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Measuring and decomposing the inequality of maternal health services utilization in Western Rural China

BACKGROUND: To measure socioeconomic inequalities in maternal health services in rural western China and to analyze the determinants’ contributions of inequalities. Study design: a cross-sectional study. METHODS: The data utilized in this study were obtained from a cross-sectional study from 10 prov...

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Autores principales: Liu, Xiaoning, Gao, Wenlong, Yan, Hong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3975923/
https://www.ncbi.nlm.nih.gov/pubmed/24589223
http://dx.doi.org/10.1186/1472-6963-14-102
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author Liu, Xiaoning
Gao, Wenlong
Yan, Hong
author_facet Liu, Xiaoning
Gao, Wenlong
Yan, Hong
author_sort Liu, Xiaoning
collection PubMed
description BACKGROUND: To measure socioeconomic inequalities in maternal health services in rural western China and to analyze the determinants’ contributions of inequalities. Study design: a cross-sectional study. METHODS: The data utilized in this study were obtained from a cross-sectional study from 10 provinces in rural Western China in 2005. Wealth index of household socioeconomic status was developed by using principle component analysis. Concentration index, concentration curve and decomposition of the concentration index were employed to measure socioeconomic inequality in maternal health services utilization. RESULTS: For more than four times prenatal visits, the concentration index was 0.0605 (95% CI: 0.0603, 0.0607). The concentration index of hospital delivery was 0.0230 (95% CI: 0.0210, 0.0240) and the concentration index of more than 2 times postnatal visits was 0.0842 (95% CI: 0.0836, 0.0847). Han ethnicity woman, particularly in conjunction with high school education and rich wealth status, was the main contributor to inequality in maternal health services utilization. CONCLUSIONS: There is a strong pro-rich inequality of maternal health services in rural western China. This study suggests that an effective way to reduce the inequality is not only to narrow the gap of income between the rich and poor, but focus education on ethnic minority woman in rural remote areas.
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spelling pubmed-39759232014-04-17 Measuring and decomposing the inequality of maternal health services utilization in Western Rural China Liu, Xiaoning Gao, Wenlong Yan, Hong BMC Health Serv Res Research Article BACKGROUND: To measure socioeconomic inequalities in maternal health services in rural western China and to analyze the determinants’ contributions of inequalities. Study design: a cross-sectional study. METHODS: The data utilized in this study were obtained from a cross-sectional study from 10 provinces in rural Western China in 2005. Wealth index of household socioeconomic status was developed by using principle component analysis. Concentration index, concentration curve and decomposition of the concentration index were employed to measure socioeconomic inequality in maternal health services utilization. RESULTS: For more than four times prenatal visits, the concentration index was 0.0605 (95% CI: 0.0603, 0.0607). The concentration index of hospital delivery was 0.0230 (95% CI: 0.0210, 0.0240) and the concentration index of more than 2 times postnatal visits was 0.0842 (95% CI: 0.0836, 0.0847). Han ethnicity woman, particularly in conjunction with high school education and rich wealth status, was the main contributor to inequality in maternal health services utilization. CONCLUSIONS: There is a strong pro-rich inequality of maternal health services in rural western China. This study suggests that an effective way to reduce the inequality is not only to narrow the gap of income between the rich and poor, but focus education on ethnic minority woman in rural remote areas. BioMed Central 2014-03-03 /pmc/articles/PMC3975923/ /pubmed/24589223 http://dx.doi.org/10.1186/1472-6963-14-102 Text en Copyright © 2014 Liu et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Liu, Xiaoning
Gao, Wenlong
Yan, Hong
Measuring and decomposing the inequality of maternal health services utilization in Western Rural China
title Measuring and decomposing the inequality of maternal health services utilization in Western Rural China
title_full Measuring and decomposing the inequality of maternal health services utilization in Western Rural China
title_fullStr Measuring and decomposing the inequality of maternal health services utilization in Western Rural China
title_full_unstemmed Measuring and decomposing the inequality of maternal health services utilization in Western Rural China
title_short Measuring and decomposing the inequality of maternal health services utilization in Western Rural China
title_sort measuring and decomposing the inequality of maternal health services utilization in western rural china
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3975923/
https://www.ncbi.nlm.nih.gov/pubmed/24589223
http://dx.doi.org/10.1186/1472-6963-14-102
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