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Social capital, income inequality and the social gradient in self-rated health in Latin America: A fixed effects analysis

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  • Vincens, Natalia
  • Emmelin, Maria
  • Stafström, Martin
Abstract
Latin America is the most unequal region in the world. The current sustainable development agenda increased attention to health inequity and its determinants in the region. Our aim is to investigate the social gradient in health in Latin America and assess the effects of social capital and income inequality on it. We used cross-sectional data from the World Values Survey and the World Bank. Our sample included 10,426 respondents in eight Latin American countries. Self-rated health was used as the outcome. Education level was the socioeconomic position indicator. We measured social capital by associational membership, civic participation, generalized trust, and neighborhood trust indicators at both individual and country levels. Income inequality was operationalized using the Gini index at country-level. We employed fixed effects logistic regressions and cross-level interactions to assess the impact of social capital and income inequality on the heath gradient, controlling for country heterogeneity. Education level was independently associated with self-rated health, representing a clear social gradient in health, favoring individuals in higher socioeconomic positions. Generalized and neighborhood trust at country-level moderated the effect on the association between socioeconomic position and health, yet favoring individuals in lower socioeconomic positions, especially in lower inequality countries, despite their lower individual social capital. Our findings suggest that collective rather than individual social capital can impact the social gradient in health in Latin America, explaining health inequalities.

Suggested Citation

  • Vincens, Natalia & Emmelin, Maria & Stafström, Martin, 2018. "Social capital, income inequality and the social gradient in self-rated health in Latin America: A fixed effects analysis," Social Science & Medicine, Elsevier, vol. 196(C), pages 115-122.
    • Handle: RePEc:eee:socmed:v:196:y:2018:i:c:p:115-122
    DOI: 10.1016/j.socscimed.2017.11.025
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    1. Mansyur, Carol & Amick, Benjamin C. & Harrist, Ronald B. & Franzini, Luisa, 2008. "Social capital, income inequality, and self-rated health in 45 countries," Social Science & Medicine, Elsevier, vol. 66(1), pages 43-56, January.
    2. Wilkinson, Richard G & Pickett, Kate E., 2006. "Income inequality and population health: A review and explanation of the evidence," Social Science & Medicine, Elsevier, vol. 62(7), pages 1768-1784, April.
    3. Titus J. Galama & Hans van Kippersluis, 2013. "Health Inequalities through the Lens of Health Capital Theory: Issues, Solutions, and Future Directions," Tinbergen Institute Discussion Papers 13-076/V, Tinbergen Institute.
    4. Giordano, Giuseppe N. & Lindstrom, Martin, 2010. "The impact of changes in different aspects of social capital and material conditions on self-rated health over time: A longitudinal cohort study," Social Science & Medicine, Elsevier, vol. 70(5), pages 700-710, March.
    5. Titus J. Galama & Hans van Kippersluis, 2013. "Health Inequalities through the Lens of Health-Capital Theory: Issues, Solutions, and Future Directions," Research on Economic Inequality, in: Health and Inequality, volume 21, pages 263-284, Emerald Group Publishing Limited.
    6. Hurtado, David & Kawachi, Ichiro & Sudarsky, John, 2011. "Social capital and self-rated health in Colombia: The good, the bad and the ugly," Social Science & Medicine, Elsevier, vol. 72(4), pages 584-590, February.
    7. Chiavegatto Filho, A.D.P. & Beltrań-Sánchez, H. & Kawachi, I., 2014. "Racial disparities in life expectancy in Brazil: Challenges from a multiracial society," American Journal of Public Health, American Public Health Association, vol. 104(11), pages 2156-2162.
    8. Ahnquist, Johanna & Wamala, Sarah P. & Lindstrom, Martin, 2012. "Social determinants of health – A question of social or economic capital? Interaction effects of socioeconomic factors on health outcomes," Social Science & Medicine, Elsevier, vol. 74(6), pages 930-939.
    9. Lopez , J. Humberto & Perry, Guillermo, 2008. "Inequality in Latin America : determinants and consequences," Policy Research Working Paper Series 4504, The World Bank.
    10. Perreira, Krista M. & Telles, Edward E., 2014. "The color of health: Skin color, ethnoracial classification, and discrimination in the health of Latin Americans," Social Science & Medicine, Elsevier, vol. 116(C), pages 241-250.
    11. Melanie Khamis, 2005. "Crisis and Recovery in Argentina: Labor market, poverty, inequality and pro-poor growth dynamics," Ibero America Institute for Econ. Research (IAI) Discussion Papers 135, Ibero-America Institute for Economic Research.
    12. Sirven, Nicolas & Debrand, Thierry, 2012. "Social capital and health of older Europeans: Causal pathways and health inequalities," Social Science & Medicine, Elsevier, vol. 75(7), pages 1288-1295.
    13. Ziersch, Anna M., 2005. "Health implications of access to social capital: findings from an Australian study," Social Science & Medicine, Elsevier, vol. 61(10), pages 2119-2131, November.
    14. Kawachi, I. & Kennedy, B.P. & Lochner, K. & Prothrow-Stith, D., 1997. "Social capital, income inequality, and mortality," American Journal of Public Health, American Public Health Association, vol. 87(9), pages 1491-1498.
    15. De Silva, Mary J. & Huttly, Sharon R. & Harpham, Trudy & Kenward, Michael G., 2007. "Social capital and mental health: A comparative analysis of four low income countries," Social Science & Medicine, Elsevier, vol. 64(1), pages 5-20, January.
    16. Gorman, Bridget K. & Sivaganesan, Ahilan, 2007. "The role of social support and integration for understanding socioeconomic disparities in self-rated health and hypertension," Social Science & Medicine, Elsevier, vol. 65(5), pages 958-975, September.
    17. Terraneo, Marco, 2015. "Inequities in health care utilization by people aged 50+: Evidence from 12 European countries," Social Science & Medicine, Elsevier, vol. 126(C), pages 154-163.
    18. Poortinga, Wouter, 2006. "Social capital: An individual or collective resource for health?," Social Science & Medicine, Elsevier, vol. 62(2), pages 292-302, January.
    19. Ms. Evridiki Tsounta & Anayochukwu Osueke, 2014. "What is Behind Latin America’s Declining Income Inequality?," IMF Working Papers 2014/124, International Monetary Fund.
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