Sharafi Mehdi, Bahramali Ehsan, Farjam Mojtaba, Rezaeian Shahab, Afrashteh Sima, Amiri Zahra
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran.
Med J Islam Repub Iran. 2021 Jun 16;35:78. doi: 10.47176/mjiri.35.78. eCollection 2021.
Contrary to health indices advancement during recent years, health inequalities are still a global challenge. This study aimed to determine socioeconomic factors for noncommunicable diseases using concentration indices (CI). This cross-sectional study was conducted on the baseline data from a cohort study in Fasa (southern Iran). Principle component analysis was used to measure asset index. Moreover, socioeconomic inequalities were calculated by CI. Analysis was done at 95% confidence level using STATA software. A total of 7990 individuals were included in the study. The highest negative CIs were significantly found for epilepsy (-0.334), paramnesia (-0.255), and learning disabilities (-0.063), respectively, and the lowest were significantly found for chronic headaches (-0.046), recurrent headaches (-0.03), infertility (-0.028) and hypertension (-0.057). This index was positive for breast cancer (0.298). Furthermore, it was not Significant for diabetes, thyroid disorders, depression, and chronic lung diseases. The findings showed a significant inequality in the most of the noncommunicable diseases in the region, which are more concentrated among the poorest population. Policymakers in the health system and city planners should consider these results to decrease the burden of noncommunicable diseases in the society by identifying vulnerable subcategories.
与近年来健康指标的进步相反，健康不平等仍然是一项全球挑战。本研究旨在使用集中指数（CI）确定非传染性疾病的社会经济因素。这项横断面研究基于设拉子（伊朗南部）一项队列研究的基线数据开展。采用主成分分析来衡量资产指数。此外，通过集中指数计算社会经济不平等。使用STATA软件在95%置信水平下进行分析。该研究共纳入7990名个体。分别显著发现癫痫（-0.334）、记忆错误（-0.255）和学习障碍（-0.063）的集中指数为最高负值，而慢性头痛（-0.046）、复发性头痛（-0.03）、不孕症（-0.028）和高血压（-0.057）的集中指数为最低负值。乳腺癌的该指数为正值（0.298）。此外，糖尿病、甲状腺疾病、抑郁症和慢性肺病的该指数无显著意义。研究结果表明该地区大多数非传染性疾病存在显著不平等，这些疾病在最贫困人群中更为集中。卫生系统的政策制定者和城市规划者应考虑这些结果，通过识别脆弱亚类来减轻社会中非传染性疾病的负担。
