Socioeconomic inequality in congenital heart diseases in Iran

Abstract Introduction Social-economic factors have an important role in shaping inequality in congenital heart diseases. The current study aimed to assess and decompose the socio-economic inequality in Congenital Heart Diseases (CHDs) in Iran. Methods This is a cross-sectional research conducted at...

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Autores principales:	Mostafa Amini-Rarani, Sajad Vahedi, Maryam Borjali, Mehdi Nosratabadi
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Concentration index Congenital heart diseases Decomposition Health care inequality Socioeconomic factors Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/718e85f339be44e28a1206bc59e37d94
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spelling	oai:doaj.org-article:718e85f339be44e28a1206bc59e37d942021-12-05T12:09:49ZSocioeconomic inequality in congenital heart diseases in Iran10.1186/s12939-021-01591-31475-9276https://doaj.org/article/718e85f339be44e28a1206bc59e37d942021-12-01T00:00:00Zhttps://doi.org/10.1186/s12939-021-01591-3https://doaj.org/toc/1475-9276Abstract Introduction Social-economic factors have an important role in shaping inequality in congenital heart diseases. The current study aimed to assess and decompose the socio-economic inequality in Congenital Heart Diseases (CHDs) in Iran. Methods This is a cross-sectional research conducted at Shahid Rajaie Cardiovascular Medical and Research Center in Tehran, Iran, as one of the largest referral heart hospitals in Asia. Data were collected primarily from 600 mothers who attended in pediatric cardiology department in 2020. The polychoric principal component analysis (PCA) and Errygers corrected CI (ECI) were used to construct household socioeconomic status and to assess inequality in CHDs, respectively. A regression-based decomposition analysis was also applied to explain socioeconomic-related inequalities. To select the explanatory social, medical/biological, and lifestyle variables, the chi-square test was first used. Results There was a significant pro-rich inequality in CHDs (ECI = -0.65, 95% CI, − 0.72 to − 0.58). The social, medical/biological, and lifestyle variables accounted for 51.47, 43.25, and 3.92% of inequality in CHDs, respectively. Among the social variables, family SES (about 50%) and mother’s occupation (21.05%) contributed the most to CHDs’ inequality. Besides, in the medical/biological group, receiving pregnancy care (22.06%) and using acid folic (15.70%) had the highest contribution. Conclusion We concluded that Iran suffers from substantial socioeconomic inequality in CHDs that can be predominantly explained by social and medical/biological variables. It seems that distributional policies aim to reduce income inequality while increasing access of prenatal care and folic acid for disadvantaged mothers could address this inequality much more strongly in Iran.Mostafa Amini-RaraniSajad VahediMaryam BorjaliMehdi NosratabadiBMCarticleConcentration indexCongenital heart diseasesDecompositionHealth care inequalitySocioeconomic factorsPublic aspects of medicineRA1-1270ENInternational Journal for Equity in Health, Vol 20, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Concentration index Congenital heart diseases Decomposition Health care inequality Socioeconomic factors Public aspects of medicine RA1-1270
spellingShingle	Concentration index Congenital heart diseases Decomposition Health care inequality Socioeconomic factors Public aspects of medicine RA1-1270 Mostafa Amini-Rarani Sajad Vahedi Maryam Borjali Mehdi Nosratabadi Socioeconomic inequality in congenital heart diseases in Iran
description	Abstract Introduction Social-economic factors have an important role in shaping inequality in congenital heart diseases. The current study aimed to assess and decompose the socio-economic inequality in Congenital Heart Diseases (CHDs) in Iran. Methods This is a cross-sectional research conducted at Shahid Rajaie Cardiovascular Medical and Research Center in Tehran, Iran, as one of the largest referral heart hospitals in Asia. Data were collected primarily from 600 mothers who attended in pediatric cardiology department in 2020. The polychoric principal component analysis (PCA) and Errygers corrected CI (ECI) were used to construct household socioeconomic status and to assess inequality in CHDs, respectively. A regression-based decomposition analysis was also applied to explain socioeconomic-related inequalities. To select the explanatory social, medical/biological, and lifestyle variables, the chi-square test was first used. Results There was a significant pro-rich inequality in CHDs (ECI = -0.65, 95% CI, − 0.72 to − 0.58). The social, medical/biological, and lifestyle variables accounted for 51.47, 43.25, and 3.92% of inequality in CHDs, respectively. Among the social variables, family SES (about 50%) and mother’s occupation (21.05%) contributed the most to CHDs’ inequality. Besides, in the medical/biological group, receiving pregnancy care (22.06%) and using acid folic (15.70%) had the highest contribution. Conclusion We concluded that Iran suffers from substantial socioeconomic inequality in CHDs that can be predominantly explained by social and medical/biological variables. It seems that distributional policies aim to reduce income inequality while increasing access of prenatal care and folic acid for disadvantaged mothers could address this inequality much more strongly in Iran.
format	article
author	Mostafa Amini-Rarani Sajad Vahedi Maryam Borjali Mehdi Nosratabadi
author_facet	Mostafa Amini-Rarani Sajad Vahedi Maryam Borjali Mehdi Nosratabadi
author_sort	Mostafa Amini-Rarani
title	Socioeconomic inequality in congenital heart diseases in Iran
title_short	Socioeconomic inequality in congenital heart diseases in Iran
title_full	Socioeconomic inequality in congenital heart diseases in Iran
title_fullStr	Socioeconomic inequality in congenital heart diseases in Iran
title_full_unstemmed	Socioeconomic inequality in congenital heart diseases in Iran
title_sort	socioeconomic inequality in congenital heart diseases in iran
publisher	BMC
publishDate	2021
url	https://doaj.org/article/718e85f339be44e28a1206bc59e37d94
work_keys_str_mv	AT mostafaaminirarani socioeconomicinequalityincongenitalheartdiseasesiniran AT sajadvahedi socioeconomicinequalityincongenitalheartdiseasesiniran AT maryamborjali socioeconomicinequalityincongenitalheartdiseasesiniran AT mehdinosratabadi socioeconomicinequalityincongenitalheartdiseasesiniran
_version_	1718372199242399744

Socioeconomic inequality in congenital heart diseases in Iran

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