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Measuring health inequalities

Implications of Choosing Different Socioeconomic Indicators

Bibliographic Data

ID5166061
AuthorsMaria Laura Braccini Fagundes (0000-0001-5548-7408, Universidade Federal de Santa Maria), Orlando Luiz Do Amaral Júnior (0000-0002-6611-3871, Universidade Federal de Santa Maria), Gabriele Rissotto Menegazzo (0000-0002-4181-0267, Universidade Federal de Santa Maria), Fernando Neves Hugo (0000-0003-2222-7719, Universidade Federal do Rio Grande do Sul), Jessye Melgarejo Do Amaral Giordani (0000-0002-3825-9734, Universidade Federal de Santa Maria)
Year2022
Volume38
Issue1
Pagese00035521-e00035521
Publication date2022-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00035521
PMID35107506
OpenAlexW4210243731
SCIELO_PIDS0102-311X2022000105018
LanguageEN
Citations received3
References cited20

We aimed to verify the association between different socioeconomic indicators and self-rated health in a nationally representative sample of older adults. This cross-sectional study analyzed the baseline data from the Brazilian Longitudinal Study of Aging (ELSI-Brazil), a population-based cohort study of persons aged 50 years or older. Data was collected using a household and an individual questionnaire at participants' households. Self-rated health was assessed by a global self-rating item. Three socioeconomic indicators were assessed: individual income, per capita household income, and wealth index. Poisson regression models were performed to estimate the prevalence ratio (PR) and 95% confidence intervals (95%CI) of self-rated health and each socioeconomic indicator, adjusting for covariates. In total, 9,390 older adults answered the outcome question. Whilst for the individual income indicator only the richest quintile showed a statistically significant association with the outcome (PR: 0.90; 95%CI: 0.87; 0.93), for the per capita household income, the fourth (PR: 0.95; 95%CI: 0.91; 0.98) and the fifth quintiles (PR: 0.90; 95%CI: 0.86; 0.94) remained associated with the outcome. Regarding the wealth index, only the second quintile was not associated with the outcome, with lower prevalence of poor self-rated health as richer was the quintile, showing a social gradient. The wealth index seems to be a more adequate indicator, as it reflects resources accumulated over the life course

Cohort · Cohort study · Confidence interval · Household income · Per capita · Poisson regression · Sample (material) · Social class · Socioeconomic status · Health disparities and outcomes · Health Systems, Economic Evaluations, Quality of Life · Insurance, Mortality, Demography, Risk Management

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Unique citing works3
Citations per year0,75
Citation span2022 - 2026 (5)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2

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