Table 2. Summary of articles focusing on equity in health outcomes .
Author(s) | Aims | Study Design | Newcastle-Ottawa Scale** | Main outcome(s) |
Emamian MH, Fateh M, Hosseinpoor AR, Alami A, Fotouhi A.(17) | To describe socio-economic inequality with obesity and its associated factors | A cross-sectional study through analyzing the national surveillance data for 2005 | Good |
Slop index of inequality Concentration Index Decomposition inequality in obesity |
Farzadi F, Ahmadi B, Shariati B, Alimohamadian M, Mohamad K.(18) | Looks at the trend in the population gender ratio from 1956 to 2006, with a focus on analyzing mortality rates and hence the overall health of Iranian women | A cohort analysis on population censuses in Iran | Good | “Comparison of Mortality in the 25–34 years age group in 1956–1966 compared with subsequent decades. |
Gooshki ES, Rezaei R, Wild V.(19) |
To shed light on the health of migrants in Iran from the perspective of social justice |
A systematic Review | Satisfactory | Adverse health consequences for population |
Moradi-Lakeh M, Bijari B, Namiranian N, Olyaeemanesh A-R, Khosravi A. (20) | To assess the trend of geographical disparities between rural areas | A trend observational study | Good |
Crude Mortality Rate Neonatal Mortality rate Infant Mortality Rate Under Five Mortality Rate |
Nedjat S, Hosseinpoor AR, Forouzanfar MH, Golestan B, Majdzadeh R. (21) | This study aims to estimate health inequality between different socioeconomic groups and its determinants | A cross-sectional study through a Population survey in Tehran | Good |
Concentration Index Decomposing socio-economic factors affecting the health status |
Emamian MH, Zeraati H, Majdzadeh R, Shariati M, Hashemi H, Jafarzadehpur E, et al. (22) | To investigate economic inequality and its determinants in near vision, in a middle-aged population | A cross-sectional study | Good | The main contributors of gap between lower and higher socio-economic group through Oaxaca-Blinder Decomposition |
Morasae EK, Forouzan AS, Majdzadeh R, Asadi-Lari M, Noorbala AA, Hosseinpoor AR. (23) | To measure socioeconomic inequality in mental health, and then to untangle and quantify the contributions of potential determinants of mental health to the measured socioeconomic inequality | A cross-sectional study through a Population survey in Tehran | Good | “The overall CI of mental health in Tehran was -0.0673 (95% CI = -0.070 - -0.057). Decomposition of the CI revealed that economic status made the largest contribution (44.7%) to socioeconomic inequality in mental health. Educational status (13.4%), age group (13.1%), district of residence (12.5%) and employment status (6.5%).” |
Ramezani Doroh V, Vahedi S, Arefnezhad M, Kavosi Z, Mohammadbeigi A. (24) | To decompose the health inequality of people living in Shiraz | A cross-sectional study through a multistage-sample survey | Good |
Concentration Index for Mental and General Health Decomposing inequality |
Veisani Y, Delpisheh A. (25) | To understand the determinants of socioeconomic inequality of mental health in the female-headed households | A cross-sectional study | Satisfactory |
Concentration Index Decomposing Inequality |
Amirian H, Poorolajal J, Roshanaei G, Esmailnasab N, Moradi G. (26) | The effect of inequity on health outcomes was investigated via a three-stage procedure | A cross-sectional study through a multistage-sample survey | Good | Concentration Index |
Khajavi A, Pishgar F, Dehghani M, Naderimagham S. (27) | To assess inequalities in infant mortality in rural regions | A trend analysis in national scale | satisfactory | Comparing the decreasing rate of mortality over the time |
Alizadeh M, Laghousi D. (28) | To assess the trend of geographical disparities in child and maternal mortality rates | A population-based trend analysis | satisfactory | Index of Disparity in Neonatal, Infant and Under Five Mortality Rates between 1999 and 2013. |
Rarani MA, Rashidian A, Arab M, Khosravi A, Abbasian E.(29) | To measured socioeconomic inequality in under-five mortality in Iran and across its provinces. | A cross-sectional study on multiple indicator demographic and health Survey | satisfactory | Concentration Index for Under Five Mortality Rate. |
Kiadaliri AA. (30) | To assess gender and social disparities in Esophagus cancer incidence across Iran’s provinces through 2003-2009 | A trend analysis by Iran National Statistical Centre | Satisfactory | Rate ratios and Kunst and Mackenbach relative indices of inequality (RIIKM) were used to assess gender and social inequalities |
Kiadaliri AA, Saadat S, Shahnavazi H, Haghparast-Bidgoli H. (31) | To assess overall, gender and social inequalities across Iran’s provinces during 2006–2010. | A time trend province-level study | Good | Rate ratio and Kunst and Mackenbach relative index of inequality were used to assess overall, gender and social inequalities, respectively. |
Ghorbani Z, Ahmady AE, Ghasemi E, Zwi A. (32) | To identify the socioeconomic distribution of perceived oral health among adults | A cross-sectional population-based survey in Tehran | Good | Concentration Index of non-replaced extracted teeth (NRET), and m perceived dental health |
Hosseinpoor AR, Mohammad K, Majdzadeh R, Naghavi M, Abolhassani F, Sousa A, et al. (33) | To measure the socioeconomic inequality in infant mortality in Iran | A cross-sectional study on Iran Demographic and Health Survey data | Good |
Concentration Index in Infant Mortality Decomposition Inequality |
Hosseinpoor AR, Van Doorslaer E, Speybroeck N, Naghavi M, Mohammad K, Majdzadeh R, et al. (34) | To quantify the determinants' contributions of socioeconomic inequality in infant mortality | A cross-sectional study on Iran Demographic and Health Survey data | Good | Decomposing of Inequality |
Almasi-Hashiani A, Sepidarkish M, Safiri S, Morasae EK, Shadi Y, Omani-Samani R.(35) | To determine the economic inequality in history of stillbirth and understanding determinants of unequal distribution of stillbirth in Tehran, Iran. | A population-based cross-sectional study | Good | “Decomposition of the Concentration Index of stillbirth |
Rad EH, Khodaparast M. (36) | Taxation system and health insurance contribution of Iranians were assessed | A cross-sectional analysis on data obtained from Iran Statistical Center. | Satisfactory | Kakwani Index of health insurance contribution |
Emamian MH, Zeraati H, Majdzadeh R, Shariati M, Hashemi H, Fotouhi A. (37) | To report the status of the unmet refractive need and the role of economic inequality | A cross-sectional nested case-control | Good | Oaxaca-Blinder decomposition method of unmet refractive need |
Hosseinkhani Z, Nedjat S, Aflatouni A, Mahram M, Majdzadeh R. (38) | To assess the association of child maltreatment with socioeconomic status among schoolchildren | A cross-sectional study | Satisfactory | Concentration Index of child maltreatment |
Mansouri A, Rarani MA, Fallahi M, Alvandi I. (39) | To estimate and decompose educational inequalities in the prevalence of IBS | A cross-sectional study | Good | Concentration Index |
Fateh M, Emamian MH, Asgari F, Alami A, Fotouhi A.(40) | To investigate the socioeconomic inequality of hypertension in Iran and to identify its influencing factors | A cross-sectional study | Good |
Slop index of inequality (SII) and concentration index (C) for hypertension. Oaxaca–Blinder decomposition |
Moradi G, Ardakani HM, Majdzadeh R, Bidarpour F, Mohammad K, Holakouie-Naieni K. (41) | To determine the socioeconomic status (SES) of inequalities and the proportion of the determinants in nonuse of seat belts in cars and helmets on motorcycles | A cross-sectional study | Good | The concentration index, concentration curve, and comparison of Odds Ratio (OR) in different SES groups were used to measure the socioeconomic inequalities using logistic regression. |
Veisani Y, Delpisheh A, Moradi G, Hassanzadeh J, Sayehmiri K. (42) | To estimate the relationship between the socioeconomic status and addiction and mental disorders in suicide attempts | A cross-sectional study | Good | concentration index (CI) and decomposing contribution in inequality |
Tourani S, Zarezadeh M, Raadabadi M, Pourshariati F.(43) | Determining regional disparity of obstetrics and gynecology services and its association with children and infant mortality rates | A cross-Sectional Study | Satisfactory | Gini Coefficient |
Entezarmahdi R, Majdzadeh R, Foroushani AR, Nasehi M, Lameei A, Naieni KH.(44) | To measure inequality of disability in leprosy | A cross-sectional study | Satisfactory | extended concentration index decomposition |
Moradi G, Mohammad K, Majdzadeh R, Ardakani HM, Naieni KH.(45) | To determine socioeconomic inequalities in risk factors for NCDs | A trend analysis of inequality | Good | Concentration Index |
Naghdi S, Ghiasvand H, Zadeh NS, Azami S, Moradi T.(46) | To estimate the impact of some macro-economic factors specially inequality factors on the Iranian rural health status | A time trend ecological study | Satisfactory | Gini Coefficient |
Kiadaliri AA.(47) | Investigating social disparities in breast cancer (BC) and ovarian cancer (OC) incidence rates among women | A time trend province-level study | Satisfactory | rate ratio and Kunst and Mackenbach relative index of inequality were used to assess social disparities |
Kia AA, Rezapour A, Khosravi A, Abarghouei VA.(48) | To assess the socioeconomic inequality in malnutrition in under-5 children | A crosse-sectional study | Good | Concentration Index |
Moradi G, Moinafshar A, Adabi H, Sharafi M, Mostafavi F, Bolbanabad AM. (49) | To evaluate socioeconomic inequalities in the oral health status | A crosse-sectional study | Satisfactory | Concentration Index |
Kiadaliri AA, Asadi-Lari M, Kalantari N, Jafari M, Mahdavi MRV, Faghihzadeh S.(50) | To examine educational inequalities among adults | A population based cross-sectional study | Good | Slope Index of Inequality (SII) and the Relative Index of Inequality (RII) |
Emamian MH, Zeraati H, Majdzadeh R, Shariati M, Hashemi H, Fotouhi A.(51) | To explore inequality in visual impairment | A cohort study | Good | Blinder-Oaxaca decomposition |
Hosseini M, Olyaeemanesh A, Ahmadi B, Nedjat S, Farzadi F, Arab M, et al.(52) | To identify the state of gender equity in the health sector of the Islamic Republic of Iran | A mixed method | Satisfactory | Gender Inequality in different aspects of health indicators |
Moradi G, Majdzadeh R, Mohammad K, Malekafzali H, Jafari S, Holakouie-Naieni K.51 | To determine the status of diabetes socioeconomic inequality and the share of determinants of inequalities | A time trend comparative study | Good |
Concentration Index Decomposition Inequality |
Emamian MH, Fateh M, Gorgani N, Fotouhi A.(53) | To describe the socio-economic inequality in stunting and its determinants | A cross-sectional population-based | Good |
Concentration Index Oaxaca-Blinder Decomposition |
Raeisi A, Mehboudi M, Darabi H, Nabipour I, Larijani B, Mehrdad N, et al.(54) | To investigate the socioeconomic inequality of overweight and obesity among the elderly | prospective cohort study | Good | Concentration Index and the Lorenz curve |
Safiri S, Kelishadi R, Heshmat R, Rahimi A, Djalalinia S, Ghasemian A, et al.(55) | To describe the socioeconomic inequality associated with oral hygiene behavior | A cross-sectional Study | Good | Concentration Index (C) and the slope index of inequality (SII) |
Peykari N, Djalalinia S, Qorbani M, Sobhani S, Farzadfar F, Larijani B. (56) | Summarizing evidences on associations between socioeconomic factors and diabetes in Iranian population | A systematic review | Good | The prevalence of diabetes among different socio-economic and demographic groups. |
Ravaghi H, Goshtaei M, Olyaee Manesh A, Abolhassani N, Arabloo J (57) | Obtain a deeper understanding of the development of health equity indicators and identify their implementation challenges | A qualitative study | Satisfactory | Shaping the stakeholder’s perspective for different health inequality indicators |
Zaboli R, Tourani S, Seyedin SH, Manesh AO (58) | To determine and prioritize the social determinants of health inequality in Iran | A mixed method | Good | Shaping framework for including SDH approach in health equity |
Beheshtian M, Manesh AO, Bonakdar S, Afzali HM, Larijani B, Hosseini L, et al.(59) | Determining health equity indicators in Iran | A literature review | Satisfactory | “52 indicators have been determined as health equity indicators in five areas including health, social and human development, economic development, physical environment and infrastructure and governance. “ |
Sadeghipour Roudsari H, Sherafat Kazemzadeh R, Rezaeie M, Derakhshan M.(60) | To assess the knowledge, attitudes and practices of men, Iranians and Afghan refugees, regarding reproductive health | A cross-sectional Study | Satisfactory | “Mean scores for knowledge, attitudes and practices for Iranians were 4.38/30, 13.89/20 and 12.99/31 respectively; for Afghans the scores were 3.79/30, 11.66/20 and 11.88/31.” |