Aziz Rezapour, Farbod Ebadifard Azar, Negar Yusef Zadeh, Fatemeh Hasanpour, Hossein Bagheri Faradonbeh, Saeideh Ansari Nosrati, Zahra Asemaneh , Mohammad Hossein Ghafoori,
Volume 9, Issue 2 (7-2015)
Abstract
Background and Aim: Receiving and using health care services is called
health services uitilization. There are many socio-economic factors including
income, culture, age and education affecting the utilization of the services. This
survey aimed to study socio-economic determinants of health utilization in Tehran.
Materials and Methods: This was a cross-sectional, population based health
survey done in year 2013. The sample was 792 households living in Tehran. Data
was collected by WHO (households) questionnaire, and analyzed using logistic
model and stata12.
Results: Among the study variables, households' income, presence of a person
with chronic disease, education of the head of the household, and presence of
person older than 60 and younger than 14 in households, had a significant
statistical relationship with utilization. Insurance coverage had a vague and weak
effect on the utilization of health services. Moreover about 23 percent of the
households were not under insurance coverage.
Conclusion: According to the announced policies by the supreme leader of the
Islamic Republic of Iran to the Ministry of Health and Medical Education and by
cconsidering the main focus of these policies on the universal insurance coverage,
households financial security and reform of the payment system identifying
households that utilize more health care services than any others because of any
socio-economic reasons is a considerable step for providing financial security for
vulnerable households and reforming health care system at the national level.
Soraya Nouraei Motlagh, Parvaneh Heidari Orojlo, Farhad Lotfi, Marita Mohammadshahi , Nasrin Shaarbafchi Zadeh,
Volume 10, Issue 2 (5-2016)
Abstract
Background and Aim: Cancer disease is one of the main problems of Iranian health system. It is after Cardiovascular diseases and accidents, the third leading cause of death in Iran. In many countries, differences in socio-economic status have been linked with the incidence of disease, death and in general, health inequalities. The aim of this study is to determine the socioeconomic factors associated with the incidence of leukemia in Iran.
Materials and Methods: The present descriptive-analytical study was done with panel data modeling, including information related to 30 provinces of Iran from 2004 to 2009. Socioeconomic data were collected from provincial statistical yearbooks and data on age-standardized incidence rate (ASIR) of leukemia cancer per 100,000 populations were obtained from published reports by Iran Cancer Registry.
Results: The results showed that the leukemia incidence in men and in women during the period under review has been upward. The highest and lowest incidence of leukemia was in Yazd and Sistan provinces, respectively. Direct relationship between unemployment rate, urbanization ratio, and human development index with cancer incidence rate was evident in this study.
Conclusion: The increase of leukemia cancer in Iran has been confirmed by the current study. Leukemia cancer was significantly higher among provinces with higher socioeconomic status. This should be considered for planning support.
