IDEAS home Printed from https://ideas.repec.org/a/spr/ijphth/v64y2019i5d10.1007_s00038-019-01248-7.html
   My bibliography  Save this article

The invisible wounds of five decades of armed conflict: inequalities in mental health and their determinants in Colombia

Author

Listed:
  • Jorge Cuartas Ricaurte

    (Harvard University)

  • Laura Liévano Karim

    (University of the Andes)

  • María Alejandra Martínez Botero

    (University of the Andes)

  • Philipp Hessel

    (University of the Andes)

Abstract

Abstarct Objectives We analyzed the relation between exposure to the armed conflict and violence with mental health disorders in Colombia and assessed the extent and determinants of socioeconomic inequalities in mental health related to differential exposure to the conflict and violence. Methods Regression and decomposition analyses were used in combination with the 2015 nationally representative Mental Health Survey (N = 10,853). Mental health disorders were assessed using the Self-Reporting Questionnaire (SRQ 20), and socioeconomic status by a Multidimensional Poverty Index. Results 3% of adults have been victim of a violent crime and 13% victim of the armed conflict. Victims of the armed conflict have 1.74 times higher odds (p

Suggested Citation

  • Jorge Cuartas Ricaurte & Laura Liévano Karim & María Alejandra Martínez Botero & Philipp Hessel, 2019. "The invisible wounds of five decades of armed conflict: inequalities in mental health and their determinants in Colombia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(5), pages 703-711, June.
    • Handle: RePEc:spr:ijphth:v:64:y:2019:i:5:d:10.1007_s00038-019-01248-7
    DOI: 10.1007/s00038-019-01248-7
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s00038-019-01248-7
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s00038-019-01248-7?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Moya, Andrés, 2018. "Violence, psychological trauma, and risk attitudes: Evidence from victims of violence in Colombia," Journal of Development Economics, Elsevier, vol. 131(C), pages 15-27.
    2. Alkire, Sabina & Foster, James, 2011. "Counting and multidimensional poverty measurement," Journal of Public Economics, Elsevier, vol. 95(7), pages 476-487.
    3. Wagstaff, Adam & van Doorslaer, Eddy & Paci, Pierella, 1989. "Equity in the Finance and Delivery of Health Care: Some Tentative Cross-country Comparisons," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 5(1), pages 89-112, Spring.
    4. Harpham, Trudy & Grant, Emma & Rodriguez, Carlos, 2004. "Mental health and social capital in Cali, Colombia," Social Science & Medicine, Elsevier, vol. 58(11), pages 2267-2277, June.
    5. Ana María Ibañez & Andrés Moya, 2010. "Do Conflicts Create Poverty Traps? Asset Losses and Recovery for Displaced Households in Colombia," NBER Chapters, in: The Economics of Crime: Lessons For and From Latin America, pages 137-172, National Bureau of Economic Research, Inc.
    6. Di Tella, Rafael & Edwards, Sebastian & Schargrodsky, Ernesto (ed.), 2010. "The Economics of Crime," National Bureau of Economic Research Books, University of Chicago Press, number 9780226153742, December.
    7. Xander Koolman & Eddy van Doorslaer, 2004. "On the interpretation of a concentration index of inequality," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 649-656, July.
    8. Puac-Polanco, V.D. & Lopez-Soto, V.A. & Kohn, R. & Xie, D. & Richmond, T.S. & Branas, C.C., 2015. "Previous violent events and mental health outcomes in Guatemala," American Journal of Public Health, American Public Health Association, vol. 105(4), pages 764-771.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Trani, Jean-François & Cannings, Tim I., 2013. "Child Poverty in an Emergency and Conflict Context: A Multidimensional Profile and an Identification of the Poorest Children in Western Darfur," World Development, Elsevier, vol. 48(C), pages 48-70.
    2. Moya, Andrés & Carter, Michael R., 2019. "Violence and the formation of hopelessness: Evidence from internally displaced persons in Colombia," World Development, Elsevier, vol. 113(C), pages 100-115.
    3. Ibáñez, Ana María & Muñoz, Juan Carlos & Verwimp, Philip, 2013. "Abandoning Coffee under the Threat of Violence and the Presence of Illicit Crops. Evidence from Colombia," Documentos CEDE Series 161356, Universidad de Los Andes, Economics Department.
    4. Moya, Andrés, 2018. "Violence, psychological trauma, and risk attitudes: Evidence from victims of violence in Colombia," Journal of Development Economics, Elsevier, vol. 131(C), pages 15-27.
    5. Jhorland Ayala García, 2015. "Movilidad social en el Pacífico colombiano," Documentos de Trabajo Sobre Economía Regional y Urbana 13872, Banco de la República, Economía Regional.
    6. Cuartas, Jorge & Leventhal, Tama, 2020. "Exposure to community violence and Children's mental Health: A quasi-experimental examination," Social Science & Medicine, Elsevier, vol. 246(C).
    7. Buhong Zheng, 2011. "A new approach to measure socioeconomic inequality in health," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 9(4), pages 555-577, December.
    8. Arias, María Alejandra & Ibáñez, Ana María & Zambrano, Andrés, 2019. "Agricultural production amid conflict: Separating the effects of conflict into shocks and uncertainty," World Development, Elsevier, vol. 119(C), pages 165-184.
    9. Zhong, Hai, 2009. "A multivariate analysis of the distribution of individual's welfare in China: What is the role of health?," Journal of Health Economics, Elsevier, vol. 28(6), pages 1062-1070, December.
    10. Lumme, Sonja & Sund, Reijo & Leyland, Alastair H. & Keskimäki, Ilmo, 2012. "Socioeconomic equity in amenable mortality in Finland 1992–2008," Social Science & Medicine, Elsevier, vol. 75(5), pages 905-913.
    11. Pia Schneider & Kara Hanson, 2006. "Horizontal equity in utilisation of care and fairness of health financing: a comparison of micro‐health insurance and user fees in Rwanda," Health Economics, John Wiley & Sons, Ltd., vol. 15(1), pages 19-31, January.
    12. Eibhlin Hudson & David Madden & Irene Mosca, 2015. "A Formal Investigation of Inequalities in Health Behaviours After Age 50 on the Island of Ireland," The Economic and Social Review, Economic and Social Studies, vol. 46(2), pages 233-265.
    13. María Alejandra Arias & Ana María Ibáñez & Andrés Zambrano, 2014. "Agricultural Production Amid Conflict: The Effects of Shocks, Uncertainty, and Governance of Non-State Armed Actors," Documentos CEDE 11005, Universidad de los Andes, Facultad de Economía, CEDE.
    14. Manuel Fern�ndez & Ana Mar�a Ib��ez & Ximena Pe�a, 2014. "Adjusting the Labour Supply to Mitigate Violent Shocks: Evidence from Rural Colombia," Journal of Development Studies, Taylor & Francis Journals, vol. 50(8), pages 1135-1155, August.
    15. Makdissi, Paul & Yazbeck, Myra, 2014. "Measuring socioeconomic health inequalities in presence of multiple categorical information," Journal of Health Economics, Elsevier, vol. 34(C), pages 84-95.
    16. Hernández-Quevedo, Cristina & Jones, Andrew M. & López-Nicolás, Angel & Rice, Nigel, 2006. "Socioeconomic inequalities in health: A comparative longitudinal analysis using the European Community Household Panel," Social Science & Medicine, Elsevier, vol. 63(5), pages 1246-1261, September.
    17. Tzu-Ying Chen & Yi-Hsin Elsa Hsu & Rachel J. Huang & Larry Y. Tzeng, 2021. "Making socioeconomic health inequality comparisons when health concentration curves intersect," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 57(4), pages 875-899, November.
    18. Bleichrodt, Han & van Doorslaer, Eddy, 2006. "A welfare economics foundation for health inequality measurement," Journal of Health Economics, Elsevier, vol. 25(5), pages 945-957, September.
    19. Christoffer Sonne-Schmidt & Finn Tarp & Lars Peter Østerdal, 2013. "Ordinal Multidimensional Inequality," WIDER Working Paper Series wp-2013-097, World Institute for Development Economic Research (UNU-WIDER).
    20. Díaz, Yadira & Hessel, Philipp & Avendano, Mauricio & Evans-Lacko, Sara, 2022. "Multidimensional poverty and adolescent mental health: Unpacking the relationship," Social Science & Medicine, Elsevier, vol. 311(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:ijphth:v:64:y:2019:i:5:d:10.1007_s00038-019-01248-7. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.