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
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 ..View full abstract
This article uses data from the WHO Study on Global Ageing and Adult Health (SAGE) Wave 1 V.1.1.0. SAGE is supported by the USA National Institute on Aging's Division of Behavioral and Social Research and the WHO's Department of Health Statistics and Information Systems.