TITLE

Income-related inequalities and inequities in health and health care utilization in Mexico, 2000-2006

AUTHOR(S)
Barraza-Lloréns, Mariana; Panopoulou, Giota; Díaz, Beatriz Yadira
PUB. DATE
February 2013
SOURCE
Pan American Journal of Public Health;Feb2013, Vol. 33 Issue 2, p122
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objective. To measure income-related inequalities and inequities in the distribution of health and health care utilization in Mexico. Methods. The National Health Survey (NHS) 2000 and the National Health and Nutrition Survey (NHNS) 2006 were used to estimate concentration indices for health outcomes and health care utilization variables before and after standardization. The study analyzed 110 460 individuals 18 years or older for NHS 2000 and 124 149 individuals for NHNS 2006. Health status variables were self-assessed health, physical limitations, and chronic illness. Health care utilization included curative visits and dental, hospital, and preventive care. Individuals were ranked by three standard-of-living measures: household income, wealth, and expenditure. Other independent variables were area of residence, geographic region, education, employment, ethnicity, and health insurance. Decomposition analysis allowed for assessing the contributions of independent variables to the distribution of health care among individuals. Results. The worse-off population reports less good self-assessed health and more physical limitations, whereas better-off individuals report more chronic illnesses. Utilization of curative visits and hospitalization is more concentrated among the better-off population. No significant changes in these results can be established between 2000 and 2006. According to available evidence, standard of living, health insurance, and education largely contribute to the inequitable distribution of health care. Conclusions. Despite improvements in health care utilization patterns, income-related health and health care inequities prevail. Equity remains a challenge for Mexico.
ACCESSION #
85964282

 

Related Articles

  • Measuring evolution of income-related inequalities in health and health care utilization in selected Latin American and Caribbean countries. Almeida, Gisele; Sarti, Flavia Mori // Pan American Journal of Public Health;Feb2013, Vol. 33 Issue 2, p83 

    Objective. To describe the methodology used to measure and explain income-related inequalities in health and health care utilization over time in selected Latin American and Caribbean countries. Methods. Data from nationally representative household surveys in Brazil, Chile, Colombia, Jamaica,...

  • Equity in health and health care in Peru, 2004-2008. Petrera, Margarita; Valdivia, Martín; Jimenez, Eduardo; Almeida, Gisele // Pan American Journal of Public Health;Feb2013, Vol. 33 Issue 2, p131 

    Objective. This study evaluates whether recent positive economic trends and pro-poor health policies have resulted in more health equity and explores key factors that explain such change. Methods. This study focuses on the evolution of measures of health status (self-reported morbidity) and use...

  • Income-related inequality in health and health care utilization in Chile, 2000-2009. Vásquez, Felipe; Paraje, Guillermo; Estay, Manuel // Pan American Journal of Public Health;Feb2013, Vol. 33 Issue 2, p98 

    Objective. To measure and explain income-related inequalities in health and health care utilization in the period 2000-2009 in Chile, while assessing variations within the country and determinants of inequalities. Methods. Data from the National Socioeconomic Characterization Survey for 2000,...

  • Analysis of the evolution and determinants of income-related inequalities in the Brazilian health system, 1998-2008. Almeida, Gisele; Sarti, Flavia Mori; Ferreira, Fernando Fagundes; Diaz, Maria Dolores Montoya; Campino, Antonio Carlos Coelho // Pan American Journal of Public Health;Feb2013, Vol. 33 Issue 2, p90 

    Objective. To analyze the evolution and determinants of income-related inequalities in the Brazilian health system between 1998 and 2008. Methods. Data from the National Household Sampling Surveys of 1998, 2003, and 2008 were used to analyze inequalities in health and health care. Health was...

  • Measuring and explaining health and health care inequalities in Jamaica, 2004 and 2007. Scott, Ewan; Theodore, Karl // Pan American Journal of Public Health;Feb2013, Vol. 33 Issue 2, p116 

    Objective. This study addresses the need to measure and explain the inequalities and inequities of Jamaica's health system to generate evidence to support policy development, monitoring, and evaluation. Methods. The nationally representative Jamaica Survey of Living Conditions data sets for 2004...

  • Socioeconomic inequalities in common mental disorders and psychotherapy treatment in the UK between 1991 and 2009. Jokela, Markus; Batty, G. David; Vahtera, Jussi; Elovainio, Marko; Kivimäki, Mika // British Journal of Psychiatry;Feb2013, Vol. 202 Issue 2, p115 

    Background: Inequality in health and treatment of disease across socioeconomic status groups is a major public health issue.Aims: To examine differences in socioeconomic status in common mental disorders and use of psychotherapy provided by the public and private sector...

  • Tough Choices in Tough Times: Debt and Medication Nonadherence. Kalousova, Lucie; Burgard, Sarah A. // Health Education & Behavior;Apr2014, Vol. 41 Issue 2, p155 

    Debt is a ubiquitous component of households’ financial portfolios. Yet we have scant understanding of how household debt constrains spending on needed health care. Diverse types of debt have different financial properties and recent work has shown that they may have varying implications...

  • Colombian health care system: results on equity for five health dimensions, 2003-2008. Gómez, Fernando Ruiz; Jaramillo, Teana Zapata; Beltrán, Liz Garavito // Pan American Journal of Public Health;Feb2013, Vol. 33 Issue 2, p107 

    Objective. To assess the change in five health equity dimensions for the Colombian health system: health condition, social health insurance coverage, health services utilization, quality, and health expenditure. Methods. A common standardization methodology was used to assess equity in countries...

  • Is self-rated health a valid measure to use in social inequities and health research? Evidence from the PAPFAM women's data in six Arab countries. Abdulrahim, Sawsan; El Asmar, Khalil // International Journal for Equity in Health;2012, Vol. 11 Issue 1, p53 

    Introduction: Some evidence from high-income countries suggests that self-rated health (SRH) is not a consistent predictor of objective health across social groups, and that its use may lead to inaccurate estimates of the effects of inequities on health. Given increased interest in studying and...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics