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COMMUNITY SOCIOECONOMIC CONTEXT AND ITS INFLUENCE ON INTERMEDIARY DETERMINANTS OF CHILD HEALTH: EVIDENCE FROM COLOMBIA

Published online by Cambridge University Press:  21 February 2014

ANA MARÍA OSORIO ,
CATALINA BOLANCÉ  and
NYOVANI MADISE
ANA MARÍA OSORIO*
Affiliation:
Department of Econometrics, University of Barcelona, Barcelona, Spain Department of Economics, Pontificia Universidad Javeriana, Cali, Colombia
CATALINA BOLANCÉ
Affiliation:
Department of Econometrics, University of Barcelona, Barcelona, Spain
NYOVANI MADISE
Affiliation:
Division of Social Statistics and Centre for Global Health, Population, Poverty and Policy, University of Southampton, Southampton, UK
*
1Corresponding author. Email: [email protected]
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Summary

Intermediary determinants are the most immediate mechanisms through which socioeconomic position shapes health inequities. This study examines the effect of community socioeconomic context on different indicators representing intermediary determinants of child health. In the context of Colombia, a developing country with a clear economic expansion, but one of the most unequal countries in the world, two categories of intermediary determinants, namely behavioural and psychosocial factors and the health system, are analysed. Using data from the 2010 Colombian Demographic and Health Survey (DHS), the results suggest that whilst the community context can exert a greater influence on factors linked directly to health, in the case of psychosocial factors and parent's behaviours, the family context can be more important. In addition, the results from multilevel analysis indicate that a significant percentage of the variability in the overall index of intermediary determinants of child health is explained by the community context, even after controlling for individual, family and community characteristics. These findings underline the importance of distinguishing between community and family intervention programmes in order to reduce place-based health inequities in Colombia.

Type
Articles
Information
Journal of Biosocial Science , Volume 47 , Issue 1 , January 2015 , pp. 1 - 27
Copyright
Copyright © Cambridge University Press 2014 

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