Investigating the Relationship of Socio-economic Index and Resource Availability Index with the Inequality of Daly in the Provinces of Iran

Introduction and purpose: In order to have more effective programs and social interventions controlling the burden of diseases, it is necessary for policy makers to have valid evidence about the role of socioeconomic determinants. The present study aimed to provide empirical evidence about the relat...

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Main Authors: Bahman Ahadinezhad, Omid Khosravizadeh, Sima Rafiei, Nastaran Habibi, Bahareh Mohtashamzadeh, Aisa Maleki
Format: Article
Language:fas
Published: Mazandaran University of Medical Sciences 2023-05-01
Series:تحقیقات سلامت در جامعه
Subjects:
Online Access:http://jhc.mazums.ac.ir/article-1-796-en.pdf
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author Bahman Ahadinezhad
Omid Khosravizadeh
Sima Rafiei
Nastaran Habibi
Bahareh Mohtashamzadeh
Aisa Maleki
author_facet Bahman Ahadinezhad
Omid Khosravizadeh
Sima Rafiei
Nastaran Habibi
Bahareh Mohtashamzadeh
Aisa Maleki
author_sort Bahman Ahadinezhad
collection DOAJ
description Introduction and purpose: In order to have more effective programs and social interventions controlling the burden of diseases, it is necessary for policy makers to have valid evidence about the role of socioeconomic determinants. The present study aimed to provide empirical evidence about the relationship of socioeconomic inequalities and the availability of resources with the burden of diseases among the provinces of the country in 2019. Methods: This descriptive and analytical research was carried out using the provincial data of 2019. The required provincial data were extracted from the Statistical Yearbook Report and the Household Income Expenditure Report of the Statistics Center and the data related to adjusted years with disability and early death (DALI) from the 2019 disease burden estimates. DALY's inequality was investigated by estimating the concentration index and extracting the concentration curve at a 95% confidence interval. The analyses were carried out in the Stata software (version 15). Results: In 2019, the average per capita DALY was 18.33±3.98. The average socio-economic index and resource availability index for 31 provinces were obtained at 0.37±0.21 and 0.64±0.20, respectively. Considering the difference in the available resources (covariate), there was a statistically significant difference between the socio-economic quartiles in terms of the distribution of per capita DALY (P<0.01). Therefore, the effect size of belonging to the socio-economic quartile was 0.758 (P<0.01). Nonetheless, the effect size of the difference in resource availability was not statistically significant. Conclusion: Health policymakers at national and provincial levels should try to reduce inequality by promoting programs to encourage healthy lifestyles, developing universal access to early screening services, and preventing the causes of death.
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spelling doaj.art-e9361b21e69b491ea2cd4ba2ccf991fd2023-09-02T04:59:01ZfasMazandaran University of Medical Sciencesتحقیقات سلامت در جامعه2423-67722423-67642023-05-0192115121Investigating the Relationship of Socio-economic Index and Resource Availability Index with the Inequality of Daly in the Provinces of IranBahman Ahadinezhad0Omid Khosravizadeh1Sima Rafiei2Nastaran Habibi3Bahareh Mohtashamzadeh4Aisa Maleki5 Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran Introduction and purpose: In order to have more effective programs and social interventions controlling the burden of diseases, it is necessary for policy makers to have valid evidence about the role of socioeconomic determinants. The present study aimed to provide empirical evidence about the relationship of socioeconomic inequalities and the availability of resources with the burden of diseases among the provinces of the country in 2019. Methods: This descriptive and analytical research was carried out using the provincial data of 2019. The required provincial data were extracted from the Statistical Yearbook Report and the Household Income Expenditure Report of the Statistics Center and the data related to adjusted years with disability and early death (DALI) from the 2019 disease burden estimates. DALY's inequality was investigated by estimating the concentration index and extracting the concentration curve at a 95% confidence interval. The analyses were carried out in the Stata software (version 15). Results: In 2019, the average per capita DALY was 18.33±3.98. The average socio-economic index and resource availability index for 31 provinces were obtained at 0.37±0.21 and 0.64±0.20, respectively. Considering the difference in the available resources (covariate), there was a statistically significant difference between the socio-economic quartiles in terms of the distribution of per capita DALY (P<0.01). Therefore, the effect size of belonging to the socio-economic quartile was 0.758 (P<0.01). Nonetheless, the effect size of the difference in resource availability was not statistically significant. Conclusion: Health policymakers at national and provincial levels should try to reduce inequality by promoting programs to encourage healthy lifestyles, developing universal access to early screening services, and preventing the causes of death.http://jhc.mazums.ac.ir/article-1-796-en.pdfeconomic factorsdisability-adjusted life yearsiransocial class
spellingShingle Bahman Ahadinezhad
Omid Khosravizadeh
Sima Rafiei
Nastaran Habibi
Bahareh Mohtashamzadeh
Aisa Maleki
Investigating the Relationship of Socio-economic Index and Resource Availability Index with the Inequality of Daly in the Provinces of Iran
تحقیقات سلامت در جامعه
economic factors
disability-adjusted life years
iran
social class
title Investigating the Relationship of Socio-economic Index and Resource Availability Index with the Inequality of Daly in the Provinces of Iran
title_full Investigating the Relationship of Socio-economic Index and Resource Availability Index with the Inequality of Daly in the Provinces of Iran
title_fullStr Investigating the Relationship of Socio-economic Index and Resource Availability Index with the Inequality of Daly in the Provinces of Iran
title_full_unstemmed Investigating the Relationship of Socio-economic Index and Resource Availability Index with the Inequality of Daly in the Provinces of Iran
title_short Investigating the Relationship of Socio-economic Index and Resource Availability Index with the Inequality of Daly in the Provinces of Iran
title_sort investigating the relationship of socio economic index and resource availability index with the inequality of daly in the provinces of iran
topic economic factors
disability-adjusted life years
iran
social class
url http://jhc.mazums.ac.ir/article-1-796-en.pdf
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