Geographical Disparities in the Health of Iranian Women: Health Outcomes, Behaviors, and Health-care Access Indicators
Geographical Disparities in the Health of Iranian Women: Health Outcomes, Behaviors, and Health-care Access Indicators
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DOI：
10.4103/ijpvm.ijpvm_67_16
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发表时间：
2017-03-01
影响因子：
2.1
通讯作者：
Rashidian, Arash
中科院分区：
文献类型：
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作者：
Bayati, Mohsen;Feyzabadi, Vahid Yazdi;Rashidian, Arash
背景：妇女健康是影响整个人口健康的关键因素。解决健康决定因素方面的不平等问题被认为是减少健康成果不平等的主要途径。本研究旨在分析伊朗各省在妇女健康和保健决定因素方面的不平等。使用莫斯模式（2002年）作为妇女健康决定因素的综合框架，包括“地缘政治环境”、“文化、规范、制裁”、“妇女在生殖和生产中的作用”、“与健康有关的中介”和“健康结果”类别，我们选择了13个指标。之后，我们使用数据来源，包括伊朗人口和健康多指标调查，国家民事登记组织和伊朗统计中心，分析了伊朗（2011年）这些指标的省级不平等。用基尼系数和洛伦茨曲线来衡量不平等程度。生活满意度（0.027），识字妇女（0.398），对艾滋病毒/艾滋病预防有适当了解的妇女（0.483），失业妇女（0.380），无收入妇女（0.384）至少使用一种大众媒体的妇女（0.389），使用计算机或互联网的女性（0.467），接受过熟练助产士（SBA）妊娠护理的妇女（0.420），在SBA帮助下分娩的妇女（0.426）目前吸烟的女性（0.603），目前消费水烟的妇女（0.561），至少有一种慢性疾病的妇女（0.438），妇女的死亡在2010年和2011年（分别为0.393和0.359）。结论：我们发现在伊朗妇女的健康决定因素的大省的差异。卫生政策制定者在解决省级妇女健康不平等问题时，应考虑生活方式、健康行为、健康知识和保健服务可获得性等决定因素。
Background: Women's health is a key factor affecting the health of the whole population. Tackling inequality in determinants of health is recognized as the main path toward reducing the inequality in health outcomes. This study aimed to analyze the provincial inequality in determinants of women's health and health care in Iran.Methods: Using the Moss's model (2002) as a comprehensive framework of determinants of women's health, including "geopolitical environment," "culture, norms, sanctions," "women's roles in reproduction and production," "health-related mediators," and "health outcome" categories, we chose 13 indicators. Afterward, using data sources including the Iranian Multiple Indicators of Demographics and Health Survey, the National Organization for Civil Registration, and Statistics Centre of Iran, we analyzed provincial inequality in these indicators in Iran (2011). Gini coefficient and Lorenz curve were used for measuring inequality.Results: Gini coefficients calculated as follows; life satisfaction level (0.027), literate women (0.398), women with proper knowledge about HIV/AIDS prevention (0.483), unemployed women (0.380), women without an income (0.384), women who use at least one type of mass media (0.389), women who used computer or internet (0.467), women who had received pregnancy care from a skill birth attendant (SBA) (0.420), women who had delivered with the help of an SBA (0.426), women who currently smoke cigarettes (0.603), women who currently consume hookah (0.561), women with at least one chronic disease (0.438), and women's deaths in 2010 and 2011 (0.393 and 0.359, respectively).Conclusions: We found large provincial disparities in determinants of women's health in Iran. Determinants such as lifestyle, health behavior, health knowledge, and health-care services availability should be considered by health policymakers in addressing the inequality in women's health at a provincial level.