Advances and challenges on the path toward the SDGs: subnational inequalities in Mexico, 1990–2017. Issue 10 (29th October 2020)
- Record Type:
- Journal Article
- Title:
- Advances and challenges on the path toward the SDGs: subnational inequalities in Mexico, 1990–2017. Issue 10 (29th October 2020)
- Main Title:
- Advances and challenges on the path toward the SDGs: subnational inequalities in Mexico, 1990–2017
- Authors:
- Gutierrez, Juan Pablo
Agudelo-Botero, Marcela
Garcia-Saiso, Sebastian
Zepeda-Tena, Carolina
Davila-Cervantes, Claudio Alberto
Gonzalez-Robledo, Maria Cecilia
Fullman, Nancy
Razo, Christian
Hernández-Prado, Bernardo
Martínez, Gabriel
Barquera, Simón
Lozano, Rafael - Abstract:
- Abstract : Background: The sustainable development goals (SDGs) have generated momentum for global health, aligning efforts from governments and international organisations toward a set of goals that are expected to reflect improvements in life conditions across the globe. Mexico has huge social inequalities that can affect access to quality care and health outcomes. The objective of this study is to analyse inequalities among Mexico's 32 states on the health-related SDG indicators (HRSDGIs) from 1990 to 2017. Methods: These analyses rely on the estimation of HRSDGIs as part of the Global Burden of Disease study 2017. We estimated the concentration index for 40+3 HRSDGI stratified by Socio-demographic Index and marginalisation index, and then for indicators where inequalities were identified, we ran decomposition analyses using structural variables such as gross domestic product per capita, poverty and health expenditure. Findings: Mexico has made progress on most HRSDGIs, but current trends in improvement do not appear to fast enough to meet 2030 targets. Out of 43 HRSDGIs, we identified evidence of inequality between Mexico's states for 30 indicators; of those, 23 HRSDGIs were unequal distributed affecting states with lower development and seven affecting states with higher development. The decomposition analysis indicates that social determinants of health are major drivers of HRSDGI inequalities in Mexico. Interpretation: Modifying current trends for HRSDGIs will requireAbstract : Background: The sustainable development goals (SDGs) have generated momentum for global health, aligning efforts from governments and international organisations toward a set of goals that are expected to reflect improvements in life conditions across the globe. Mexico has huge social inequalities that can affect access to quality care and health outcomes. The objective of this study is to analyse inequalities among Mexico's 32 states on the health-related SDG indicators (HRSDGIs) from 1990 to 2017. Methods: These analyses rely on the estimation of HRSDGIs as part of the Global Burden of Disease study 2017. We estimated the concentration index for 40+3 HRSDGI stratified by Socio-demographic Index and marginalisation index, and then for indicators where inequalities were identified, we ran decomposition analyses using structural variables such as gross domestic product per capita, poverty and health expenditure. Findings: Mexico has made progress on most HRSDGIs, but current trends in improvement do not appear to fast enough to meet 2030 targets. Out of 43 HRSDGIs, we identified evidence of inequality between Mexico's states for 30 indicators; of those, 23 HRSDGIs were unequal distributed affecting states with lower development and seven affecting states with higher development. The decomposition analysis indicates that social determinants of health are major drivers of HRSDGI inequalities in Mexico. Interpretation: Modifying current trends for HRSDGIs will require subnational-level and national-level policy action, of which should be informed by the latest available data and monitoring on the health-related SDGs. The SDGs' overarching objective of leaving no-one behind should be prioritised not only for individuals but also for communities and other subnational levels. … (more)
- Is Part Of:
- BMJ global health. Volume 5:Issue 10(2020)
- Journal:
- BMJ global health
- Issue:
- Volume 5:Issue 10(2020)
- Issue Display:
- Volume 5, Issue 10 (2020)
- Year:
- 2020
- Volume:
- 5
- Issue:
- 10
- Issue Sort Value:
- 2020-0005-0010-0000
- Page Start:
- Page End:
- Publication Date:
- 2020-10-29
- Subjects:
- health policy -- public health
World health -- Periodicals
362.105 - Journal URLs:
- http://www.bmj.com/archive ↗
http://gh.bmj.com/ ↗ - DOI:
- 10.1136/bmjgh-2020-002382 ↗
- Languages:
- English
- ISSNs:
- 2059-7908
- Deposit Type:
- Legaldeposit
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- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 25215.xml