Racial/ethnic disparities in self-rated health: a multilevel analysis of 2,697 individuals in 145 Brazilian municipalities
Recent literature reviews have shown that studies analyzing racial/ethnic disparities in Brazil are still scarce. Multilevel approaches are necessary, since race is a socially constructed concept and can vary by area of residence. The analysis included 2,697 individuals from 145 Brazilian municipali...
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| Veröffentlicht in: | Cadernos de saúde pública 2013-08, Vol.29 (8), p.1572-1582 |
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| creator | Chiavegatto Filho, Alexandre Dias Porto Laurenti, Ruy |
| description | Recent literature reviews have shown that studies analyzing racial/ethnic disparities in Brazil are still scarce. Multilevel approaches are necessary, since race is a socially constructed concept and can vary by area of residence. The analysis included 2,697 individuals from 145 Brazilian municipalities (counties), classified by race (white, black, or mixed). Multilevel models were fitted using Bayesian inference with Markov Chain Monte Carlo methods. After including demographic, socioeconomic, and health access variables, black and mixed-race individuals showed higher odds of negative self-rated health (OR = 1.71; 95%CI: 1.24; 2.37 and OR = 1.37; 95%CI: 1.10; 1.71, respectively). Characteristics of the area of residence did not significantly affect the association between race and self-rated health. Racial/ethnic disparities lost their statistical significance after re-categorization of the dependent variable. The results indicate that racial/ ethnic disparities in health in Brazil may be deeper and more complex than expected. |
| doi_str_mv | 10.1590/0102-311X00139012 |
| format | Article |
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Multilevel approaches are necessary, since race is a socially constructed concept and can vary by area of residence. The analysis included 2,697 individuals from 145 Brazilian municipalities (counties), classified by race (white, black, or mixed). Multilevel models were fitted using Bayesian inference with Markov Chain Monte Carlo methods. After including demographic, socioeconomic, and health access variables, black and mixed-race individuals showed higher odds of negative self-rated health (OR = 1.71; 95%CI: 1.24; 2.37 and OR = 1.37; 95%CI: 1.10; 1.71, respectively). Characteristics of the area of residence did not significantly affect the association between race and self-rated health. Racial/ethnic disparities lost their statistical significance after re-categorization of the dependent variable. 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| issn | 0102-311X 1678-4464 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Sociological Abstracts; EZB-FREE-00999 freely available EZB journals |
| subjects | Access Adult Biraciality Brazil Continental Population Groups - statistics & numerical data Female Health Health Care Utilization Health Services Accessibility - statistics & numerical data Health Status Disparities Humans Male Middle Aged Multilevel Analysis Race Racial Differences Residence Self Report Sociodemographic Factors Socioeconomic Factors |
| title | Racial/ethnic disparities in self-rated health: a multilevel analysis of 2,697 individuals in 145 Brazilian municipalities |
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