Inequalities in the distribution of dengue diagnostic tests in Peruvian provinces during the 2023 outbreak.
DOI:
https://doi.org/10.35434/rcmhnaaa.2024.171.2352Keywords:
Dengue, Diagnostic Techniques and Procedures, Healthcare Disparities, Health Services AccessibilityAbstract
Objectives: To evaluate inequalities in the distribution of diagnostic tests for dengue in Peruvian provinces. Material and Methods: Ecological study of 108 provinces. Sociodemographic characteristics (sex, age group, education level, area of residence and ethnicity) were evaluated as sources of inequality using the Oaxaca-Blinder method in Sk, Gk and Rk by decomposing the GINI index. Results: The GINI index was 0.34. In the decomposition, there were high values of Sk in the white or mestizo group (Sk=1.07) and the urban area (Sk=0.95), while there were high values of Gk in Quechua (Gk=0.62), Aymara (Gk=0.62) and Afro-Peruvian (Gk=0.44) groups with respect to the white or mestizo group (Gk=0.19). In addition, there were high Rk values in the aimara group (Rk=0.27) and with primary education (Rk=0.20). Conclusion: Ethnicity, area of residence and level of education were the main sources of inequality in the distribution of diagnostic tests for dengue.
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