Developing a deprivation index to study geographical health inequalities in Ecuador

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• dc.contributor.author Peralta Chiriboga, Alejandro Andrés, 1985-
• dc.contributor.author Espinel Flores, Verónica, 1979-
• dc.contributor.author Gotsens Miquel, Mercè, 1983-
• dc.contributor.author Pérez Albarracín, Glòria
• dc.contributor.author Benach, Joan
• dc.contributor.author Marí Dell'Olmo, Marc, 1978-
• dc.date.accessioned 2020-07-16T08:01:47Z
• dc.date.available 2020-07-16T08:01:47Z
• dc.date.issued 2019
• dc.description.abstract Objectives: 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. Methods: 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. Results: 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. Conclusions: 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.
• dc.format.mimetype application/pdf
• dc.identifier.citation Peralta A, Espinel-Flores V, Gotsens M, Pérez G, Benach J, Marí-Dell'Olmo M. Developing a deprivation index to study geographical health inequalities in Ecuador. Rev Saude Publica. 2019; 53:97. DOI: 10.11606/s1518-8787.2019053001410
• dc.identifier.doi http://dx.doi.org/10.11606/s1518-8787.2019053001410
• dc.identifier.issn 0034-8910
• dc.identifier.uri http://hdl.handle.net/10230/45126
• dc.language.iso eng
• dc.publisher Universidade de São Paulo
• dc.relation.ispartof Rev Saude Publica. 2019; 53:97
• dc.rights Copyright: This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri https://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Social Determinants of Health
• dc.subject.keyword Social inequity
• dc.subject.keyword Poverty
• dc.subject.keyword Mortality
• dc.subject.keyword Ecuador
• dc.title Developing a deprivation index to study geographical health inequalities in Ecuador
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion