IDEAS home Printed from https://ideas.repec.org/p/col/000123/003413.html
   My bibliography  Save this paper

Race and ethnic inequality in health and health care in Colombia

Author

Listed:
  • 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 3413, Fedesarrollo.
    • Handle: RePEc:col:000123:003413
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/11445/811
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    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. Krieger, N. & Sidney, S., 1996. "Racial discrimination and blood pressure: The CARDIA study of young black and white adults," American Journal of Public Health, American Public Health Association, vol. 86(10), pages 1370-1378.
    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, March.
    5. Carmen Elisa Flórez N. & Carlos Medina D. & Fernando Urrea G., 2003. "Los costos de la exclusión social por raza o etnia en América Latina y el Caribe," Coyuntura Social 12926, 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. Fuchs, Victor R. (ed.), 1982. "Economic Aspects of Health," National Bureau of Economic Research Books, University of Chicago Press, number 9780226267852, December.
    8. Balsa, Ana I. & McGuire, Thomas G., 2001. "Statistical discrimination in health care," Journal of Health Economics, Elsevier, vol. 20(6), pages 881-907, November.
    9. Wagstaff, Adam, 2002. "Inequalities in health in developing countries - swimming against the tide?," Policy Research Working Paper Series 2795, The World Bank.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Atal, Juan Pablo & Ñopo, Hugo R. & Winder, Natalia, 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,Facultad de Economía, CEDE, September.
    3. Gustavo Adolfo García Cruz. & Luís Miguel Tovar Cuevas, 2006. "La Percepción del Estado de Salud: Una Mirada a las Regiones desde la Encuesta de Calidad de Vida 2003," Documentos de Trabajo 3972, Universidad del Valle, CIDSE.
    4. Hugo Nopo & Natalia Winder, 2008. "Ethnicity and Human Capital Accumulation in Urban Mexico," Research Department Publications 4619, Inter-American Development Bank, Research Department.
    5. Ripani, Laura & Gandelman, Néstor & Ñopo, Hugo R., 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.
    6. Romero-Prieto, Julio Enrique, 2011. "¿Discriminación laboral o capital humano? : determinantes del ingreso laboral de los afrocartageneros," Chapters, in: Bonilla-Mejía, Leonardo (ed.), Dimensión regional de las desigualdades en Colombia, chapter 4, pages 123-163, Banco de la Republica de Colombia.
    7. Felipe Rivera, 2017. "Health opportunities in Colombia," Lecturas de Economía, Universidad de Antioquia, Departamento de Economía, issue 87, pages 125-164, Julio - D.
    8. Romero-Prieto, Julio Enrique, 2011. "Educación, calidad de vida y otras desventajas económicas de los indígenas en Colombia," Chapters, in: Bonilla-Mejía, Leonardo (ed.), Dimensión regional de las desigualdades en Colombia, chapter 5, pages 167-206, Banco de la Republica de Colombia.
    9. Héctor Alberto Botello-Peñaloza, 2021. "Wage Inequality of Venezuelan Migrants in Ecuador," The Indian Journal of Labour Economics, Springer;The Indian Society of Labour Economics (ISLE), vol. 64(1), pages 115-132, March.
    10. Nestor Gandelman & Hugo Ñopo & Laura Ripani, 2007. "Fuerzas tradicionales de exclusión: Una revisión de la literatura cuantitativa sobre la situación económica de los pueblos indígenas, afrodescendientes y personas con discapacidad," Research Department Publications 4546, Inter-American Development Bank, Research Department.
    11. Carolina M. Rojas-Hayes, 2008. "Race determinants of wage gaps in Colombia," Revista de Economía del Caribe 7107, Universidad del Norte.
    12. Hugo Nopo & Natalia Winder, 2008. "Etnicidad y acumulación de capital humano en México Urbano," Research Department Publications 4620, Inter-American Development Bank, Research Department.

    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. Udaya S. Mishra, 2016. "Measuring Progress Towards MDGs in Child Health: Should Base Line Sensitivity and Inequity Matter?," Working Papers id:10705, eSocialSciences.
    2. Arline Geronimus & John Bound & Annie Ro, 2014. "Residential Mobility Across Local Areas in the United States and the Geographic Distribution of the Healthy Population," Demography, Springer;Population Association of America (PAA), vol. 51(3), pages 777-809, June.
    3. Schultz, T. Paul, 2005. "Productive Benefits of Health: Evidence from Low-Income Countries," IZA Discussion Papers 1482, Institute of Labor Economics (IZA).
    4. José Murteira & Óscar Lourenço, 2011. "Health care utilization and self-assessed health: specification of bivariate models using copulas," Empirical Economics, Springer, vol. 41(2), pages 447-472, October.
    5. Paul McNamee, 2004. "A comparison of the grade of membership measure with alternative health indicators in explaining costs for older people," Health Economics, John Wiley & Sons, Ltd., vol. 13(4), pages 379-395, April.
    6. John Mullahy, 2015. "In Memoriam: Willard G. Manning, 1946‐2014," Health Economics, John Wiley & Sons, Ltd., vol. 24(3), pages 253-257, March.
    7. Van Ourti, Tom & van Doorslaer, Eddy & Koolman, Xander, 2009. "The effect of income growth and inequality on health inequality: Theory and empirical evidence from the European Panel," Journal of Health Economics, Elsevier, vol. 28(3), pages 525-539, May.
    8. McLeod, Logan, 2011. "A nonparametric vs. latent class model of general practitioner utilization: Evidence from Canada," Journal of Health Economics, Elsevier, vol. 30(6), pages 1261-1279.
    9. Mishra, Udaya S., 2016. "Measuring progress towards MDGs in child health: Should base level sensitivity and inequity matter?," Evaluation and Program Planning, Elsevier, vol. 58(C), pages 70-81.
    10. Jeffrey E. Harris, 1985. "Macroexperiments versus Microexperiments for Health Policy," NBER Chapters, in: Social Experimentation, pages 145-186, National Bureau of Economic Research, Inc.
    11. Kanika Kapur, 1998. "The Impact of Health on Job Mobility: A Measure of Job Lock," ILR Review, Cornell University, ILR School, vol. 51(2), pages 282-298, January.
    12. Allison, R. Andrew & Foster, James E., 2004. "Measuring health inequality using qualitative data," Journal of Health Economics, Elsevier, vol. 23(3), pages 505-524, May.
    13. Roberto Montero Granados & José Jesús Martín Martín & Juan de Dios Jiménez Aguilera, 2008. "Horizontal Inequity in Access to Healthcare Services and Educational Level in Spain," FEG Working Paper Series 08/03, Faculty of Economics and Business (University of Granada).
    14. Narayan Sastry, 2002. "Trends in Socioeconomic Inequalities in Under-Five Mortality: Evidence from Sao Paulo, Brazil, 1970-1991," Working Papers 02-15, RAND Corporation.
    15. John Mullahy, 2016. "Time and Health Status in Health Economics," Health Economics, John Wiley & Sons, Ltd., vol. 25(11), pages 1351-1354, November.
    16. John Mullahy, 2019. "Health and evidence in health economics," Health Economics, John Wiley & Sons, Ltd., vol. 28(10), pages 1163-1165, October.
    17. repec:eee:labchp:v:3:y:1999:i:pc:p:3309-3416 is not listed on IDEAS
    18. Mary Schooling, C. & Lau, Elaine W.L. & Tin, Keith Y.K. & Leung, Gabriel M., 2010. "Social disparities and cause-specific mortality during economic development," Social Science & Medicine, Elsevier, vol. 70(10), pages 1550-1557, May.
    19. Pradhan, Jalandhar & Arokiasamy, Perianayagam, 2010. "Socio-economic inequalities in child survival in India: A decomposition analysis," Health Policy, Elsevier, vol. 98(2-3), pages 114-120, December.
    20. Meheus, Filip & Van Doorslaer, Eddy, 2008. "Achieving better measles immunization in developing countries: does higher coverage imply lower inequality?," Social Science & Medicine, Elsevier, vol. 66(8), pages 1709-1718, April.
    21. Tuhin Biswas & Md Saimul Islam & Natalie Linton & Lal B Rawal, 2016. "Socio-Economic Inequality of Chronic Non-Communicable Diseases in Bangladesh," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-12, November.

    More about this item

    Keywords

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

    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

    Statistics

    Access and download statistics

    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:col:000123:003413. 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: Patricia Monroy (email available below). General contact details of provider: https://edirc.repec.org/data/fedesco.html .

    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.