Child mortality inequalities and socioeconomic determinants of health in Iran, 2016-2018.

IF 2.3 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Journal of Public Health Policy Pub Date : 2023-12-01 Epub Date: 2023-10-28 DOI:10.1057/s41271-023-00448-z

Ardeshir Khosravi, Efat Mohamadi, Ali Sheidaei, Gita Shafiee, Ramin Heshmat, Alireza Olyaeemanesh, Amirhossein Takian

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引用次数: 0

Abstract

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.

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2016-2018年伊朗儿童死亡率不平等和健康的社会经济决定因素。

衡量健康不平等对于政策制定和监测执行情况至关重要，以减少可避免和不公平的健康状况差异。我们使用卫生和医学教育部2016年至2018年的死亡记录，根据性别、年龄、省份和地区，以及伊朗统计中心2017年收集的家庭支出和收入调查数据，对伊朗儿童死亡率进行了地理空间分析。我们应用了多水平混合效应模型，发现儿童死亡率和社会经济因素，特别是家庭收入的影响存在显著的不平等。我们提倡使用幼儿死亡率(

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来源期刊

Journal of Public Health Policy 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.70

自引率

2.60%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Public Health Policy (JPHP) will continue its 35 year tradition: an accessible source of scholarly articles on the epidemiologic and social foundations of public health policy, rigorously edited, and progressive. JPHP aims to create a more inclusive public health policy dialogue, within nations and among them. It broadens public health policy debates beyond the ''health system'' to examine all forces and environments that impinge on the health of populations. It provides an exciting platform for airing controversy and framing policy debates - honing policies to solve new problems and unresolved old ones. JPHP welcomes unsolicited original scientific and policy contributions on all public health topics. New authors are particularly encouraged to enter debates about how to improve the health of populations and reduce health disparities.