Desigualdades sociais em saúde: evidências empíricas sobre o caso brasileiro
Abstract
The aim of this paper is to measure the socioeconomic health inequality in Brazil considering the differences among the federal states. We estimate the health concentration index. This work has two main contributions: first, it considers the differences in the health level of population among the federal states and second, it measures the socioeconomic health inequality considering all socioeconomic groups. The socioeconomic variables used are years of formal schooling and familiar income per capita. Even though, the majority of papers in the literature estimate health inequality using mortality as health indicator, in this paper we use morbidity measures. Morbidity measures are advantageous because they capture differences in the life quality of individuals in spite of only considering the cause of death. The data base used is PNAD (Pesquisa Nacional de Amostra Domiciliar), a National Household Survey accomplished by the Brazilian Institute of Geography and Statistics (IBGE). The main findings of this work is to perceive the existence of social health inequality in Brazil. Almost all health concentration indexes estimated showed a health inequality favoring the higher income groups. This result was robust for almost all health indicators except when the criteria used was the proportion of individuals in the whole population that presented chronic disease. This result was verified in all regions except the Northeastern region when we used familiar income per capita to classify social economic groups.Download Info
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Paper provided by Cedeplar, Universidade Federal de Minas Gerais in its series Textos para Discussão Cedeplar-UFMG with number td171.Length: 35 pages
Date of creation: Jun 2002
Date of revision:
Publication status: Published in Revista Econômica do Nordeste, 2001, vol. 32, pp. 877-897.
Handle: RePEc:cdp:texdis:td171
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Related research
Keywords: healthcare services; Brazil; social inequality;This paper has been announced in the following NEP Reports:
- NEP-ALL-2002-09-11 (All new papers)
References
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- Wagstaff, Adam & Paci, Pierella & van Doorslaer, Eddy, 1991. "On the measurement of inequalities in health," Social Science & Medicine, Elsevier, vol. 33(5), pages 545-557, January.
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Working Papers
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- Le Grand, Julian, 1987. "Inequalities in health : Some international comparisons," European Economic Review, Elsevier, vol. 31(1-2), pages 182-191.
- Rocio Ribero, 1999. "Earnings Effects of Household Investment in Health in Colombia," Working Papers 810, Economic Growth Center, Yale University.
- Kakwani, Nanak & Wagstaff, Adam & van Doorslaer, Eddy, 1997. "Socioeconomic inequalities in health: Measurement, computation, and statistical inference," Journal of Econometrics, Elsevier, vol. 77(1), pages 87-103, March.
- van Doorslaer, Eddy & Wagstaff, Adam & Bleichrodt, Han & Calonge, Samuel & Gerdtham, Ulf-G. & Gerfin, Michael & Geurts, Jose & Gross, Lorna & Hakkinen, Unto & Leu, Robert E., 1997. "Income-related inequalities in health: some international comparisons," Journal of Health Economics, Elsevier, vol. 16(1), pages 93-112, February.
Citations
Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.Cited by:
- Kenya Valeria Micaela de Souza Noronha & Mônica Viegas Andrade, 2002. "Social inequality in the access to healthcare services in Brazil," Textos para Discussão Cedeplar-UFMG td172, Cedeplar, Universidade Federal de Minas Gerais.
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