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      Inequidad en los Años de Vida Potencial Perdida, por Departamentos en Colombia 1985-2005 Translated title: Inequity in lost life years by Departments in Colombia 1985-2005

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          Abstract

          Objetivo Describir las diferencias en los años de vida perdidos en la expectativa de vida al nacer por Departamentos en Colombia, durante el periodo de estudio. Métodos Los datos sobre expectativa de vida al nacer por género, fueron tomados del Departamento Administrativo Nacional de Estadística (DAÑE) para los periodos: 1985-1990, 1995-2000 y 2000-2005. Los datos sobre el país con la mejor expectativa de vida en el mundo fue tomado de los reportes de la Organización Mundial de la Salud. Los años de vida perdidos en expectativa de vida (AVPP) fueron estimados a partir de las diferencias relativas entre valores regionales y los mejores valores del mundo para los periodos de estudio. Resultados El número de AVPP tuvo una tendencia a disminuir en ambos géneros durante el periodo de estudio. Sin embargo hubo Departamentos en los cuales los AVPP fueron mayores para mujeres que para hombres en los tres periodos. Adicionalmente, el peor quintil de AVPP tuvo un valor medio de 18,98 ±2,36 AVPP para hombres y 18,45±2,43 AVPP para mujeres en 1985-1990; 16,99±1,7 AVPP para hombres y 16,01±1,46 para mujeres en 1995-2000; y 15,99±1,34 AVPP para hombres y 14,51 ±0,96 AVPP para mujeres en 2000-2005. Los valores para el mejor quintil de AVPP fueron respectivamente para hombres y mujeres: 7,41±0,65; 8,34±0,65 en 1985-1990; 7,22±0,62 y 8,59±0,31 en 1995-2000; y 7,72±0,58 y 8,89±0,67 en 2000-2005. Conclusiones Hubo diferencias en la expectativa de vida al nacer entre Departamentos y géneros en los tres periodos estudiados. Hubo disparidad en el numero de AVPP, comparando con el mejor país en el mundo, por Departamentos, durante los periodos de estudio.

          Translated abstract

          Objectives Describing differences in years of life lost (LLY) regarding life expectancy at birth in Colombia amongst Departments during the study period. Methods Data about life expectancy at birth by gender were taken from the Colombian Statistics Administration Department (DAÑE) databases for 1985-1990, 1995-2000 and 2000-2005. Data about the country having the best world health expectancy value was taken from World Health Organisation Reports. LLY regarding life expectancy at birth (LEB) were estimated with relative differences between regional values and the best world value for the study periods. Results LLY tended to become reduced for both genders throughout the whole study period; however, LLY was higher for women than men in some departments during the three periods. The worst LLY quintile for 1985-1990 was 18.98±2.36 mean LLY value for men and 18.45±2.43 for women. Mean LLY value for men was 16.99±1.7 and 16.01+71.46 for women for 1995-2000 and mean 15.99±1.34 LLY for men and 14.51±0.96 LLY for women for 2000-2005. LLY values for the best quintile for men and women were 7.41±0.65; 8.34±0.65 in 1985-1990, 7.22±0.62 and 8.59±0.31 in 1995-2000 and 7.72±0.58 and 8.89±0.67 in 2000-2005, respectively. Conclusions There were differences in life expectancy at birth between departments and gender during the three periods studied. There was disparity regarding LLY compared to the best country in the world by department and gender in Colombia during the study periods.

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          Defining equity in health.

          To propose a definition of health equity to guide operationalisation and measurement, and to discuss the practical importance of clarity in defining this concept. Conceptual discussion. Setting, Patients/Participants, and Main results: not applicable. For the purposes of measurement and operationalisation, equity in health is the absence of systematic disparities in health (or in the major social determinants of health) between groups with different levels of underlying social advantage/disadvantage-that is, wealth, power, or prestige. Inequities in health systematically put groups of people who are already socially disadvantaged (for example, by virtue of being poor, female, and/or members of a disenfranchised racial, ethnic, or religious group) at further disadvantage with respect to their health; health is essential to wellbeing and to overcoming other effects of social disadvantage. Equity is an ethical principle; it also is consonant with and closely related to human rights principles. The proposed definition of equity supports operationalisation of the right to the highest attainable standard of health as indicated by the health status of the most socially advantaged group. Assessing health equity requires comparing health and its social determinants between more and less advantaged social groups. These comparisons are essential to assess whether national and international policies are leading toward or away from greater social justice in health.
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            Defining and measuring health inequality: an approach based on the distribution of health expectancy.

            This paper proposes an approach to conceptualizing and operationalizing the measurement of health inequality, defined as differences in health across individuals in the population. We propose that health is an intrinsic component of well-being and thus we should be concerned with inequality in health, whether or not it is correlated with inequality in other dimensions of well-being. In the measurement of health inequality, the complete range of fatal and non-fatal health outcomes should be incorporated. This notion is operationalized through the concept of healthy lifespan. Individual health expectancy is preferable, as a measurement, to individual healthy lifespan, since health expectancy excludes those differences in healthy lifespan that are simply due to chance. In other words, the quantity of interest for studying health inequality is the distribution of health expectancy across individuals in the population. The inequality of the distribution of health expectancy can be summarized by measures of individual/mean differences (differences between the individual and the mean of the population) or inter-individual differences. The exact form of the measure to summarize inequality depends on three normative choices. A firmer understanding of people's views on these normative choices will provide a basis for deliberating on a standard WHO measure of health inequality.
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              Changing trends in indigenous inequalities in mortality: lessons from New Zealand.

              We describe trends from 1951 to 2006 in inequalities in mortality between the indigenous (Māori) and non-indigenous (non-Māori, mainly European-descended) populations of New Zealand. We relate these trends to the historical context in which they occurred, including major structural adjustment of the economy from the mid 1980s to the mid 1990s, followed by a retreat from neoliberal social and economic policies from the late 1990s onwards. This was accompanied by economic recovery and the introduction of health reforms, including a reorientation of the health system towards primary health care. Abridged period lifetables for Māori and non-Māori from 1951 to 2006 were constructed using standard demographic methods. Absolute [standardized rate difference (SRD)] and relative [standardized rate ratio (SRR)] mortality inequalities for Māori compared with European/Other ethnic groups (aged 1-74 years) were measured using the New Zealand Census-Mortality Study (an ongoing data linkage study that links mortality to census records) from 1981-84 to 2001-04. The SRDs were decomposed into their contributions from major causes of death. Poisson regression modelling was used to estimate the extent of socio-economic mediation of the ethnic mortality inequality over time. Life expectancy gaps and relative inequalities in mortality rates (aged 1-74 years) widened and then narrowed again, in tandem with the trends in social inequalities (allowing for a short lag). Among females, the contribution of cardiovascular disease to absolute mortality inequalities steadily decreased, but was partly offset by an increasing contribution from cancer. Among males, the contribution of CVD increased from the early 1980s to the 1990s, then decreased again. The extent of socio-economic mediation of the ethnic mortality inequality peaked in 1991-94, again more notably among males. Our results are consistent with a causal association between changing economic inequalities and changing health inequalities between ethnic groups. However, causality cannot be established from a historical analysis alone. Three lessons nevertheless emerge from the New Zealand experience: the lag between changes in ethnic social inequality and ethnic health inequality may be short (<5 years); both changes in the distribution of the social determinants of health and an appropriate health system response may be required to address ethnic health inequalities; and timely monitoring of ethnic health inequalities, based on high-quality ethnicity data, may help to sustain political commitment to pro-equity health and social policies.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                rsap
                Revista de Salud Pública
                Rev. salud pública
                Instituto de Salud Publica, Faculdad de Medicina -Universidad Nacional de Colombia (Bogotá )
                0124-0064
                February 2011
                : 13
                : 1
                : 1-12
                Affiliations
                [1 ] Universidad Nacional de Colombia
                [2 ] Universidad Nacional de Colombia
                Article
                S0124-00642011000100001
                070c6858-ff94-401e-906d-0bdba46e9726

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Colombia

                Self URI (journal page): http://www.scielosp.org/scielo.php?script=sci_serial&pid=0124-0064&lng=en
                Categories
                Health Policy & Services

                Public health
                Life expectancy,potential years of life lost,health,inequality,Esperanza de vida,años potenciales de vida perdidos,salud,desigualdades

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