Odovtos - International Journal of Dental Sciences ISSN Impreso: 1659-1046 ISSN electrónico: 2215-3411

OAI: https://revistas.ucr.ac.cr/index.php/Odontos/oai
Measuring Socioeconomic Position From The Social Inequalities In Health Perspective?: The Case of Costa Rica
PDF
HTML
EPUB

Keywords

Social inequalities in health; Health inequality; Measurement; Socioeconomic position; Socioeconomic status; Costa Rica
Inequidades sociales en salud; Desigualdad social en salud; Medición; Posición socioeconómica; Estatus socioeconómico; Costa Rica

How to Cite

Fantin MSc, R., Gómez-Duarte MD, MSc, PhD, I., Sáenz-Bonilla MSc, J. P., Rojas-Araya NP, K., & Barboza-Solís DDS, MSc, PhD, C. (2019). Measuring Socioeconomic Position From The Social Inequalities In Health Perspective?: The Case of Costa Rica. Odovtos - International Journal of Dental Sciences, 21(3), 65–75. https://doi.org/10.15517/ijds.2019.37295

Abstract

Introduction: Measuring socioeconomic position (SEP) is central in the analysis of social inequalities in health (SIH). It requires the use of updated instruments, adapted to a particular conceptual framework, taking into account the local context and the population characteristics. This study aims to present and discuss the advantages and disadvantages of different measurement of SEP used in Costa Rica for the analysis of health inequalities.  Materials and methods: A systematic review of the existing instruments and methods used to characterize SEP in Costa Rica was carried out. Results: There is a great diversity of instruments used as proxies of SEP in Costa Rica, both at the individual, and at geographical level. These measures allow to capture specific dimensions of SEP potentially associated with different health outcomes. Being a latent concept, variables approaching SEP should refer to their specific conceptual framework, be adapted to the study design, and population’s characteristics (e.g. age), and should consider the study feasibility of data collection.  Due to the variety and different conceptual frameworks behind each SEP variable, it is not possible to establish the existence of a gold standard. Conclusion: This review of the Costa Rican health inequalities literature regarding SEP instruments, can contribute to a better use of the existing tools. It will allow researchers to better evaluate the instruments that have been previously validated, their respective theoretical frameworks and limitations, to choose the most suitable proxy of SEP for the local context analyzed.

https://doi.org/10.15517/ijds.2019.37295
PDF
HTML
EPUB

References

Galobardes B., Shaw M., Lawlor D. A., Lynch J. W. Indicators of socioeconomic position (part 1). J Epidemiol Community Health. janv 2006; 60 (1): 7 12.

Galobardes B., Shaw M., Lawlor D. A., Lynch J. W., Davey Smith G. Indicators of socioeconomic position (part 2). J Epidemiol Community Health. févr 2006; 60 (2): 95 101.

Bartley M. Health Inequality: An Introduction to Theories, Concepts and Methods. 2016.

Cabieses B., Zitko P., Pinedo R., Espinoza M., Albor C. ¿Cómo se ha medido la posición social en investigación en salud?: una revisión de la literatura internacional. Rev Panam Salud Pública. juin 2011; 29: 457 68.

Wilkinson R., Marmot M. The solid facts: social determinants of health. 2nd ed. Copenhagen: WHO Regional Office for Europe; 2003. 31 p.

Manor O., Matthews S., Power C. Comparing measures of health inequality. Soc Sci Med 1982. sept 1997; 45 (5): 761 71.

Almeida-Filho N., Kawachi I., Filho A. P., Dachs J. N. W. Research on health inequalities in Latin America and the Caribbean: bibliometric analysis (1971-2000) and descriptive content analysis (1971-1995). Am J Public Health. déc 2003; 93 (12): 2037 43.

World Health Statistics. Monitoring health for the SDGs, Annex B: tables of health statistics by country, WHO region and globally. Accesado 25 enero 2019. Disponible en: http://www.who.int/gho/publications/world_health_statistics/2016/Annex_B/en/

Central Intelligence Agency. Country comparison: distribution of family income - Gini Index. Accesado 23 enero 2019. Disponible en: https://www.cia.gov/library/publications/the-world-factbook/rankorder/2172rank.html

Modrek S., Dow W. H., Rosero-Bixby L. Long-term association of economic inequality and mortality in adult Costa Ricans. Soc Sci Med 1982. janv 2012; 74 (2): 158 66.

Rosero-Bixby L., Dow W. H. Surprising SES Gradients in Mortality, Health, and Biomarkers in a Latin American Population of Adults. J Gerontol B Psychol Sci Soc Sci. janv 2009; 64B (1): 105 17.

Pornet C., Delpierre C., Dejardin O., Grosclaude P., Launay L., Guittet L., et al. Construction of an adaptable European transnational ecological deprivation index: the French version. J Epidemiol Community Health. 1 nov 2012; 66 (11): 982 9.

Adams J., Ryan V., White M. How accurate are Townsend Deprivation Scores as predictors of self-reported health? A comparison with individual level data. J Public Health Oxf Engl. mars 2005; 27 (1): 101 6.

Barboza Solís C., Fantin R. The Role of Socioeconomic Position in Determining Tooth Loss in Elderly Costa Rican: Findings from the CRELES Cohort. Odovtos Int J Dent Sci. déc 2017; 19 (3): 79 94.

Brenes-Camacho G., Rosero-Bixby L. Differentials by socioeconomic status and institutional characteristics in preventive service utilization by older persons in Costa Rica. J Aging Health. août 2009; 21 (5):730 58.

Rosero-Bixby L., Dow W.H. Exploring why Costa Rica outperforms the United States in life expectancy: A tale of two inequality gradients. Proc Natl Acad Sci U S A. 2 févr 2016; 113 (5): 1130 7.

Behm Rosas H., Guzmán J. M. Diferencias socioeconómicas del descenso de la fecundidad en Costa Rica, 1960-1970.

Seminario Nacional de Demografía (7° : 1979 : Costa Rica). Accesado 23 enero 2019; Disponible en: http://biblioteca.ccp.ucr.ac.cr/handle/123456789/879

Gakidou E., Cowling K., Lozano R., Murray C. J. L. Increased educational attainment and its effect on child mortality in 175 countries between 1970 and 2009: a systematic analysis. Lancet Lond Engl. 18 sept 2010; 376 (9745): 959 74.

Budowski M, Rosero-Bixby L. La Costa Rica sin padres: el reconocimiento de la paternidad y la pensión alimentaria.

Barboza Solís C., Fantin R., Castagné R., Lang T., Delpierre C., Kelly-Irving M. Mediating pathways between parental socio-economic position and allostatic load in mid-life: Findings from the 1958 British birth cohort. Soc Sci Med 1982. 2016; 165: 19-27.

Bekelman T. A., Santamaría-Ulloa C, Dufour D. L., Marín-Arias L., Dengo A. L. Using the protein leverage hypothesis to understand socioeconomic variation in obesity. Am J Hum Biol Off J Hum Biol Counc. 6 mai 2017; 29 (3).

Barquero M. S., Mora A. M. M., Santamaría-Ulloa C., Arias L. M., Zamora M. G., Lizano LR. Deficiencias nutricionales y anemia en niñas y niños preescolares de Costa Rica en el periodo 2014-2016. Poblac Salud En Mesoamérica. Accesado 2 febrero 2019. Disponible en: https://revistas.ucr.ac.cr/index.php/psm/article/view/32447

Barquero M. S., Salguero A. M., Alán D. L., Ulloa C. S., Mora A. M., Lizano L. R. Prevalencia de parasitosis en niños de 1 a 7 años en condición de vulnerabilidad en la Región Central Sur de Costa Rica. Acta Médica Costarricense 60(2). Accesado 23 enero 2019. Disponible en: http://actamedica.medicos.cr/index.php/Acta_Medica/article/view/999

Fantin R., Delpierre C., Kelly-Irving M., Barboza Solís C. Early socioeconomic conditions and severe tooth loss in middle-aged Costa Ricans. Community Dent Oral Epidemiol. 2018; 46 (2): 178 84.

Restrepo-Méndez M. C., Barros A. J. D., Requejo J., Durán P., Serpa L. A. de F., França G. V. A., et al. Progress in reducing inequalities in reproductive, maternal, newborn,’ and child health in Latin America and the Caribbean: an unfinished agenda. Rev Panam Salud Publica Pan Am J Public Health. juill 2015; 38 (1): 9-16.

Smith G. D. Learning to live with complexity: ethnicity, socioeconomic position, and health in Britain and the United States. Am J Public Health. nov 2000; 90 (11): 1694 8.

Krieger N. Refiguring « race »: epidemiology, racialized biology, and biological expressions of race relations. Int J Health Serv Plan Adm Eval. 2000; 30 (1): 211 6.

Weinick R. M., Zuvekas S. H., Cohen J. W. Racial and ethnic differences in access to and use of health care services, 1977 to 1996. Med Care Res Rev MCRR. 2000;57 Suppl 1: 36 54.

Mesenburg M. A., Restrepo-Mendez M. C., Amigo H., Balandrán A. D., Barbosa-Verdun M. A., Caicedo-Velásquez B., et al. Ethnic group inequalities in coverage with reproductive, maternal and child health interventions: cross-sectional analyses of national surveys in 16 Latin American and Caribbean countries. Lancet Glob Health. 2018; 6 (8): e902 13.

INEC. Sistema de consultas - Censo de Población y Vivienda 2011. Accesado 25 enero 2019. Disponible en: http://sistemas.inec.cr:8080/bincri/RpWebEngine.exe/Portal?BASE=2011&lang=esp

Solano Salazar E. La población indígena en Costa Rica según el censo 2000. Simposio: Costa Rica a la luz del censo del 2000.

Vargas I., Vázquez M. L., Jané E. Equidad y reformas de los sistemas de salud en Latinoamérica. Cad Saúde Pública. août 2002; 18 (4): 927 37.

Menchik P. L. Economic Status as a Determinant of Mortality Among Black and White Older Men: Does Poverty Kill? Popul Stud. 1 nov 1993; 47 (3): 427 36.

Rodríguez-Oreggia E., López-Videla B., Rodríguez-Oreggia E., López-Videla B. Imputación de ingresos laborales. Una aplicación con encuestas de empleo en México. El Trimest Económico. mars 2015; 82 (325): 117 46.

Modrek S., Ahern J. Longitudinal relation of community-level income inequality and mortality in Costa Rica. Health Place. nov 2011; 17 (6): 1249 57.

Power C., Matthews S., Manor O. Inequalities in self rated health in the 1958 birth cohort: lifetime social circumstances or social mobility? BMJ. 24 août 1996; 313 (7055): 449 53.

Lozoff B., Jimenez E., Smith J. B. Double burden of iron deficiency in infancy and low socioeconomic status: a longitudinal analysis of cognitive test scores to age 19 years. Arch Pediatr Adolesc Med. nov 2006; 160 (11): 1108 13.

INEC. Índice de Pobreza Multidimensional. 2015. Accesado 26 enero 2019. Disponible en: http://www.inec.go.cr/sites/default/files/documentos/pobreza_y_presupuesto_de_hogares/pobreza/metodologias/mepobrezaenaho2015-01.pdf

Blanco-Metzler A., Moreira Claro R., Heredia-Blonval K., Caravaca Rodríguez I., Montero-Campos M. de L. A., Legetic B., et al. Baseline and Estimated Trends of Sodium Availability and Food Sources in the Costa Rican Population during 2004-2005 and 2012-2013. Nutrients. 15 sept 2017; 9 (9).

Arias L. M., Cascante M. E. U., Rojas X. F. Duración de la lactancia materna exclusiva en una comunidad urbana y otra rural de Costa Rica. Poblac Salud En Mesoamérica. Accesado 31 enero 2019; Disponible en: https://revistas.ucr.ac.cr/index.php/psm/article/view/26408

Hong H., Mújica O. J., Anaya J., Lansingh V. C., López E., Silva J. C. The Challenge of Universal Eye Health in Latin America: distributive inequality of ophthalmologists in 14 countries. B. M. J. Open. nov 2016; 6 (11): e012819.

Subramanian S. V., Kawachi I. Income inequality and health: what have we learned so far? Epidemiol Rev. 2004; 26: 78 91.

Eibner C., Evans W. Relative Deprivation, Poor Health Habits, and Mortality. J Hum Resour; 40 (3). Accesado 31 enero 2019. Disponible en: https://econpapers.repec.org/article/uwpjhriss/v_3a40_3ay_3a2005_3ai_3a2_3ap591-620.htm

Salti N. Relative deprivation and mortality in South Africa. Soc Sci Med. 1 mars 2010; 70 (5): 720 8.

Stycos J. M. The Decline of Fertility in Costa Rica: Literacy, Modernization and Family Planning. Popul Stud. 1982; 36 (1): 15 30.

INEC. Costa Rica a la luz del Censo 2011. 2014.

Programa de las Naciones Unidas para el Desarrollo. Atlas del Desarrollo Humano Cantonal 2016 Accesado 2 febrero 2019. Disponible en: http://desarrollohumano.or.cr/mapa-cantonal/recursos/docmeto2016.pdf

MIDEPLAN. Índice de desarrollo social 2017. Accesado 27 enero 2019. Disponible en: https://documentos.mideplan.go.cr/share/s/6l2bxJTjQqWPGoLkFtG9Xw

Rosero-Bixby L. Spatial access to health care in Costa Rica and its equity: a GIS-based study. Soc Sci Med 1982. avr 2004; 58 (7): 1271 84.

Garay Amores J. Equidad en salud, la llave para un cambio transformacional. EDNASS - CCSS; 2015.

Comments

Downloads

Download data is not yet available.