abstract: 'Objective. Most Latin American and Caribbean (LAC) countries are working

  toward the provision of universal health coverage, and ensuring equity

  is a priority for those nations. The goal of this study was to examine

  the extent to which adults'' socioeconomic status was related to health

  care experience in six LAC countries.

  Methods. This cross-sectional study examined the relationship between

  educational attainment and seven health experience outcomes in three

  areas: assessment of the health system, access to care, and experience

  with general practitioner. For this work, we used data from an

  Inter-American Development Bank survey of adults in Brazil, Colombia, El

  Salvador, Jamaica, Mexico, and Panama that was conducted in 2012-2014.

  Results. Brazil and Jamaica, the two countries with unified public

  coverage, stood out for having substantially greater inequality,

  according to the results of bivariate analyses, with more-educated

  respondents reporting better health care experiences for five of the

  seven outcomes. For Jamaica, educational differences largely remained in

  multivariate analyses: college graduates were less likely (odds ratio

  (OR) = 0.37) than those with primary education to report their health

  system needs major reform and were more likely (OR = 2.57) to have a

  regular doctor. In Brazil, educational differences were mostly

  eliminated in multivariate models, though people with private insurance

  consistently reported better outcomes than those with public coverage.

  Colombia, in contrast, exhibited the least inequality despite having the

  highest income inequality of the six countries.

  Conclusions. Future research is needed to understand the policies and

  strategies that have resulted in Colombia achieving high levels of

  equity in patient health care experience, and Jamaica and Brazil

  demonstrating high levels of inequality.'
affiliation: 'Greene, J (Corresponding Author), CUNY, Baruch Coll, Marxe Sch Publ
  \& Int Affairs, New York, NY 10021 USA.

  Greene, Jessica, CUNY, Baruch Coll, Marxe Sch Publ \& Int Affairs, New York, NY
  10021 USA.

  Guanais, Frederico, Interamer Dev Bank, Lima, Peru.'
article-number: e127
author: Greene, Jessica and Guanais, Frederico
author-email: jessica.greene@baruch.cuny.edu
author_list:
- family: Greene
  given: Jessica
- family: Guanais
  given: Frederico
da: '2023-09-28'
doi: 10.26633/RPSP.2018.127
files: []
issn: 1020-4989
journal: 'REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC

  HEALTH'
keywords: 'Health equity; coverage equity; equity in access to health services;

  Latin America; West Indies'
keywords-plus: 'INCOME-RELATED INEQUALITIES; CARE; SYSTEM; ACCESS; PERFORMANCE;

  INEQUITIES; COVERAGE; MEXICO; POLICY'
language: English
number-of-cited-references: '38'
papis_id: 59a9c0f9652c4923a671533f43a8394e
ref: Greene2018examinationsocioecon
times-cited: '8'
title: An examination of socioeconomic equity in health experiences in six Latin American
  and Caribbean countries
type: article
unique-id: WOS:000463257000030
usage-count-last-180-days: '0'
usage-count-since-2013: '5'
volume: '42'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2018'