Structural social determinants and catastrophic illnesses in municipalities in the Colombian department of Valle del Cauca
OBJECTIVE: To explore possible associations between self-reported prevalence of catastrophic illnesses such as chronic renal failure, HIV/AIDS and cancer and a set of structural social determinants. METHODS: Ecological study using data from the 2005 Population Census conducted by the National Admini...
Main Authors: | , |
---|---|
Format: | Article in Journal/Newspaper |
Language: | English Spanish Portuguese |
Published: |
Pan American Health Organization
2014
|
Subjects: | |
Online Access: | https://doaj.org/article/67ee0294f47945b3b6258a5ce63ef731 |
id |
ftdoajarticles:oai:doaj.org/article:67ee0294f47945b3b6258a5ce63ef731 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:67ee0294f47945b3b6258a5ce63ef731 2023-05-15T15:06:33+02:00 Structural social determinants and catastrophic illnesses in municipalities in the Colombian department of Valle del Cauca Luis Miguel Tovar Cuevas Fernando Arteaga Suárez 2014-01-01T00:00:00Z https://doaj.org/article/67ee0294f47945b3b6258a5ce63ef731 EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892014000100009&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/67ee0294f47945b3b6258a5ce63ef731 Revista Panamericana de Salud Pública, Vol 35, Iss 1, Pp 60-66 (2014) Enfermedad catastrófica factores socioeconómicos estudios ecológicos neoplasias VIH fallo renal crónico Colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2014 ftdoajarticles 2022-12-31T10:47:37Z OBJECTIVE: To explore possible associations between self-reported prevalence of catastrophic illnesses such as chronic renal failure, HIV/AIDS and cancer and a set of structural social determinants. METHODS: Ecological study using data from the 2005 Population Census conducted by the National Administrative Department of Statistics (DANE), focusing on municipalities in the Colombian department of Valle del Cauca that experienced the highest prevalence rates for catastrophic illnesses during 2000-2005. Associations were measured with Pearson’s chi-squared statistic and Fisher’s Exact Test. Prevalence ratios were calculated, with 95% confidence intervals. RESULTS: Statistically significant associations were observed between catastrophic illnesses and social structural determinants in the form of illiteracy, deficient sanitary infrastructure, quality of housing units and access to health services. CONCLUSIONS: A role was observed for social determination of catastrophic illnesses in this context. However, additional analyses are required that recognize the complexity of health-determining processes and that explore the interrelationships among social, structural, behavioral and psychosocial determinants in depth. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Dane ENVELOPE(-146.667,-146.667,-76.850,-76.850) |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Enfermedad catastrófica factores socioeconómicos estudios ecológicos neoplasias VIH fallo renal crónico Colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Enfermedad catastrófica factores socioeconómicos estudios ecológicos neoplasias VIH fallo renal crónico Colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Luis Miguel Tovar Cuevas Fernando Arteaga Suárez Structural social determinants and catastrophic illnesses in municipalities in the Colombian department of Valle del Cauca |
topic_facet |
Enfermedad catastrófica factores socioeconómicos estudios ecológicos neoplasias VIH fallo renal crónico Colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVE: To explore possible associations between self-reported prevalence of catastrophic illnesses such as chronic renal failure, HIV/AIDS and cancer and a set of structural social determinants. METHODS: Ecological study using data from the 2005 Population Census conducted by the National Administrative Department of Statistics (DANE), focusing on municipalities in the Colombian department of Valle del Cauca that experienced the highest prevalence rates for catastrophic illnesses during 2000-2005. Associations were measured with Pearson’s chi-squared statistic and Fisher’s Exact Test. Prevalence ratios were calculated, with 95% confidence intervals. RESULTS: Statistically significant associations were observed between catastrophic illnesses and social structural determinants in the form of illiteracy, deficient sanitary infrastructure, quality of housing units and access to health services. CONCLUSIONS: A role was observed for social determination of catastrophic illnesses in this context. However, additional analyses are required that recognize the complexity of health-determining processes and that explore the interrelationships among social, structural, behavioral and psychosocial determinants in depth. |
format |
Article in Journal/Newspaper |
author |
Luis Miguel Tovar Cuevas Fernando Arteaga Suárez |
author_facet |
Luis Miguel Tovar Cuevas Fernando Arteaga Suárez |
author_sort |
Luis Miguel Tovar Cuevas |
title |
Structural social determinants and catastrophic illnesses in municipalities in the Colombian department of Valle del Cauca |
title_short |
Structural social determinants and catastrophic illnesses in municipalities in the Colombian department of Valle del Cauca |
title_full |
Structural social determinants and catastrophic illnesses in municipalities in the Colombian department of Valle del Cauca |
title_fullStr |
Structural social determinants and catastrophic illnesses in municipalities in the Colombian department of Valle del Cauca |
title_full_unstemmed |
Structural social determinants and catastrophic illnesses in municipalities in the Colombian department of Valle del Cauca |
title_sort |
structural social determinants and catastrophic illnesses in municipalities in the colombian department of valle del cauca |
publisher |
Pan American Health Organization |
publishDate |
2014 |
url |
https://doaj.org/article/67ee0294f47945b3b6258a5ce63ef731 |
long_lat |
ENVELOPE(-146.667,-146.667,-76.850,-76.850) |
geographic |
Arctic Dane |
geographic_facet |
Arctic Dane |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 35, Iss 1, Pp 60-66 (2014) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892014000100009&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/67ee0294f47945b3b6258a5ce63ef731 |
_version_ |
1766338130391072768 |