Distribution of cataract surgical rate and its economic inequality in Iran

Hashemi, H. and Rezvan, F. and Fotouhi, A. and Khabazkhoob, M. and Gilasi, H.R. and Etemad, K. and Mahdavi, A. and Mehravaran, S. and Asgari, S. (2015) Distribution of cataract surgical rate and its economic inequality in Iran. Optometry and Vision Science, 92 (6). pp. 707-713.

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Purpose. To determine the distribution of the cataract surgical number per million population per year (CSR), the CSR in the population older than 50 years (CSR 50+) in the provinces of Iran, and their economic inequality in 2010. Methods. As part of the cross-sectional 2011 CSR survey, the provincial CSR and CSR 50+ were calculated as the total number of surgeries in major and minor centers divided by the total population and the population older than 50 years in each province. Economic inequality was determined using the average province income, the average urban and rural household incomes, and the percentage of urban and rural population in each province. Results. Tehran and Ilam provinces had the highest and lowest CSR (12,465 vs. 359), respectively. Fars and Ilam provinces had the highest and lowest CSR 50+ (71,381 vs. 2481), respectively. Low CSR (<3000) was detected in 9 provinces where 2.4 to 735.7 increase is needed to reach the minimum required. High CSR (>5000) was observed in 14 provinces (45.2) where rates were 0.6 to 59.9 higher than the global target. Cataract surgical rate increased at higher economic quintiles. Differences between the first, second, and fifth (poorest) quintiles were statistically significant. The CSR concentration index was 0.1964 (95 confidence interval, 0.0964 to 0.2964). Conclusions. In line with the goals of the Vision 2020 initiative to eliminate cataract blindness, more than 70 of geographic areas in Iran have achieved the minimum CSR of 3000 or more. However, a large gap still exists in less than 30 of areas, mainly attributed to the economic status. Copyright © 2015 American Academy of Optometry.

Item Type: Article
Additional Information: cited By 3
Uncontrolled Keywords: Economic analysis; Rural areas, Concentration indices; Confidence interval; Economic inequality; Economic status; Geographic areas; Lorenz curves; provincial distribution; Urban and rural, Surgery, cataract; cataract extraction; cross-sectional study; economics; health service; health survey; human; Iran; middle aged; rural population; socioeconomics; statistics and numerical data; urban population, Cataract; Cataract Extraction; Cross-Sectional Studies; Health Services Needs and Demand; Health Surveys; Humans; Iran; Middle Aged; Rural Population; Socioeconomic Factors; Urban Population
Subjects: Health Professions
Divisions: Faculty of Health > Department of Public health
Depositing User: editor . 2
Date Deposited: 07 Mar 2017 16:42
Last Modified: 07 Mar 2017 16:42
URI: http://eprints.kaums.ac.ir/id/eprint/380

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