ArticleBiomedica : revista del Instituto Nacional de Salud2019
Inequalities in health by regime of affiliation to the health system in events of obligatory notification, Colombia, 2015
Article in Biomedica : revista del Instituto Nacional de Salud, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Characterization of the population affiliated to the subsidized health insurance scheme in Colombia: a systematic review and meta-analysis.International journal for equity in health · 2023Pooled it
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- Armed conflict intensity and inequalities in tuberculosis outcomes in Colombia municipalities, 2008-2019.BMJ global health · 2026Article
- Public-private configuration in health systems and inequalities in Latin America: a scoping review.Cadernos de saude publica · 2026Article
- Principles and essential elements of the fundamental right to health in Colombia: an integrative review of structural determinants and systemic challenges.Frontiers in health services · 2026Review
- Designing a multidimensional vulnerability index for supervising dengue cases from 2015 to 2020 in a low/middle-income country: A spatial principal component analysis.PLoS neglected tropical diseases · 2025Observational
- Inequality trajectories in avoidable under-5 mortality in Colombia: A 23-year analysis of inequities (2000-2022).SSM - population health · 2025Article
- Scaling of cardiovascular risk factors in 230 Latin American cities.Scientific reports · 2025Article
- Identification of population multimorbidity patterns in 3.9 million patients from Bogota in 2018.Global epidemiology · 2024Article
- Colombian surgical outcomes study insights on perioperative mortality rate, a main indicator of the lancet commission on global surgery - a prospective cohort study.Lancet regional health. Americas · 2024Article
- Mapping socio-geographical disparities in the occurrence of teenage maternity in Colombia using multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA).International journal for equity in health · 2024Article
- Clinical inertia in newly diagnosed type 2 diabetes mellitus among patients attending selected healthcare institutions in Colombia.Diabetology & metabolic syndrome · 2024Article
- Maternal mortality in Colombia during the COVID-19 pandemic: time series and social inequities.BMJ open · 2023Article
- Article
- Prevalence of Common Diseases in Indigenous People in Colombia.Tropical medicine and infectious disease · 2022Article
- "One feels anger to know there is no one to help us!". Perceptions of mothers of children with Zika virus-associated microcephaly in Caribbean Colombia: A qualitative study.PLoS neglected tropical diseases · 2022Article
- Article
- [Ethnic-racial inequity in health insurance in Colombia: a cross-sectional studyIniquidades étnico-raciais no seguro de saúde na Colômbia: um estudo transversal].Revista panamericana de salud publica = Pan American journal of public health · 2021Article
- Ethnic-racial inequity in health insurance in Colombia: a cross-sectional study.Revista panamericana de salud publica = Pan American journal of public health · 2021Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Inequalities in the health field are caused by the differences in the social and economic conditions, that influence the disease risk and the measures taken to treat the disease. Objective: We aimed to estimate the social inequalities in health in Colombia, according to the type of affiliation to the health system as a proxy of socioeconomic status. Materials and methods: We conducted a retrospective descriptive analysis calculating incidence rates age and sex adjusted for all mandatory reporting events using the affiliation regime (subsidized and contributory) as a socioeconomic proxy. Estimates were made at departmental level for 2015. Social inequalities were calculated in terms of absolute and relative gaps. Results: We found social inequalities in the occurrence of mandatory reporting events in population affiliated to the Colombian subsidized regime (poor population). In this population, 82.31 cases of Plasmodium falciparum malaria per 100,000 affiliates were reported more than those reported in the contributory regime. Regarding the relative gap, belonging to the subsidized regime increased by 31.74 times the risk of dying from malnutrition in children under 5 years of age. Other events such as those related to sexual and reproductive health (maternal mortality, gestational syphilis and congenital syphilis); neglected diseases and communicable diseases related to poverty (leprosy and tuberculosis), also showed profound inequalities. Conclusion: In Colombia there are inequalities by regime of affiliation to the health system. Measured socioeconomic status was a predictor of increased morbidity and premature mortality.
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