Ethnic-racial inequity in health insurance in Colombia: a cross-sectional study
Objective. Characterize the relationship between ethnic-racial inequity and type of health insurance in Colombia. Methods. Cross-sectional study based on data from the 2019 Quality of Life Survey. We analyzed the type of health insurance (contributory, subsidized, or none) and its relationship to et...
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ftdoajarticles:oai:doaj.org/article:be225793ec6e4993bef72afac765ec27 2023-05-15T15:11:07+02:00 Ethnic-racial inequity in health insurance in Colombia: a cross-sectional study Carlos Augusto Viáfara-López Glenda Palacios-Quejada Alexander Banguera-Obregón 2021-07-01T00:00:00Z https://doi.org/10.26633/RPSP.2021.77 https://doaj.org/article/be225793ec6e4993bef72afac765ec27 EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/54413 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.77 https://doaj.org/article/be225793ec6e4993bef72afac765ec27 Revista Panamericana de Salud Pública, Vol 45, Iss 77, Pp 1-9 (2021) health services accessibility social determinants of health socioeconomic factors ethnic inequality colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2021 ftdoajarticles https://doi.org/10.26633/RPSP.2021.77 2022-12-31T12:31:01Z Objective. Characterize the relationship between ethnic-racial inequity and type of health insurance in Colombia. Methods. Cross-sectional study based on data from the 2019 Quality of Life Survey. We analyzed the type of health insurance (contributory, subsidized, or none) and its relationship to ethnic-racial status and predisposing variables (sex, age, marital status), demographic variables (area and region of residence), and socioeconomic variables (education, type of employment, income, and unmet basic needs) through simple and multivariate regression analyses. The association between ethnic-racial status and type of health insurance was estimated using odds ratios (OR) and their 95% confidence intervals, through a multinomial logistic model. Results. A statistically significant association was found between ethnic-racial status and type of health insurance. In comparison with the contributory system, the probabilities of being a member of the subsidized system were 1.8 and 1.4 times greater in the indigenous population (OR x 1.891; 95%CI: 1.600-2.236) and people of African descent (OR = 1.415; 95%CI: 1.236-1.620), respectively (p <0.01) than in the population group that did not identify as belonging to one of those ethnic-racial groups. Conclusions. There is an association between ethnic-racial status and type of insurance in the contributory and subsidized health systems in Colombia. Ethnic-racial status is a structural component of inequity in access to health services and heightens the disadvantages of people and population groups with low socioeconomic status. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 45 1 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
health services accessibility social determinants of health socioeconomic factors ethnic inequality colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
health services accessibility social determinants of health socioeconomic factors ethnic inequality colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Carlos Augusto Viáfara-López Glenda Palacios-Quejada Alexander Banguera-Obregón Ethnic-racial inequity in health insurance in Colombia: a cross-sectional study |
topic_facet |
health services accessibility social determinants of health socioeconomic factors ethnic inequality colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objective. Characterize the relationship between ethnic-racial inequity and type of health insurance in Colombia. Methods. Cross-sectional study based on data from the 2019 Quality of Life Survey. We analyzed the type of health insurance (contributory, subsidized, or none) and its relationship to ethnic-racial status and predisposing variables (sex, age, marital status), demographic variables (area and region of residence), and socioeconomic variables (education, type of employment, income, and unmet basic needs) through simple and multivariate regression analyses. The association between ethnic-racial status and type of health insurance was estimated using odds ratios (OR) and their 95% confidence intervals, through a multinomial logistic model. Results. A statistically significant association was found between ethnic-racial status and type of health insurance. In comparison with the contributory system, the probabilities of being a member of the subsidized system were 1.8 and 1.4 times greater in the indigenous population (OR x 1.891; 95%CI: 1.600-2.236) and people of African descent (OR = 1.415; 95%CI: 1.236-1.620), respectively (p <0.01) than in the population group that did not identify as belonging to one of those ethnic-racial groups. Conclusions. There is an association between ethnic-racial status and type of insurance in the contributory and subsidized health systems in Colombia. Ethnic-racial status is a structural component of inequity in access to health services and heightens the disadvantages of people and population groups with low socioeconomic status. |
format |
Article in Journal/Newspaper |
author |
Carlos Augusto Viáfara-López Glenda Palacios-Quejada Alexander Banguera-Obregón |
author_facet |
Carlos Augusto Viáfara-López Glenda Palacios-Quejada Alexander Banguera-Obregón |
author_sort |
Carlos Augusto Viáfara-López |
title |
Ethnic-racial inequity in health insurance in Colombia: a cross-sectional study |
title_short |
Ethnic-racial inequity in health insurance in Colombia: a cross-sectional study |
title_full |
Ethnic-racial inequity in health insurance in Colombia: a cross-sectional study |
title_fullStr |
Ethnic-racial inequity in health insurance in Colombia: a cross-sectional study |
title_full_unstemmed |
Ethnic-racial inequity in health insurance in Colombia: a cross-sectional study |
title_sort |
ethnic-racial inequity in health insurance in colombia: a cross-sectional study |
publisher |
Pan American Health Organization |
publishDate |
2021 |
url |
https://doi.org/10.26633/RPSP.2021.77 https://doaj.org/article/be225793ec6e4993bef72afac765ec27 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 45, Iss 77, Pp 1-9 (2021) |
op_relation |
https://iris.paho.org/handle/10665.2/54413 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.77 https://doaj.org/article/be225793ec6e4993bef72afac765ec27 |
op_doi |
https://doi.org/10.26633/RPSP.2021.77 |
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Revista Panamericana de Salud Pública |
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45 |
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