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Socio-economic-related health inequality in non-communicable diseases among older people in Viet Nam


Le, DD and Leon-Gonzalez, R and Giang, TL and Nguyen, AT, Socio-economic-related health inequality in non-communicable diseases among older people in Viet Nam, Ageing and Society pp. 1-28. ISSN 0144-686X (2020) [Refereed Article]

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Copyright 2020 The Authors

DOI: doi:10.1017/S0144686X19001843


This study contributes to a growing literature body of studies aimed at explaining socio-economic-related health inequality in non-communicable diseases (NCDs), with a focus on older people who are commonly affected by socio-economic gradient in later life. It identifies factors associated with self-reported NCDs and examines socio-economic-related health inequality in self-reported NCDs between rural and urban Vietnamese older people. This cross-sectional study utilised data from the Viet Nam Ageing Survey. A sample of 2,682 older people aged 60 and over (urban = 703, rural = 1,979) was analysed. Concentration indices were computed to measure socio-economic inequalities in self-reported NCDs. Concentration index decomposition analysis was performed to determine the relative contributions of the determinants to explaining those inequalities. Significant socio-economic inequalities in self-reported NCDs favouring the rich were found, in which the degree of inequality was more pronounced in urban areas than in their rural counterparts. Household wealth and social health insurance were the main drivers contributing to increased socio-economic inequalities in self-reported NCDs in urban and rural areas, respectively. Among disadvantaged groups, older people living alone, with lowest wealth and with social health insurance had highest probability of reporting at least one NCD for both areas. Public policies aimed at narrowing wealth gaps and expanding and improving principle roles of social health insurance should prioritise the most disadvantaged groups in order to achieve health equality.

Item Details

Item Type:Refereed Article
Keywords:ageing, concentration index, decomposition analysis, developing countries, non-communicable diseases, Viet Nam
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Aged health care
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Health inequalities
UTAS Author:Giang, TL (Associate Professor Long Giang)
ID Code:138703
Year Published:2020
Deposited By:Menzies Institute for Medical Research
Deposited On:2020-04-22
Last Modified:2020-06-23

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