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Socioeconomic determinants of disability in Chile.
Zitko Melo, Pedro; Cabieses Valdes, Báltica.
Afiliação
  • Zitko Melo P; Unidad de Estudios Asistenciales, Complejo Asistencial Barros Luco, Servicio de Salud Metropolitano Sur de Chile, Santiago, Chile. pedrozitko@yahoo.com
Disabil Health J ; 4(4): 271-82, 2011 Oct.
Article em En | MEDLINE | ID: mdl-22014675
BACKGROUND: Disability is a worldwide public health priority. A shift from a biomedical perspective of dysfunction to a broader social understanding of disability has been proposed. Among many different social factors described in the past, socioeconomic position remains as a key multidimensional determinant of health. The study goal was to analyze the relationship between disability and different domains of socioeconomic position in Chile. METHODS: Cross-sectional analysis of an anonymized population-based survey conducted in Chile in 2006. Any disability (dichotomous variable) and 6 different types of disability were analyzed on the bases of their relationship with income quintiles, occupational status, educational level, and material living standards (quality of the housing, overcrowding rate and sanitary conditions). Confounding and interaction effects were explored using R statistical program. RESULTS: Income, education, occupation, and material measures of socioeconomic position, along with some sociodemographic characteristics of the population, were independently associated with the chance of being disabled in Chile. Interestingly, classic measures of socioeconomic position (income, education, and occupation) were consistently associated with any disability in Chile, whereas material living conditions were partially confounded by these classic measures. In addition to this, each type of disability showed a particular pattern of related social determinants, which also varied by age group. CONCLUSIONS: This study contributed to the understanding of disability in Chile and how different domains of socioeconomic position might be associated with this prevalent condition. Disability remains a complex multidimensional public health problem in Chile that requires the inclusion of a wide range of risk factors, of which socioeconomic position is particularly relevant.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Classe Social / Pessoas com Deficiência Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Adult / Female / Humans / Male País/Região como assunto: America do sul / Chile Idioma: En Revista: Disabil Health J Assunto da revista: REABILITACAO / SAUDE PUBLICA / SERVICOS DE SAUDE Ano de publicação: 2011 Tipo de documento: Article País de afiliação: Chile País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Classe Social / Pessoas com Deficiência Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Adult / Female / Humans / Male País/Região como assunto: America do sul / Chile Idioma: En Revista: Disabil Health J Assunto da revista: REABILITACAO / SAUDE PUBLICA / SERVICOS DE SAUDE Ano de publicação: 2011 Tipo de documento: Article País de afiliação: Chile País de publicação: Estados Unidos