Socioeconomic inequality in infant mortality in Iran and across its provinces.

OBJECTIVE: To measure the socioeconomic inequality in infant mortality in Iran (the Islamic Republic of Iran). METHODS: We analysed data from the provincially representative Demographic and Health Survey, which was done in Iran in 2000. We used a dichotomous hierarchical ordered probit model to deve...

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Publicado en:Bulletin of the World Health Organization Vol. 83; no. 11; pp. 837 - 845
Autores principales: Hosseinpoor AR, Mohammad K, Majdzadeh R, Naghavi M, Abolhassani F, Sousa A, Speybroeck N, Jamshidi HR, Vega J
Formato: research tables/charts Journal Article
Publicado: World Health Organization Nov2005
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2005
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        atl: Socioeconomic inequality in infant mortality in Iran and across its provinces.
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        au:
          Hosseinpoor AR
          Mohammad K
          Majdzadeh R
          Naghavi M
          Abolhassani F
          Sousa A
          Speybroeck N
          Jamshidi HR
          Vega J
        affil: Health Equity Team, Evidence and Information for Policy, World Health Organization, Geneva 27, 1211 Switzerland; hosseinpoora@who.int
      sug:
        subj:
          Infant Mortality Trends
          Socioeconomic Factors
          Confidence Intervals
          Descriptive Statistics
          Geographic Factors
          Infant
          Iran
          Odds Ratio
          P-Value
          Human
          Infant: 1-23 months
      ab: OBJECTIVE: To measure the socioeconomic inequality in infant mortality in Iran (the Islamic Republic of Iran). METHODS: We analysed data from the provincially representative Demographic and Health Survey, which was done in Iran in 2000. We used a dichotomous hierarchical ordered probit model to develop an indicator of socioeconomic status of households. We assessed the inequality in infant mortality by using the odds ratio of infant mortality between the lowest and highest socioeconomic quintiles at both the provincial and national levels, and the concentration index, an inequality measure based on the entire socioeconomic distribution. RESULTS: We found a decreasing trend in the infant mortality rate in relation to socioeconomic quintiles. The poorest to richest odds ratio was 2.34 (95% CI = 1.78-3.09). The concentration index of infant mortality in Iran was -0.1789 (95% CI = -0.2193--0.1386). Furthermore, the inequality of infant mortality between the lowest and highest quintiles was significant and favoured the better-off in most of the provinces. However, this inequality varied between provinces. CONCLUSION: Socioeconomic inequality in infant mortality favours the better-off in the country as a whole and in most of its provinces, but the degree of this inequality varies between the provinces. As well as its national average, it is important to consider the provincial distribution of this indicator of population health. Copyright © 2005 World Health Organization
      pubtype: Academic Journal
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    language: English
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