subramanian, Sv" uniqKey="Subramanian S">SV Subramanian</name></author><author><name sortKey="Almeida Filho, N" uniqKey="Almeida Filho N">N Almeida-Filho</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Regidor, E" uniqKey="Regidor E">E Regidor</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Manesh, Ao" uniqKey="Manesh A">AO Manesh</name></author><author><name sortKey="Sheldon, Ta" uniqKey="Sheldon T">TA Sheldon</name></author><author><name sortKey="Pickett, Ke" uniqKey="Pickett K">KE Pickett</name></author><author><name sortKey="Carr Hill, R" uniqKey="Carr Hill R">R Carr-Hill</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Iran</li></country></list><tree><country name="Iran"><noRegion><name sortKey="Bayati, Mohsen" sort="Bayati, Mohsen" uniqKey="Bayati M" first="Mohsen" last="Bayati">Mohsen Bayati</name></noRegion><name sortKey="Feyzabadi, Vahid Yazdi" sort="Feyzabadi, Vahid Yazdi" uniqKey="Feyzabadi V" first="Vahid Yazdi" last="Feyzabadi">Vahid Yazdi Feyzabadi</name><name sortKey="Rashidian, Arash" sort="Rashidian, Arash" uniqKey="Rashidian A" first="Arash" last="Rashidian">Arash Rashidian</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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