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Challenging Inequities in HealthFrom Ethics to Action$
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Timothy Evans, Margaret Whitehead, Finn Diderichsen, Abbas Bhuiya, and Meg Wirth

Print publication date: 2001

Print ISBN-13: 9780195137408

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780195137408.001.0001

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Chile: Socioeconomic Differentials and Mortality in a Middle-Income Nation

Chile: Socioeconomic Differentials and Mortality in a Middle-Income Nation

Chapter:
(p.122) Chapter 10 Chile: Socioeconomic Differentials and Mortality in a Middle-Income Nation
Source:
Challenging Inequities in Health
Author(s):

JEANETTE VEGA

ROLF DIETER HOLLSTEIN

IRIS DELGADO

JUAN C. PEREZ

SEBASTIAN CARRASCO

GUILLERMO MARSHALL

DEREK YACH

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780195137408.003.0010

In Chile, rapid social and economic change combined with relatively high-quality health data provides an important opportunity to study the relationship between socioeconomic status and mortality in a middle-income country. This chapter shows that despite overall economic growth and improvement in aggregate health status, health inequalities are large and widening in Chile. The increase is temporally related to broadening income inequalities associated with the structural economic reforms and marketization begun in 1981. Not only was Chile the first country in the American region to embark on a structural economic reform process, but its reform program has also been the most radical. This intensity persisted until the demise of Pinochet's military government and the arrival of democracy in 1990. In the light of the changing macroeconomic context, the chapter examines recent evidence on the factors underlying health inequalities in Chile through both individual-level and ecological-level analyses.

Keywords:   Chile, socioeconomic inequalities, mortality, economic reforms

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