4.4 Article

Educational Differences in Health Among Middle-Aged and Older Adults in Brazil and Mexico

Journal

JOURNAL OF AGING AND HEALTH
Volume 29, Issue 6, Pages 923-950

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/0898264317705781

Keywords

health disparities; education; chronic conditions; Brazil; Mexico

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Objective: This study examines educational differences in health conditions among middle-aged and older adults in Brazil and Mexico. Method: Cross-sectional data from the 2013 Brazilian National Health Survey and the 2012 Mexican National Health and Nutrition Survey were used in the analyses. We used multivariate Poisson regressions to examine the relationship between educational level and prevalence of common health conditions (obesity, abdominal obesity, diabetes, hypertension, heart disease, and hearing and visual impairments). Results: Socioeconomic and sex inequalities persist in both countries. In general, low levels of education were associated with higher risk for having health conditions. However, men of lower education had a smaller risk of abdominal obesity and hypertension. Discussion: Brazil and Mexico have expanded public health actions aimed at improving health behaviors, diagnosis, and access to treatment of chronic conditions. However, important social disparities remain. Improving lifestyle behaviors, such as physical activity and dietary habits, could benefit both countries.

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