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首页> 外文期刊>Iranian journal of public health. >Measuring Socioeconomic Inequality Changes in Child Mortality in Iran: Two National Surveys Inequality Analysis
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Measuring Socioeconomic Inequality Changes in Child Mortality in Iran: Two National Surveys Inequality Analysis

机译：衡量伊朗儿童死亡率的社会经济不平等变化：两项全国调查不平等分析

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Background: We aimed to measure changes in socioeconomic inequality in child mortality in Iran. Methods: A secondary data analysis of two Demographic and Health Surveys (DHS 2000 and 2010) was undertaken. Neonatal, infant and under-5 mortality rates were estimated directly from complete birth history. Economic quintiles were constructed using principal component analysis. Changes in inequality were measured using odds ratios, mortality rates, and concentration curves and indices. Results: Based on the compared measures, inequalities in neonatal, infant, and under-5 mortality declined between the two surveys. The poorest-to-richest neonatal, infant and under-5 mortality odds ratios in 2000 were 1.69 (95% CI= 1.3-2.07), 2.85 (95% CI= 1.96-4.1) and 1.98 (95% CI= 1.64-2.3), respectively. Whereas these mortality odds ratios in 2010 had fallen to 1.65 (95% CI= 0.95-2.9), 1.47 (95% CI=0.5-4) and 1.85 (95% CI=1.13-3), respectively. Moreover, mortality rates in all economic quintiles experienced a decreasing trend. Neonatal, infant, and under-5 mortality concentration indices in 2000 were -0.15, -0.26, and -0.17 respectively. Whereas concentration indices in 2010 had dropped to -0.13, -0.11, and -0.14, respectively. Concentration curves dominance test revealed that there was a statistically significant reduction in inequality in infant and under-5 mortalities. Conclusion: Despite substantial reduction in child mortality rates and narrowing of the gap between poor and rich people, socioeconomic inequality in child mortalities disfavoring worse-off groups still exists. Combination of child health-related efforts that aim to reach to those children born in poor households alongside with pro-equity programs in other sectors of society may further reduce infant, under-5, and particularly neonatal mortality across economic quintiles in Iran.
机译：背景：我们旨在衡量伊朗儿童死亡率中社会经济不平等的变化。方法：对两项人口与健康调查（DHS 2000和2010）进行了二次数据分析。新生儿，婴儿和5岁以下的死亡率直接由完整的出生史估算得出。使用主成分分析构建经济五分位数。使用比值比，死亡率，浓度曲线和指数来衡量不平等的变化。结果：根据比较的指标，两次调查之间新生儿，婴儿和5岁以下儿童的死亡率不平等有所下降。 2000年最贫穷至最富有的新生儿，婴儿和5岁以下儿童的死亡率比值比为1.69（95％CI = 1.3-2.07），2.85（95％CI = 1.96-4.1）和1.98（95％CI = 1.64-2.3） ）， 分别。而这些死亡率在2010年的比率分别降至1.65（95％CI = 0.95-2.9），1.47（95％CI = 0.5-4）和1.85（95％CI = 1.13-3）。此外，所有经济五分之一人口的死亡率都呈下降趋势。 2000年的新生儿，婴儿和5岁以下儿童死亡率集中指数分别为-0.15，-0.26和-0.17。而2010年的集中指数分别降至-0.13，-0.11和-0.14。浓度曲线优势度测试表明，婴儿和5岁以下死亡率的不平等现象在统计上有显着降低。结论：尽管儿童死亡率大幅度降低，贫富差距缩小，但不利于穷人的儿童死亡率的社会经济不平等现象仍然存在。与儿童健康相关的努力（旨在覆盖贫困家庭中的孩子）以及社会其他部门的平等方案相结合，可以进一步降低伊朗各经济五分之一的婴儿，5岁以下儿童，尤其是新生儿死亡率。

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