Document Detail


Socioeconomic differences in health among older adults in Mexico.
MedLine Citation:
PMID:  17618717     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although the relationship between socioeconomic status (SES) and health is well-established in Western industrialized countries, few studies have examined this association in developing countries, particularly among older cohorts. We use the Mexican Health and Aging Study (MHAS), a nationally representative survey of Mexicans age 50 and older, to investigate the linkages between three indicators of SES (education, income, and wealth) and a set of health outcomes and behaviors in more and less urban areas of Mexico. We consider three measures of current health (self-rated health and two measures of physical functioning) and three behavioral indicators (obesity, smoking, and alcohol consumption). In urban areas, we find patterns similar to those in industrialized countries: higher SES individuals are more likely to report better health than their lower SES counterparts, regardless of the SES measure considered. In contrast, we find few significant SES-health associations in less urban areas. The results for health behaviors are generally similar between the two areas of residence. One exception is the education-obesity relationship. Our results suggest that education is a protective factor for obesity in urban areas and a risk factor in less urban areas. Contrary to patterns in the industrialized world, income is associated with higher rates of obesity, smoking, and excessive alcohol consumption. We also evaluate age and sex differences in the SES-health relationship among older Mexicans. The results suggest that further economic development in Mexico may lead to a widening of socioeconomic inequalities in health. The study also provides insight into why socioeconomic gradients in health are weak among Mexican-Americans and underscores the importance of understanding health inequalities in Latin America for research on Hispanic health patterns in the US.
Authors:
Kimberly V Smith; Noreen Goldman
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2007-07-05
Journal Detail:
Title:  Social science & medicine (1982)     Volume:  65     ISSN:  0277-9536     ISO Abbreviation:  Soc Sci Med     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-09-03     Completed Date:  2008-01-17     Revised Date:  2014-09-09    
Medline Journal Info:
Nlm Unique ID:  8303205     Medline TA:  Soc Sci Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  1372-85     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Female
Health Behavior
Health Status Disparities*
Health Status Indicators*
Health Surveys
Humans
Male
Mexico / epidemiology
Middle Aged
Morbidity
Risk Factors
Rural Health / statistics & numerical data*
Social Class*
Socioeconomic Factors
Urban Health / statistics & numerical data*
Vulnerable Populations
Grant Support
ID/Acronym/Agency:
R01 AG018016/AG/NIA NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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