نابرابریهای اقتصادی در زنان مبتلا به استئوپروزیس دارای سابقه شکستگی استخوان: کاربردی از شاخص ترکیب تمرکز

Economic inequalities amongst women with osteoporosis-related fractures: an application of concentration index decomposition


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دانشگاه علوم پزشکی تبریز
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نویسندگان: حیدر ندریان

کلمات کلیدی: Economic status, Inequalities, Osteoporosis, Bone fracture

نشریه: 13461 , 4 , 6 , 2016

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نویسنده ثبت کننده مقاله حیدر ندریان
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه دانشکده بهداشت
کد مقاله 58939
عنوان فارسی مقاله نابرابریهای اقتصادی در زنان مبتلا به استئوپروزیس دارای سابقه شکستگی استخوان: کاربردی از شاخص ترکیب تمرکز
عنوان لاتین مقاله Economic inequalities amongst women with osteoporosis-related fractures: an application of concentration index decomposition
ناشر 5
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ خیر
عنوان نشریه (خارج از لیست فوق)
نوع مقاله Original Article
نحوه ایندکس شدن مقاله ایندکس شده سطح دو – PubMed
آدرس لینک مقاله/ همایش در شبکه اینترنت http://journals.tbzmed.ac.ir/HPP/Abstract/HPP_3131_20160224173526

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Abstract Background: Considering the renewed emphasis on women’s health, attention to the new aspects of their health, such as equity, among different groups is warranted. The aim of this study was to investigate the economic inequalities among women with osteoporosisrelated bone fractures (ORBFs) in Sanandaj, Iran. Methods: In this cross-sectional study, convenient sampling was employed to recruit 220 women with osteoporosis referring to the only rheumatology clinic in Sanandaj (the center of Kurdistan province in Iran) from January to April 2013. Main outcome was the history of fractures due to osteoporosis. Concentration index decomposition (CID) and logistic regression were used for data analysis. Results: In multivariate logistic analysis, the fourth and fifth quintiles of family economic status were found to be significantly associated with ORBFs. Risk difference and confidence interval (CI) for the relation between the history of bone fracture and family economic status was -0.115 (95% CI: -0.209, -0.021; P = 0.016), which reflected the higher prevalence of bone fractures among women with the lower economic levels. About 25% out of all ORBFs were happened among 20% of the women with low economic status. Conclusion: It was concluded that economic status plays an important role in happening ORBFs among underprivileged women. A reorientation on women’s health care services in Iran with a focus on underprivileged postmenopausal women seems to be necessary. There is a need for inter-sectoral coalition between the policymakers of the health system and those of other organizations to reduce the economic inequalities among osteoporotic women.

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حیدر ندریانسوم

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HPP-6-190.pdf1395/07/14296117دانلود
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