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Race and ethnic inequality in health and health care in Colombia

Author

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  • Raquel Bernal

    ()

  • Mauricio Cárdenas Santa María

    ()

Abstract

In this paper we explore race and ethnic health inequalities in Colombia. We first characterize the situation of Afro-Colombians and indigenous populations in Colombia. Second, we document racial/ethnic disparities in health outcomes and access to health care using data from the Living Standards Survey and the evaluation of the Familias en Acción program. Third, we set up a statistical model that allows us to test whether some of the health inequalities that are observed still remain after controlling for a wide range of individual and household observed characteristics, including access to health care. The results indicate that most racial and ethnic disparities in health and access to health care disappear once we control for socioeconomic characteristics of individuals, employment status and characteristics of the job and geographic location among other things. Based on these findings we make some specific policy recommendations aimed at improving the status of racial minorities in Colombia.

Suggested Citation

  • Raquel Bernal & Mauricio Cárdenas Santa María, 2005. "Race and ethnic inequality in health and health care in Colombia," WORKING PAPERS SERIES. DOCUMENTOS DE TRABAJO 003413, FEDESARROLLO.
  • Handle: RePEc:col:000123:003413
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    File URL: http://hdl.handle.net/11445/811
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    References listed on IDEAS

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    1. Willard G. Manning, Jr. & Joseph P. Newhouse & John E. Ware, Jr., 1982. "The Status of Health in Demand Estimation; or, Beyond Excellent, Good, Fair, Poor," NBER Chapters,in: Economic Aspects of Health, pages 141-184 National Bureau of Economic Research, Inc.
    2. Wagstaff, Adam, 2002. "Inequality aversion, health inequalities and health achievement," Journal of Health Economics, Elsevier, vol. 21(4), pages 627-641, July.
    3. repec:aph:ajpbhl:1996:86:10:1370-1378_4 is not listed on IDEAS
    4. Deon Filmer & Lant Pritchett, 1999. "The Effect of Household Wealth on Educational Attainment: Evidence from 35 Countries," Population and Development Review, The Population Council, Inc., vol. 25(1), pages 85-120.
    5. Carmen Elisa Flórez N. & Carlos Medina D. & Fernando Urrea G., 2003. "Los costos de la exclusio?n social por raza o etnia en Ame?rica Latina y el Caribe," COYUNTURA SOCIAL 012926, FEDESARROLLO.
    6. Psacharopoulos, George & Velez, Eduardo & Patrinos, Harry Anthony, 1994. "Education and earnings in Paraguay," Economics of Education Review, Elsevier, vol. 13(4), pages 321-327.
    7. Balsa, Ana I. & McGuire, Thomas G., 2001. "Statistical discrimination in health care," Journal of Health Economics, Elsevier, vol. 20(6), pages 881-907, November.
    8. Wagstaff, Adam, 2002. "Inequalities in health in developing countries - swimming against the tide?," Policy Research Working Paper Series 2795, The World Bank.
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    Citations

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    Cited by:

    1. Juan Pablo Atal & Hugo R. Ñopo & Natalia Winder, 2009. "New Century, Old Disparities: Gender and Ethnic Wage Gaps in Latin America," IDB Publications (Working Papers) 1131, Inter-American Development Bank.
    2. Santiago Arroyo & Luis Miguel TOvar, 2009. "Accesibilidad al régimen contributivo de salud en Colombia: caso de la población rural migrante," REVISTA DESARROLLO Y SOCIEDAD, UNIVERSIDAD DE LOS ANDES-CEDE, September.
    3. Juan Sebastían Vélez Velásquez, 2008. "Efecto rebaño: Una aproximación para contrastar la hipótesis de expectativas racionales," REVISTA SOCIEDAD Y ECONOMIA - CIDSE, UNIVERSIDAD DEL VALLE - CIDSE, October.
    4. Florencia Lopez-Boo, 2008. "How Do Crises Affect Schooling Decisions? Evidence from Changing Labor Market Opportunities and a Policy Experiment," Research Department Publications 4602, Inter-American Development Bank, Research Department.
    5. Cavallo, Eduardo A. & Frankel, Jeffrey A., 2008. "Does openness to trade make countries more vulnerable to sudden stops, or less? Using gravity to establish causality," Journal of International Money and Finance, Elsevier, pages 1430-1452.
    6. Carmen Pagés & Lucía Madrigal, 2008. "Is Informality a Good Measure of Job Quality?: Evidence from Job Satisfaction Data," IDB Publications (Working Papers) 1098, Inter-American Development Bank.
    7. repec:col:000174:015710 is not listed on IDEAS
    8. Laura Ripani & Néstor Gandelman & Hugo R. Ñopo, 2007. "Traditional Excluding Forces: A Review of the Quantitative Literature on the Economic Situation of Indigenous Peoples, Afro-Descendants, and People Living with Disability," IDB Publications (Working Papers) 1964, Inter-American Development Bank.
    9. Carolina M. Rojas-Hayes, 2008. "Race determinants of wage gaps in Colombia," REVISTA DE ECONOMÍA DEL CARIBE 007107, UNIVERSIDAD DEL NORTE.
    10. Natalia Winder & Hugo R. Ñopo, 2008. "Ethnicity and Human Capital Accumulation in Urban Mexico," IDB Publications (Working Papers) 1636, Inter-American Development Bank.

    More about this item

    Keywords

    Salud; Seguros en salud; Raza y etnicidad.Health Outcomes; Health Care; Race and Ethnicity;

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • J15 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Minorities, Races, Indigenous Peoples, and Immigrants; Non-labor Discrimination
    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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