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2012, Number 3

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Revista Cubana de Salud Pública 2012; 38 (3)

Relationship between the socio-economic dimension and the health dimension in Cuban families

Díaz-Perera FG, Bacallao GJ, Alemañy PE

Language: Spanish
References: 32
Page:
PDF size: 74.96 Kb.


ABSTRACT

Objectives: to evaluate the relationship of the socioeconomic dimension and the health dimension in Cuban families cared for by several family physician's offices.
Methods: a cross-sectional study of 840 families from 12 family physician's offices located in seven health areas of Havana was conducted. The socioeconomic dimension was represented by the conditions of the house and of the family, and the health dimension was represented by the hypertension, diabetes and smoking densities.
Results: there was no relation between schooling and the density of diabetics and smokers; just hypertension was observed to have some linear relation with schooling. No signs of association between the variables health and the ownership of first and secondary need appliances at home. The three risk factors exhibited clear tendencies in terms of the perception of economic situation. There exist high densities of the three factors among those who considered their economic conditions as bad or very bad; the socio-economic inequalities had no relation with the density of risk factors.
Conclusions: there is low association between socio-economic inequalities and health situation in Cuba.


REFERENCES

  1. Benach J, Muntaner C. Aprender a mirar la salud. ¿Cómo la desigualdad social daña nuestra salud? Maracay, Venezuela: Instituto de Altos Estudios en Salud Pública "Dr. Arnoldo Gabaldón"; 2005.

  2. Rojas F. El desarrollo de la economía global y su impacto sobre políticas de salud. En: Silva Hernández D, editor. Salud Pública Medicina Social. La Habana: Editorial Ciencias Médicas; 2009. p. 193-206.

  3. Organización Mundial de la Salud. Lograr la equidad en salud: desde las causas iniciales a los resultados justos. Comisión sobre Determinantes Sociales de la Salud [Internet]. Ginebra, 2008 [citado 2011/3/23]. Disponible en: http://www.who.int/social_determinants/en/

  4. Regidor E. Los determinantes sociales de la salud, la posición socioeconómica y la inequidad en salud. Rev Panam Salud Pública. 2006;20(4):271-2.

  5. Fujisawa Y, Hamano T, Takegawa S. Social capital and perceived health in Japan: An ecological and multilevel analysis. Social Sci Med. 2009;69:500-5.

  6. Inaba Y. Social capital and health in Japan: What has been confirmed and what has not. A commentary on Ichida and on Fujisawa. Social SciMed. 2009;69:506-8.

  7. Ichida Y, Kondo K, Hirai H, Hanibuchi T, Yoshikawa G, Murata C. Social capital, income inequality and self-rated health in Chita peninsula, Japan: a multilevel analysis of older people in 25 communities Social SciMed. 2009;69:489-99.

  8. Dorling D, Mitchell R, Pearce J. The global impact of income inequality on health by age: an observational study. BMJ. 2007;335:873.

  9. Schempf AH, Kaufman JS. On the percent of excess risk explained. J Epidemiol Comm Health. 2011;65:190.

  10. Wright ER, Mills MS, Wright DE. Indiana's Obesity Epidemic Weighs Heavily on Policymakers. Center for Urban Policy and the Environment. 2006 March. [citado 18 Feb 2011]. Disponible en: http://www.urbancenter.iupui.edu

  11. Williams DR, Mohammed SA, Leavell J, Collins C. Race, socioeconomic status, and health: Complexities, ongoing challenges, and research opportunities. Ann NY Acad Sci. 2010;1186:69101.

  12. López R, Baelum V. Inequidades sociales y diabetes en adolescentes. Rev Méd Chile[Internet]. 2006 [citado 24 Ene 2011];134(5). Disponible en: http://www.scielo.cl/scielo.php?pid=S0034-98872006000500002&script=sci_arttext

  13. López P, Pradilla LP, Castillo VR, Lahera V. Patologías socioeconómicas como causa de las diferencias regionales en las prevalencias de síndrome metabólico e hipertensión inducida por el embarazo. Rev Esp Cardiol. 2007;60(2):168-78.

  14. Loucks EB, Abrahamowicz M, Xiao Y, Lynch JW. Associations of education with 30 year life course blood pressure trajectories: Framingham Offspring Study. BMC Public Health. 2011,11:139.

  15. Kawachi I, AdlerNE, Dow WH. Money, schooling, and health: Mechanisms and causal evidence. Ann NY Acad Sci. 2010;1186:56-68.

  16. Winkleby M, Cubbin C, Ahn D. Low Individual Socioeconomic Status, Neighborhood Socioeconomic Status, and Adult Mortality. Am Jo Public Health. 2006;96(12):2145-53.

  17. Galobardes B, Morabia A. Measuring the habitat as an indicator of socioeconomic position: methodology and its association with hypertension. J Epidemiol Comm Health. 2003;57:248-53.

  18. Morenoff JD, House JS, Hansen Ben B, Williams DR, Kaplan GA, HunteHaslyn E. Understanding social disparities in hypertension prevalence, awareness, treatment, and control: The role of neighborhood context. Social SciMed. 2007;65:1853-66.

  19. Lynch J, Davey SG, Harper S, Bainbridge K. Explaining the social gradient in coronary heart disease: comparing relative and absolute risk approaches. J Epidemiol Comm Health. 2006;60:436-41.

  20. Barclay L, Vega C. Poor Health Literacy in the Elderly Predicts All-Cause and Cardiovascular Mortality CME/CE. Arch Intern Med. 2007;167:1503-9.

  21. Bagod'Uva T, O'Donnell O, van Doorslaer E. Differential health reporting by education level and its impact on the measurement of health inequalities among older Europeans. Internat J Epidemiol. 2008;37:1375-83.

  22. Dow WH, Rehkopf DH. Socioeconomic gradients in health in international and historical context. Ann NY Acad Sci. 2010;1186:24-36.

  23. Adler NE, Stewart J. Health disparities across the lifespan: Meaning, methods, and mechanisms. Ann NY Acad Sci. 2010;1186:5-23.

  24. Evans Gary W, Pilyoung K. Multiple risk exposure as a potential explanatory mechanism for the socioeconomic statushealth gradient. Ann NY Acad Sci. 2010;1186:174-89.

  25. Armas NB. Enfermedades del corazón y sus características epidemiológicas en la población cubana de 15 años y más. Rev Cubana Invest Bioméd [Internet]. 2009 [citado 24 Feb 2011];28(4). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03002009000400004&lng=es&nrm=iso&tlng=es

  26. Matthews KA, Gallo LC, Taylor SE. Are psychosocial factors mediators of socioeconomic status and health connections? A progress report and blueprint for the future. Ann NY Acad Sci. 2010;1186:146-73.

  27. Pollitt RA, Kaufman JS, Rose KM, Diez-Roux AV, Zeng D, Heiss G. Cumulative life course and adult socioeconomic status and markers of inflammation in adulthood. J of Epidemiol Comm Health. 2008;62:484-91.

  28. Martinez A. Social class, marginality and self-assessed health: a cross-sectional analysis of the health gradient in Mexico. Internat J Equity Health. 2009;8:3.

  29. Hallqvist J, Lynch J, Bartley M, Lang T, Blane D. Can we disentangle life course processes of accumulation, critical period and social mobility? An analysis of disadvantaged socio-economic positions and myocardial infarction in the Stockholm Heart Epidemiology Program. Social Sci Med. 2004;58:1555-62.

  30. Ebrahim S, Montaner D, Lawlor DA. Clustering of risk factors and social class in childhood and adulthood in British women's heart and health study: cross sectional analysis. BMJ. 2004;328:861.

  31. Brunner E, Shipley MJ, Blane D, Smith GD, Marmot MG. When does cardiovascular risk start? Past and present socioeconomic circumstances and risk factors in adulthood. J Epidemiol Comm Health. 1999;53:757-64.

  32. de la Torre E. El desarrollo del Sistema Nacional de Salud en Cuba. En: Parodi R y Vergara H, editoras. Salud para todos sí es posible. La Habana: Sociedad Cubana de Salud Pública. Sección Medicina Social. 2005. p. 35-93.




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