ABSTRACT
Ethnic inequalities are often associated with social determinants of health. This study seeks to identify the latest scientific evidence on inequalities in the health of people of African descent in the Americas. For this, a systematic review of the literature on health and people of African descent in the Americas was carried out in the LILACS, PubMed, MEDLINE, and IBECS databases. Institutional and academic repositories were also consulted. Evidence was obtained on the presence and persistence of health inequalities in the population of African descent in the Americas from the identification of five types of quantitative and qualitative evidence: (1) ethnic/racial concept and variables; (2) relations with other social determinants; (3) health risks; (4) barriers and inequalities in health services; and, (5) morbi-mortality from chronic diseases. Studies with qualitative methods revealed invisibility, stereotypes, and rejection or exclusion as main factors of inequality. This review evidenced the existence of health inequalities, its interconnection with other adverse social determinants and risk factors, and its generation and perpetuation by discrimination, marginalization, and social disadvantage. These conditions make people of African descent a priority population group for action on equity, as demanded by the 2030 Agenda for Sustainable Development.
Subject(s)
Black or African American/statistics & numerical data , Health Status Disparities , Health Services Accessibility , Humans , Risk Factors , Social Determinants of Health , Socioeconomic Factors , StereotypingABSTRACT
El Proyecto estudia el desempeño de la Dirección de una Unidad de Nivel 1 de Atención en Salud, mediante la gestión administrativa de variables críticas para determinar su situación financiera en los años 1998 a 2001. Su análisis permite adoptar o diseñar índices de gestión y estándares para el monitoreo permanente de la administración financiera de la Institución.El estuido trabaja un diseño no experimental, de tendencia longitudinal, estableciendo una hipótesis correlacional. La observación, medición y correlación determina la magnitutd con que cada variable participa en la situación financiera. Se ingresa los valores
