Decomposition analysis on the equity of health examination utilization for the middle-aged and elderly people in China: based on longitudinal CHARLS data from 2011 to 2018
Abstract Background This study aimed to investigate the utilization rate and equity of health examination service among the middle-aged and elderly population in China from 2011 to 2018. The contribution of various determinants to the inequity in health examination service utilization was also exami...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-024-18068-x |
| _version_ | 1797208991576621056 |
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| author | Min Su Tianjiao Zhang Weile Zhang Zhengrong Li Xiaojing Fan |
| author_facet | Min Su Tianjiao Zhang Weile Zhang Zhengrong Li Xiaojing Fan |
| author_sort | Min Su |
| collection | DOAJ |
| description | Abstract Background This study aimed to investigate the utilization rate and equity of health examination service among the middle-aged and elderly population in China from 2011 to 2018. The contribution of various determinants to the inequity in health examination service utilization was also examined. Methods Data from the China Health and Retirement Longitudinal Survey (CHARLS) were analyzed to assess the health examination service utilization rate among the middle-aged and elderly population. A concentration curve and concentration index were employed to measure the equity of health examination service utilization and decomposed into its determining factors. Horizontal inequity index was applied to evaluate the trends in equity of health examination service. Results The health examination service utilization rates among the middle-aged and elderly population were 29.45%, 20.69%, 25.40%, and 32.05% in 2011, 2013, 2015, and 2018, respectively. The concentration indexes for health examination service utilization were 0.0080 (95% CI: − 0.0084, 0.0244), 0.0155 (95% CI: − 0.0054, 0.0363), 0.0095 (95% CI: − 0.0088, 0.0277), and − 0.0100 (95% CI: − 0.0254, 0.0054) from 2011 to 2018, respectively. The horizontal inequity index was positive from 2011 to 2018, evidencing a pro-rich inequity trend. Age, residence, education, region, and economic status were the major identified contributors influencing the equity of health examination service utilization. Conclusions A pro-rich inequity existed in health examination service utilization among the middle-aged and elderly population in China. Reducing the wealth and regional gap, providing equal educational opportunities, and strengthening the capacity for chronic disease prevention and control are crucial for reducing the inequity in health examination service utilization. |
| first_indexed | 2024-04-24T09:47:36Z |
| format | Article |
| id | doaj.art-58f8d725d9294baca1d9ef9221ba0a4c |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-24T09:47:36Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-58f8d725d9294baca1d9ef9221ba0a4c2024-04-14T11:31:29ZengBMCBMC Public Health1471-24582024-04-0124111310.1186/s12889-024-18068-xDecomposition analysis on the equity of health examination utilization for the middle-aged and elderly people in China: based on longitudinal CHARLS data from 2011 to 2018Min Su0Tianjiao Zhang1Weile Zhang2Zhengrong Li3Xiaojing Fan4School of Public Administration, Inner Mongolia University, Yuquan DistrictSchool of Public Administration, Inner Mongolia University, Yuquan DistrictSchool of Public Administration, Inner Mongolia University, Yuquan DistrictSchool of Public Administration, Inner Mongolia University, Yuquan DistrictSchool of Public Policy and Administration, Xi’an Jiaotong UniversityAbstract Background This study aimed to investigate the utilization rate and equity of health examination service among the middle-aged and elderly population in China from 2011 to 2018. The contribution of various determinants to the inequity in health examination service utilization was also examined. Methods Data from the China Health and Retirement Longitudinal Survey (CHARLS) were analyzed to assess the health examination service utilization rate among the middle-aged and elderly population. A concentration curve and concentration index were employed to measure the equity of health examination service utilization and decomposed into its determining factors. Horizontal inequity index was applied to evaluate the trends in equity of health examination service. Results The health examination service utilization rates among the middle-aged and elderly population were 29.45%, 20.69%, 25.40%, and 32.05% in 2011, 2013, 2015, and 2018, respectively. The concentration indexes for health examination service utilization were 0.0080 (95% CI: − 0.0084, 0.0244), 0.0155 (95% CI: − 0.0054, 0.0363), 0.0095 (95% CI: − 0.0088, 0.0277), and − 0.0100 (95% CI: − 0.0254, 0.0054) from 2011 to 2018, respectively. The horizontal inequity index was positive from 2011 to 2018, evidencing a pro-rich inequity trend. Age, residence, education, region, and economic status were the major identified contributors influencing the equity of health examination service utilization. Conclusions A pro-rich inequity existed in health examination service utilization among the middle-aged and elderly population in China. Reducing the wealth and regional gap, providing equal educational opportunities, and strengthening the capacity for chronic disease prevention and control are crucial for reducing the inequity in health examination service utilization.https://doi.org/10.1186/s12889-024-18068-xMiddle-aged and elderlyHealth examination service utilizationHealth equityConcentration index |
| spellingShingle | Min Su Tianjiao Zhang Weile Zhang Zhengrong Li Xiaojing Fan Decomposition analysis on the equity of health examination utilization for the middle-aged and elderly people in China: based on longitudinal CHARLS data from 2011 to 2018 BMC Public Health Middle-aged and elderly Health examination service utilization Health equity Concentration index |
| title | Decomposition analysis on the equity of health examination utilization for the middle-aged and elderly people in China: based on longitudinal CHARLS data from 2011 to 2018 |
| title_full | Decomposition analysis on the equity of health examination utilization for the middle-aged and elderly people in China: based on longitudinal CHARLS data from 2011 to 2018 |
| title_fullStr | Decomposition analysis on the equity of health examination utilization for the middle-aged and elderly people in China: based on longitudinal CHARLS data from 2011 to 2018 |
| title_full_unstemmed | Decomposition analysis on the equity of health examination utilization for the middle-aged and elderly people in China: based on longitudinal CHARLS data from 2011 to 2018 |
| title_short | Decomposition analysis on the equity of health examination utilization for the middle-aged and elderly people in China: based on longitudinal CHARLS data from 2011 to 2018 |
| title_sort | decomposition analysis on the equity of health examination utilization for the middle aged and elderly people in china based on longitudinal charls data from 2011 to 2018 |
| topic | Middle-aged and elderly Health examination service utilization Health equity Concentration index |
| url | https://doi.org/10.1186/s12889-024-18068-x |
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