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Social inequality and Health in Mexico, 1990--1997: Individual and Policy Pathways

Опубликовано на портале: 19-05-2004
Adolfo Martinez Valle
Научный руководитель: Vicente Navarro
2002
Организация: The Johns Hopkins University
Подтип: PhD
Тематические разделы: Социология, Экономическая социология, Экономическая социология: Социально-экономическая дифференциация. Бедность, Социальная стратификация

Aннотация:
To study how social inequality has influenced the health status of the Mexican population at the individual and the state level between 1990 and 1996. Explore the pathways through which social inequality affect health. Identify policy options to address social inequality in Mexico. Theoretical framework. Social inequality is understood here as a structural feature of society that has negative consequences on health. From this perspective, the underlying assumption is that health differentials across the social spectrum are closely related to the structure of a society, which in turn is shaped by social, economic and political processes. The physical and socioeconomic characteristics where people live make a contribution to health as well. The social, economic and political features of an area mediate in the relationship between social inequality and individual health. Higher inequality geographical areas are the result of political and economic processes that influence how public resources are distributed. To empirically examine the association between social inequality and health in the Mexican context this dissertation was divided in two parts. The first part analyzed how social inequality negatively influences health at the individual level. Using data from the Second National Health Survey (ENSA II, 1994) this level of cross-sectional analysis aims to investigate the degree and factors associated with the social class gradient in health status. Furthermore, it sought to explore the material and psychosocial pathways through which social inequality may affect health. The second part of the study empirically examined the association between social inequality and population health using pooled cross-sectional data. Secondary analysis was conducted for the 32 Mexican states for 1990 and 1996 in two ways. First, pooled cross-section analysis were used to analyze the association between the three specified health indicators, social inequality, and health spending controlling for the effects of other relevant variables. Also, the association between three health spending indicators, social inequality and potential mediating variables was examined. Second, path analysis was performed to explore the electoral pathways through which social inequality negatively influences population health. This state level of analysis aimed to explore the ecological and political pathways through which social inequality may influence health in Mexico. Overall, the findings of this study provided empirical evidence of how social inequality negatively influences health at both individual and aggregated levels.

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