Health inequalities in life expectancy according to the province of birth in Costa Rica

 

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Autors: Fantin, Romain, Barboza Solís, Cristina
Format: artículo original
Estat:Versión publicada
Data de publicació:2020
Descripció:Introduction. The objective of this study is to determine the existence of life expectancy inequities depending on the province of birth in Costa Rica, according to sex, between 2013 and 2017. The role of violent deaths (homicide and traffic accidents) in these inequities is disentangled. Methods. The gross and theoretical life expectancy (without violent deaths) between 2013 and 2017 is calculated from two Electoral rolls, the Birth Registry and the Death Registry. The sample size is superior to 4 million and more than 93,000 people died during the study period. Results. There are statistically significant differences in life expectancy, according to the province of birth in Costa Rica. The greatest difference in life expectancy was found when comparing the province of Limón (76.1 years) versus the rest of the provinces of the country in men (between 77.6 years in San José and 78.7 in Alajuela). The homicide rate and mortality due to traffic accidents partially explain this difference, but the association is still significant. For women, despite being significantly different, life expectancies are similar in the seven provinces, with a minimum of 82.6 years in Puntarenas and San José, and a maximum of 83.2 in Alajuela. Conclusion. The inequities of life expectancy according to the province of birth exist in Costa Rica, but are concentrated in men who born in the province of Limón. The absence of a clear relation between province’s wealth and life expectancy, particularly in women, is surprising and deserves more research.
Pais:Portal de Revistas UCR
Institution:Universidad de Costa Rica
Repositorio:Portal de Revistas UCR
Idioma:Español
OAI Identifier:oai:portal.ucr.ac.cr:article/39073
Accés en línia:https://revistas.ucr.ac.cr/index.php/psm/article/view/39073
Access Level:acceso abierto
Paraula clau:Social Health Inequity
Health Status Disparities
Costa Rica
Life expectancy
Violent death
Inequidad Social
Disparidades en el Estado de Salud
Esperanza de vida
Muertes violentas