Analysis of Income Inequality in Utilization of Rehabilitation Services among Urban and Rural Households in Iran: A Cross-Sectional Study

Authors

  • AmirMassoud, Arab Department of Physical Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
  • fateh, Mohsen Professional Doctorate, Lifestyle and health management research group, ACECR, Tehran, Iran
  • Kazemi Karyani, Ali Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  • Nammani, Farogh MSc of Health Economic, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  • Shahin, Soltani Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  • Yahyavi Dizaj, Jafar MSc of Health Economic, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  • Zali, Morad esmaiel PhD of health services managers, Lifestyle and health management research group, ACECR, Tehran, Iran
Abstract:

Abstract Introduction: The prevalence of impairment and disability due to the aging population, the prevalence of non-communicable diseases and accidents have increased the demand for rehabilitation services. The purpose of this study was to determine inequality in the utilization of rehabilitation services among Iranian households. Methods: The present study was a cross-sectional study and was done using Household Expenditure Survey data of Iran Statistics Center in 2019. After extracting and refining the data, 38960 households were included in the study. The factors affecting household utilization from rehabilitation services were analyzed using chi2 test and inequality in the utilization of rehabilitation services measured based on concentration index (CI). Data were extracted using MSAccess2013 and MSExcel2013 software and data analyzed using Stata V.14.1 software. Geographical maps of the utilization of the services depicted using ArcGISMap v.10 software. Results: A total of 258 households (0.77%) utilized from rehabilitation services. Households without insurance coverage were less likely to benefit from the services (p <0.05). Also, 1.32% of Fifth Income Quintile (the highest income) used rehabilitation services, while this proportion was 0.35% among First Quintile households (p <0.001). The highest and lowest proportion of rehabilitation services were in Qom and Bushehr provinces, respectively. The concentration index values for rural and urban areas and for the whole country were 0.27, 0.19 and 0.24, respectively (p <0.001).

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volume 21  issue 3

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publication date 2020-09

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