medigraphic.com
SPANISH

Salud Pública de México

Instituto Nacional de Salud Pública
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2019, Number 6

<< Back Next >>

salud publica mex 2019; 61 (6)

Socioeconomic inequalities in health and nutrition among older adults in Mexico

Salinas-Rodríguez A, Manrique-Espinoza B, De la Cruz-Góngora V, Rivera-Almaraz A
Full text How to cite this article

Language: English
References: 33
Page: 898-906
PDF size: 266.57 Kb.


Key words:

inequalities, health care, health status, aged.

ABSTRACT

Objective. To analyze the socioeconomic inequalities in health among the population of older adults in Mexico. Materials and methods. Analysis of two national health surveys in Mexico (Ensanut 2012 and Ensanut 100k) in which inequality gradients are estimated for various health and nutrition outcomes of older adults over 60 years, using the Relative Index of Inequality (RII) and the Slope Index of Inequality (SII). Results. Older adults with lower socioeconomic status had worse levels of cognition, instrumental activities of daily living, depressive symptoms, muscle mass, low weight, and anemia. Conclusions. Substantial socioeconomic inequalities in health were observed in this study. Given the rapid growth of the population of older adults in Mexico, our results indicate that urgent actions are necessary to achieve health equity in this population group, particularly universal access to health, as well as universal coverage of health services.


REFERENCES

  1. United Nations General Assembly. Transforming our world: the 2030 Agenda for Sustainable Development [internet]. New York: UN, 2015 [cited 2019 March 8]. Available from: http://www.un.org/ga/search/view_ doc.asp?symbol=A/RES/70/1&Lang=E

  2. De Andrade LO, Pellegrini-Filho A, Solar O, Rígoli F, Malagon L, Castell-Florit P, et al. Social determinants of health, universal health coverage, and sustainable development: case studies from Latin American countries. Lancet. 2015;385(9975):1343-51. https://doi.org/10.1016/S0140-6736(14)61494-X

  3. Mujica OJ, Haeberer M, Teague J, Santos-Burgoa C, Galvão LA. Health inequalities by gradients of access to water and sanitation between countries in the Americas, 1990 and 2010. Rev Panam Salud Publica. 2015;38(5):347-54. Available from: http://iris.paho.org/xmlui/ handle/123456789/18392

  4. von dem Knesebeck O, Vonneilich N, Lüdecke D. Income and functional limitations among the aged in Europe: a trend analysis in 16 countries. J Epidemiol Community Health. 2017;71(6):584-91. https://doi.org/10.1136/ jech-2016-208369

  5. Kunna R, San Sebastian M, Stewart-Williams J. Measurement and decomposition of socioeconomic inequality in single and multimorbidity in older adults in China and Ghana: results from the WHO study on global AGEing and adult health (SAGE). Int J Equity Health. 2017;16(1):79. https:// doi.org/10.1186/s12939-017-0578-y

  6. Hoogendijk EO, Rijnhart JJM, Kowal P, Pérez-Zepeda MU, Cesari M, Abizanda P, et al. Socioeconomic inequalities in frailty among older adults in six low- and middle-income countries: Results from the WHO Study on global AGEing and adult health (SAGE). Maturitas. 2018;115:56-63. https:// doi.org/10.1016/j.maturitas.2018.06.011

  7. Busch T de A, Duarte YA, Pires-Nunes D, Lebrão ML, Satya-Naslavsky M, dos Santos-Rodrigues A, et al. Factors associated with lower gait speed among the elderly living in a developing country: a cross-sectional population-based study. BMC Geriatr. 2015;15:35. https://doi.org/10.1186/ s12877-015-0031-2

  8. Kailembo A, Preet R, Stewart Williams J. Socioeconomic inequality in self-reported unmet need for oral health services in adults aged 50 years and over in China, Ghana, and India. Int J Equity Health. 2018;17(1):99. https://doi.org/10.1186/s12939-018-0812-2

  9. Hosseinpoor AR, Bergen N, Kostanjsek N, Kowal P, Officer A, Chatterji S. Socio-demographic patterns of disability among older adult populations of low-income and middle-income countries: results from World Health Survey. Int J Public Health. 2016;61(3):337-45. https://doi.org/10.1007/ s00038-015-0742-3

  10. Brinda EM, Rajkumar AP, Attermann J, Gerdtham UG, Enemark U, Jacob KS. Health, social, and economic variables associated with depression among older people in low and middle-income countries: WHO study on global AGEing and Adult Health. Am J Geriatr Psychiatry. 2016;24(12):1196-208. https://doi.org/10.1016/j.jagp.2016.07.016

  11. Andrade FCD, López-Ortega M. Educational differences in health among middle-aged and older adults in Brazil and Mexico. J Aging Health. 2017;29(6):923-50. https://doi.org/10.1177/0898264317705781

  12. Santosa A, Schröders J, Vaezghasemi M, Ng N. Inequality in disabilityfree life expectancies among older men and women in six countries with developing economies. J Epidemiol Community Health. 2016;70(9):855-61. https://doi.org/10.1136/jech-2015-206640

  13. Kakwani N, Wagstaff A, van Doorslaer E. Socioeconomic inequalities in health: Measurement, computation, and statistical inference. J Econom. 1997;77(1):87-103. https://doi.org/10.1016/S0304-4076(96)01807-6

  14. Stringhini S, Bovet P. Socioeconomic status and risk factors for non-communicable diseases in low-income and lower-middle-income countries. Lancet Glob Health. 2017;5(3):e230-1. https://doi.org/10.1016/ S2214-109X(17)30054-2

  15. Manrique-Espinoza B, Salinas-Rodríguez A, Moreno-Tamayo KM, Acosta-Castillo I, Sosa-Ortiz AL, Gutiérrez-Robledo LM, et al. Health conditions and functional status of older adults in Mexico. Salud Publica Mex. 2013;55(suppl 2):S323-31. https://doi.org/10.21149/spm.v55s2.5131

  16. Romero-Martínez M, Shamah-Levy T, Cuevas-Nasu L, Gaona-Pineda EB, Gómez-Acosta LM, Mendoza-Alvarado LR, et al. Metodología de la Encuesta Nacional de Salud y Nutrición para localidades con menos de 100 000 habitantes (Ensanut 100k). Salud Publica Mex. 2019;61(5):678-84. https://doi.org/10.21149/10539

  17. Steinberg SI, Negash S, Sammel MD, Bogner H, Harel BT, Livney MG, et al. Subjective memory complaints, cognitive performance, and psychological factors in healthy older adults. Am J Alzheimers Dis Other Demen. 2013;28(8):776-83. https://doi.org/10.1177/1533317513504817

  18. Chávez-Oliveros M, Rodríguez-Agudelo Y, Acosta-Castillo I, García- Ramírez N, Rojas de la Torre G, Sosa-Ortiz A. Fluidez verbal-semántica en adultos mayores mexicanos: valores normativos. Neurología. 2015;30(4):189-94. https://doi.org/10.1016/j.nrl.2013.12.013

  19. Salinas-Rodríguez A, Manrique-Espinoza B, Acosta-Castillo GI, Franco- Núñez A, Rosas-Carrasco O, Gutiérrez-Robledo LM, et al. Validation of a cutoff point for the short version of the depression scale of the center for epidemiologic studies in older Mexican adults. Salud Publica Mex. 2014;56(3):275-85. https://doi.org/10.21149/spm.v55i3.7209

  20. Katz S, Branch LG, Branson MH, Papsidero JA, Beck JC, Greer DS. Active life expectancy. N Engl J Med. 1983;309:1218-24. https://doi. org/10.1056/NEJM198311173092005

  21. Lawton MP, Brody EM. Assessment of older people: Self maintaining and instrumental activities of daily living. Gerontologist. 1969;9:179-86. https://doi.org/10.1093/geront/9.3_Part_1.179

  22. Habicht JP. Standardization of quantitative epidemiological methods in the field. Bol Oficina Sanit Panam. 1974;76(5):375-84. Available from: http://iris.paho.org/xmlui/handle/123456789/10766

  23. Cohen JH, Haas JD. Hemoglobin correction factors for estimating the prevalence of iron deficiency anemia in pregnant women residing at high altitudes in Bolivia. Rev Panam Salud Publica. 1999;6(6):392-9. https://doi. org/10.1590/s1020-49891999001100004

  24. Howe LD, Galobardes B, Matijasevich A, Gordon D, Johnston D, Onwujekwe O, et al. Measuring socio-economic position for epidemiological studies in low- and middle-income countries: a methods of measurement in epidemiology paper. Int J Epidemiol. 2012;41:871-86. https://doi. org/10.1093/ije/dys037

  25. Khang YH, Yun SC, Lynch JW. Monitoring trends in socioeconomic health inequalities: it matters how you measure. BMC Publ Health. 2008;8:66. https://doi.org/10.1186/1471-2458-8-66

  26. United Nations. Health inequalities in old age. Department of Economic and Social Affairs programme on ageing [internet]. UN, 2018 [cited 2019 Jan 12]. Available from: https://www.un.org/development/desa/ageing/ wp-content/uploads/sites/24/2018/04/Health-Inequalities-in-Old-Age.pdf

  27. Hurst L, Stafford M, Cooper R, Hardy R, Richards M, Kuh D. Lifetime socioeconomic inequalities in physical and cognitive aging. Am J Public Health. 2013;103(9):1641-8. https://doi.org/10.2105/AJPH.2013.301240

  28. Haseda M, Kondo N, Ashida T, Tani Y, Takagi D, Kondo K. Community social capital, built environment, and income-based inequality in depressive symptoms among older people in Japan: An ecological study from the JAGES Project. J Epidemiol. 2018;28(3):108-16. https://doi.org/10.2188/jea. JE20160216

  29. Rodríguez López S, Colantonio SE, Celton DE. Socioeconomic inequalities in self-reported health and physical functioning in Argentina: findings from the national survey on quality of life of older adults 2012 (ENCAVIAM). J Biosoc Sci. 2017;49(5):597-610. https://doi.org/10.1017/ S0021932016000651

  30. Jang SN, Cho SI, Kawachi I. Is socioeconomic disparity in disability improving among Korean elders? Soc Sci Med. 2010;71(2):282-7. https:// doi.org/10.1016/j.socscimed.2010.03.037

  31. Landi F, Onder G, Russo A, Liperoti R. Calf circumference, frailty and physical performance among older adults living in the community. Clin Nutr. 2014;33(3):539-44. https://doi.org/10.1016/j.clnu.2013.07.013

  32. Yang F, Liu X, Zha P. Trends in socioeconomic inequalities and prevalence of anemia among children and nonpregnant women in low- and middle-income countries. JAMA Netw Open. 2018;1(5):e182899. https:// doi.org/10.1001/jamanetworkopen.2018.2899

  33. Choi E, Cho HN, Seo DH, Park B, Park S, Cho J, et al. Socioeconomic inequalities in obesity among Korean women aged 19-79 years: the 2016 Korean Study of Women’s Health-Related Issues. Epidemiol Health. 2019;41:e2019005. https://doi.org/10.4178/epih.e2019005




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

salud publica mex. 2019;61