Inequity and vulnerability in Latin American Indigenous and non-Indigenous populations with rheumatic diseases: a syndemic approach
Objective To estimate health inequity and vulnerability among Indigenous and non-Indigenous populations with rheumatic and musculoskeletal diseases (RMD) in Latin America using the syndemic approach.Design This is a secondary analysis of a previously published large-scale study on the prevalence of...
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2023-03-01
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| author | Bernardo A Pons-Estel Rosana Quintana Ruben Burgos-Vargas Everardo Álvarez-Hernández John Londono Ana M Santos Adalberto Loyola-Sanchez Mario H Cardiel Maria Victoria Goycochea-Robles Ingris Peláez-Ballestas Ysabel Granados Flor Julián-Santiago Celenia Rosillo Jose Alvarez-Nemegyei Natalia Santana Mario Goñi Ligia Cedeño Romina Nieto Silvana Conti María Elena Calvo Eugenia Picco Rosa Chacón Jorge Delgado Alfonso Gastelum Strozzi Sergio Guevara-Pacheco Vicente Juarez Mario Alberto Garza-Elizondo Juan Camilo Rueda Amaranta Manrique de Lara Nora Mathern Marisa Jorfen Alvaro Sanabria Cristina Prigione Adriana MR Silvestre Vanina García Julio Miljevic Daniel Dhair Matias Laithe Fadua Midauar Maria Celeste Martin Maria Cecilia Barrios María Elena Crespo Mariana Aciar Emilio Buschiazzo Natalia L Cucchiaro Mario Ruiz José Adolfo Sánchez Rodolfo Franco Natalia Estrella Silvia Jorge Cinthya Retamozo Sofia Fernandez Martina Fay Cecilia Camacho Graciela Gomez Jazmin Petrelli Andrés Honeri Viviana Arenas Solórzano Ana Bensi Marcela Valdata Rodrigo Giraldo Ignacio Angarita Jesus G Ballesteros Sofia Arias Andres Vásquez Lina Valero Ani Cortes Estafania Castañeda Elias Forero Astrid Feicán Fernando Vintimilla Jaime Vintimilla Veronica Ochoa Angelita Lliguisaca Holger Dután Jacqueline Rodríguez-Amado Julio Casasola-Vargas Conrado Garcia Imelda García-Olivera César Pacheco Susana Aidee Gonzalez-Chávez Hazel Garcia Morales Arturo Velasco Gutierrez JF Moctezuma-Rios Eduardo Navarro-Zarza Angelia Angulo Rosana Flores Janeth Galván Padrón B Lorena Pérez Janett Riega Brenda Vaquez Fuentes Miguel A Villarreal Cassandra Skinner Taylor Sara Marín Dionicio Galarza Delgado Diana Flores Alvarado Jorge A Esquivel Varerio Luz Helena Sanín Marco Maradiaga Ceceño Jorge Zamudio Lerm Ivan Stekman Yanira Martínez Gloris Sánchez |
| author_facet | Bernardo A Pons-Estel Rosana Quintana Ruben Burgos-Vargas Everardo Álvarez-Hernández John Londono Ana M Santos Adalberto Loyola-Sanchez Mario H Cardiel Maria Victoria Goycochea-Robles Ingris Peláez-Ballestas Ysabel Granados Flor Julián-Santiago Celenia Rosillo Jose Alvarez-Nemegyei Natalia Santana Mario Goñi Ligia Cedeño Romina Nieto Silvana Conti María Elena Calvo Eugenia Picco Rosa Chacón Jorge Delgado Alfonso Gastelum Strozzi Sergio Guevara-Pacheco Vicente Juarez Mario Alberto Garza-Elizondo Juan Camilo Rueda Amaranta Manrique de Lara Nora Mathern Marisa Jorfen Alvaro Sanabria Cristina Prigione Adriana MR Silvestre Vanina García Julio Miljevic Daniel Dhair Matias Laithe Fadua Midauar Maria Celeste Martin Maria Cecilia Barrios María Elena Crespo Mariana Aciar Emilio Buschiazzo Natalia L Cucchiaro Mario Ruiz José Adolfo Sánchez Rodolfo Franco Natalia Estrella Silvia Jorge Cinthya Retamozo Sofia Fernandez Martina Fay Cecilia Camacho Graciela Gomez Jazmin Petrelli Andrés Honeri Viviana Arenas Solórzano Ana Bensi Marcela Valdata Rodrigo Giraldo Ignacio Angarita Jesus G Ballesteros Sofia Arias Andres Vásquez Lina Valero Ani Cortes Estafania Castañeda Elias Forero Astrid Feicán Fernando Vintimilla Jaime Vintimilla Veronica Ochoa Angelita Lliguisaca Holger Dután Jacqueline Rodríguez-Amado Julio Casasola-Vargas Conrado Garcia Imelda García-Olivera César Pacheco Susana Aidee Gonzalez-Chávez Hazel Garcia Morales Arturo Velasco Gutierrez JF Moctezuma-Rios Eduardo Navarro-Zarza Angelia Angulo Rosana Flores Janeth Galván Padrón B Lorena Pérez Janett Riega Brenda Vaquez Fuentes Miguel A Villarreal Cassandra Skinner Taylor Sara Marín Dionicio Galarza Delgado Diana Flores Alvarado Jorge A Esquivel Varerio Luz Helena Sanín Marco Maradiaga Ceceño Jorge Zamudio Lerm Ivan Stekman Yanira Martínez Gloris Sánchez |
| collection | DOAJ |
| description | Objective To estimate health inequity and vulnerability among Indigenous and non-Indigenous populations with rheumatic and musculoskeletal diseases (RMD) in Latin America using the syndemic approach.Design This is a secondary analysis of a previously published large-scale study on the prevalence of RMD.Setting Studies carried out in five Latin American countries (Argentina, Colombia, Ecuador, Mexico and Venezuela). Health inequity and vulnerability in RMD were identified through a syndemic approach using network and cluster analysis.Participants A total of 44 560 individuals were studied: 29.78% self-identified as Indigenous, 60.92% were female, the mean age was 43.25 years. Twenty clusters were identified in the Indigenous population and 17 in the non-Indigenous population.Results The variables associated with RMD among Indigenous populations were rurality, public health system, high joint biomechanical stress, greater pain, disability and alcoholism; and among non-Indigenous people they were being a woman, urban origin, older age, private health system, joint biomechanical stress, greater pain and disability. We identified different health inequities among patients with RMD (ie, lower educational attainment, more comorbidities), associated with factors such as Indigenous self-identification and rural residence.Conclusions A syndemic approach enables us to identify health inequities in RMD, as shown by higher prevalence of comorbidities, disability and socioeconomic factors like lower educational attainment. These inequities exist for the overall population of patients with RMD, although it is more evident in Indigenous groups with added layers of vulnerability. |
| format | Article |
| id | doaj-art-cd1fecfa9bbb4188bfdabbe21ba16cc0 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2023-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-cd1fecfa9bbb4188bfdabbe21ba16cc02025-02-02T08:05:13ZengBMJ Publishing GroupBMJ Open2044-60552023-03-0113310.1136/bmjopen-2022-069246Inequity and vulnerability in Latin American Indigenous and non-Indigenous populations with rheumatic diseases: a syndemic approach 0Bernardo A Pons-Estel1Rosana Quintana2Ruben Burgos-Vargas3Everardo Álvarez-HernándezJohn Londono4Ana M Santos5Adalberto Loyola-Sanchez6Mario H CardielMaria Victoria Goycochea-Robles7Ingris Peláez-Ballestas8Ysabel Granados9Flor Julián-Santiago10Celenia RosilloJose Alvarez-Nemegyei11Natalia SantanaMario GoñiLigia CedeñoRomina NietoSilvana ContiMaría Elena CalvoEugenia PiccoRosa ChacónJorge DelgadoAlfonso Gastelum Strozzi12Sergio Guevara-Pacheco13Vicente Juarez14Mario Alberto Garza-Elizondo15Juan Camilo Rueda16Amaranta Manrique de LaraNora MathernMarisa JorfenAlvaro SanabriaCristina PrigioneAdriana MR SilvestreVanina GarcíaJulio MiljevicDaniel DhairMatias LaitheFadua MidauarMaria Celeste MartinMaria Cecilia BarriosMaría Elena CrespoMariana AciarEmilio BuschiazzoNatalia L CucchiaroMario RuizJosé Adolfo SánchezRodolfo FrancoNatalia EstrellaSilvia JorgeCinthya RetamozoSofia FernandezMartina FayCecilia CamachoGraciela GomezJazmin PetrelliAndrés HoneriViviana Arenas SolórzanoAna BensiMarcela ValdataRodrigo Giraldo17Ignacio Angarita18Jesus G BallesterosSofia AriasAndres VásquezLina ValeroAni CortesEstafania CastañedaElias ForeroAstrid FeicánFernando VintimillaJaime VintimillaVeronica OchoaAngelita LliguisacaHolger DutánJacqueline Rodríguez-AmadoJulio Casasola-VargasConrado GarciaImelda García-OliveraCésar PachecoSusana Aidee Gonzalez-ChávezHazel Garcia MoralesArturo Velasco GutierrezJF Moctezuma-RiosEduardo Navarro-ZarzaAngelia AnguloRosana FloresJaneth Galván PadrónB Lorena PérezJanett RiegaBrenda Vaquez FuentesMiguel A VillarrealCassandra Skinner TaylorSara MarínDionicio Galarza DelgadoDiana Flores AlvaradoJorge A Esquivel VarerioLuz Helena SanínMarco Maradiaga CeceñoJorge Zamudio LermIvan StekmanYanira MartínezGloris Sánchez11 Kenya National Bureau of Statistics, Nairobi, Nairobi, Kenya39 Grupo Oroño, Centro Regional de Enfermedades Autonmunes y Reumáticas, Rosario, ArgentinaReumatology, Hospital Provincial de Rosario, Rosario, Santa Fe, ArgentinaRheumatology, Hospital General de Mexico Dr Eduardo Liceaga, Ciudad de Mexico, Ciudad de Mexico, MexicoUniversidad de la Sabana, Cundinamarca, Chía, ColombiaRheumatology, Universidad de La Sabana, Chia, Cundinamarca, ColombiaFaculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, CanadaGrupo Cochrane, Universidad Nacional Autonoma de Mexico, Ciudad de Mexico, Ciudad de México, Mexico3 Rheumatology, Hospital General de México Dr. Eduardo Liceaga, Mexico City, MexicoRheumatology Department, Hospital “Dr. Manuel Núñez Tovar”, Maturin, VenezuelaFaculty of Medicine, Universidad Nacional Autonoma de Mexico, Ciudad de Mexico, Ciudad de México, MexicoRheumatology, Hospital Star Medica Merida, Merida, Yucatán, MexicoICAT, Universidad Nacional Autonoma de Mexico, Ciudad de Mexico, Ciudad de México, MexicoFaculty of Medicine, Universidad de Cuenca, Cuenca, Azuay, EcuadorRheumatology Department, Hospital Señor del Milagro, Salta, ArgentinaInternal Medicine, Rheumatology Service, Hospital Universitario Dr. José Eleuterio González de la Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico1Universidad de La Sabana, Chía, Colombia1Universidad de La Sabana, Chía, ColombiaUniversidad de la Sabana, Cundinamarca, Chía, ColombiaObjective To estimate health inequity and vulnerability among Indigenous and non-Indigenous populations with rheumatic and musculoskeletal diseases (RMD) in Latin America using the syndemic approach.Design This is a secondary analysis of a previously published large-scale study on the prevalence of RMD.Setting Studies carried out in five Latin American countries (Argentina, Colombia, Ecuador, Mexico and Venezuela). Health inequity and vulnerability in RMD were identified through a syndemic approach using network and cluster analysis.Participants A total of 44 560 individuals were studied: 29.78% self-identified as Indigenous, 60.92% were female, the mean age was 43.25 years. Twenty clusters were identified in the Indigenous population and 17 in the non-Indigenous population.Results The variables associated with RMD among Indigenous populations were rurality, public health system, high joint biomechanical stress, greater pain, disability and alcoholism; and among non-Indigenous people they were being a woman, urban origin, older age, private health system, joint biomechanical stress, greater pain and disability. We identified different health inequities among patients with RMD (ie, lower educational attainment, more comorbidities), associated with factors such as Indigenous self-identification and rural residence.Conclusions A syndemic approach enables us to identify health inequities in RMD, as shown by higher prevalence of comorbidities, disability and socioeconomic factors like lower educational attainment. These inequities exist for the overall population of patients with RMD, although it is more evident in Indigenous groups with added layers of vulnerability.https://bmjopen.bmj.com/content/13/3/e069246.full |
| spellingShingle | Bernardo A Pons-Estel Rosana Quintana Ruben Burgos-Vargas Everardo Álvarez-Hernández John Londono Ana M Santos Adalberto Loyola-Sanchez Mario H Cardiel Maria Victoria Goycochea-Robles Ingris Peláez-Ballestas Ysabel Granados Flor Julián-Santiago Celenia Rosillo Jose Alvarez-Nemegyei Natalia Santana Mario Goñi Ligia Cedeño Romina Nieto Silvana Conti María Elena Calvo Eugenia Picco Rosa Chacón Jorge Delgado Alfonso Gastelum Strozzi Sergio Guevara-Pacheco Vicente Juarez Mario Alberto Garza-Elizondo Juan Camilo Rueda Amaranta Manrique de Lara Nora Mathern Marisa Jorfen Alvaro Sanabria Cristina Prigione Adriana MR Silvestre Vanina García Julio Miljevic Daniel Dhair Matias Laithe Fadua Midauar Maria Celeste Martin Maria Cecilia Barrios María Elena Crespo Mariana Aciar Emilio Buschiazzo Natalia L Cucchiaro Mario Ruiz José Adolfo Sánchez Rodolfo Franco Natalia Estrella Silvia Jorge Cinthya Retamozo Sofia Fernandez Martina Fay Cecilia Camacho Graciela Gomez Jazmin Petrelli Andrés Honeri Viviana Arenas Solórzano Ana Bensi Marcela Valdata Rodrigo Giraldo Ignacio Angarita Jesus G Ballesteros Sofia Arias Andres Vásquez Lina Valero Ani Cortes Estafania Castañeda Elias Forero Astrid Feicán Fernando Vintimilla Jaime Vintimilla Veronica Ochoa Angelita Lliguisaca Holger Dután Jacqueline Rodríguez-Amado Julio Casasola-Vargas Conrado Garcia Imelda García-Olivera César Pacheco Susana Aidee Gonzalez-Chávez Hazel Garcia Morales Arturo Velasco Gutierrez JF Moctezuma-Rios Eduardo Navarro-Zarza Angelia Angulo Rosana Flores Janeth Galván Padrón B Lorena Pérez Janett Riega Brenda Vaquez Fuentes Miguel A Villarreal Cassandra Skinner Taylor Sara Marín Dionicio Galarza Delgado Diana Flores Alvarado Jorge A Esquivel Varerio Luz Helena Sanín Marco Maradiaga Ceceño Jorge Zamudio Lerm Ivan Stekman Yanira Martínez Gloris Sánchez Inequity and vulnerability in Latin American Indigenous and non-Indigenous populations with rheumatic diseases: a syndemic approach BMJ Open |
| title | Inequity and vulnerability in Latin American Indigenous and non-Indigenous populations with rheumatic diseases: a syndemic approach |
| title_full | Inequity and vulnerability in Latin American Indigenous and non-Indigenous populations with rheumatic diseases: a syndemic approach |
| title_fullStr | Inequity and vulnerability in Latin American Indigenous and non-Indigenous populations with rheumatic diseases: a syndemic approach |
| title_full_unstemmed | Inequity and vulnerability in Latin American Indigenous and non-Indigenous populations with rheumatic diseases: a syndemic approach |
| title_short | Inequity and vulnerability in Latin American Indigenous and non-Indigenous populations with rheumatic diseases: a syndemic approach |
| title_sort | inequity and vulnerability in latin american indigenous and non indigenous populations with rheumatic diseases a syndemic approach |
| url | https://bmjopen.bmj.com/content/13/3/e069246.full |
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inequityandvulnerabilityinlatinamericanindigenousandnonindigenouspopulationswithrheumaticdiseasesasyndemicapproach AT marcomaradiagaceceno inequityandvulnerabilityinlatinamericanindigenousandnonindigenouspopulationswithrheumaticdiseasesasyndemicapproach AT jorgezamudiolerm inequityandvulnerabilityinlatinamericanindigenousandnonindigenouspopulationswithrheumaticdiseasesasyndemicapproach AT ivanstekman inequityandvulnerabilityinlatinamericanindigenousandnonindigenouspopulationswithrheumaticdiseasesasyndemicapproach AT yaniramartinez inequityandvulnerabilityinlatinamericanindigenousandnonindigenouspopulationswithrheumaticdiseasesasyndemicapproach AT glorissanchez inequityandvulnerabilityinlatinamericanindigenousandnonindigenouspopulationswithrheumaticdiseasesasyndemicapproach |