Child mortality inequalities and socioeconomic determinants of health in Iran, 2016-2018.
Child mortality
Health equity
Health policy
Inequality
Iran
Socioeconomic determinants of health (SDH)
Journal
Journal of public health policy
ISSN: 1745-655X
Titre abrégé: J Public Health Policy
Pays: England
ID NLM: 8006508
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
accepted:
03
10
2023
pubmed:
29
10
2023
medline:
29
10
2023
entrez:
29
10
2023
Statut:
ppublish
Résumé
Measuring health inequalities is essential to inform policy making and for monitoring implementation to reduce avoidable and unfair differences in health status. We conducted a geospatial analysis of child mortality in Iran using death records from the Ministry of Health and Medical Education from 2016 to 2018 stratified by sex, age, province, and district, and household expenditure and income survey data from the Statistical Center of Iran collected in 2017. We applied multilevel mixed-effect models and detected significant inequality in child mortality and the impact of socioeconomic factors, especially household income. We advocate for using mortality rate for young children (< 5 years old) as an indicator for assessing the impact of interventions to reduce inequalities among various socioeconomic groups. We also recommend to design and implement comprehensive and longitudinal data collection systems for accurate, regular, and specific monitoring of health inequalities.
Identifiants
pubmed: 37898702
doi: 10.1057/s41271-023-00448-z
pii: 10.1057/s41271-023-00448-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
535-550Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Nature Limited.
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