Repository of Research and Investigative Information

Repository of Research and Investigative Information

دانشگاه علوم پزشکی و خدمات بهداشتی درمانی زنجان

Understanding determinants of unequal distribution of stillbirth in Tehran, Iran: a concentration index decomposition approach

(2017) Understanding determinants of unequal distribution of stillbirth in Tehran, Iran: a concentration index decomposition approach. Bmj Open. e013644. ISSN 2044-6055 (Electronic) 2044-6055 (Linking)

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Abstract

OBJECTIVE: The present inquiry set to determine the economic inequality in history of stillbirth and understanding determinants of unequal distribution of stillbirth in Tehran, Iran. METHODS: A population-based cross-sectional study was conducted on 5170 pregnancies in Tehran, Iran, since 2015. Principal component analysis (PCA) was applied to measure the asset-based economic status. Concentration index was used to measure socioeconomic inequality in stillbirth and then decomposed into its determinants. RESULTS: The concentration index and its 95 CI for stillbirth was -0.121 (-0.235 to -0.002). Decomposition of the concentration index showed that mother's education (50), mother's occupation (30), economic status (26) and father's age (12) had the highest positive contributions to measured inequality in stillbirth history in Tehran. Mother's age (17) had the highest negative contribution to inequality. CONCLUSIONS: Stillbirth is unequally distributed among Iranian women and is mostly concentrated among low economic status people. Mother-related factors had the highest positive and negative contributions to inequality, highlighting specific interventions for mothers to redress inequality.

Item Type: Article
Keywords: Adolescent Adult Cross-Sectional Studies *Educational Status Family Characteristics Female *Health Status Disparities Health Surveys Humans Iran/epidemiology Linear Models Logistic Models Male *Maternal Age Pregnancy Risk Factors *Social Class Stillbirth/*epidemiology Young Adult *Tehran *concentration index *decomposition *socioeconomic inequality *stillbirth
Page Range: e013644
Journal or Publication Title: Bmj Open
Abstract and Indexing: ISI, Pubmed, Scopus
Quartile : Q2
Volume: 7
Number: 5
Identification Number: https://doi.org/10.1136/bmjopen-2016-013644 http://www.ncbi.nlm.nih.gov/pubmed/28515186
ISSN: 2044-6055 (Electronic) 2044-6055 (Linking)
Depositing User: خانم مریم زرقانی
URI: http://repository.zums.ac.ir/id/eprint/317

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