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Information Journal Paper

Title

INEQUALITY OF LEPROSY DISABILITY IN IRAN, CLINICAL OR SOCIO-ECONOMIC INEQUALITY: AN EXTENDED CONCENTRATION INDEX DECOMPOSITION APPROACH

Pages

  414-423

Abstract

 Background: Despite significant reduction in global disease prevalence, LEPROSY still has a high rate of DISABILITY while its determinants are unfair and many of them are amendable. The objective of this study was to measure INEQUALITY of DISABILITY in LEPROSY in IRAN.Methods: This was a cross-sectional study (2006-2007) on all living people affected by LEPROSY registered in W. Azerbaijan province health center, Western North of IRAN. The outcome of the study was the socio-economic INEQUALITY considering presence or absence of grade 2 DISABILITY (G2D) based on the WHO classifications. An extended concentration index decomposition approach was used for analysis.Results: Among 452 cases, 65.3% were male and 67% were affected by the multi bacillary type. Overall G2D was 65.3%. The estimated Concentration Index was −0.0782, showing presence of pro-poor socio-economic INEQUALITY of G2D, while extended CI estimation (v=5) was −0.163. Achievement index with coefficient (v=5) revealed that G2D mean was 16% more than classic mean in the poorest group. The result of decomposition of the existing INEQUALITY revealed that, some of the determinants such as receiving mono-therapy, education, urbanization, and bacillus calmette guerin (BCG) vaccination had shared contribution (67.4%, 61.8%, 59.2%, and 57.5% respectively).Conclusions: This study provided new perspective for the health system to LEPROSY control considering the significant gap between rich and poor (inequality) regarding G2D DISABILITY, and its effective elements in socio-economic strata. Some effective actions can be considered to reduce the scale of existing INEQUALITY.

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    APA: Copy

    ENTEZARMAHDI, RASOOL, MAJDZADEH, REZA, RAHIMI FOROUSHANI, ABBAS, NASEHI, MAHSHID, LAMEEI, ABOLFATH, & HOLAKOUIE NAIENI, KOUROSH. (2014). INEQUALITY OF LEPROSY DISABILITY IN IRAN, CLINICAL OR SOCIO-ECONOMIC INEQUALITY: AN EXTENDED CONCENTRATION INDEX DECOMPOSITION APPROACH. INTERNATIONAL JOURNAL OF PREVENTIVE MEDICINE, 5(4), 414-423. SID. https://sid.ir/paper/316104/en

    Vancouver: Copy

    ENTEZARMAHDI RASOOL, MAJDZADEH REZA, RAHIMI FOROUSHANI ABBAS, NASEHI MAHSHID, LAMEEI ABOLFATH, HOLAKOUIE NAIENI KOUROSH. INEQUALITY OF LEPROSY DISABILITY IN IRAN, CLINICAL OR SOCIO-ECONOMIC INEQUALITY: AN EXTENDED CONCENTRATION INDEX DECOMPOSITION APPROACH. INTERNATIONAL JOURNAL OF PREVENTIVE MEDICINE[Internet]. 2014;5(4):414-423. Available from: https://sid.ir/paper/316104/en

    IEEE: Copy

    RASOOL ENTEZARMAHDI, REZA MAJDZADEH, ABBAS RAHIMI FOROUSHANI, MAHSHID NASEHI, ABOLFATH LAMEEI, and KOUROSH HOLAKOUIE NAIENI, “INEQUALITY OF LEPROSY DISABILITY IN IRAN, CLINICAL OR SOCIO-ECONOMIC INEQUALITY: AN EXTENDED CONCENTRATION INDEX DECOMPOSITION APPROACH,” INTERNATIONAL JOURNAL OF PREVENTIVE MEDICINE, vol. 5, no. 4, pp. 414–423, 2014, [Online]. Available: https://sid.ir/paper/316104/en

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