Ethnic and gender inequalities in the prevalence of high blood pressure in the general population of Cochabamba: an intersectional analysis of health inequities.
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| Format: | Artículo científico |
| Language: | en |
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Universidad Mayor de San Simón
2020
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| _version_ | 1876488575105630208 |
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| author | Yercin Mamani Ortiz |
| author_facet | Yercin Mamani Ortiz |
| contents | Ethnic and gender inequalities in the prevalence of high blood pressure in the general population of Cochabamba: an intersectional analysis of health inequities. Yercin Mamani Ortiz Jenny Marcela Luizaga Lopez Ada Armaza Cespedes Daniel Elving Illanes Velarde Medicina gender ethnicity intersectionality High blood pressure health inequalities Inequalities in health are commonly evaluated in a single dimension of analysis and little is known about the summative or multiplicative effect when two or more social dimensions are combined; representing a challenge for the prevention and control of high blood pressure (PAE). Objective: to analyze the factors involved in population inequalities regarding the prevalence of HBP in the inter-sectional space of the processes of social advantage and disadvantage by ethnic and gender reference. Methods: observational, cross-sectional study with intersectional approach. Subjects over 18 years of age with permanent residence in Cochabamba (n=10595), selected by tri-stage random sampling, participated in the study. The WHO-STEPS survey was used to collect information on PAE and associated risk factors. Four intersectional positions were constructed by the combination of gender and ethnicity. The Oaxaca-Blinder decomposition was applied to estimate the contributions of the explanatory factors of the inequalities. Results: the prevalence of PAE was higher among male-mestizos (10.76%); the disparity by gender reference was more important among mestizos (3.74%) and indigenous (3.11%); the intersectional disparity between extreme groups (3.53%) was greater than the disparity between middle groups (3.32%). Age, type of work and lifestyle contributed most to explain these differences. Conclusions: PAE is not distributed according to the expected patterns of social disadvantage in the intersectional space of ethnicity and gender. High social advantage was related to higher prevalences of PAE, as were associated behavioral risk factors. 2020 artículo científico 1012-2966 https://www.redalyc.org/articulo.oa?id=445674705014 https://www.redalyc.org/journal/4456/445674705014/ https://www.redalyc.org/journal/4456/445674705014/html/ https://www.redalyc.org/journal/4456/445674705014/445674705014.epub https://www.redalyc.org/journal/4456/445674705014/movil en http://www.redalyc.org/revista.oa?id=4456 Gaceta Médica Boliviana application/pdf Universidad Mayor de San Simón Gaceta Médica Boliviana (Estado Plurinacional de Bolivia) Num.2 Vol.43 |
| format | Artículo científico |
| id | redalyc_445674705014 |
| institution | Redalyc |
| language | en |
| publishDate | 2020 |
| publisher | Universidad Mayor de San Simón |
| spellingShingle | Ethnic and gender inequalities in the prevalence of high blood pressure in the general population of Cochabamba: an intersectional analysis of health inequities. Yercin Mamani Ortiz Medicina gender ethnicity intersectionality High blood pressure health inequalities Ethnic and gender inequalities in the prevalence of high blood pressure in the general population of Cochabamba: an intersectional analysis of health inequities. Yercin Mamani Ortiz Jenny Marcela Luizaga Lopez Ada Armaza Cespedes Daniel Elving Illanes Velarde Medicina gender ethnicity intersectionality High blood pressure health inequalities Inequalities in health are commonly evaluated in a single dimension of analysis and little is known about the summative or multiplicative effect when two or more social dimensions are combined; representing a challenge for the prevention and control of high blood pressure (PAE). Objective: to analyze the factors involved in population inequalities regarding the prevalence of HBP in the inter-sectional space of the processes of social advantage and disadvantage by ethnic and gender reference. Methods: observational, cross-sectional study with intersectional approach. Subjects over 18 years of age with permanent residence in Cochabamba (n=10595), selected by tri-stage random sampling, participated in the study. The WHO-STEPS survey was used to collect information on PAE and associated risk factors. Four intersectional positions were constructed by the combination of gender and ethnicity. The Oaxaca-Blinder decomposition was applied to estimate the contributions of the explanatory factors of the inequalities. Results: the prevalence of PAE was higher among male-mestizos (10.76%); the disparity by gender reference was more important among mestizos (3.74%) and indigenous (3.11%); the intersectional disparity between extreme groups (3.53%) was greater than the disparity between middle groups (3.32%). Age, type of work and lifestyle contributed most to explain these differences. Conclusions: PAE is not distributed according to the expected patterns of social disadvantage in the intersectional space of ethnicity and gender. High social advantage was related to higher prevalences of PAE, as were associated behavioral risk factors. 2020 artículo científico 1012-2966 https://www.redalyc.org/articulo.oa?id=445674705014 https://www.redalyc.org/journal/4456/445674705014/ https://www.redalyc.org/journal/4456/445674705014/html/ https://www.redalyc.org/journal/4456/445674705014/445674705014.epub https://www.redalyc.org/journal/4456/445674705014/movil en http://www.redalyc.org/revista.oa?id=4456 Gaceta Médica Boliviana application/pdf Universidad Mayor de San Simón Gaceta Médica Boliviana (Estado Plurinacional de Bolivia) Num.2 Vol.43 |
| title | Ethnic and gender inequalities in the prevalence of high blood pressure in the general population of Cochabamba: an intersectional analysis of health inequities. |
| topic | Medicina gender ethnicity intersectionality High blood pressure health inequalities |
| url | https://www.redalyc.org/articulo.oa?id=445674705014 https://www.redalyc.org/journal/4456/445674705014/ https://www.redalyc.org/journal/4456/445674705014/html/ https://www.redalyc.org/journal/4456/445674705014/445674705014.epub https://www.redalyc.org/journal/4456/445674705014/movil |