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Health inequalities in rio de janeiro, Brazil: Lower healthy life expectancy in socioeconomically disadvantaged areas

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  • Szwarcwald, C.L.
  • Mota, J.C.D.
  • Damacena, G.N.
  • Pereira, T.G.S.

Abstract

Objectives. We investigated deprivation and inequalities in life expectancy and healthy life expectancy by location in Rio de Janeiro, Brazil. Methods. We conducted a health survey of 576 adults in 2006. Census tracts were stratified by income level and categorization as a slum. We determined health status by degree of functional limitation, according to the approach proposed by the World Health Organization. We calculated healthy life expectancies by Sullivan's method with abridged life table. Results. We found the worst indicators in the slum stratum. The life expectancy at birth of men living in the richest parts of the city was 12.8 years longer than that of men living in deprived areas. For both men and women older than age 65 years, healthy life expectancy was more than twice as high in the richest sector as in the slum sector. Conclusions. Our analysis detailed the excess burden of poor health experienced by disadvantaged populations of Rio de Janeiro. Policy efforts are needed to reduce social inequalities in health in this city, especially among the elderly.

Suggested Citation

  • Szwarcwald, C.L. & Mota, J.C.D. & Damacena, G.N. & Pereira, T.G.S., 2011. "Health inequalities in rio de janeiro, Brazil: Lower healthy life expectancy in socioeconomically disadvantaged areas," American Journal of Public Health, American Public Health Association, vol. 101(3), pages 517-523.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2010.195453_8
    DOI: 10.2105/AJPH.2010.195453
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    Cited by:

    1. Gerda G Fillenbaum & Sergio L Blay & Carl F Pieper & Katherine E King & Sergio B Andreoli & Fábio L Gastal, 2013. "The Association of Health and Income in the Elderly: Experience from a Southern State of Brazil," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-1, September.
    2. Hani Kim & Uros Novakovic, 2021. "Towards Solving Health Inequities: A Method to Identify Ideological Operation in Global Health Programs," IJERPH, MDPI, vol. 18(9), pages 1-13, April.
    3. Benedetta Pongiglione & Bianca L De Stavola & George B Ploubidis, 2015. "A Systematic Literature Review of Studies Analyzing Inequalities in Health Expectancy among the Older Population," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-21, June.
    4. Thomas Hone & Valeria Saraceni & Claudia Medina Coeli & Anete Trajman & Davide Rasella & Christopher Millett & Betina Durovni, 2020. "Primary healthcare expansion and mortality in Brazil’s urban poor: A cohort analysis of 1.2 million adults," PLOS Medicine, Public Library of Science, vol. 17(10), pages 1-20, October.

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