Health-related quality of life by household income in Chile: a concentration index decomposition analysis

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dc.article.number176
dc.catalogadorpva
dc.contributor.authorSeverino Suarez Rodrigo Alfredo
dc.contributor.authorEspinoza Sepúlveda, Manuel Antonio
dc.contributor.authorCabieses, Báltica
dc.date.accessioned2023-01-27T16:10:09Z
dc.date.available2023-01-27T16:10:09Z
dc.date.issued2022
dc.date.updated2022-12-18T01:02:09Z
dc.description.abstractBackground: Health inequities have a profound impact on all dimensions of people’s lives, with invariably worse results among the most disadvantaged, transforming them into a more fragile and vulnerable population. These unfair inequalities also affect dimensions focused on subjectivity, such as health-related quality of life (HRQoL), which has been positioned, in recent decades, as an important outcome in health decision-making. The main objective of this study is to estimate socioeconomic inequality in HRQoL of Chilean by household income.  Methods: Secondary analysis of the National Health Survey (ENS 2016–2017, Chile). This survey includes a nationally representative, stratified, and multistage household sample of people aged 15 and above. Socioeconomic inequality in HRQoL (EQ5D) is estimated by the concentration index (CI) ranked by household income. Decomposition analysis is conducted to examine potential explanatory sociodemographic factors.  Results: The CI for household income inequality in HRQoL was -0.063. The lower the household income, the worse the HRQoL reported by in Chile. The decomposition analysis revealed that socioeconomic position contributes 75,7% to inequality in the quality of life, followed by educational level (21.8%), female gender (17.3%), and type of Health Insurance (15%), age (-19.7%) and residence (-10.8%). Less than 1% corresponds to the unexplained residual component. Conclusions: Our findings suggest the existence of a disproportionate concentration of worse HRQoL in the most disadvantaged socioeconomic groups in Chile. This inequality is largely, yet not completely, associated with household income. Other significant factors associated with this inequality are education, gender, and healthcare insurance. These results suggest the need of strengthening efforts to reducing socioeconomic gaps in health outcomes in Chile, as a means to achieve social justice and equity in health and healthcare.
dc.fechaingreso.objetodigital2022-12-18
dc.format.extent9 páginas
dc.fuente.origenAutoarchivo
dc.identifier.citationInternational Journal for Equity in Health. 2022 Dec 13;21(1):176
dc.identifier.doi10.1186/s12939-022-01770-w
dc.identifier.urihttps://doi.org/10.1186/s12939-022-01770-w
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/66440
dc.information.autorucFacultad de medicina ; Severino Suarez Rodrigo Alfredo ; S/I ; 1086269
dc.information.autorucFacultad de medicina ; Espinoza Sepúlveda, Manuel Antonio ; 0000-0001-9564-9512 ; 10720
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final9
dc.pagina.inicio1
dc.revistaInternational Journal for Equity in Health
dc.rightsacceso abierto
dc.rights.holderThe Author(s)
dc.subjectConcentration indexes_ES
dc.subjectDecomposition approaches_ES
dc.subjectSocioeconomic inequalitieses_ES
dc.subjectHealth-Related Quality of Lifees_ES
dc.subjectEQ-5Des_ES
dc.subjectChilees_ES
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods01 No poverty
dc.subject.odspa01 Fin de la pobreza
dc.titleHealth-related quality of life by household income in Chile: a concentration index decomposition analysises_ES
dc.typeartículo
dc.volumen21
sipa.codpersvinculados1086269
sipa.codpersvinculados10720
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