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Gender differences in health in Havana versus in Mexico City and in the US Hispanic population

Health progress in the 1960s and 1970s placed Cuba at the vanguard of longevity in Latin America and the Caribbean. This success has often been attributed to equity of access to the health care system and its cost-effectiveness in the country. Cuba also has a small gender gap in life expectancy. In...

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Autores principales: Kühn, Mine, Díaz-Venegas, Carlos, Jasilionis, Domantas, Oksuzyan, Anna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Netherlands 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8217427/
https://www.ncbi.nlm.nih.gov/pubmed/34220403
http://dx.doi.org/10.1007/s10433-020-00563-w
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author Kühn, Mine
Díaz-Venegas, Carlos
Jasilionis, Domantas
Oksuzyan, Anna
author_facet Kühn, Mine
Díaz-Venegas, Carlos
Jasilionis, Domantas
Oksuzyan, Anna
author_sort Kühn, Mine
collection PubMed
description Health progress in the 1960s and 1970s placed Cuba at the vanguard of longevity in Latin America and the Caribbean. This success has often been attributed to equity of access to the health care system and its cost-effectiveness in the country. Cuba also has a small gender gap in life expectancy. In this study, we examined how this pattern is reflected in the gender differences in health among the population aged 60+ in Havana. We compared gender differences in health in samples drawn from Havana, Mexico City, and the US Hispanic population: three geographic settings with very different political, health care, and social systems. The data come from the Survey on Health, Well-Being, and Aging in Latin America and the Caribbean and the 2000 Health and Retirement Study. Age-adjusted prevalence and logistic regressions were estimated for poor self-rated health, limitations on activities of daily living, depression, and mobility limitations. While an absolute female disadvantage in health was apparent in all three populations, the relative gender differences were inconsistent across all four health domains. Gender differences were most pronounced in Havana, even after adjusting for age, socio-economic status, family characteristics, and smoking behaviour. Despite having higher overall life expectancy and more equitable and universal access to primary care and preventive medicine, women in Havana appear to have a larger burden of ill health than women in less equitable societies. The study provides indirect evidence that Cuba faces challenges in combating the health threats posed by chronic diseases and other diseases and conditions common among the population aged 60+. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10433-020-00563-w) contains supplementary material, which is available to authorized users.
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spelling pubmed-82174272021-07-01 Gender differences in health in Havana versus in Mexico City and in the US Hispanic population Kühn, Mine Díaz-Venegas, Carlos Jasilionis, Domantas Oksuzyan, Anna Eur J Ageing Original Investigation Health progress in the 1960s and 1970s placed Cuba at the vanguard of longevity in Latin America and the Caribbean. This success has often been attributed to equity of access to the health care system and its cost-effectiveness in the country. Cuba also has a small gender gap in life expectancy. In this study, we examined how this pattern is reflected in the gender differences in health among the population aged 60+ in Havana. We compared gender differences in health in samples drawn from Havana, Mexico City, and the US Hispanic population: three geographic settings with very different political, health care, and social systems. The data come from the Survey on Health, Well-Being, and Aging in Latin America and the Caribbean and the 2000 Health and Retirement Study. Age-adjusted prevalence and logistic regressions were estimated for poor self-rated health, limitations on activities of daily living, depression, and mobility limitations. While an absolute female disadvantage in health was apparent in all three populations, the relative gender differences were inconsistent across all four health domains. Gender differences were most pronounced in Havana, even after adjusting for age, socio-economic status, family characteristics, and smoking behaviour. Despite having higher overall life expectancy and more equitable and universal access to primary care and preventive medicine, women in Havana appear to have a larger burden of ill health than women in less equitable societies. The study provides indirect evidence that Cuba faces challenges in combating the health threats posed by chronic diseases and other diseases and conditions common among the population aged 60+. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10433-020-00563-w) contains supplementary material, which is available to authorized users. Springer Netherlands 2020-03-16 /pmc/articles/PMC8217427/ /pubmed/34220403 http://dx.doi.org/10.1007/s10433-020-00563-w Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Investigation
Kühn, Mine
Díaz-Venegas, Carlos
Jasilionis, Domantas
Oksuzyan, Anna
Gender differences in health in Havana versus in Mexico City and in the US Hispanic population
title Gender differences in health in Havana versus in Mexico City and in the US Hispanic population
title_full Gender differences in health in Havana versus in Mexico City and in the US Hispanic population
title_fullStr Gender differences in health in Havana versus in Mexico City and in the US Hispanic population
title_full_unstemmed Gender differences in health in Havana versus in Mexico City and in the US Hispanic population
title_short Gender differences in health in Havana versus in Mexico City and in the US Hispanic population
title_sort gender differences in health in havana versus in mexico city and in the us hispanic population
topic Original Investigation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8217427/
https://www.ncbi.nlm.nih.gov/pubmed/34220403
http://dx.doi.org/10.1007/s10433-020-00563-w
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