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Inequality of leprosy disability in iran, clinical or socio-economic inequality: an extended concentration index decomposition approach.
- Source :
-
International journal of preventive medicine [Int J Prev Med] 2014 Apr; Vol. 5 (4), pp. 414-23. - Publication Year :
- 2014
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Abstract
- Background: Despite significant reduction in global disease prevalence, leprosy still has a high rate of disability while its determinants are unfair and many of them are amendable. The objective of this study was to measure inequality of disability in leprosy in Iran.<br />Methods: This was a cross-sectional study (2006-2007) on all living people affected by leprosy registered in W. Azerbaijan province health center, Western North of Iran. The outcome of the study was the socio-economic inequality considering presence or absence of grade 2 disability (G2D) based on the WHO classifications. An extended concentration index decomposition approach was used for analysis.<br />Results: Among 452 cases, 65.3% were male and 67% were affected by the multi bacillary type. Overall G2D was 65.3%. The estimated Concentration Index was -0.0782, showing presence of pro-poor socio-economic inequality of G2D, while extended CI estimation (ѵ = 5) was -0.163. Achievement index with coefficient (ѵ = 5) revealed that G2D mean was 16% more than classic mean in the poorest group. The result of decomposition of the existing inequality revealed that, some of the determinants such as receiving mono-therapy, education, urbanization, and bacillus calmette guerin (BCG) vaccination had shared contribution (67.4%, 61.8%, 59.2%, and 57.5% respectively).<br />Conclusions: This study provided new perspective for the health system to leprosy control considering the significant gap between rich and poor (inequality) regarding G2D disability, and its effective elements in socio-economic strata. Some effective actions can be considered to reduce the scale of existing inequality.
Details
- Language :
- English
- ISSN :
- 2008-7802
- Volume :
- 5
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- International journal of preventive medicine
- Publication Type :
- Academic Journal
- Accession number :
- 24829728