Impacto de la desigualdad de ingresos en la esperanza de vida y la salud en Colombia
DOI:
https://doi.org/10.21830/19006586.1142Palabras clave:
coeficiente de Gini, desigualdad, esperanza de vida, PIB per cápita, pobreza, política públicaResumen
Reducir las desigualdades de ingresos y salud, dentro de los países y entre ellos, es una prioridad global de la OMS. Este estudio busca examinar la desigualdad de ingresos como predictora de la esperanza de vida en Colombia. Para lograrlo, se desarrolló un modelo de datos de panel de corte transversal utilizando la Encuesta Calidad de Vida del DANE. Las variables predictoras de la esperanza de vida fueron el coeficiente de Gini, el PIB per cápita y, de manera novedosa, la pobreza monetaria, entre 2012 y 2019. Los resultados indican que estas variables tienen un impacto significativo en la esperanza de vida, mientras que no se encontró un impacto significativo en la movilidad social. Los hallazgos pueden orientar la política pública y la toma de decisiones gubernamentales en Colombia.
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Referencias bibliográficas
Alawa, J., Zarei, P., & Khoshnood, K. (2019). Evaluating the provision of health services and barriers to treatment for chronic diseases among Syrian refugees in Turkey: A review of literature and stakeholder interviews. International Journal of Environmental Research and Public Health, 16(15), 2660. https://doi.org/10.3390/ijerph16152660
Baker, E. A., Metzler, M. M., & Galea, S. (2005). Addressing social determinants of health inequities: Learning from doing. American Journal of Public Health, 95(4), 553-555. https://doi.org/10.2105/AJPH.2005.061812
Banerjee, N., Basu, R., De, A., & Poali, M. (2020). Global inequality in life expectancies: What role does income inequality play? (SocArXiv Papers). https://doi.org/10.31235/osf.io/q794n
Barten, F., Mitlin, D., Mulholland, C., Hardoy, A., & Stern, R. (2007). Integrated approaches to address the social determinants of health for reducing health inequity. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 84(5), 735. https://doi.org/10.1007/s11524-007-9209-z
Baum, F., & Friel, S. (2017). Politics, policies and processes: A multidisciplinary and multimethods research programme on policies on the social determinants of health inequity in Australia. BMJ Open, 7(12), e017772. https://doi.org/10.1136/bmjopen-2017-017772
Boyce, C. J., & Oswald, A. (2012). Do people become healthier after being promoted? Health Economics, 21(5), 580-596. https://doi.org/10.1002/hec.1734
Burstein, Z. (2014). La Revista Peruana de Medicina Experimental y Salud Pública al término del año 2013 y su proyección al futuro año. Revista Peruana de Medicina Experimental y Salud Pública, 30(4). https://doi.org/10.17843/rpmesp.2013.304.231
Cachanosky, I., Arzola, M. P., Iturralde, A., Altmann, L., & Campos, F. A. (2021). ¿Subir o caer de la escalera? Movilidad social en América Latina. Lid Editorial Mexicana.
Camúñez Ruiz, J. A. (2018). Una experiencia docente innovadora en la asignatura Métodos Avanzados de Econometría, del grado en Economía: contenido, desarrollo y resultado de la experiencia. Jornadas de Formación e Innovación Docente Del Profesorado, 1, 96-114. https://doi.org/10.12795/jdu.2018.i01.05
Chernichovsky, D., & Prada, S. (2015). Ajustes a la arquitectura del sistema general de salud de Colombia: una propuesta. Estudios Gerenciales, 135, 163-170. https://bit.ly/43kU8W8
Cortés, A. (2006). Inequidad, pobreza y salud. Colombia Médica, 37(3), 223-227. https://bit.ly/43r5Hv9
Dalle, P. (2012). Cambios recientes en la estratificación social en Argentina (2003-2011). Inflexiones y dinámicas emergentes de movilidad social. Argumentos. Revista de Crítica Social, 14. https://bit.ly/438KYfJ
Davies, M., & Adshead, F. (2009). Subsanar las desigualdades en una generación: alcanzar la equidad sanitaria actuando sobre los determinantes sociales de la salud (Conferencia Internacional en torno al Trabajo de la Comisión sobre Determinantes Sociales de la Salud, 6-7 de noviembre de 2008, Londres. Global Health Promotion, 16(Supplement 1), 108-109. https://doi.org/10.1177/1757975909103770
De Ferranti, D., Perry, G., Ferreira, F., Walton, M., & Coday, D. (2003). Desigualdad en América Latina y el Caribe: ¿ruptura con la historia? Banco Mundial.
Departamento Administrativo Nacional de Estadística (DANE). (2022). Pobreza monetaria y pobreza monetaria extrema. https://bit.ly/3J4XSDF
Ergin, I., & Mandiracioglu, A. (2015). Demographic and socioeconomic inequalities for self-rated health and happiness in elderly: The situation for Turkey regarding world values survey between 1990 and 2013. Archives of Gerontology and Geriatrics, 61(2), 224-230. https://doi.org/10.1016/j.archger.2015.06.011
Fox, A. M., & Meier, B. M. (2009). Health as freedom: Addressing the social determinants of global health inequalities through the human right to development. Revista Bioética, 23(2), 112-122. https://doi.org/10.1111/j.1467-8519.2008.00718.x
Friel, S., & Marmot, M. G. (2011). Action on the social determinants of health and health inequities goes global. Annual Review of Public Health, 32(1), 225-236. https://doi.org/10.1146/annurev-publhealth-031210-101220
Garay, J. E., & Chiriboga, D. E. (2017). A paradigm shift for socioeconomic justice and health: From focusing on inequalities to aiming at sustainable equity. Public Health, 149, 149-158. https://doi.org/10.1016/j.puhe.2017.04.015
Garcia-Subirats, I., Vargas, I., Mogollón-Pérez, A. S., De Paepe, P., Da Silva, M. R., Unger, J. P., Borrell, C., & Vázquez, M. L. (2014). Inequities in access to health care in different health systems: a study in municipalities of central Colombia and north-eastern Brazil. International Journal for Equity in Health, 13, 10. https://doi.org/10.1186/1475-9276-13-10
Gray, A. M. (1982). Inequalities in health. The Black Report: a summary and comment. International Journal of Health Services: Planning, Administration, Evaluation, 12(3), 349-380. https://doi.org/10.2190/XXMM-JMQU-2A7Y-HX1E
Guerra, G., Borde, E., & Salgado de Snyder, V. (2016). Measuring health inequities in low and middle income countries for the development of observatories on inequities and social determinants of health. International Journal for Equity in Health, 15(1), 9. https://doi.org/10.1186/s12939-016-0297-9
Guillemin, F., Carruthers, E., & Li, L. (2014). Determinants of MSK health and disability e social determinants of inequities in MSK health. Best Practice & Research Clinical Rheumatology.
Gujarati, D. (2019). Econometria: Princípios, teoria e aplicações práticas. Saraiva Educação.
Hahn, R. A. (2021). Access to social determinants of health and determinant inequity for the black population in US states in the early twenty-first century. Journal of Racial and Ethnic Health Disparities, 8(2), 433-438. https://doi.org/10.1007/s40615-020-00799-3
Hogan, V. K., Rowley, D., Bennett, T., & Taylor, K. D. (2012). Life course, social determinants, and health inequities: Toward a national plan for achieving health equity for African American infants—A concept paper. Maternal and Child Health Journal, 16(6), 1143-1150. https://doi.org/10.1007/s10995-011-0847-0
Idrovo, Á. J. (2005). Desigualdad en el ingreso, corrupción y esperanza de vida al nacer en México. Revista de Salud Pública, 7(2), 121-129. https://bit.ly/43nyTmx
Idrovo, Á. J., & Ruiz-Rodríguez, M. (2007). Una visión global a la salud de la población en Colombia: rol de los macrodeterminantes sociales. Biomédica: Revista del Instituto Nacional de Salud, 27(3), 333. https://doi.org/10.7705/biomedica.v27i3.196
Kawachi, I., Kennedy, B., Lochner, K., & Prothrow-Stith, D. (1997). Social capital, income inequality, and mortality. American Journal of Public Health, 87, 1491-1498. https://doi.org/10.2105/ajph.87.9.1491
Kino, S., Bernabé, E., & Sabbah, W. (2017). Socioeconomic inequality in clusters of health-related behaviours in Europe: Latent class analysis of a cross-sectional European survey. BMC Public Health, 17(1). https://doi.org/10.1186/s12889-017-4440-3
László, K., Pikhart, H., Kopp, M., Bobak, M., Pajak, A., Malyutina, S., Salavecz, G., & Marmot, M. (2010). Job insecurity and health: A study of 16 European countries. Social Science & Medicine, 70(6), 867-874. https://doi.org/10.1016/j.socscimed.2009.11.022
Leigh, A., & Jencks, C. (2005). Inequality and health: Long-run evidence from a panel of countries. Street JFK, 79.
Lynch, J., Smith, G., Harper, S., Hillemeier, M., Ross, N., Kaplan, G., & Wolfson, M. (2004). Is income inequality a determinant of population health? Part 1. A systematic review. The Milbank Quarterly, 82(1), 5-99. https://doi.org/10.1111/j.0887-378x.2004.00302.x
Marmot, M., Stansfeld, S., Patel, C., North, F., Head, J., White, I., Brunner, E., Feeney, A., & Smith, G. (1991). Health inequalities among British civil servants: The Whitehall II study. The Lancet, 337(8754), 1387-1393. https://doi.org/10.1016/0140-6736(91)93068-k
McFarland, M. J., Hill, T. D., & Montez, J. K. (2022). Income inequality and population health: Examining the role of social policy. Journal of Health and Social Behavior, 64(1), 2-20. https://doi.org/10.1177/00221465221109202
Ministerio de Salud. (2015). Plan estratégico sectorial 2014-2018.
Mohapatra, S. (2017). Health inequity and health outcome: A causal linkage study of low and middle income countries. Quality & Quantity, 51, 2475-2488.
Muchukuri, E., & Grenier, F. R. (2009). Social determinants of health and health inequities in Nakuru (Kenya). International Journal for Equity in Health, 8(1), 16. https://doi.org/10.1186/1475-9276-8-16
Munro, A. (2020, febrero). Coventry — A marmot city. An evaluation of a city-wide approach to reducing health inequalities. Institute of Health Equity. https://bit.ly/3qbhVJK
Organización Mundial de la Salud (OMS). (2009). Comisión sobre Determinantes Sociales de la Salud: informe de la Secretaría.
Penman-Aguilar, A., Talih, M., Huang, D., Moonesinghe, R., Bouye, K., & Beckles, G. (2016). Measurement of health disparities, health inequities, and social determinants of health to support the advancement of health equity. Journal of Public Health Management and Practice, 22(Supplement 1), S33-S42. https://doi.org/10.1097/phh.0000000000000373
Piketty, T. (2018). Capital in the 21st Century. En D. Grusky & J. Hill (Eds.), Inequality in the 21st Century (pp. 43-48). Routledge. https://doi.org/10.4324/9780429499821-9
Poterba, J., Venti, S., & Wise, D. (2018). Longitudinal determinants of end-of-life wealth inequality. Journal of Public Economics, 162, 78-88. https://doi.org/10.1016/j.jpubeco.2018.04.008
Ram, R. (2006). Further examination of the cross-country association between income inequality and population health. Social Science & Medicine, 62(3), 779-791. https://doi.org/10.1016/j.socscimed.2005.06.034
Rasanathan, K., Montesinos, E. V., Matheson, D., Etienne, C., & Evans, T. (2011). Primary health care and the social determinants of health: Essential and complementary approaches for reducing inequities in health. Journal of Epidemiology and Community Health, 65(8), 656-660. https://doi.org/10.1136/jech.2009.093914
Robert, S. A. (1998). Community-level socioeconomic status effects on adult health. Journal of Health and Social Behavior, 39(1), 18-37. https://pubmed.ncbi.nlm.nih.gov/9575702/
Rodgers, G. B. (1979). Income and inequality as determinants of mortality: An international cross-section analysis. Population Studies, 33(2), 343-351. https://doi.org/10.1080/00324728.1979.10410449
Rodgers, G. B. (2002). Income and inequality as determinants of mortality: An international cross-section analysis. International Journal of Epidemiology, 31(3), 533-538. https://doi.org/10.1093/ije/31.3.533
Ruhm, C. J. (2000). Are recessions good for your health? The Quarterly Journal of Economics, 115(2), 617-650. https://doi.org/10.1162/003355300554872
Salaverry García, O. (2014). La inequidad en salud. Su desarrollo histórico. Revista Peruana de Medicina Experimental y Salud Pública, 30(4), 709-713. https://doi.org/10.17843/rpmesp.2013.304.257
Szwarcwald, C., Bastos, F., Esteves, M., Andrade, C., Paez, M., Medici, E., & Derrico, M. (1999). Desigualdade de renda e situação de saúde: o caso do Rio de Janeiro. Cadernos de Saúde Pública, 15(1), 15-28. https://doi.org/10.1590/s0102-311x1999000100003
Tapia Granados, J. A. (2014). Crecimiento económico e inequidades en salud. Revista Peruana de Medicina Experimental y Salud Pública, 30(4), 657-664. https://doi.org/10.17843/rpmesp.2013.304.248
Torre, R., & Myrskylä, M. (2014). Income inequality and population health: An analysis of panel data for 21 developed countries, 1975-2006. Population Studies, 68(1), 1-13. https://doi.org/10.1080/00324728.2013.856457
Uribe Mallarino, C., & Ramírez Moreno, J. (2019). Clase media y movilidad social en Colombia. Revista Colombiana de Sociología, 42(2), 229-255. https://doi.org/10.15446/rcs.v42n2.50749
Van Doorslaer, E., Wagstaff, A., Bleichrodt, H., Calonge, S., Gerdtham, U., Gerfin, M., Geurts, J., Gross, L., Häkkinen, U., Leu, R., O’Donnell, O., Propper, C., Puffer, F., Rodríguez, M., Sundberg, G., & Winkelhake, O. (1997). Income-related inequalities in health: Some international comparisons. Journal of Health Economics, 16(1), 93-112. https://doi.org/10.1016/s0167-6296(96)00532-2
Vayda, E., Townsend, P., & Davidson, N. (1984). Inequalities in health: The black report. Journal of Public Health Policy, 5(4), 573. https://doi.org/10.2307/3342422
Wagstaff, A., Paci, P., & Van Doorslaer, E. (1991). On the measurement of inequalities in health. Social Science & Medicine, 33(5), 545-557. https://doi.org/10.1016/0277-9536(91)90212-u
Zhao, Z. (2006). Income inequality, unequal health care access, and mortality in China. Population and Development Review, 32(3), 461-483. https://doi.org/10.1111/j.1728-4457.2006.00133.x
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