Aplicación de una aproximación metodológica simple para el análisis de las desigualdades: El caso de la mortalidad infantil en Chile

Background: The infant mortality gradient by maternal education is a good indicator of the health impact of the social inequalities that prevail in Chile. Aim: To propose a systematic method of analysis, using simple epidemiological measures, for the comparison of differential health risks between s...

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Autores principales:	FRENZ,PATRICIA, GONZÁLEZ,CLAUDIA
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2010
Materias:	Health risk indicators Infant mortality Risk assessment
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000900012
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spelling	oai:scielo:S0034-988720100009000122010-11-09Aplicación de una aproximación metodológica simple para el análisis de las desigualdades: El caso de la mortalidad infantil en ChileFRENZ,PATRICIAGONZÁLEZ,CLAUDIA Health risk indicators Infant mortality Risk assessment Background: The infant mortality gradient by maternal education is a good indicator of the health impact of the social inequalities that prevail in Chile. Aim: To propose a systematic method of analysis, using simple epidemiological measures, for the comparison of differential health risks between social groups that change over time. Material and Methods: Data and statistics on births and infant deaths, obtained from the Ministry of Health, were used. Five strata of maternal schooling were defined and various measures were calculated to compare infant mortality, according to maternal education in the periods 1998-2001 and 2001-2003. Results: Of particular interest is the distinction between a measure of effect, Relative Risk (RR), which indicates the size of the gap between socioeconomic extremes and the etiological strength of low maternal schooling on infant mortality, and a measure of global impact, the Population Attributable Risk (PAR%), which takes into account the whole socioeconomic distribution and permits comparisons over time independently of the variability in the proportions of the different social strata. The comparison of these measures in the two periods studied, reveals an increase in the infant mortality gap between maternal educational extremes measured by the RR, but a stabilization in the population impact of low maternal schooling. Conclusions: These results can be explained by a decline in the proportion of mothers in the lowest educational level and an increase in the proportion in the highest group.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.138 n.9 20102010-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000900012es10.4067/S0034-98872010000900012
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Health risk indicators Infant mortality Risk assessment
spellingShingle	Health risk indicators Infant mortality Risk assessment FRENZ,PATRICIA GONZÁLEZ,CLAUDIA Aplicación de una aproximación metodológica simple para el análisis de las desigualdades: El caso de la mortalidad infantil en Chile
description	Background: The infant mortality gradient by maternal education is a good indicator of the health impact of the social inequalities that prevail in Chile. Aim: To propose a systematic method of analysis, using simple epidemiological measures, for the comparison of differential health risks between social groups that change over time. Material and Methods: Data and statistics on births and infant deaths, obtained from the Ministry of Health, were used. Five strata of maternal schooling were defined and various measures were calculated to compare infant mortality, according to maternal education in the periods 1998-2001 and 2001-2003. Results: Of particular interest is the distinction between a measure of effect, Relative Risk (RR), which indicates the size of the gap between socioeconomic extremes and the etiological strength of low maternal schooling on infant mortality, and a measure of global impact, the Population Attributable Risk (PAR%), which takes into account the whole socioeconomic distribution and permits comparisons over time independently of the variability in the proportions of the different social strata. The comparison of these measures in the two periods studied, reveals an increase in the infant mortality gap between maternal educational extremes measured by the RR, but a stabilization in the population impact of low maternal schooling. Conclusions: These results can be explained by a decline in the proportion of mothers in the lowest educational level and an increase in the proportion in the highest group.
author	FRENZ,PATRICIA GONZÁLEZ,CLAUDIA
author_facet	FRENZ,PATRICIA GONZÁLEZ,CLAUDIA
author_sort	FRENZ,PATRICIA
title	Aplicación de una aproximación metodológica simple para el análisis de las desigualdades: El caso de la mortalidad infantil en Chile
title_short	Aplicación de una aproximación metodológica simple para el análisis de las desigualdades: El caso de la mortalidad infantil en Chile
title_full	Aplicación de una aproximación metodológica simple para el análisis de las desigualdades: El caso de la mortalidad infantil en Chile
title_fullStr	Aplicación de una aproximación metodológica simple para el análisis de las desigualdades: El caso de la mortalidad infantil en Chile
title_full_unstemmed	Aplicación de una aproximación metodológica simple para el análisis de las desigualdades: El caso de la mortalidad infantil en Chile
title_sort	aplicación de una aproximación metodológica simple para el análisis de las desigualdades: el caso de la mortalidad infantil en chile
publisher	Sociedad Médica de Santiago
publishDate	2010
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000900012
work_keys_str_mv	AT frenzpatricia aplicaciondeunaaproximacionmetodologicasimpleparaelanalisisdelasdesigualdadeselcasodelamortalidadinfantilenchile AT gonzalezclaudia aplicaciondeunaaproximacionmetodologicasimpleparaelanalisisdelasdesigualdadeselcasodelamortalidadinfantilenchile
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Aplicación de una aproximación metodológica simple para el análisis de las desigualdades: El caso de la mortalidad infantil en Chile

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