Consumption-related health education inequalities in COVID-19: a cross-sectional study in China
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Before Public Health. 2022 Apr 25;10:810488. doi: 10.3389/fpubh.2022.810488. eCollection 2022.
BACKGROUND: The COVID-19 pandemic is influencing various aspects of society, especially for people of low socioeconomic status. Health education has proven to be an essential strategy to prevent a pandemic. However, socioeconomic characteristics may limit health education among low socioeconomic status groups. This study explores consumption-related health education inequalities and contributing factors that are variable across China during COVID-19.
METHODS: The 2020 China COVID-19 Survey is a cross-sectional study in China, based on an anonymous online survey of 7,715 samples in 85 cities. He used machine learning methods to assess household consumption and other contributing variables associated with health education during the pandemic. The concentration index (CI) and the horizontal index (HI) were used to measure consumption-related inequalities in health education, respectively. Additionally, Wagstaff decomposition analysis was used to identify other variables contributing to health education inequality.
RESULTS: The result indicates that participants with more education, better income, and positive consumption preferences undertake higher health education during COVID-19. The CI and HI of the consumption-health education inequality are 0.0321 (P p P
CONCLUSIONS: Difference in household consumption, annual income, rural-urban disparity, and private health insurance are key drivers of inequality in health education. The government should pay more attention to promoting health education and the policy of subsidizing health care among vulnerable people. Significantly improve awareness of health education with lower education, rural residential, to build confidence in economic recovery and life after COVID-19.