Developing a deprivation index to study geographical health inequalities in Ecuador
Peralta Chiriboga, Alejandro Andrés (Universitat Pompeu Fabra)
Espinel-Flores, Verónica (Universitat Pompeu Fabra)
Gotsens, Mercè (Institut d'Investigació Biomèdica Sant Pau)
Pérez Albarracín, Glòria (Institut d'Investigació Biomèdica Sant Pau)
Benach, Joan (Universitat Pompeu Fabra)
Marí-Dell'Olmo, Marc 1978- (Institut d'Investigació Biomèdica Sant Pau)

Date:	2019
Abstract:	To develop a deprivation index to study health inequalities in 221 areas of Ecuador, to describe the pattern of deprivation in Ecuador, and to explore the applications of the index to study health inequalities by analysing the association between deprivation and mortality in the study areas. We performed principal component analyses of available indicators of the 221 cantons of Ecuador. A set of 41 sociodemographic, social capital, and subjective well-being variables were obtained from the 2010 National Population Census and the National Living Conditions Survey 2013-2014. To explore the application of the index in public health, the association between the index and standardised mortality ratios was estimated through a Poisson regression model. The final index was constructed with 17 indicators. The first component explained 51. 8% of the total variance of the data. A geographic pattern and a positive association of the index with the standardised mortality ratios of the cantons were observed in both men and women. We constructed a deprivation index that can identify disadvantaged areas in Ecuador. This index could be a valuable tool for the detection of vulnerabilised populations and the development of interventions and policies adapted to local needs.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Published in:	Revista de Saúde Pública, Vol. 53 (november 2019) , ISSN 1518-8787

DOI: 10.11606/s1518-8787.2019053001410
PMID: 31800910

14 p, 1.1 MB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles