Evidence map›Paper›PMID 41760626›Full record

ArticleNature communications2026

Decoding health disparities by gender, ethnicity and chronic diseases across three Latin American countries.

Carlos Chivardi, Alejandro Zamudio Sosa, Daniella Medeiros Cavalcanti, José Alejandro Ordoñez, Cristina Almeida, Philipp Hessel, Ana L Moncayo, Davide Rasella

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Carlos ChivardiMSc, Centre for Health Economics, University of York, York, UK. carlos.chivardi@york.ac.uk.ORCID http://orcid.org/0000-0003-0470-3371
Alejandro Zamudio SosaPhD, School of Psychology, National Autonomous University of Mexico (UNAM), Mexico City, Mexico.ORCID http://orcid.org/0000-0002-3902-5585
Daniella Medeiros CavalcantiPhD Institute of Collective Health, Federal University of Bahia (UFBA), Salvador, Brazil.ORCID http://orcid.org/0000-0002-0801-9844
José Alejandro OrdoñezDepartment of Statistics, Pontifical Catholic University of Chile, Santiago, Chile.ORCID http://orcid.org/0000-0002-8157-9012
Cristina AlmeidaMSc Center for Health Research in Latin America (CISeAL), Pontifical Catholic University of Ecuador, Ecuador, Ecuador.
Philipp HesselPhD University of Los Andes, Bogotá, Colombia / Swiss Tropical & Public Health Institute, Basel, Switzerland.ORCID http://orcid.org/0000-0002-8754-5710
Ana L MoncayoCentro de Investigación para la Salud en América Latina (CISeAL), Pontificia Universidad Católica del Ecuador, Quito, Ecuador.ORCID http://orcid.org/0000-0003-3592-7503
Davide RasellaPhD Institute of Collective Health, Federal University of Bahia (UFBA), Salvador, Brazil.ORCID http://orcid.org/0000-0002-7260-4386

Funding

RCUK | Medical Research Council (MRC) MC_PC_MR/T023678/1
6 · The paper itself

Abstract

Chronic diseases disproportionately affect certain ethnic and gender groups, but the social determinants driving these disparities in Latin America are not fully understood. In this study, we analyzed data from national health surveys in Brazil, Mexico, and Ecuador (2018-2019), representing a total weighted population of 96,726,891 adults. We used random forest models to predict chronic disease diagnoses based on education, occupation, and access to essential services such as sanitation, drinking water, and garbage collection. Our models performed better for indigenous and afro-descendant people, highlighting significant inequalities. While occupation and education were strong predictors for women, decreasing model performance by 8.57% and 7.36% respectively, occupation was the critical variable for men, decreasing model performance by 19.6% when neutralized. This work highlights the need for public policies adapted to the specific needs of different ethnic and gender groups.

Indexed as

EthnicityHealth Status DisparitiesAdultBrazilChronic DiseaseEcuadorFemaleHealth SurveysHumansLatin AmericaMaleMexicoMiddle AgedSex FactorsSocioeconomic Disparities in Health

Identifiers

PMID41760626
PMCPMC13121632

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.