Journal article

The inverse equity hypothesis: Does it apply to coverage of cancer screening in middle-income countries?

John Tayu Lee, Zhilian Huang, Sanjay Basu, Christopher Millett

Journal of Epidemiology & Community Health | BMJ PUBLISHING GROUP | Published : 2015

Abstract

BACKGROUND: It is uncertain whether the inverse equity hypothesis-the idea that new health interventions are initially primarily accessed by the rich, but that inequalities narrow with diffusion to the poor-holds true for cancer screening in low and middle income countries (LMICs).This study examines the relationship between overall coverage and economic inequalities in coverage of cancer screening in four middle-income countries. METHODS: Secondary analyses of cross-sectional data from the WHO study on Global Ageing and Adult Health in China, Mexico, Russia and South Africa (2007-2010). Three regression-based methods were used to measure economic inequalities: (1) Adjusted OR; (2) Relative ..

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