Decomposing Socioeconomic Inequality Determinants in Suicide Deaths in Iran: A Concentration Index Approach / 가정의학회지
Korean Journal of Family Medicine
; : 135-140, 2017.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-70248
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
It is recognized that socioeconomic status (SES) has a significant impact on health and wellbeing; however, the effect of SES on suicide is contested. This study explored the effect of SES in suicide deaths and decomposed inequality into its determinants to calculate relative contributions.METHODS:
Through a cross-sectional study, 546 suicide deaths and 6,818 suicide attempts from January 1, 2010 to December 31, 2014 in Ilam Province, Western Iran were explored. Inequality was measured by the absolute concentration index (ACI) and decomposed contributions were identified. All analyses were performed using STATA ver. 11.2 (Stata Corp., College Station, TX, USA).RESULTS:
The overall ACI for suicide deaths was −0.352 (95% confidence interval, −0.389 to −0.301). According to the results, 9.8% of socioeconomic inequality in suicide deaths was due to addiction in attempters. ACI ranged from −0.34 to −0.03 in 2010–2014, showing that inequality in suicide deaths declined over time.CONCLUSION:
Findings showed suicide deaths were distributed among the study population unequally, and our results confirmed a gap between advantaged and disadvantaged attempters in terms of death. Socioeconomic inequalities in suicide deaths tended to diminish over time, as suicide attempts progressed in Ilam Province.
Full text:
Available
Health context:
Sustainable Health Agenda for the Americas
/
SDG3 - Health and Well-Being
/
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Goal 11: Inequalities and inequities in health
/
Target 3.8 Achieve universal access to health
/
Mental Health and Behavioral Disorders
Database:
WPRIM (Western Pacific)
Main subject:
Social Class
/
Socioeconomic Factors
/
Suicide
/
Suicide, Attempted
/
Cross-Sectional Studies
/
Vulnerable Populations
/
Iran
Type of study:
Observational study
/
Prevalence study
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Prognostic study
/
Risk factors
Aspects:
Social determinants of health
/
Equity and inequality
Limits:
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Korean Journal of Family Medicine
Year:
2017
Document type:
Article