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The invisible wounds of five decades of armed conflict: inequalities in mental health and their determinants in Colombia

Author

Listed:
  • Jorge Cuartas Ricaurte

    (Harvard University)

  • Laura Liévano Karim

    (University of the Andes)

  • María Alejandra Martínez Botero

    (University of the Andes)

  • Philipp Hessel

    (University of the Andes)

Abstract

Abstarct Objectives We analyzed the relation between exposure to the armed conflict and violence with mental health disorders in Colombia and assessed the extent and determinants of socioeconomic inequalities in mental health related to differential exposure to the conflict and violence. Methods Regression and decomposition analyses were used in combination with the 2015 nationally representative Mental Health Survey (N = 10,853). Mental health disorders were assessed using the Self-Reporting Questionnaire (SRQ 20), and socioeconomic status by a Multidimensional Poverty Index. Results 3% of adults have been victim of a violent crime and 13% victim of the armed conflict. Victims of the armed conflict have 1.74 times higher odds (p

Suggested Citation

  • Jorge Cuartas Ricaurte & Laura Liévano Karim & María Alejandra Martínez Botero & Philipp Hessel, 2019. "The invisible wounds of five decades of armed conflict: inequalities in mental health and their determinants in Colombia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(5), pages 703-711, June.
    • Handle: RePEc:spr:ijphth:v:64:y:2019:i:5:d:10.1007_s00038-019-01248-7
    DOI: 10.1007/s00038-019-01248-7
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    References listed on IDEAS

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    1. Moya, Andrés, 2018. "Violence, psychological trauma, and risk attitudes: Evidence from victims of violence in Colombia," Journal of Development Economics, Elsevier, vol. 131(C), pages 15-27.
    2. Alkire, Sabina & Foster, James, 2011. "Counting and multidimensional poverty measurement," Journal of Public Economics, Elsevier, vol. 95(7-8), pages 476-487, August.
    3. Wagstaff, Adam & van Doorslaer, Eddy & Paci, Pierella, 1989. "Equity in the Finance and Delivery of Health Care: Some Tentative Cross-country Comparisons," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 5(1), pages 89-112, Spring.
    4. Harpham, Trudy & Grant, Emma & Rodriguez, Carlos, 2004. "Mental health and social capital in Cali, Colombia," Social Science & Medicine, Elsevier, vol. 58(11), pages 2267-2277, June.
    5. Ana María Ibañez & Andrés Moya, 2010. "Do Conflicts Create Poverty Traps? Asset Losses and Recovery for Displaced Households in Colombia," NBER Chapters, in: The Economics of Crime: Lessons For and From Latin America, pages 137-172, National Bureau of Economic Research, Inc.
    6. Di Tella, Rafael & Edwards, Sebastian & Schargrodsky, Ernesto (ed.), 2010. "The Economics of Crime," National Bureau of Economic Research Books, University of Chicago Press, number 9780226153742, July.
    7. Xander Koolman & Eddy van Doorslaer, 2004. "On the interpretation of a concentration index of inequality," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 649-656, July.
    8. Puac-Polanco, V.D. & Lopez-Soto, V.A. & Kohn, R. & Xie, D. & Richmond, T.S. & Branas, C.C., 2015. "Previous violent events and mental health outcomes in Guatemala," American Journal of Public Health, American Public Health Association, vol. 105(4), pages 764-771.
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    1. Mora-Garcia, Claudio A & Prem, Mounu & Rodriguez-Lesmes, Paul & Vargas, Juan F., 2024. "Health Workforce Reallocation in the Aftermath of Conflict: Evidence from Colombia," Documentos de Trabajo 21124, Universidad del Rosario.

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