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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: International Journal of Health Policy and Management
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Neonatal Mortality,Socio-Economic Inequality,Oaxaca Decomposition
- چکیده:
- چکیده انگلیسی: Background
Exploring changes in health inequality and its determinants over time is of policy interest. Accordingly, this study aimed to decompose inequality in neonatal mortality into its contributing factors and then explore changes from 1995-2000 to 2005-2010 in Iran.
Methods
Required data were drawn from two Iran’s demographic and health survey (DHS) conducted in 2000 and 2010. Normalized concentration index (CI) was used to measure the magnitude of inequality in neonatal mortality. The contribution of various determinants to inequality was estimated by decomposing concentration indices in 1995-2000 and 2005-2010. Finally, changes in inequality were investigated using Oaxaca-type decomposition technique.
Results
Pro-rich inequality in neonatal mortality was declined by 16%, ie, the normalized CI dropped from -0.1490 in 1995-2000 to -0.1254 in 2005-2010. The largest contribution to inequality was attributable to mother’s education (32%) and household’s economic status (49%) in 1995-2000 and 2005-2010, respectively. Changes in mother’s educational level (121%), use of skilled birth attendants (79%), mother’s age at the delivery time (25-34 years old) (54%) and using modern contraceptive (29%) were mainly accountable for the decrease in inequality in neonatal mortality.
Conclusion
Policy actions on improving households’ economic status and maternal education, especially in rural areas, may have led to the reduction in neonatal mortality inequality in Iran.- انتشار مقاله: 24-12-1394
- نویسندگان: Mostafa Amini Rarani,Arash Rashidian,Ardeshir Khosravi,Mohammad Arab,Ezatollah Abbasian,Esmaeil Khedmati Morasae
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Substance-related disorders,Death
- چکیده:
- چکیده انگلیسی: Background: The Ministry of Health and Medical Education (MOHME) and the Legal Medicine Organization
(LMO) are the 2 death registration systems in Iran for registering drug-related deaths. The aim of the present
study was to assess the number of undercount and the overlap between the deaths registered by the 2 sources.
Methods: In this descriptive study, according to the 10th revision of the International Classification of
Diseases (ICD-10), the registered data on drug-related deaths in the years 2014-2016, as recorded by the
MOHME and the LMO, were collected and the number of deaths was estimated using 2-source capturerecapture method and Excel and SPSS software.
Findings: The total number of drug-related deaths, as registered by the 2 sources, was 8639 during the
3 years. A major part of the drug-related deaths (75% of the data) had been registered by the LMO and only
25% of deaths had been registered by the MOHME. There was also a small overlap (7.7% of deaths) between
the data from the 2 sources. The final estimation from the capture-recapture model and analysis of sensitivity
showed that, during the 3 years, the total number of drug-related deaths was 14517 [95% confidence interval
(CI):14498-14558]. Based on the complete overlap assumption and 50% of unidentified individuals in the
2 sources, the number of deaths was estimated at 11341 and 12418, respectively. The largest number of
drug-related deaths had occurred within the age range of 25-39 years and in men. Kermanshah, Hamedan,
and Zanjan Provinces (Iran) had the largest number of cumulative incidences of drug-related deaths. Based
on the data provided by the MOHME, the most common cause of death was Methadone poisoning.
Conclusion: There was a small overlap between the MOHME and the LMO in the registration of drug-related
deaths. Failure to enter accurate and correct information has led to miscalculations of these deaths in Iran
- انتشار مقاله: 16-02-1399
- نویسندگان: Masoudeh Babakhanian,Mehran Zarghami,Abbas Alipour,Ardeshir Khosravi,Seyed Saeed Hashemi-Nazari,Mehdi Saberi,Mohammad Reza Ghadirzadeh
- مشاهده