Public policy for early childhood and social determinants of Acute Respiratory Diseases in under-five children in Colombia. A multi-level analysis
Introduction: Despite having public policies, Acute Respiratory Diseases (ARD) continues to cause a high level of childhood morbidity in the least developed territories of Colombia. These inequities and others due to specifics regional aspects have been little examined in studies of public health in...
- Autores:
-
Flórez, Rosaura Arrieta
Echavarren Fernández, José Manuel
Forero Vargas, Daniel
- Tipo de recurso:
- Fecha de publicación:
- 2021
- Institución:
- Universidad Tecnológica de Bolívar
- Repositorio:
- Repositorio Institucional UTB
- Idioma:
- eng
- OAI Identifier:
- oai:repositorio.utb.edu.co:20.500.12585/12203
- Acceso en línea:
- https://hdl.handle.net/20.500.12585/12203
- Palabra clave:
- Child development
Colombia
Public policy
Respiratory tract diseases
Social determinants of health
- Rights
- openAccess
- License
- http://creativecommons.org/licenses/by-nc-nd/4.0/
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Public policy for early childhood and social determinants of Acute Respiratory Diseases in under-five children in Colombia. A multi-level analysis |
| dc.title.alternative.spa.fl_str_mv |
Política pública para la primera infancia y determinantes sociales de las Enfermedades Respiratorias Agudas en menores de cinco años en Colombia. Un análisis multinivel Política pública para a primeira infância e determinantes sociais das Doenças Respiratórias Agudas em crianças menores de cinco anos na Colômbia. Uma análise multinível |
| title |
Public policy for early childhood and social determinants of Acute Respiratory Diseases in under-five children in Colombia. A multi-level analysis |
| spellingShingle |
Public policy for early childhood and social determinants of Acute Respiratory Diseases in under-five children in Colombia. A multi-level analysis Child development Colombia Public policy Respiratory tract diseases Social determinants of health |
| title_short |
Public policy for early childhood and social determinants of Acute Respiratory Diseases in under-five children in Colombia. A multi-level analysis |
| title_full |
Public policy for early childhood and social determinants of Acute Respiratory Diseases in under-five children in Colombia. A multi-level analysis |
| title_fullStr |
Public policy for early childhood and social determinants of Acute Respiratory Diseases in under-five children in Colombia. A multi-level analysis |
| title_full_unstemmed |
Public policy for early childhood and social determinants of Acute Respiratory Diseases in under-five children in Colombia. A multi-level analysis |
| title_sort |
Public policy for early childhood and social determinants of Acute Respiratory Diseases in under-five children in Colombia. A multi-level analysis |
| dc.creator.fl_str_mv |
Flórez, Rosaura Arrieta Echavarren Fernández, José Manuel Forero Vargas, Daniel |
| dc.contributor.author.none.fl_str_mv |
Flórez, Rosaura Arrieta Echavarren Fernández, José Manuel Forero Vargas, Daniel |
| dc.subject.keywords.spa.fl_str_mv |
Child development Colombia Public policy Respiratory tract diseases Social determinants of health |
| topic |
Child development Colombia Public policy Respiratory tract diseases Social determinants of health |
| description |
Introduction: Despite having public policies, Acute Respiratory Diseases (ARD) continues to cause a high level of childhood morbidity in the least developed territories of Colombia. These inequities and others due to specifics regional aspects have been little examined in studies of public health in the context of very unequal countries like Colombia. Objective. Following the perspective of the social determinants of health, to incorporate an empirical analysis of the effects of social position and public health and non-health policies on the prevalence of ARDs in children under five years old. Methods. The Demographic and Health Survey was used to estimate multilevel logistical regression models as predictors of the prevalence of ARDs. Results. 21% of the change in the probability of the presence of an ARD in children can be attributed to the department in which they reside. These inequities are explained mainly by the level of individual wealth and by territory. While public health policies and territorial administration can compensate for them, the urban-rural gaps operate as barriers in the poorest departments. Conclusions. This study advances our understanding of the incidence of childhood care and attention programs on determinants of health and child welfare in general |
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2021 |
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2021-12-30 |
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2023-07-19T21:20:15Z |
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2023-07-19T21:20:15Z |
| dc.date.submitted.none.fl_str_mv |
2023-07 |
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Arrieta R, Echavarren JM, Forero D. Política pública para la primera infancia y determinantes sociales de las Enfermedades Respiratorias Agudas en menores de cinco años en Colombia. Un análisis multinivel. Rev Gerenc Polit Salud. 2021;20. https://doi.org/10.11144/Javeriana.rgps20.pppi |
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https://hdl.handle.net/20.500.12585/12203 |
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10.11144/Javeriana.rgps20.pppi |
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Universidad Tecnológica de Bolívar |
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Repositorio Universidad Tecnológica de Bolívar |
| identifier_str_mv |
Arrieta R, Echavarren JM, Forero D. Política pública para la primera infancia y determinantes sociales de las Enfermedades Respiratorias Agudas en menores de cinco años en Colombia. Un análisis multinivel. Rev Gerenc Polit Salud. 2021;20. https://doi.org/10.11144/Javeriana.rgps20.pppi 10.11144/Javeriana.rgps20.pppi Universidad Tecnológica de Bolívar Repositorio Universidad Tecnológica de Bolívar |
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https://hdl.handle.net/20.500.12585/12203 |
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eng |
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eng |
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Attribution-NonCommercial-NoDerivatives 4.0 Internacional |
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openAccess |
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16 páginas |
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Colombia |
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Cartagena de Indias |
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Revista Gerencia y Políticas de Salud - Vol. 20 (2021) |
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Universidad Tecnológica de Bolívar |
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Flórez, Rosaura Arrietaf956656e-3758-4457-8b12-86ded4763bbcEchavarren Fernández, José Manuel7c7f8a66-7acc-449c-a7e7-14aae251f708Forero Vargas, Danield42b6a27-7f23-49cd-aeb3-e0ff3d15e0d2Colombia2023-07-19T21:20:15Z2023-07-19T21:20:15Z2021-12-302023-07Arrieta R, Echavarren JM, Forero D. Política pública para la primera infancia y determinantes sociales de las Enfermedades Respiratorias Agudas en menores de cinco años en Colombia. Un análisis multinivel. Rev Gerenc Polit Salud. 2021;20. https://doi.org/10.11144/Javeriana.rgps20.pppihttps://hdl.handle.net/20.500.12585/1220310.11144/Javeriana.rgps20.pppiUniversidad Tecnológica de BolívarRepositorio Universidad Tecnológica de BolívarIntroduction: Despite having public policies, Acute Respiratory Diseases (ARD) continues to cause a high level of childhood morbidity in the least developed territories of Colombia. These inequities and others due to specifics regional aspects have been little examined in studies of public health in the context of very unequal countries like Colombia. Objective. Following the perspective of the social determinants of health, to incorporate an empirical analysis of the effects of social position and public health and non-health policies on the prevalence of ARDs in children under five years old. Methods. The Demographic and Health Survey was used to estimate multilevel logistical regression models as predictors of the prevalence of ARDs. Results. 21% of the change in the probability of the presence of an ARD in children can be attributed to the department in which they reside. These inequities are explained mainly by the level of individual wealth and by territory. While public health policies and territorial administration can compensate for them, the urban-rural gaps operate as barriers in the poorest departments. Conclusions. This study advances our understanding of the incidence of childhood care and attention programs on determinants of health and child welfare in generalIntroducción. A pesar de tener políticas públicas, las Enfermedades Respiratorias Agudas (ERA) siguen causando alta morbilidad infantil en los territorios más rezagados de Colombia. Estas inequidades y otras de carácter regional han sido poco examinadas en los estudios de salud pública en países tan desiguales como Colombia. Objetivo. Incorporar, a partir de los determinantes sociales de salud, un análisis empírico sobre los efectos de la posición social y de las políticas sanitarias y no sanitarias sobre la prevalencia de ERA en menores de cinco años. Métodos. Se utilizó la encuesta de demografía y salud para estimar modelos de regresión logística multinivel como predictores de la prevalencia de ERA. Resultados. Un 21% del cambio en la probabilidad de presencia de una ERA en niños y niñas puede atribuirse al departamento donde reside. Dichas inequidades se explican principalmente por el nivel de riqueza individual y del territorio. Aunque las políticas públicas sanitarias y la gestión territorial logran compensarlas, las brechas urbano-rurales operan como barreras en los departamentos más pobres. Conclusiones. Este artículo amplía la comprensión de la incidencia de los programas de cuidado y atención de la política de primera infancia en los determinantes de la salud, así como en el fortalecimiento de sus efectos en el bienestar de niños y niñasIntrodução. Apesar de ter políticas públicas, as Doenças Respiratórias Agudas (DRA) continuam a gerar elevada morbidade infantil nos territórios mais subdesenvolvidos da Colômbia. Estas iniquidades e outras do âmbito regional têm sido pouco examinadas nos estudos de saúde pública em países altamente desiguais como a Colômbia. Objetivo. A partir dos determinantes sociais da saúde, incorporar uma análise empírica dos efeitos da posição social e das políticas públicas sobre a prevalência de DRA em crianças menores de cinco anos. Métodos. Utilizou-se a Pesquisa de Demografia e Saúde para estimar modelos de regressão logística multinível na predição da prevalência de DRA. Resultados. 21% da variação na probabilidade de presença de uma DRA em crianças pode se atribuir ao departamento (unidade territorial) onde elas moram. Essas iniquidades explicam-se principalmente pelo nível de riqueza individual e do território. Embora as políticas públicas de saúde e a gestão territorial consigam algum grau de compensação sobre as disparidades urbano-rurais, estas se mantêm como barreiras nos departamentos mais pobres. Conclusões. Este artigo avança na compreensão da incidência dos programas de cuidado e atenção da política de primeira infância nos determinantes da saúde, bem como no fortalecimento de seus efeitos no bem-estar das crianças.16 páginasPdfapplication/pdfenghttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessAttribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://purl.org/coar/access_right/c_abf2Revista Gerencia y Políticas de Salud - Vol. 20 (2021)Public policy for early childhood and social determinants of Acute Respiratory Diseases in under-five children in Colombia. A multi-level analysisPolítica pública para la primera infancia y determinantes sociales de las Enfermedades Respiratorias Agudas en menores de cinco años en Colombia. Un análisis multinivelPolítica pública para a primeira infância e determinantes sociais das Doenças Respiratórias Agudas em crianças menores de cinco anos na Colômbia. Uma análise multinívelinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/drafthttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/version/c_b1a7d7d4d402bccehttp://purl.org/coar/resource_type/c_2df8fbb1Child developmentColombiaPublic policyRespiratory tract diseasesSocial determinants of healthCartagena de IndiasThe_Global_Impact_of_Respiratory_Disease_ES.pdf. [citado 27 de junio de 2019] https://www.who.int/gard/publications/The_Global_Impact_of_Respiratory_Disease_ES.pdfCircular 23 de 2017 https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/circular-23-de-2017.pdfvCase, A, Lubotsky, D, Paxson, C. (2001) Economic status and health in childhood: The origins of the gradient. Cited 33 times. Cambridge, MA: National Bureau of Economic Research; Report No. w8344 https://doi.org/10.3386/w8344(2009) Subsanar las desigualdades en una generación. Cited 85 times. Ginebra: OMS https://www.who.int/social_determinants/thecommission/finalreport/es/Krieger, N. A glossary for social epidemiology (2001) Journal of Epidemiology and Community Health, 55 (10), pp. 693-700. Cited 479 times. doi: 10.1136/jech.55.10.693(2018) Panorama Social de América Latina. Cited 873 times. https://www.cepal.org/es/publicaciones/44395-panorama-social-america-latina-2018Índices e indicadores del Desarrollo Humano http://hdr.undp.org/sites/default/files/2018_human_development_statistical_update_es.pdfEncuesta Nacional de Situación Nutricional. Cited 161 times. Instituto Colombiano de Bienestar Familiar ICBF https://www.icbf.gov.co/bienestar/nutricion/encuesta-nacional-situacion-nutricionalEvans, T., Whitehead, M., Diderichsen, F., Bhuiya, A., Wirth, M. Challenging Inequities in Health: From Ethics to Action (2009) Challenging Inequities in Health: From Ethics to Action, pp. 1-288. Cited 144 times. http://www.oxfordscholarship.com/view/10.1093/acprof:oso/9780195137408.001.0001/acprof-9780195137408 ISBN: 978-019986398-3; 978-019513740-8 doi: 10.1093/acprof:oso/9780195137408.001.0001Prevención y control de las infecciones respiratorias agudas con tendencia epidémica y pandémica durante la atención sanitaria https://www.paho.org/hq/dmdocuments/2014/2014-cha-prevencion-control-atencion-sanitaria.pdfEvans, T, Lerberghe, W (2008) Organización Mundial de la Salud. Informe sobre la salud en el mundo 2008 la atención primaria de salud: más necesaria que nunca. Cited 2 times. van. Ginebra: OMSGalvis, L, Roca, A. Persistencia de las desigualdades regionales en Colombia https://www.banrep.gov.co/sites/default/files/publicaciones/archivos/DTSER-120.pdfLa matriz de la desigualdad social en América Latina I Reunión de la Mesa Directiva de la Conferencia Regional sobre Desarrollo Social. CEPAL https://www.cepal.org/sites/default/files/events/files/matriz_de_la_desigualdad.pdfOsorio, A.M., Romero, G.A., Bonilla, H., Aguado, L.F. Socioeconomic context of the community and chronic child malnutrition in Colombia (2018) Revista de Saude Publica, 52, art. no. 73. Cited 8 times. http://www.scielo.br/pdf/rsp/v52/0034-8910-rsp-S1518-52-87872018052000394.pdf doi: 10.11606/S1518-8787.2018052000394Abela, JA. El análisis multinivel: una revisión actualizada en el ámbito sociológico (2011) Metodología de encuestas, 13, pp. 161-176. Cited 25 times. http://casus.usal.es/pkp/index.php/MdE/article/view/1017De la Cruz, F. Modelos multinivel (2008) Rev. per. epidemiol, 12 (3), pp. 1-8. Cited 18 times. https://sisbib.unmsm.edu.pe/bvrevistas/epidemiologia/v12_n3/pdf/a02v12n3.pdfPinzón-Rondón, Á.M., Aguilera-Otalvaro, P., Zárate-Ardila, C., Hoyos-Martínez, A. 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Acute effects of ambient air pollution on outpatient children with respiratory diseases in Shijiazhuang, China (Open Access) (2018) BMC Pulmonary Medicine, 18 (1), art. no. 150. Cited 55 times. http://www.biomedcentral.com/bmcpulmmed/ doi: 10.1186/s12890-018-0716-3Nhung, N.T.T., Schindler, C., Dien, T.M., Probst-Hensch, N., Perez, L., Künzli, N. Acute effects of ambient air pollution on lower respiratory infections in Hanoi children: An eight-year time series study (Open Access) (2018) Environment International, 110, pp. 139-148. Cited 141 times. www.elsevier.com/locate/envint doi: 10.1016/j.envint.2017.10.024Amâncio, CT, Costa Nascimento, LF. Asthma and air pollutants: a time series study (2012) Rev Assoc Médica Bras Engl Ed. mayo de, 58 (3), pp. 302-307. https://doi.org/10.1016/S2255-4823(12)70199-6Irwin, L, Siddiqi, A, Hertzman, C. (2007) Early child development: a powerful equalizer, p. 38. Cited 377 times. 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Social determinants associated with health care access in children under 6 years of age from a public health network in Santiago de Cali: A multilevel analysis (2017) Rev Fac Odontol, 29 (1), pp. 65-75. 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