Disaggregating health inequalities within Rio de Janeiro, Brazil, 2002-2010, by applying an urban health inequality index

Detalhes bibliográficos
Autor(a) principal: Martin Bortz
Data de Publicação: 2015
Outros Autores: Megumi Kano, Heribert Ramroth, Christovam Barcellos, Scott R. Weaver, Richard Rothenberg, Monica Magalhães
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5824
Resumo: Abstract An urban health index (UHI) was used to quantify health inequalities within Rio de Janeiro, Brazil, for the years 2002-2010. Eight main health indicators were generated at the ward level using mortality data. The indicators were combined to form the index. The distribution of the rank ordered UHI-values provides information on inequality among wards, using the ratio of the extremes and the gradient of the middle values. Over the decade the ratio of extremes in 2010 declined relative to 2002 (1.57 vs. 1.32) as did the slope of the middle values (0.23 vs. 0.16). A spatial division between the affluent south and the deprived north and east is still visible. The UHI correlated on an ecological ward-level with socioeconomic and urban environment indicators like square meter price of apartments (0.54, p < 0.01), low education of mother (-0.61, p < 0.01), low income (-0.62, p < 0.01) and proportion of black ethnicity (-0.55, p < 0.01). The results suggest that population health and equity have improved in Rio de Janeiro in the last decade though some familiar patterns of spatial inequality remain.
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spelling Disaggregating health inequalities within Rio de Janeiro, Brazil, 2002-2010, by applying an urban health inequality indexHealth Status IndicatorsHealth InequalitiesUrban HealthAbstract An urban health index (UHI) was used to quantify health inequalities within Rio de Janeiro, Brazil, for the years 2002-2010. Eight main health indicators were generated at the ward level using mortality data. The indicators were combined to form the index. The distribution of the rank ordered UHI-values provides information on inequality among wards, using the ratio of the extremes and the gradient of the middle values. Over the decade the ratio of extremes in 2010 declined relative to 2002 (1.57 vs. 1.32) as did the slope of the middle values (0.23 vs. 0.16). A spatial division between the affluent south and the deprived north and east is still visible. The UHI correlated on an ecological ward-level with socioeconomic and urban environment indicators like square meter price of apartments (0.54, p < 0.01), low education of mother (-0.61, p < 0.01), low income (-0.62, p < 0.01) and proportion of black ethnicity (-0.55, p < 0.01). The results suggest that population health and equity have improved in Rio de Janeiro in the last decade though some familiar patterns of spatial inequality remain.Resumen Se utilizó un índice de salud urbana para cuantificar desigualdades en el ámbito de la salud en Río de Janeiro, Brasil, 2002 a 2010. Se han generado ocho indicadores de salud a nivel de barrios, utilizando datos de mortalidad. Los indicadores fueron combinados para formar el índice. La distribución ordenada de los valores del índice ofrece información de la desigualdad, a través de la relación entre los extremos y el gradiente de los valores medios. A lo largo de la década la proporción de los extremos disminuyó en 2010, en comparación con 2002 (1,57 vs. 1,32), al igual que el gradiente de los valores medios (0,23 vs. 0,16). La división espacial entre el opulento sur y el norte desfavorecido es todavía visible. Los valores del índice se correlacionan con los indicadores socioeconómicos y urbanos, como el precio de los apartamentos (0,54, p < 0,01), la baja educación materna (-0.61, p < 0.01), baja renta (-0,62, p < 0,01) y la población afrobrasileña (-0,55, p < 0,01). Los resultados sugieren que la equidad en salud ha mejorado en Río de Janeiro en la última década, aunque los patrones familiares de desigualdad espacial permanecen.Resumo Um índice de saúde urbana foi utilizado para quantificar desigualdades na saúde no Rio de Janeiro, Brasil, 2002-2010. Oito indicadores de saúde foram gerados no nível dos bairros utilizando dados de mortalidade. Os indicadores foram combinados para formar o índice. A distribuição ordenada dos valores do índice fornece informações sobre a desigualdade entre os bairros, por meio da relação entre os extremos e o gradiente dos valores médios. Ao longo da década, a proporção dos extremos caiu em 2010 em relação a 2002 (1,57 vs. 1,32), assim como a inclinação dos valores médios (0,23 vs. 0,16). A divisão espacial entre o sul afluente e o norte carente está ainda visível. Os valores do índice correlacionam com indicadores socioeconômicos e urbanos como o preço do metro quadrado de apartamentos (0,54, p < 0,01), baixa escolaridade da mãe (-0,61, p < 0,01), baixa renda (-0,62, p < 0,01) e proporção de pretos étnicos (-0,55, p < 0,01). Os resultados sugerem que a equidade na saúde no nível da população tem melhorado no Rio de Janeiro na última década, embora padrões familiares da desigualdade espacial permaneçam.Reports in Public HealthCadernos de Saúde Pública2015-11-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5824Reports in Public Health; Vol. 31 No. 13 (2015): Supplement 1Cadernos de Saúde Pública; v. 31 n. 13 (2015): Suplemento 11678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5824/12165https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5824/12166Martin BortzMegumi KanoHeribert RamrothChristovam BarcellosScott R. WeaverRichard RothenbergMonica Magalhãesinfo:eu-repo/semantics/openAccess2024-03-06T15:28:57Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/5824Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:06:39.681775Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Disaggregating health inequalities within Rio de Janeiro, Brazil, 2002-2010, by applying an urban health inequality index
title Disaggregating health inequalities within Rio de Janeiro, Brazil, 2002-2010, by applying an urban health inequality index
spellingShingle Disaggregating health inequalities within Rio de Janeiro, Brazil, 2002-2010, by applying an urban health inequality index
Martin Bortz
Health Status Indicators
Health Inequalities
Urban Health
title_short Disaggregating health inequalities within Rio de Janeiro, Brazil, 2002-2010, by applying an urban health inequality index
title_full Disaggregating health inequalities within Rio de Janeiro, Brazil, 2002-2010, by applying an urban health inequality index
title_fullStr Disaggregating health inequalities within Rio de Janeiro, Brazil, 2002-2010, by applying an urban health inequality index
title_full_unstemmed Disaggregating health inequalities within Rio de Janeiro, Brazil, 2002-2010, by applying an urban health inequality index
title_sort Disaggregating health inequalities within Rio de Janeiro, Brazil, 2002-2010, by applying an urban health inequality index
author Martin Bortz
author_facet Martin Bortz
Megumi Kano
Heribert Ramroth
Christovam Barcellos
Scott R. Weaver
Richard Rothenberg
Monica Magalhães
author_role author
author2 Megumi Kano
Heribert Ramroth
Christovam Barcellos
Scott R. Weaver
Richard Rothenberg
Monica Magalhães
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Martin Bortz
Megumi Kano
Heribert Ramroth
Christovam Barcellos
Scott R. Weaver
Richard Rothenberg
Monica Magalhães
dc.subject.por.fl_str_mv Health Status Indicators
Health Inequalities
Urban Health
topic Health Status Indicators
Health Inequalities
Urban Health
description Abstract An urban health index (UHI) was used to quantify health inequalities within Rio de Janeiro, Brazil, for the years 2002-2010. Eight main health indicators were generated at the ward level using mortality data. The indicators were combined to form the index. The distribution of the rank ordered UHI-values provides information on inequality among wards, using the ratio of the extremes and the gradient of the middle values. Over the decade the ratio of extremes in 2010 declined relative to 2002 (1.57 vs. 1.32) as did the slope of the middle values (0.23 vs. 0.16). A spatial division between the affluent south and the deprived north and east is still visible. The UHI correlated on an ecological ward-level with socioeconomic and urban environment indicators like square meter price of apartments (0.54, p < 0.01), low education of mother (-0.61, p < 0.01), low income (-0.62, p < 0.01) and proportion of black ethnicity (-0.55, p < 0.01). The results suggest that population health and equity have improved in Rio de Janeiro in the last decade though some familiar patterns of spatial inequality remain.
publishDate 2015
dc.date.none.fl_str_mv 2015-11-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
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dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5824
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5824
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5824/12165
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5824/12166
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
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dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 31 No. 13 (2015): Supplement 1
Cadernos de Saúde Pública; v. 31 n. 13 (2015): Suplemento 1
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
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institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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