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Original Articles
- The Burden of Stroke in Kurdistan Province, Iran From 2011 to 2017
- Shahram Moradi, Ghobad Moradi, Bakhtiar Piroozi
- J Prev Med Public Health. 2021;54(2):103-109. Published online February 1, 2021
- DOI: https://doi.org/10.3961/jpmph.20.335
- 3,535 View
- 138 Download
- 1 Web of Science
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Abstract
PDF - Objectives
The aim of this study was to calculate the burden of stroke in Kurdistan Province, Iran between 2011 and 2017.
Methods
Incidence data extracted from the hospital information system of Kurdistan Province and death data extracted from the system of registration and classification of causes of death were used in a cross-sectional study. The World Health Organization method was used to calculate disability-adjusted life years (DALYs).
Results
The burden of stroke increased from 2453.44 DALYs in 2011 to 5269.68 in 2017, the years of life lost increased from 2381.57 in 2011 to 5109.68 in 2017, and the years of healthy life lost due to disability increased from 71.87 in 2011 to 159.99 in 2017. The DALYs of ischaemic stroke exceeded those of haemorrhagic stroke. The burden of disease, new cases, and deaths doubled during the study period. The age-standardised incidence rate of ischaemic stroke and haemorrhagic stroke in 2017 was 21.72 and 20.72 per 100 000 population, respectively.
Conclusions
The burden of stroke is increasing in Kurdistan Province. Since health services in Iran are based on treatment, steps are needed to revise the current treatment services for stroke and to improve the quality of services. Policy-makers and managers of the health system need to plan to reduce the known risk factors for stroke in the community. In addition to preventive interventions, efficient and up-to-date interventions are recommended for the rapid diagnosis and treatment of stroke patients in hospitals. Along with therapeutic interventions, preventive interventions can help reduce the stroke burden. -
Summary
- What Explains Socioeconomic Inequality in Health-related Quality of Life in Iran? A Blinder-Oaxaca Decomposition
- Satar Rezaei, Mohammad Hajizadeh, Yahya Salimi, Ghobad Moradi, Bijan Nouri
- J Prev Med Public Health. 2018;51(5):219-226. Published online August 7, 2018
- DOI: https://doi.org/10.3961/jpmph.18.012
- 6,129 View
- 207 Download
- 3 Crossref
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Abstract
PDF
- Objectives
This study aimed to explain the health-related quality of life (HRQoL) gap between the poorest and the wealthiest quintiles in the capitals of Kermanshah and Kurdistan Provinces (Kermanshah and Sanandaj), in western Iran.
Methods
This was a cross-sectional study conducted among 1772 adults. Data on socio-demographic characteristics, socioeconomic status (SES), lifestyle factors, body mass index, and HRQoL of participants were collected using a self-administered questionnaire. The slope and relative indices of inequality (SII and RII, respectively) were employed to examine socioeconomic inequality in poor HRQoL. Blinder-Oaxaca (BO) decomposition was used to quantify the contribution of explanatory variables to the gap in the prevalence of poor HRQoL between the wealthiest and the poorest groups.
Results
The overall crude and age-adjusted prevalence of poor HRQoL among adults was 32.0 and 41.8%, respectively. The SII and RII indicated that poor HRQoL was mainly concentrated among individuals with lower SES. The absolute difference (%) in the prevalence of poor HRQoL between the highest and lowest SES groups was 28.4. The BO results indicated that 49.9% of the difference was explained by different distributions of age, smoking behavior, physical inactivity, chronic health conditions, and obesity between the highest and lowest SES groups, while the remaining half of the gap was explained by the response effect.
Conclusions
We observed a pro-rich distribution of poor HRQoL among adults in the capitals of Kermanshah and Kurdistan Provinces. Policies and strategies aimed at preventing and reducing smoking, physical inactivity, chronic health conditions, and obesity among the poor may reduce the gap in poor HRQoL between the highest and lowest SES groups in Iran. -
Summary
Citations
Citations to this article as recorded by
- Health-related quality of life variation by socioeconomic status: Evidence from an Iranian population-based study
Sulmaz Ghahramani, Maryam Hadipour, Payam Peymani, Sahar Ghahramani, KamranB Lankarani
Journal of Education and Health Promotion.2023; 12(1): 287. CrossRef - What explains the large disparity in child stunting in the Philippines? A decomposition analysis
Valerie Gilbert T Ulep, Jhanna Uy, Lyle Daryll Casas
Public Health Nutrition.2022; 25(11): 2995. CrossRef - Health-related quality of life by household income in Chile: a concentration index decomposition analysis
Rodrigo Severino, Manuel Espinoza, Báltica Cabieses
International Journal for Equity in Health.2022;[Epub] CrossRef
- Socioeconomic Inequalities in the Oral Health of People Aged 15-40 Years in Kurdistan, Iran in 2015: A Cross-sectional Study
- Ghobad Moradi, Ardavan Moinafshar, Hemen Adabi, Mona Sharafi, Farideh Mostafavi, Amjad Mohamadi Bolbanabad
- J Prev Med Public Health. 2017;50(5):303-310. Published online July 25, 2017
- DOI: https://doi.org/10.3961/jpmph.17.035
- 6,532 View
- 189 Download
- 16 Crossref
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Abstract
PDF
- Objectives
The aim of this study was to evaluate socioeconomic inequalities in the prevalence of dental caries among an urban population. Methods: This study was conducted among 2000 people 15-40 years of age living in Kurdistan, Iran in 2015. Using a questionnaire, data were collected by 4 trained dental students. The dependent variable was the decayed, missing, and filled teeth (DMF) index. Using principal component analysis, the socioeconomic status (SES) of families was determined based on their household assets. Inequality was measured using the concentration index; in addition, the Oaxaca analytical method was used to determine the contribution of various determinants to the observed inequality. Results: The concentration index for poor scores on the DMF index was -0.32 (95% confidence interval [CI], -0.40 to -0.36); thus, poor DMF indices had a greater concentration in groups with a low SES (p<0.001). Decomposition analysis showed that the mean prevalence of a poor DMF index was 43.7% (95% CI, 40.4 to 46.9%) in the least privileged group and 14.4% (95% CI, 9.5 to 9.2%) in the most privileged group. It was found that 85.8% of the gap observed between these groups was due to differences in sex, parents’ education, and the district of residence. A poor DMF index was less prevalent among people with higher SES than among those with lower SES (odds ratio, 0.31; 95% CI, 0.19 to 0.52). Conclusions: An alarming degree of SES inequality in oral health status was found in the studied community. Hence, it is suggested that inequalities in oral health status be reduced via adopting appropriate policies such as the delivery of oral health services to poorer groups and covering such services in insurance programs. -
Summary
Citations
Citations to this article as recorded by- The prevalence of seat belt use among drivers and passengers: a systematic review and meta-analysis
Shiva Kargar, Alireza Ansari-Moghaddam, Hossein Ansari
Journal of the Egyptian Public Health Association.2023;[Epub] CrossRef - Utilization of dental care among adult populations: a scoping review of applied models
Ashkan Negintaji Zardak, Mostafa Amini-Rarani, Ibrahim Abdollahpour, Faezeh Eslamipour, Bahareh Tahani
BMC Oral Health.2023;[Epub] CrossRef - AİLENİN EKONOMİK DURUMUNUN ÇOCUKLARIN DİŞ VE AĞIZ SAĞLIĞI ÜZERİNE ETKİSİNİN İNCELENMESİ
Ramazan İNCİ, Veysel ERATİLLA
İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi.2023; 11(3): 1816. CrossRef - Investigation of the awareness status of HIV/AIDS and socioeconomic inequalities in women 15–54 years old in Iran: study of Iran’s Multiple Indicator Demographic and Health Survey (IrMIDHS)
Ghobad Moradi, Elham Goodarzi, Ardeshir Khosravi, Farideh Mostafavi, Yousef Veisani
Journal of Public Health.2021; 29(5): 1143. CrossRef - Socioeconomic Inequality in Dental Caries Experience Expressed by the Significant Caries Index: Cross-Sectional Results From the RaNCD Cohort Study
Moslem Soofi, Behzad Karami-Matin, Ali Kazemi-Karyani, Shahin Soltani, Hosein Ameri, Mehdi Moradi-Nazar, Farid Najafi
International Dental Journal.2021; 71(2): 153. CrossRef - Evaluating the quality of care for patients with type 2 diabetes mellitus based on the HbA1c: A national survey in Iran
Ghobad Moradi, Azad Shokri, Amjad Mohamadi-Bolbanabad, Bushra Zareie, Bakhtiar Piroozi
Heliyon.2021; 7(3): e06485. CrossRef - Catastrophic health expenditures for children with disabilities in Iran: A national survey
Ghobad Moradi, Amjad Mohamadi Bolbanabad, Farman Zahir Abdullah, Hossein Safari, Satar Rezaei, Abbas Aghaei, Siros Hematpour, Salahaddin Farshadi, Nima Naleini, Bakhtiar Piroozi
The International Journal of Health Planning and Management.2021; 36(5): 1861. CrossRef - Inequality in dental care expenditure in Iranian households: analysis of income quintiles and educational levels
Elahe Najafi, Mostafa Amini-Rarani, Maryam Moeeni
BMC Oral Health.2021;[Epub] CrossRef Oral Health Behaviors among Schoolchildren in Western Iran: Determinants and Inequality
Satar Rezaei, Halasa-Rappel Yara A.
Clinical, Cosmetic and Investigational Dentistry.2020; Volume 12: 319. CrossRefIncidence and Intensity of Catastrophic Health-care Expenditure for Type 2 Diabetes Mellitus Care in Iran: Determinants and Inequality
Bakhtiar Piroozi, Amjad Mohamadi-Bolbanabad, Ghobad Moradi, Hossein Safari, Shahnaz Ghafoori, Yadolah Zarezade, Farzam Bidarpour, Satar Rezaei
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy.2020; Volume 13: 2865. CrossRef- Decomposing socioeconomic inequality in dental caries in Iran: cross-sectional results from the PERSIAN cohort study
Farid Najafi, Satar Rezaei, Mohammad Hajizadeh, Moslem Soofi, Yahya Salimi, Ali Kazemi Karyani, Shahin Soltani, Sina Ahmadi, Enayatollah Homaie Rad, Behzad Karami Matin, Yahya Pasdar, Behrooz Hamzeh, Mehdi Moradi Nazar, Ali Mohammadi, Hossein Poustchi, Na
Archives of Public Health.2020;[Epub] CrossRef - Risk factors for tooth loss in community-dwelling Japanese aged 40 years and older: the Yamagata (Takahata) study
Shigeo Ishikawa, Tsuneo Konta, Shinji Susa, Kenichiro Kitabatake, Kenichi Ishizawa, Hitoshi Togashi, Atsushi Tsuya, Yoshiyuki Ueno, Isao Kubota, Hidetoshi Yamashita, Takamasa Kayama, Mitsuyoshi Iino
Clinical Oral Investigations.2019; 23(4): 1753. CrossRef - Catastrophic health expenditure and its determinants in households with gastrointestinal cancer patients: evidence from new health system reform in Iran
Bakhtiar Piroozi, Bushra Zarei, Bayazid Ghaderi, Hossein Safari, Ghobad Moradi, Satar Rezaei, Mahfooz Ghaderi, Shina Amirhosseini, Amjad Mohamadi-Bolbanabad
International Journal of Human Rights in Healthcare.2019; 12(4): 249. CrossRef - Reducing social inequalities in the oral health of an adult population
Manoelito Ferreira SILVA JUNIOR, Maria da Luz Rosário de SOUSA, Marília Jesus BATISTA
Brazilian Oral Research.2019;[Epub] CrossRef - Age-sex specific and sequela-specific disability-adjusted life years (DALYs) due to dental caries preventable through water fluoridation: An assessment at the national and subnational levels in Iran, 2016
Mehrnoosh Abtahi, Sina Dobaradaran, Sahand Jorfi, Ali Koolivand, Mohammad Reza Mohebbi, Ahmad Montazeri, Shokooh Sadat Khaloo, Saeed Keshmiri, Reza Saeedi
Environmental Research.2018; 167: 372. CrossRef - Socioeconomic status, oral health and dental disease in Australia, Canada, New Zealand and the United States
Gloria C. Mejia, Hawazin W. Elani, Sam Harper, W. Murray Thomson, Xiangqun Ju, Ichiro Kawachi, Jay S. Kaufman, Lisa M. Jamieson
BMC Oral Health.2018;[Epub] CrossRef
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