Trayectorias divergentes de las desigualdades socioeconómicas absolutas y relativas en la inmunización infantil en 109 países, 1991–2023
Palabras clave:
inmunización infantil, desigualdad socioeconómica, cero dosis, índice de desigualdad de la pendiente, índice relativo de desigualdadResumen
La expansión de la inmunización infantil puede realzar la cobertura promedio sin eliminar las desigualdades socioeconómicas. Valoramos su magnitud, tendencia y persistencia en cinco indicadores y si la reducción absoluta estuvo acompañada de convergencia relativa. Estudio ecológico longitudinal con evaluaciones del WHO Health Inequality Data Repository. La base circunscribió 288,486 registros. El estudio comprendió 2,113 combinaciones país–encuesta–indicador de 109 países entre 1991 y 2023. Se valoraron el índice de concentración, el índice relativo de desigualdad (RII), el índice de desigualdad de la pendiente (SII) y el índice de Erreygers. La perplejidad se propagó mediante 500 simulaciones de Monte Carlo. Se emplearon modelos ponderados por precisión, ingreso y modelos multinivel, ajuste por región Y errores estándar agrupados por país. La perseverancia requirió un límite inferior del IC95% del SII mayor que cero en las dos encuestas recientes de los países con al menos tres ondas.
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Derechos de autor 2026 Nader Brian Flores Incahuanaco, Yeny Hurtado Flores, Percy Flores Laime, Roberto Torres Rua, Hugo Hernan Flores Laime
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
