Intermediary and structural determinants of early childhood health in Colombia : exploring the role of communities
Osorio, Ana Maria (Universitat de Barcelona. Departament d'Econometria)
Bolancé, Catalina (Universitat de Barcelona. Departament d'Econometria)
Madise, Nyovani (University of Southampton. Division of Social Statistics and Centre for Global Health)
Xarxa de Referència en Economia Aplicada (XREAP)

Publicació:	Xarxa de Referència en Economia Aplicada (XREAP) 2012
Descripció:	49 p.
Resum:	This study examines how structural determinants influence intermediary factors of child health inequities and how they operate through the communities where children live. In particular, we explore individual, family and community level characteristics associated with a composite indicator that quantitatively measures intermediary determinants of early childhood health in Colombia. We use data from the 2010 Colombian Demographic and Health Survey (DHS). Adopting the conceptual framework of the Commission on Social Determinants of Health (CSDH), three dimensions related to child health are represented in the index: behavioural factors, psychosocial factors and health system. In order to generate the weight of the variables and take into account the discrete nature of the data, principal component analysis (PCA) using polychoric correlations are employed in the index construction. Weighted multilevel models are used to examine community effects. The results show that the effect of household's SES is attenuated when community characteristics are included, indicating the importance that the level of community development may have in mediating individual and family characteristics. The findings indicate that there is a significant variance in intermediary determinants of child health between-community, especially for those determinants linked to the health system, even after controlling for individual, family and community characteristics. These results likely reflect that whilst the community context can exert a greater influence on intermediary factors linked directly to health, in the case of psychosocial factors and the parent's behaviours, the family context can be more important. This underlines the importance of distinguishing between community and family intervention programmes.
Drets:	L'accés als continguts d'aquest document queda condicionat a l'acceptació de les condicions d'ús establertes per la següent llicència Creative Commons:
Llengua:	Anglès
Col·lecció:	Xarxa de Referència en Economia Aplicada (XREAP). Documents de treball de la Xarxa de Referència en Economia Aplicada (XREAP)
Col·lecció:	XREAP ; 2012-13
Document:	Working paper
Matèria:	Salut urbana ; Infants ; Organització de la comunitat ; Mètodes estadístics ; Colòmbia ; Urban health ; Children ; Community organization ; Statistical methods ; Colombia

49 p, 573.0 KB

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