ArticleRevista panamericana de salud publica = Pan American journal of public health2020
Socioeconomic inequalities in access barriers to seeking health services in four Latin American countries.
Article in Revista panamericana de salud publica = Pan American journal of public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The worldwide trend in diabetes awareness, treatment, and control from 1985 to 2022: a systematic review and meta-analysis of 233 population-representative studies.Frontiers in public health · 2024Pooled it
- Social Determinants of Healthcare Access: Horizontal Inequity in Rehabilitation Utilization and the Limits of Care in Mediating the Income-Depression Gradient in Türkiye.Healthcare (Basel, Switzerland) · 2026Article
- Socioeconomic Inequalities in Health Service Utilization in the Peruvian Population: A National Population-Based Study.Healthcare (Basel, Switzerland) · 2026Article
- Factors associated with transfusion and surgical site infection following paediatric scoliosis surgery: insights from a Latin American retrospective cohort.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Nationwide trends and forecasts in Alzheimer's and cerebrovascular disease-related mortality in the United States, 1999-2023: A CDC WONDER analysis.The Journal of international medical research · 2026Article
- Psychiatric comorbidity of depression and anxiety in medical trainees: prevalence and predictors in Ecuador.BMC psychiatry · 2026Article
- Myasthenia gravis in Latin America and the Caribbean: epidemiology, resources, and accessibility to diagnosis and treatment.Frontiers in public health · 2026Article
- Temporal costs of access to formal health care among adult users in Peru: a national analysis of inequalities in travel and waiting times, 2016-2024.Frontiers in health services · 2026Article
- Article
- No time to wait: resilience as a cornerstone for primary health care across Latin America and the Caribbean, a World Bank-PAHO Lancet Regional Health Americas Commission.Lancet regional health. Americas · 2025Review
- Inequity in access to medications among communities in Eastern Ethiopia: a decomposition analysis.BMC health services research · 2025Article
- Your baby has down syndrome: a reflexive thematic analysis of breaking the news to parents.BMC pregnancy and childbirth · 2025Article
- Vocal Effort in Clinical Settings of North and South American Countries: Characterization From Argentinian, Chilean, Colombian, and the United States Clinician's Reports.Journal of voice : official journal of the Voice Foundation · 2024Article
- Access to healthcare services during the COVID-19 pandemic: a cross-sectional analysis of income and user-access across 16 economically diverse countries.BMC public health · 2024Article
- Relationship between universal health insurance benefits and prostate cancer mortality in Colombia.BMC public health · 2024Article
- The Weight of Bariatric Surgery: Wernicke-Korsakoff Syndrome after Vertical Sleeve Gastrectomy-A Case Series.Journal of personalized medicine · 2024Article
- Impact of the universal health insurance benefits on cervical cancer mortality in Colombia.BMC health services research · 2024Article
- Barriers to healthcare utilization among married women in Afghanistan: the role of asset ownership and women's autonomy.BMC public health · 2024Article
- Inequalities in health system coverage and quality: a cross-sectional survey of four Latin American countries.The Lancet. Global health · 2024Review
- Epidemiology of Invasive Meningococcal Disease in Colombia: A Retrospective Surveillance Database Analysis.Infectious diseases and therapy · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
objectiveTo present summary measures of socioeconomic inequalities in access barriers to health services in Colombia, El Salvador, Paraguay, and Peru.
methodsThis cross-sectional study used data from nationally - representative household surveys in Colombia, El Salvador, Peru, and Paraguay to analyze income-related inequalities in barriers to seeking health services. Households that reported having a health problem (disease/accident) and not seeking professional health care were considered to be facing access barriers. The measures of inequality were the slope index of inequality and relative index of inequality.
resultsInequality trends were mixed across the four countries. All showed improvement, but large inequality gaps persisted between the highest and lowest income quintiles, despite health care reforms. Relative inequality gaps were highest in Colombia (60%), followed by Paraguay (30%), Peru (20%), and El Salvador (20%).
conclusionsThe effect of national policy initiatives on equity to accessing health services should be the object of future analysis. There is also a need for research on national and regional monitoring of access barriers and explanatory factors for why people do not seek care, even when having a health problem.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.