| Título: | Changes in income-related inequalities in cervical cancer screening during the Spanish economic crisis: a decomposition analysis |
| Autores: | Merino-Ventosa, María ; Urbanos Garrido, Rosa María |
| Tipo de documento: | texto impreso |
| Editorial: | Springer Nature, 2018 |
| Dimensiones: | application/pdf |
| Nota general: |
cc_by info:eu-repo/semantics/openAccess |
| Idiomas: | |
| Palabras clave: | Estado = Publicado , Materia = Ciencias Biomédicas: Medicina: Salud pública , Materia = Ciencias Sociales: Economía: Economía pública , Tipo = Artículo |
| Resumen: |
Background: Cervical cancer is one of the most prevalent cancers, but it may be prevented by early detection. Social inequalities in the use of cytology testing have been identified in the literature. However, the degree of income-related inequality has not been quantified and determinants of inequality changes during the economic crisis remain unknown. Methods: Using the Spanish National Health Surveys (2006–07 / 2011–12), we analyzed how income-related inequalities in the use of cervical cancer screening for women aged 25–64 changed across the economic crisis. We used corrected concentration indices (CCI) which were further decomposed in order to compute the contribution of the explanatory variables. An Oaxaca-type approach was employed to investigate the origin of changes over time. Results: Our final sample consisted of 10,743 observations in 2006–07 and 6587 in 2011–12. Despite the higher prevalence of screening over time (from 73.9 to 77.9%), pro-rich inequality significantly increased (from CCI = 0.1726 to CCI = 0.1880, p Conclusions: Reducing cervical screening inequalities would require actions focused on most vulnerable groups such as migrants, low income and low educated population. The implementation of population-based screening programs would also help to cope with income-related inequalities in cytology testing. |
| En línea: | https://eprints.ucm.es/id/eprint/60316/1/Changes%20in%20income-related-Merino-Ventosa%20%28Open%20Access%29.pdf |
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