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Title: Measuring Intermediary Determinants of Early Childhood Health: A Composite Index Comparing Colombian Departments
Author: Osorio Mejía, Ana María
Bolancé Losilla, Catalina
Alcañiz, Manuela
Keywords: Colòmbia
Salut pública
Condicions socials
Public health
Social conditions
Issue Date: 20-Oct-2012
Publisher: Springer Science + Business Media
Abstract: In recent years there has been growing interest in composite indicators as an efficient tool of analysis and a method of prioritizing policies. This paper presents a composite index of intermediary determinants of child health using a multivariate statistical approach. The index shows how specific determinants of child health vary across Colombian departments (administrative subdivisions). We used data collected from the 2010 Colombian Demographic and Health Survey (DHS) for 32 departments and the capital city, Bogotá. Adapting the conceptual framework of Commission on Social Determinants of Health (CSDH), five dimensions related to child health are represented in the index: material circumstances, behavioural factors, psychosocial factors, biological factors and the health system. In order to generate the weight of the variables, and taking into account the discrete nature of the data, principal component analysis (PCA) using polychoric correlations was employed in constructing the index. From this method five principal components were selected. The index was estimated using a weighted average of the retained components. A hierarchical cluster analysis was also carried out. The results show that the biggest differences in intermediary determinants of child health are associated with health care before and during delivery.
Note: Versió postprint del document publicat a: 10.1007/s12187-012-9172-4
It is part of: Child Indicators Research, 2012, vol. 5, num. 3
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ISSN: 1874-897X
Appears in Collections:Articles publicats en revistes (Econometria, Estadística i Economia Aplicada)

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