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关于衡量和分解突尼斯儿童获得医疗服务机会的不平等:公共政策的新方法。

On measuring and decomposing inequality of opportunity in access to health services among Tunisian children: a new approach for public policy.

作者信息

Saidi Anis, Hamdaoui Mekki

机构信息

Faculty of Economic Sciences and Management of Sousse (FSEGSousse), Sousse, Tunisia.

Faculty of Economics Sciences and Management of Tunis (FSEGT), Tunis, Tunisia.

出版信息

Health Qual Life Outcomes. 2017 Oct 25;15(1):213. doi: 10.1186/s12955-017-0777-7.

Abstract

BACKGROUND

The early years in children's life are the key to physical, cognitive-language, and, socio-emotional skills development. So, it is of paramount importance in this period to be interested in different indicators that would influence the child's health.

METHODS

This paper measures inequality of opportunities among Tunisian children concerning access to nutritional and healthy services using Human Opportunity-Index and Shapely decomposition methods.

RESULTS

Many disparities between regions have been detected since 1982 until 2012. Tunisian children face unequal opportunities to develop in terms of health, nutrition, cognitive, social, and emotional development. Likewise, we found that, parents' education, wealth, age of household head and geographic factors as key factors determining child development outcomes.

CONCLUSION

Our findings suggested that childhood unequal opportunities in Tunisia are explained by pension funds deficiency and structural problem in the labor market.

TRIAL REGISTRATION

The results of a health care intervention on human participants "retrospectively registered".

摘要

背景

儿童生命的早期阶段是身体、认知语言以及社会情感技能发展的关键时期。因此,在这一时期关注会影响儿童健康的不同指标至关重要。

方法

本文运用人类机会指数和夏普利分解法,衡量突尼斯儿童在获取营养和健康服务方面的机会不平等情况。

结果

自1982年至2012年,已发现各地区之间存在诸多差异。突尼斯儿童在健康、营养、认知、社会和情感发展方面面临着不平等的发展机会。同样,我们发现,父母教育程度、财富状况、户主年龄和地理因素是决定儿童发展结果的关键因素。

结论

我们的研究结果表明,突尼斯儿童时期机会不平等是由养老基金不足和劳动力市场的结构性问题造成的。

试验注册

一项针对人类参与者的医疗保健干预结果“进行了回顾性注册”。

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