Abstract

BACALLAO GALLESTEY, Jorge; DIAZ-PERERA FERNANDEZ, Georgia  and  ALEMANY PEREZ, Eduardo. Patterns of social concentration of atherosclerosis and heart disease risk factors in La Habana province. Rev Cubana Salud Pública [online]. 2012, vol.38, n.4, pp. 511-524. ISSN 0864-3466.

Objectives: to identify social concentration factors in the burden of morbidity for hypertension, type II diabetes, smoking and heart diseases, and their contextual decomposability; and to confirm the existence of latent dimensions across which there are differences in the distribution of risk factors and atherosclerosis-related diseases. Methods: a cross-sectional study was conducted in 840 families from 12 family doctor's offices. Some objective indicators of the socioeconomic condition as well as one subjective indicator based on self-assessed economic situation were used. At the household level, several indicators of morbidity density were also measured. Results: total inequality mainly occurs within the populations cared for by the family doctor's offices and not among them. The concentration of the morbidity burden is low with respect to objective indicators, and slightly high with respect to the subjective indicator based on self-assessed economic condition. Conclusions: the levels of co-variation between the socioeconomic and the health dimensions are low. A population segment with high levels of morbidity and singular configuration of the socioeconomic indicators was identified.

Keywords : inequality; Theil index; diabetes; blood hypertension; smoking; model-based cluster analysis.

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