Capacidades de investigación sobre determinantes sociales de la salud en Brasil, Colombia y México

Morales, Carolina; Borde, Elis; Akerman, Marco; Álvarez, Mario Hernández; Snyder, V. Nelly Salgado de

doi:10.17533/udea.rfnsp.v34n3a07

Cited by 7 publications

(10 citation statements)

References 16 publications

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“…The CSDH started to gather global evidence to inform effective action and address 'avoidable' health inequalities [ 2 ]. While there was collective agreement at the time, that the CSDH approach—which focused on the Social Determinants of Health (SDH) perspective [ 12 ]—provided a necessary alternative to the biomedical and individual determinants of health inequalities paradigms, many scholars in the Global South [ 13 , 14 ] and Global North [ 9 , 15 , 16 ], have further criticised the conceptual and epistemological reductionist approach taken by the CSDH, and in the subsequent mainstream health inequalities literature, that has predominately concentrated on the North's experience of these inequalities [ 10 , 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

“…Many social scientists have discussed the historical and persistent undervaluing of scientific knowledge generated in the Global South, which is thought to include Eurocentric, Anglo-Saxon and Neo-colonialist tendencies, in the production and evaluation of research, as well as in authorship [ 5 , 6 , 17 , 19 – 22 ]. Thus, in the case of health inequalities research, if a dominant focus is on the Global North's experience and understanding of these inequalities, this may then feed an assumption that the Global North's scientific approaches may be methodologically more developed in their attempts to answer the question of how to achieve population health equity ?…”

Section: Introductionmentioning

confidence: 99%

“…Research capacity, refers to the potential to effectively use resources in order to produce research, and the analysis of health research capacity has become a specific object of study in itself, to determine what kind of capacity exists, where, by whom, and what needs to be strengthened [ 30 , 33 – 35 ] and this has begun to be examined for health inequalities research, specifically [ 17 , 36 – 42 ].…”

Section: Introductionmentioning

confidence: 99%

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Inequalities in global health inequalities research: A 50-year bibliometric analysis (1966-2015)

et al. 2018

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BackgroundIncreasing evidence shows that health inequalities exist between and within countries, and emphasis has been placed on strengthening the production and use of the global health inequalities research, so as to improve capacities to act. Yet, a comprehensive overview of this evidence base is still needed, to determine what is known about the global and historical scientific production on health inequalities to date, how is it distributed in terms of country income groups and world regions, how has it changed over time, and what international collaboration dynamics exist.MethodsA comprehensive bibliometric analysis of the global scientific production on health inequalities, from 1966 to 2015, was conducted using Scopus database. The historical and global evolution of the study of health inequalities was considered, and through joinpoint regression analysis and visualisation network maps, the preceding questions were examined.Findings159 countries (via authorship affiliation) contributed to this scientific production, three times as many countries than previously found. Scientific output on health inequalities has exponentially grown over the last five decades, with several marked shift points, and a visible country-income group affiliation gradient in the initiation and consistent publication frequency. Higher income countries, especially Anglo-Saxon and European countries, disproportionately dominate first and co-authorship, and are at the core of the global collaborative research networks, with the Global South on the periphery. However, several country anomalies exist that suggest that the causes of these research inequalities, and potential underlying dependencies, run deeper than simply differences in country income and language.ConclusionsWhilst the global evidence base has expanded, Global North-South research gaps exist, persist and, in some cases, are widening. Greater understanding of the structural determinants of these research inequalities and national research capacities is needed, to further strengthen the evidence base, and support the long term agenda for global health equity.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Inequalities in global health inequalities research: A 50-year bibliometric analysis (1966-2015)

et al. 2018

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“…32 Furthermore, it makes opportune the access to the services and quality for privileged populational groups, characterizing the iniquities, as a Mexican study demonstrated. 33 The spatial distribution of social deprivation may indicate areas with greater potentials of occurrence of adverse health outcomes, 15 and the agglomerates of avoidable deaths are capable of revealing iniquities. 24…”

Section: Discussionmentioning

confidence: 99%

Intraurban differentials of perinatal mortality: modeling for identifying priority areas

et al. 2019

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Objective: To analyze the intraurban spatial distribution of perinatal mortality, its avoidability, and relationship with socioeconomic indicators in Recife, Pernambuco, Brazil, in the period from 2013 to 2015. Method: An ecological study with data from the Information Systems on Mortality and Live Births and the Brazilian Institute of Geography and Statistics, using neighborhoods as the analysis unit. We elaborated an indicator of social deprivation formed by variables from the demographic census. We estimated the Kernel density of the deaths and calculated the Moran index of the perinatal mortality coefficients in the spatial analysis. We elaborated thematic maps of avoidable perinatal mortality and social deprivation. Results: The global statistical analysis of the mortality distribution indicated evidence of spatial aggregation. Moran's index was 0.18. We found clusters of perinatal mortality in neighborhoods of the Central, North, Northwest, and South Regions. In the North, Northwest, Southwest, and South Regions we identified neighborhoods with greater social deprivation and avoidable mortality coefficients. The primary cause of death was of fetuses and newborns affected by hypertensive maternal disorders. Conclusion: We demonstrated intraurban differentials in perinatal mortality among neighborhoods. The stratification of the urban space according to the social deprivation indicator presented a relation with the perinatal mortality and its avoidability.

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“…The profile analysis showed a higher frequency of infant deaths among women with less than 12 years of schooling. Lower maternal schooling is associated with low adherence to prenatal care, and when performed, it is more difficult to understand the guidelines provided by health professionals during prenatal care (Borde et al, 2016), reflecting the care of women with gestation and the newborn, which increases the risk for infant death (Domingues et al, 2015;Cardoso, Ribeiro, Oliveira, Andrade, & Santos, 2016). In addition, low schooling interferes with employment and income conditions and family housing, contributing mainly to post-neonatal deaths (Viellas et al, 2014;Ladusingh et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Infant mortality: surveillance, epidemiological characteristics and spatial distribution pattern in Recife, Brazil

Canuto

Costa

Oliveira

et al. 2019

Acta Sci. Health Sci.

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To describe the occurrence and spatial distribution of infant deaths investigated by surveillance in Recife, state of Pernambuco, Brazil, in 2014. This is an exploratory ecological study investigating 183 infant deaths. Data from the confidential records of surveillance investigation of the infant death and the Mortality Information System were used. In order to detect spatial distribution patterns, the kernel estimation of infant, neonatal and post-neonatal mortality was used. Deaths were mainly of the neonatal type (n = 144; 78.69%), with gestational age below 37 weeks (n = 147; 80.3%) and birth weight lower than 2500 g (n = 143; 78.1%). The main causes of infant deaths were the disorders originating in the perinatal period, with emphasis on maternal hypertensive disorders (n = 31; 16.9%). The kernel map showed a higher density in 12 neighborhoods of the North (4), Northwest (2), West (3) and South (3) regions of the municipality. It was found a heterogeneous pattern in the occurrence and distribution of deaths in the territory; spatial clusters were observed in several areas of Recife with similar geographic spaces between types of death.

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Capacidades de investigación sobre determinantes sociales de la salud en Brasil, Colombia y México

Cited by 7 publications

References 16 publications

Inequalities in global health inequalities research: A 50-year bibliometric analysis (1966-2015)

Inequalities in global health inequalities research: A 50-year bibliometric analysis (1966-2015)

Intraurban differentials of perinatal mortality: modeling for identifying priority areas

Infant mortality: surveillance, epidemiological characteristics and spatial distribution pattern in Recife, Brazil

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