Originales
Trends of socioeconomic inequalities and socioeconomic inequalities in self-perceived health in Spain
Evolución de las desigualdades socioeconómicas y desigualdades socioeconómicas en la percepción de la salud en España
Enrique Regidor
, David Martínez, Paloma Astasio, Paloma Ortega, María E. Calle, Vicente Domínguez
Autor para correspondencia
enriqueregidor@hotmail.com
Correspondence: Dr. Enrique Regidor. Departamento de Medicina Preventiva y Salud Pública. Facultad de Medicina. Universidad Complutense de Madrid. Ciudad Universitaria, s/n. 28040 Madrid. España.
Correspondence: Dr. Enrique Regidor. Departamento de Medicina Preventiva y Salud Pública. Facultad de Medicina. Universidad Complutense de Madrid. Ciudad Universitaria, s/n. 28040 Madrid. España.
Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España
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Calle, Vicente Domínguez" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Enrique" "apellidos" => "Regidor" "email" => array:1 [ 0 => "enriqueregidor@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "David" "apellidos" => "Martínez" ] 2 => array:2 [ "nombre" => "Paloma" "apellidos" => "Astasio" ] 3 => array:2 [ "nombre" => "Paloma" "apellidos" => "Ortega" ] 4 => array:2 [ "nombre" => "María E." "apellidos" => "Calle" ] 5 => array:2 [ "nombre" => "Vicente" "apellidos" => "Domínguez" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondence: Dr. Enrique Regidor. Departamento de Medicina Preventiva y Salud Pública. Facultad de Medicina. Universidad Complutense de Madrid. Ciudad Universitaria, s/n. 28040 Madrid. España." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Evolución de las desigualdades socioeconómicas y desigualdades socioeconómicas en la percepción de la salud en España" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-06-15" "fechaAceptado" => "2005-10-05" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec14079" "palabras" => array:4 [ 0 => "Health inequalities" 1 => "Education" 2 => "Per capital income" 3 => "Self-perceived health" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec14080" "palabras" => array:4 [ 0 => "Desigualdades en salud" 1 => "Estudios" 2 => "Renta per cápita" 3 => "Autopercepción de la salud" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To study the trends of socioeconomic inequalities and socioeconomic inequalities in self-perceived health in Spain between 1987 and 2001.</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">We estimated the distribution of educational level and <span class="elsevierStyleItalic">per capita</span> provincial income, and the differences in lessthan-good self-perceived health by educational level and <span class="elsevierStyleItalic">per capita</span> provincial income in each period.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The percentage of the population that had completed secondary or higher education was larger and inequality in <span class="elsevierStyleItalic">per capita</span> provincial income was smaller in 2001 than in 1987. In general, the differences in less-than-good self-perceived health by educational level and provincial income were larger in 2001 than in 1987, in both absolute and relative terms. However, when the effect of residual correlation within provinces was taken into account, the differences by <span class="elsevierStyleItalic">per</span><span class="elsevierStyleItalic">capita</span> provincial income were smaller in 2001 than in 1987.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The redistribution of socioeconomic resources achieves greater social justice, but probably does not lead to reduced health inequalities in all cases.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Estudiar la evolución de las desigualdades socioeconómicas y las desigualdades socioeconómicas en la percepción subjetiva de la salud en España entre 1987 y 2001.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se han estimado la distribución del nivel de estudios y de la renta per cápita provincial, así como las diferencias en la percepción de la salud según el nivel de estudios y según la renta per cápita provincial en cada período.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">El porcentaje de población que había completado estudios de segundo grado o superiores fue mayor, y la desigualdad en la renta per cápita provincial fue menor en el año 2001 que en 1987. En líneas generales, las diferencias en la percepción negativa de la salud como según el nivel de estudios y la renta per cápita provincial fueron mayores en 2001 que en 1987, en términos relativos y absolutos. En cambio, cuando se tuvo en cuenta el efecto de la correlación residual dentro de las provincias en el resultado, las diferencias según la renta per cápita provincial fueron menores en 2001 que en 1987.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p class="elsevierStyleSimplePara elsevierViewall">La redistribución de los recursos socioeconómicos básicos consigue una mayor justicia social, pero probablemente no siempre consigan reducir las desigualdades en salud.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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