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Desigualdades sociais em saúde: evidências empíricas sobre o caso brasileiro

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  • Kenya Valeria Micaela de Souza Noronha
  • Mônica Viegas Andrade

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    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.

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    Bibliographic Info

    Paper provided by Cedeplar, Universidade Federal de Minas Gerais in its series Textos para Discussão Cedeplar-UFMG with number td171.

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    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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    Postal: Cedeplar-FACE-UFMG Av. Antonio Carlos, 6627 Belo Horizonte, MG 31270-901 Brazil

    Related research

    Keywords: healthcare services; Brazil; social inequality;

    This paper has been announced in the following NEP Reports:

    References

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    1. 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.
    2. 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.
    3. Rocio Ribero, 1999. "Earnings Effects of Household Investment in Health in Colombia," Working Papers 810, Economic Growth Center, Yale University.
    4. Angus Deaton, 1999. "Inequalities in income and inequalities in health," Working Papers 280, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
    5. Le Grand, Julian, 1987. "Inequalities in health : Some international comparisons," European Economic Review, Elsevier, vol. 31(1-2), pages 182-191.
    6. 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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    Cited by:
    1. Ricardo Batista Politi, 2014. "Desigualdade Na Utilização De Serviçosde Saúde Entre Adultos: Uma Análise Dos Fatores De Concentração Dademanda," Anais do XL Encontro Nacional de Economia [Proceedings of the 40th Brazilian Economics Meeting] 220, ANPEC - Associação Nacional dos Centros de Pósgraduação em Economia [Brazilian Association of Graduate Programs in Economics].
    2. 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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