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Wage gap among Iranian nurses: a decomposition analysis in Southern Iran
Mohsen Bayati1, Ali Keshavarzi1, Ali Majidpour Azad Shirazi2
1Health Human Resources Research Centre, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Human Resources for Health
|February 10, 2026
Summary
The wage gap among Iranian nurses is moderate, with top earners making twice as much as the lowest earners. Factors like experience and specialty significantly influence nurse wages, necessitating targeted policies to address inequality.
Area of Science:
- Healthcare Economics
- Nursing Workforce Studies
Background:
- Nursing shortages and wage inequality impact healthcare quality.
- Investigating the wage gap among nurses in Iran is crucial.
Purpose of the Study:
- To analyze wage inequality among Iranian nurses.
- To identify factors contributing to the wage gap.
Main Methods:
- Utilized wage quartiles, Lorenz curves, and Gini coefficient (GC) decomposition for 595 nurses.
- Analyzed within-group, between-group, and overlap contributions to wage inequality.
Main Results:
- A moderate wage gap (GC=0.16) was observed, with top earners earning 2.03 times more than bottom earners.
- Specialized roles, older age, and extensive experience correlated with higher wages.
- Private sector, non-provincial hospitals, and general hospitals showed lower wage rates.
Conclusions:
- Work experience, employment type, age, and hospital specialty significantly impact nurse wage inequality.
- Gender and academic qualifications did not significantly affect the wage gap.
- Policymakers should implement targeted strategies to reduce wage disparities among nurses.
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