Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/16714
Title: Racial gaps in child health insurance coverage in four South American countries: the role of wealth, human capital, and other household characteristics
Authors: Wehby, George L.
Murray, Jeffrey C.
McCarthy, Ann Marie
Castilla, Eduardo E.
Affilliation: University of Iowa. College of Public Health. Deparment of HealthManagement and Policy. Iowa City, IA , USA.
University of Iowa. College of Medicine. Department of Pediatrics. Iowa City, IA, USA.
University of Iowa. College of Nursing. Teacher of Parents, Child & Family Nursing. Iowa City, Iowa, USA.
Fundação Oswado Cruz. Instituto Oswaldo Cruz. Laboratório de Epidemiologia de Malformações Congênitas. ECLAMC (Estudio Comparativo Latino AMericano ede Malformações Congênitas). Rio de Janeiro, RJ, Brasil.
Abstract: OBJECTIVE. To evaluate the extent of racial gaps in child health insurance coverage in South America and study the contribution of wealth, human capital, and other household characteristics to accounting for racial disparities in insurance coverage. DATA SOURCES/STUDY SETTING. Primary data collected between 2005 and 2006 in 30 pediatric practices in Argentina, Brazil, Ecuador, and Chile. DESIGN. Country-specific regression models are used to assess differences in insurance coverage by race. A decomposition model is used to quantify the extent to which wealth, human capital, and other household characteristics account for racial disparities in insurance coverage. DATA COLLECTION/EXTRACTION METHODS. In-person interviews were conducted with the mothers of 2,365 children. PRINCIPAL FINDINGS. The majority of children have no insurance coverage except in Chile. Large racial disparities in insurance coverage are observed. Household wealth is the single most important household-level factor accounting for racial disparities in coverage and is significantly and positively associated with coverage, followed by maternal education and employment/occupational status. Geographic differences account for the largest part of racial disparities in insurance coverage in Argentina and Ecuador. CONCLUSIONS. Increasing the coverage of children in less affluent families is important for reducing racial gaps in health insurance coverage in the study countries.
Keywords: Health insurance
racial disparities
socioeconomic disparities
child health
South America
keywords: Seguro de Saúde
Disparidades raciais
Disparidades sócio-econômicas
Saúde da criança
América do Sul
Issue Date: 2011
Publisher: Wiley
Citation: WEHBY, Jeffrey L. et al. Racial Gaps in Child Health Insurance Coverage in Four South American Countries: The Role of Wealth, Human Capital, and Other Household Characteristics. HSR: Health Services Research, v.46, n.6, Part II, p.2119- 2138, Dec. 2011.
DOI: 10.1111/j.1475-6773.2010.01225.x
ISSN: 0017-9124
Copyright: restricted access
Appears in Collections:IOC - Artigos de Periódicos

Files in This Item:
File Description SizeFormat 
eduardo2_castilla_etal_IOC_2011.pdf173.22 kBAdobe PDF    Request a copy


FacebookTwitterDeliciousLinkedInGoogle BookmarksBibTex Format mendeley Endnote DiggMySpace

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.