Explaining trends in inequities: evidence from Brazilian child health studies. Export

@article{victoria_et_al_2000, abstract = {There is considerable international concern that child-health inequities seem to be getting worse between and within richer and poorer countries. The "inverse equity hypothesis" is proposed to explain how such health inequities may get worse, remain the same, or improve over time. We postulate that as new public-health interventions and programmes initially reach those of higher socioeconomic status and only later affect the poor, there are early increases in inequity ratios for coverage, morbidity, and mortality indicators. Inequities only improve later when the rich have achieved new minimum achievable levels for morbidity and mortality and the poor gain greater access to the interventions. The hypothesis was examined using three epidemiological data sets for time trends in child-health inequities within Brazil. Time trends for inequity ratios for morbidity and mortality, which were consistent with the hypothesis, showed both improvements and deterioration over time, despite the indicators showing absolute improvements in health status between rich and poor.}, author = {Victora, C. G. and Vaughan, J. P. and Barros, F. C. and Silva, A. C. and Tomasi, E.}, citeulike-article-id = {3413313}, citeulike-linkout-0 = {http://dx.doi.org/10.1016/S0140-6736(00)02741-0}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/11009159}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=11009159}, comment = {Proposes the ``inverse care hypothesis'', that improvements in health care are immediately only accessed by the rich who can afford them, and only later become available to the poor, as an explanation for health inequalities. Uses the case study of child mortality in Brazil as an example.}, day = {23}, doi = {10.1016/S0140-6736(00)02741-0}, issn = {0140-6736}, journal = {Lancet}, keywords = {access, brazil, child-mortality, health-inequalities, healthcare, income, inverse-equity-hypothesis, social-class}, month = {September}, number = {9235}, pages = {1093--1098}, posted-at = {2008-10-15 19:09:16}, priority = {0}, title = {Explaining trends in inequities: evidence from Brazilian child health studies.}, url = {http://dx.doi.org/10.1016/S0140-6736(00)02741-0}, volume = {356}, year = {2000} }

TY - JOUR ID - victoria_et_al_2000 L3 - citeulike-article-id:3413313 N2 - There is considerable international concern that child-health inequities seem to be getting worse between and within richer and poorer countries. The "inverse equity hypothesis" is proposed to explain how such health inequities may get worse, remain the same, or improve over time. We postulate that as new public-health interventions and programmes initially reach those of higher socioeconomic status and only later affect the poor, there are early increases in inequity ratios for coverage, morbidity, and mortality indicators. Inequities only improve later when the rich have achieved new minimum achievable levels for morbidity and mortality and the poor gain greater access to the interventions. The hypothesis was examined using three epidemiological data sets for time trends in child-health inequities within Brazil. Time trends for inequity ratios for morbidity and mortality, which were consistent with the hypothesis, showed both improvements and deterioration over time, despite the indicators showing absolute improvements in health status between rich and poor. IS - 9235 JF - Lancet SN - 0140-6736 EP - 1098 TI - Explaining trends in inequities: evidence from Brazilian child health studies. VL - 356 SP - 1093 KW - access KW - brazil KW - child-mortality KW - health-inequalities KW - healthcare KW - income KW - inverse-equity-hypothesis KW - social-class N1 - Proposes the ``inverse care hypothesis'', that improvements in health care are immediately only accessed by the rich who can afford them, and only later become available to the poor, as an explanation for health inequalities. Uses the case study of child mortality in Brazil as an example. AU - Victora, CG AU - Vaughan, JP AU - Barros, FC AU - Silva, AC AU - Tomasi, E PY - 2000/09/23/ UR - http://dx.doi.org/10.1016/S0140-6736(00)02741-0 ER -