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Post universal health coverage trend and geographical inequalities of mortality in Thailand

Overview of attention for article published in International Journal for Equity in Health, November 2016
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • One of the highest-scoring outputs from this source (#6 of 2,264)
  • High Attention Score compared to outputs of the same age (99th percentile)
  • High Attention Score compared to outputs of the same age and source (97th percentile)

Mentioned by

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1 policy source
twitter
368 X users
facebook
1 Facebook page

Citations

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34 Dimensions

Readers on

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85 Mendeley
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Title
Post universal health coverage trend and geographical inequalities of mortality in Thailand
Published in
International Journal for Equity in Health, November 2016
DOI 10.1186/s12939-016-0479-5
Pubmed ID
Authors

Suchunya Aungkulanon, Viroj Tangcharoensathien, Kenji Shibuya, Kanitta Bundhamcharoen, Virasakdi Chongsuvivatwong

Abstract

Thailand has achieved remarkable improvement in health status since the achievement of universal health coverage in 2002. Health equity has improved significantly. However, challenges on health inequity still remain.This study aimed to determine the trends of geographical inequalities in disease specific mortality in Thailand after the country achieved universal health coverage. National vital registration data from 2001 to 2014 were used to calculate age-adjusted mortality rate and standardized mortality ratio (SMR). To minimize large variations in mortality across administrative districts, the adjacent districts were systematically grouped into "super-districts" by taking into account the population size and proximity. Geographical mortality inequality among super-districts was measured by the coefficient of variation. Mixed effects modeling was used to test the difference in trends between super-districts. The overall SMR steadily declined from 1.2 in 2001 to 0.9 in 2014. The upper north and upper northeast regions had higher SMR whereas Greater Bangkok achieved the lowest SMR. Decreases in SMR were mostly seen in Greater Bangkok and the upper northern region. Coefficient of variation of SMR rapidly decreased from 20.0 in 2001 to 12.5 in 2007 and remained close to this value until 2014. The mixed effects modelling revealed significant differences in trends of SMR across super-districts. Inequality in mortality declined among adults (≥15 years old) but increased in children (0-14 years old). A declining trend in inequality of mortality was seen in almost all regions except Greater Bangkok where the inequality in SMR remained high throughout the study period. A decline in the adult mortality inequality across almost all regions of Thailand followed universal health coverage. Inequalities in child mortality rates and among residents of Greater Bangkok need further exploration.

X Demographics

X Demographics

The data shown below were collected from the profiles of 368 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 85 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 85 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 18 21%
Researcher 10 12%
Student > Bachelor 7 8%
Student > Ph. D. Student 6 7%
Student > Doctoral Student 5 6%
Other 11 13%
Unknown 28 33%
Readers by discipline Count As %
Medicine and Dentistry 20 24%
Nursing and Health Professions 12 14%
Social Sciences 10 12%
Agricultural and Biological Sciences 3 4%
Economics, Econometrics and Finance 2 2%
Other 9 11%
Unknown 29 34%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 259. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 January 2020.
All research outputs
#143,693
of 25,760,414 outputs
Outputs from International Journal for Equity in Health
#6
of 2,264 outputs
Outputs of similar age
#2,964
of 417,847 outputs
Outputs of similar age from International Journal for Equity in Health
#1
of 44 outputs
Altmetric has tracked 25,760,414 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,264 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.6. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 417,847 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 44 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 97% of its contemporaries.