Extending The Income Inequality Hypothesis: Ecological Results From The 2005 And 2009 Argentine National Risk Factor Surveys, Fernando De Maio, Bruno Linetzky, Daniel Ferrante, Nancy L. Fleischer
Dec 2011
Extending The Income Inequality Hypothesis: Ecological Results From The 2005 And 2009 Argentine National Risk Factor Surveys, Fernando De Maio, Bruno Linetzky, Daniel Ferrante, Nancy L. Fleischer
Fernando De Maio
A consensus on income inequality as a social determinant of health has yet to be reached. In particular, we know little about the cross-sectional versus lagged effect of inequality, and the robustness of the relationship to indicators that are sensitive to varying parts of the income spectrum. We test these issues with data from Argentina’s 2005 and 2009 National Risk Factor Surveys. Inequality was operationalised at the provincial level with the Gini coefficient and the Generalized Entropy (GE) index. Population health was defined as the age-standardized percentage of adults with poor/fair self-rated health by province. Our cross-sectional results indicate a …
Risk Of Cardiovascular Events Associated With Positive Serology For Chagas: A Systematic Review, Bruno Linetzky, Jonatan Konfino, Noelia Castellana, Fernando De Maio, Maria Cecilia Bahit, Andres Orlandini, Rafeal Diaz
Dec 2011
Risk Of Cardiovascular Events Associated With Positive Serology For Chagas: A Systematic Review, Bruno Linetzky, Jonatan Konfino, Noelia Castellana, Fernando De Maio, Maria Cecilia Bahit, Andres Orlandini, Rafeal Diaz
Fernando De Maio
BACKGROUND: Chagas disease affects mainly poor populations in Latin America. This review assesses the evidence on the independent risk of cardiovascular events associated with positive Chagas serology. METHODS: We searched for studies using the following outcomes: death, stroke, new onset heart failure, heart failure hospitalization or evidence of left ventricular dysfunction. Studies comparing patients with positive serology for Chagas with a control group with a follow-up longer than 1 year were selected. The Medline, Lilacs and Embase databases were searched on 21 January 2011 without restrictions. RESULTS: From 5236 potentially relevant studies, 25 fulfilled the inclusion criteria. Fourteen included patients …
Understanding The Health Transitions Of Immigrants To Canada: Research Priorities, Fernando De Maio
Dec 2011
Understanding The Health Transitions Of Immigrants To Canada: Research Priorities, Fernando De Maio
Fernando De Maio
Understanding changes in the health of immigrants has been an important area of research in Canadian public health. Recent years have seen important developments, with studies moving away from what might be called ‘sick immigrant’ versus ‘healthy immigrant’ debates towards analyzing transitions and how they are influenced by a diverse set of social determinants. The release of data from all three waves of the Longitudinal Survey of Immigrants to Canada has also spurred new theoretical understandings of why immigrants’ initial health advantage is lost over time, with the experience of discrimination becoming an increasingly important predictor. Three research priorities are …
Changes In The Social Gradients For Pap Smears And Mammograms In Argentina: Evidence From The 2005 And 2009 National Risk Factor Surveys, Fernando De Maio, Bruno Linetzky, Daniel Ferrante
Dec 2011
Changes In The Social Gradients For Pap Smears And Mammograms In Argentina: Evidence From The 2005 And 2009 National Risk Factor Surveys, Fernando De Maio, Bruno Linetzky, Daniel Ferrante
Fernando De Maio
Objectives: To identify changes in the social gradients for Pap smears and mammograms in Argentina. Study Design: Secondary analysis of the 2005 and 2009 Argentine National Risk Factor Surveys. Methods: Logistic regression analysis was used to examine social gradients by income and education, adjusting for age and health insurance. Results: The proportion of women who received a Pap smear in the previous two years increased from 51.6% in 2005 to 60.5% in 2009 (χ2 = 344.8, p < 0.001). A significant increase was also seen in the receipt of a mammogram in the previous two years by women 50 years …
Socioeconomic Status And Tobacco Consumption Among Adolescents: A Multilevel Analysis Of Argentina’S Global Youth Tobacco Survey, Bruno Linetzky, Raul Mejia, Daniel Ferrante, Fernando De Maio, Ana V. Diez Roux
Dec 2011
Socioeconomic Status And Tobacco Consumption Among Adolescents: A Multilevel Analysis Of Argentina’S Global Youth Tobacco Survey, Bruno Linetzky, Raul Mejia, Daniel Ferrante, Fernando De Maio, Ana V. Diez Roux
Fernando De Maio
Introduction: The relationship between poverty and tobacco consumption among adolescents has not been extensively studied, and what evidence exists has come almost entirely from developed countries. Moreover, the impact of contextual factors—such as school-level poverty—remains unclear. Methods: We obtained information about smoking behavior from the Global Youth Tobacco Survey in Argentina in 2007. School-level characteristics were derived by matching schools to census areas from the 2001 Census. Additional school-level information was obtained from the Ministry of Education. Random intercept models were used to evaluate the associations of school-level variables (poverty in the census area of the school, school receipt of …
Advancing The Income Inequality - Health Hypothesis, Fernando De Maio
Dec 2011
Advancing The Income Inequality - Health Hypothesis, Fernando De Maio
Fernando De Maio
The notion that income inequality exerts an influence on health status (over and above the long-known effects of individual or household income) has received a great deal of attention in social epidemiology, medical sociology, and economics in the past twenty years. And although a clear consensus on the hypothesis has yet to emerge, a new wave of empirical studies has strengthened the case for seeing income inequality as a social determinant of health. This paper examines the current trajectory of the income inequality – health literature, and explores two issues that will be critical to its development in the coming …
