2023-09-28 14:46:10 +00:00
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abstract: 'PURPOSE: In middle-income countries, interest in the Study of
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inequalities in health has focused on aggregate types of health
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outcomes, like rates of mortality. This work moves beyond such measures
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to focus on disease-specific health outcomes with the use of national
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health survey data.
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METHODS: Cross-sectional data from the national Health and Welfare
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Survey 2003, covering 52,030 adult aged 15 or older, were analyzed. The
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health outcomes were the 20 most commonly reported diseases. The age-sex
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adjusted concentration index (C{*}) of ill health was used as a measure
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of socioeconomic health inequality (values ranging from -1 to +1). A
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negative (or positive) concentration index shows that a disease was more
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concentrated among the less well off (or better off). Crude
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concentration indices (C) for four of the most common diseases were also
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decomposed to quantify determinants of inequalities.
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RESULTS: Several diseases, such as malaria (C{*} = -0.462), goiter (C{*}
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= -0.352), kidney stone (C{*} = -0.261), and tuberculosis (C{*} =
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-0.233), were strongly concentrated among those with lower incomes,
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whereas allergic conditions (C{*} = 0.174) and migraine (01 = 0.085)
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were disproportionately reported by the better off. Inequalities were
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found to be associated with older age, low education, and residence in
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the rural Northeast and rural North of Thailand.
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CONCLUSIONS: Pro-equity health policy in Thailand and other
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middle-income countries with health surveys can now be informed by
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national data combining epidemiological, socioeconomic and health
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statistics in ways not previously possible. Ann Epidemiol 2009;
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19:800-807. (C) 2009 Elsevier Inc. All rights reserved.'
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affiliation: 'Yiengprugsawan, V (Corresponding Author), Australian Natl Univ, ANU
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Coll Med Biol \& Environm, Natl Ctr Epidemiol \& Populat Hlth, Bldg 62, Canberra,
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ACT 0200, Australia.
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Yiengprugsawan, Vasoontara; Lim, Lynette L-Y.; Carmichael, Gordon A.; Sleigh, Adrian
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C., Australian Natl Univ, ANU Coll Med Biol \& Environm, Natl Ctr Epidemiol \& Populat
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Hlth, Canberra, ACT 0200, Australia.
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Seubsman, Sam-Ang, Sukhothai Thammathirat Open Univ, Thai Hlth Risk Transit Natl
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Cohort Study, Nonthaburi, Thailand.'
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author: Yiengprugsawan, Vasoontara and Lim, Lynette L-Y. and Carmichael, Gordon A.
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and Seubsman, Sam-Ang and Sleigh, Adrian C.
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author-email: vasoontara.yieng@anu.edu.au
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author_list:
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- family: Yiengprugsawan
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given: Vasoontara
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- family: Lim
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given: Lynette L-Y.
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- family: Carmichael
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given: Gordon A.
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- family: Seubsman
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given: Sam-Ang
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- family: Sleigh
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given: Adrian C.
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da: '2023-09-28'
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doi: 10.1016/j.annepidem.2009.04.009
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eissn: 1873-2585
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files: []
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issn: 1047-2797
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journal: ANNALS OF EPIDEMIOLOGY
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keywords: 'Concentration index; Decomposition; Health inequality; Specific
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diseases; Thailand'
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keywords-plus: 'SOCIOECONOMIC INEQUALITIES; UNIVERSAL COVERAGE; CHILD-MORTALITY;
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DETERMINANTS; COUNTRIES; CARE; PAYMENTS; ASIA'
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language: English
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month: NOV
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number: '11'
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number-of-cited-references: '28'
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orcid-numbers: 'Yiengprugsawan, Vas Sbirakos/0000-0001-9101-4704
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sleigh, adrian/0000-0001-8443-7864
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Yiengprugsawan, Vasoontara/0000-0001-9101-4704
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Seubsman, Sam-ang/0000-0002-7451-3218'
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pages: 800-807
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papis_id: 6e81c9072a7dab50a8bce4fce080f376
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ref: Yiengprugsawan2009trackingdecomposing
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researcherid-numbers: 'Yiengprugsawan, Vas Sbirakos/G-3176-2011
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sleigh, adrian/J-4540-2019
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Yiengprugsawan, Vasoontara/N-7072-2013
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'
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times-cited: '15'
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title: Tracking and Decomposing Health and Disease Inequality in Thailand
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000271217200006
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usage-count-last-180-days: '0'
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usage-count-since-2013: '13'
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volume: '19'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2009'
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