Decomposing socioeconomic inequality in self-rated health in Tehran
- Saharnaz Nedjat1,
- Ahmad Reza Hosseinpoor2,
- Mohammad Hossein Forouzanfar3,
- Banafsheh Golestan4,
- Reza Majdzadeh5
- 1School of Public Health, Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran
- 2Department of Health Statistics and Informatics, WHO, Geneva, Switzerland
- 3Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA
- 4School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
- 5Community Based Participatory Research Center, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
- Correspondence to Dr Saharnaz Nedjat, School of Public Health, Knowledge Utilization Research Center, Tehran University of Medical Sciences, #12 Nosrat St, 16 Azar St, Keshavarz Boulevard, Tehran, Iran;
- Accepted 27 December 2010
- Published Online First 30 January 2011
Background Measuring the distribution of health is a part of assessing health system performance. This study aims to estimate health inequality between different socioeconomic groups and its determinants in Tehran, the capital of Iran.
Methods Self-rated health (SRH) and demographic characteristics, including gender, age, marital status, educational years, and assets, were measured by structured interviews of 2464 residents of Tehran in 2008. A concentration index was calculated to measure health inequality by economic status. The association of potential determinants and SRH was assessed through multivariate logistic regression. The contribution to concentration index of level of education, marital status and other determining factors was assessed by decomposition.
Results The mean age of respondents was 41.4 years (SD 17.7) and 49% of them were men. The mean score of SRH status was 3.72 (range: 1–5; SD 0.93). 282 respondents (11.5%) rated their health status as poor or very poor. The concentration index was −0.29 (SE 0.03; p<0.001). Age, marital status, level of education and household economic status were significantly associated with SRH in both the crude and adjusted analyses. The main contributors to inequality in SRH were economic status (47.8%), level of education (29.2%) and age (23.0%).
Conclusions Sub-optimal SRH was more in lower than in higher economic status. After controlling for age, the levels of education and household wealth have the greatest contributions to SRH inequality.
- concentration index
- self-rated health
- health surveys
- inequalities SI
- self-rated health
- social differences
- social inequalities
Funding This project was financially supported by Tehran University of Medical Sciences' Vice Chancellor of Research (project no. 5715, 86-02-62).
Competing interests None.
Ethics approval This study was conducted with the approval of the Tehran University of Medical Science Ethics Committee.
Provenance and peer review Not commissioned; externally peer reviewed.