Socioeconomic disparities in using rehabilitation services among Iranian adults with disabilities: a decomposition analysis

Soltani, Shahin; Moghadam, Marzieh Mohammadi; Amani, Shiva; Akbari, Shahram; Shiani, Amir; Soofi, Moslem

doi:10.1186/s12913-022-08811-8

Cited by 2 publications

(1 citation statement)

References 48 publications

(60 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, disadvantaged people in Iran are struggling more with adversities related to disability and need much more attention from policymakers. It is believed that people with disabilities may use less health services ( 34 ).This confirmed the finding of a study in Iran where it showed that the use of rehabilitation services has been concentrated among privileged Iranians ( 35 ). This requires the attention of the healthcare authorities for an equitable distribution of these services .…”

Section: Discussionsupporting

confidence: 77%

Factors Explaining the Change in Socioeconomic Inequality of Disability in Iran: A Repeated Cross-sectional Study

Haghighatfard,

Rezapour,

Khoramrooz

et al. 2023

MJIRI

View full text Add to dashboard Cite

Background More than 15% of the world's population live with some form of disability. Assessing socioeconomic inequalities in disability and monitoring its change over time can help policymakers to design and implement targeted interventions to reduce these inequalities. This study aimed to assess the change in socioeconomic inequality in disability in Iran from 2000 to 2010. Methods Data for this cross-sectional study were obtained from 2 waves of Iran’s demographic and health surveys (2000 and 2010). The Wagstaff normalized concentration index was used to measure the socioeconomic inequality of disability. Contributing factors to the inequality in 2000 and 2010 were investigated by concentration index decomposition. The Blinder-Oaxaca decomposition method was used to determine contributing factors of change in disability inequality. All analyses were conducted in Stata14. Results The negative and statistically significant concentration indices (–0.132 in 2000 and –0.165 in 2010, P < 0.001) suggested more concentration of disability among poor people. The absolute value of inequality was increased by 0.034 between the 2 points of time ( P = 0.025). Level of education (123.5%), household size (12.9%), age (–35.1%), and residency (in terms of Iran's provinces) (–19.3%) were the contributing factors to the measured disability inequality in 2000. In 2010, level of education (105.8%), household size (30.5%), and urban residency (–46.3%) explained the measured inequality. Change in disability inequality was explained by household size (99.4%), province of residence (54.8%), education (36.9%), socioeconomic status (20%), urban residency (–90.3%), and age (–47.7%). Conclusion Iran suffers from significant socioeconomic inequality in disability, and it significantly increased over time. Interventions such as increasing health literacy and providing suitable job opportunities for people with low education level, improving the socioeconomic status of extended households, and paying more attention to the balanced development in the provinces and urban and rural areas, and attending to prevention, treatment, and mitigation of disability adversities among poor young and elderly people could be recommended to tackle increased socioeconomic inequality in disability and its unfavorable consequences in Iran.

show abstract

Section: Discussionsupporting

confidence: 77%

Factors Explaining the Change in Socioeconomic Inequality of Disability in Iran: A Repeated Cross-sectional Study

Haghighatfard,

Rezapour,

Khoramrooz

et al. 2023

MJIRI

View full text Add to dashboard Cite

show abstract

Inpatient healthcare utilization among people with disabilities in Iran: determinants and inequality patterns

Karami,

Rezaei,

Gillan

et al. 2024

BMC Health Serv Res

View full text Add to dashboard Cite

Background People with disabilities (PWD) have different health service needs and different factors affect the utilization of these services. Therefore, the aim of this present study was to identify determinants of inpatient healthcare utilization among PWDs in Iran. Methods This research was a secondary data analysis of a cross-sectional study. The present study used data gathered for 766 PWDs (aged 18 years and older) within the Iranian Society with Disabilities (ISD) between September and December 2020. Multiple logistic regression models calculated adjusted odds ratios (aOR) and 95% confidence intervals in order to identify determinants of inpatient healthcare utilization among PWDs. Results Data for 766 people with disabilities were analyzed. A large number of participants were over 28 years of age (70.94%), male (64.36%), and single (54.02%). In the present study, more than 71% of participants had no history of hospitalization during the last year. In this study, males [aOR 2.11(1.14–3.91), participants with Civil Servants health insurance coverage [aOR 3.44 (1.16 − 10.17)] and individuals in the 3th quartile of disability severity [aOR 2.13 (1.01 − 4.51)] had greater odds of inpatient healthcare utilization compared to the other groups. The value of the concentration index (C) for inpatient healthcare utilization was − 0.084 (P.value = 0.046). The decomposition analysis indicated that gender was the greatest contributor (21.92%) to the observed inequality in inpatient healthcare utilization among participants. Conclusion Our findings suggested that the likelihood of hospitalization among the study participants could be significantly influenced by factors such as gender, the health insurance scheme, and the degree of disability severity. These results underscore the imperative for enhanced access to outpatient services, affordable insurance coverage, and reduced healthcare expenditures for this vulnerable population. Addressing these issues has the potential to mitigate the burden of hospitalization and promote better health outcomes for disadvantaged individuals.

show abstract

Socioeconomic disparities in using rehabilitation services among Iranian adults with disabilities: a decomposition analysis

Cited by 2 publications

References 48 publications

Factors Explaining the Change in Socioeconomic Inequality of Disability in Iran: A Repeated Cross-sectional Study

Factors Explaining the Change in Socioeconomic Inequality of Disability in Iran: A Repeated Cross-sectional Study

Inpatient healthcare utilization among people with disabilities in Iran: determinants and inequality patterns

Contact Info

Product

Resources

About