The changes in socioeconomic inequalities and inequities in health services utilization among patients with hypertension in Pearl River Delta of China, 2015 and 2019

Liu, Yan; Liu, Nan; Cheng, Mengjiao; Peng, Xin; Huang, Junxuan; Ma, Jinxiang; Wang, Peixi

doi:10.1186/s12889-021-10879-6

Table 4 Oaxaca-type decomposition for changes in inequalities in health services utilization by hypertensive patients, 2015–2019

From: The changes in socioeconomic inequalities and inequities in health services utilization among patients with hypertension in Pearl River Delta of China, 2015 and 2019

Variables	Outpatient utilization				Inpatient utilization
Variables	Δc ∗ η_kt − 1	Δη∗ c_kt − 1	Change	%	Δc ∗ η_kt − 1	Δη∗ c_kt − 1	Change	%
Age(y)
15–44	Ref.
45–54	0.0002	0.0033	0.0035	−11.69	< 0.0001	0.0042	0.0043	−12.75
55–64	−0.0017	−0.0005	− 0.0022	7.32	− 0.0023	−0.0002	− 0.0025	7.47
≧65	0.0110	−0.0003	0.0106	−35.44	0.0141	−0.0001	0.0139	−41.71
sum				−39.82				−46.99
Sex
Female	Ref.
Male	< 0.0001	0.0013	0.0013	−4.20	−0.0035	0.0033	−0.0002	0.73
Years of hypertension (y)
1–4	Ref.
5–9	−0.0011	0.0005	−0.0006	2.13	−0.0006	0.0006	< 0.0001	−0.01
≧10	0.0028	−0.0015	0.0013	−4.23	0.0084	−0.0030	0.0055	−16.33
sum				−2.10				−16.34
Economic status
Poorest	Ref.
Poorer	−0.0002	−0.0026	−0.0028	9.25	< 0.0001	−0.0039	−0.0040	11.86
Middle	−0.0005	−0.0004	− 0.0009	2.92	− 0.0007	< 0.0001	− 0.0006	1.93
Richer	−0.0011	0.0024	0.0013	−4.37	−0.0011	0.0100	0.0089	−26.51
Richest	−0.0010	0.0171	0.0162	−53.92	−0.0014	0.0227	0.0213	−63.84
sum				−46.11				−76.56
Educational level
Primary or below	Ref.
Middle school	−0.0010	−0.0004	−0.0014	4.65	−0.0005	0.0001	−0.0003	1.03
High school	−0.0089	0.0037	−0.0053	17.53	−0.0049	−0.0008	− 0.0057	16.96
College or above	−0.0097	−0.0071	− 0.0168	56.12	− 0.0051	−0.0068	− 0.0120	35.80
sum				78.30				53.79
Employment status
Unemployed	Ref.
Employed	0.0016	−0.0067	−0.0051	17.08	−0.0023	0.0002	−0.0021	6.15
Marital status
Single	Ref.
Married	< 0.0001	0.0002	0.0002	−0.57	0.0001	−0.0007	− 0.0006	1.87
Residential location
Rural	Ref.
Urban	−0.0009	−0.0038	−0.0047	15.55	−0.0014	− 0.0003	−0.0017	5.03
Registration
Migrants	Ref.
Locals	−0.0195	0.0089	−0.0107	35.59	−0.0128	− 0.0014	−0.0142	42.45
Health insurance
No	Ref.
Yes	< 0.0001	−0.0005	−0.0005	1.78	0.0001	−0.0003	−0.0003	0.75
Time to the nearest health facilities (min)
≧15	Ref.
> 15	−0.0082	−0.0118	−0.0200	66.78	−0.0031	− 0.0072	−0.0104	31.06

Note: Δc ∗ η_kt − 1: Change in the amount of inequality in determinants; Δη∗ c_kt − 1: Change in elasticities of determinants; Change: Change of each determinant; %: Percentage change of each determinant to the change in total inequality

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ISSN: 1471-2458

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