Abstract：
INTRODUCTION:Major efforts have been made to improve the health care system in Hunan province, China. The aims of this study were to assess whether and to what extent these efforts have impacted on gender and regional disparities of Tuberculosis (TB) incidence in recent years, especially for less developed areas. METHODS:We obtained data from the 2005-2009 China Information System for Disease Control and Prevention (CISDCP)to conduct this study in Hunan province. Counties within the province were divided into four regions according to quartiles based on the 2007 per capita GDP. Index of Disparity (ID) and Relative Index of Inequality (RII) were used to measure the disparities of TB incidence in relation to gender and region. Bootstrap technique was used to increase the precision. RESULTS:The average annual incidence of TB was 111.75 per 100,000 in males and 43.44 per 100 000 in females in Hunan. The gender disparity was stable, with ID from 42.34 in 2005 to 43.92 in 2009. For regional disparity, ID, RII (mean) and RII (ratio) decreased significantly from 2005 to 2009 in males (P < 0.05) but remained stable among the female population. CONCLUSIONS:As interventions such as introduction of the New Rural Cooperative Scheme put in place to reduce health disparities in China, regional disparity in relation to incidence of TB decreased significantly, but the gender disparity remains in the Hunan province.
journal_name
Int J Equity Healthjournal_title
International journal for equity in healthauthors
Chen M,Kwaku AB,Chen Y,Huang X,Tan H,Wen SWdoi
10.1186/1475-9276-13-32subject
Has Abstractpub_date
2014-04-27 00:00:00pages
32issn
1475-9276pii
1475-9276-13-32journal_volume
13pub_type
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journal_title：International journal for equity in health
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