ArticleInternational journal for equity in health2022
Health-related quality of life by household income in Chile: a concentration index decomposition analysis.
Article in International journal for equity in health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Utilization of public health services and health outcomes among China's migrant population: an equity analysis.Frontiers in health services · 2026Article
- Pro-Rich Inequality in Health-Related Quality of Life Among Primary Care Diabetes Patients: A Cross-Sectional Study.Patient preference and adherence · 2026Article
- Urbanicity, parental social deprivation, and risk of early psychosis in Chile: a national cohort study.Lancet regional health. Americas · 2025Article
- From Rich to Poor: A Decomposition Analysis of Socioeconomic Inequality in Health-related Quality of Life in Iran.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2025Article
- Article
- The public health challenges of female migration: the Venezuelan diaspora in Andean countries.International journal for equity in health · 2024Article
- Decomposing income-related inequality in health-related quality of life in mainland China: a national cross-sectional study.BMJ global health · 2023Article
- Healthy Habits Factors and Stress Associated with Health-Related Quality of Life in a Peruvian Adult Population: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2023Article
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Abstract
backgroundHealth 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.
methodsSecondary 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.
resultsThe 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.
conclusionsOur 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.
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