Social protection systems in vulnerable families: Their importance for the public health

Estela Arcos, Ximena Sanchez, Maria Cecilia Toffoletto, Margarita Baeza, Patricia Gazmuri, Luz Angélica Muñoz, Antonia Vollrath

Resultado de la investigación: Contribución a la publicaciónArticle

  • 1 Citas

Resumen

Objective: To analyze the effectiveness of the Chilean System of Childhood Welfare in transferring benefits to socially vulnerable families. Methods: A cross-sectional study with a sample of 132 families from the Metropolitan Region, Chile, stratified according to degree of social vulnerability, between September 2011 and January 2012. Semi-structured interviews were conducted with mothers of the studied families in public health facilities or their households. The variables studied were family structure, psychosocial risk in the family context and integrated benefits from the welfare system in families that fulfill the necessary requirements for transfer of benefits. Descriptive statistics to measure location and dispersion were calculated. A binary logistic regression, which accounts for the sample size of the study, was carried out. Results: The groups were homogenous regarding family size, the presence of biological father in the household, the number of relatives living in the same dwelling, income generation capacity and the rate of dependency and psychosocial risk (p ≥ 0.05). The transfer of benefits was low in all three groups of the sample (≤ 23.0%). The benefit with the best coverage in the system was the Single Family Subsidy, whose transfer was associated with the size of the family, the presence of relatives in the dwelling, the absence of the father in the household, a high rate of dependency and a high income generation capacity (p ≤ 0.10). Conclusions: The effectiveness of benefit transfer was poor, especially in families that were extremely socially vulnerable. Further explanatory studies of benefit transfers to the vulnerable population, of differing intensity and duration, are required in order to reduce health disparities and inequalities.

Idioma originalEnglish
Páginas (desde - hasta)398-405
Número de páginas8
PublicaciónRevista de Saude Publica
Volumen48
Número de edición3
Identificadores de objetos digitales
EstadoPublished - 2014

Huella dactilar

Public Policy
Fathers
Dependency (Psychology)
Public Facilities
Chile
Health Facilities
Vulnerable Populations
Public Health
Cross-Sectional Studies
Logistic Models
Interviews
Health

Keywords

    ASJC Scopus subject areas

    • Public Health, Environmental and Occupational Health

    Citar esto

    Arcos, Estela; Sanchez, Ximena; Toffoletto, Maria Cecilia; Baeza, Margarita; Gazmuri, Patricia; Muñoz, Luz Angélica; Vollrath, Antonia / Social protection systems in vulnerable families : Their importance for the public health.

    En: Revista de Saude Publica, Vol. 48, N.º 3, 2014, p. 398-405.

    Resultado de la investigación: Contribución a la publicaciónArticle

    @article{bbf49646df0240ce9ebeb1555299fa5b,
    title = "Social protection systems in vulnerable families: Their importance for the public health",
    abstract = "Objective: To analyze the effectiveness of the Chilean System of Childhood Welfare in transferring benefits to socially vulnerable families. Methods: A cross-sectional study with a sample of 132 families from the Metropolitan Region, Chile, stratified according to degree of social vulnerability, between September 2011 and January 2012. Semi-structured interviews were conducted with mothers of the studied families in public health facilities or their households. The variables studied were family structure, psychosocial risk in the family context and integrated benefits from the welfare system in families that fulfill the necessary requirements for transfer of benefits. Descriptive statistics to measure location and dispersion were calculated. A binary logistic regression, which accounts for the sample size of the study, was carried out. Results: The groups were homogenous regarding family size, the presence of biological father in the household, the number of relatives living in the same dwelling, income generation capacity and the rate of dependency and psychosocial risk (p ≥ 0.05). The transfer of benefits was low in all three groups of the sample (≤ 23.0%). The benefit with the best coverage in the system was the Single Family Subsidy, whose transfer was associated with the size of the family, the presence of relatives in the dwelling, the absence of the father in the household, a high rate of dependency and a high income generation capacity (p ≤ 0.10). Conclusions: The effectiveness of benefit transfer was poor, especially in families that were extremely socially vulnerable. Further explanatory studies of benefit transfers to the vulnerable population, of differing intensity and duration, are required in order to reduce health disparities and inequalities.",
    keywords = "Chile, Cross-sectional studies, Health economics, Health inequalities, Health vulnerability, Social assistance, Social inequity",
    author = "Estela Arcos and Ximena Sanchez and Toffoletto, {Maria Cecilia} and Margarita Baeza and Patricia Gazmuri and Muñoz, {Luz Angélica} and Antonia Vollrath",
    year = "2014",
    doi = "10.1590/S0034-8910.2014048005131",
    volume = "48",
    pages = "398--405",
    journal = "Revista de Saude Publica",
    issn = "0034-8910",
    publisher = "University of Sao Paolo",
    number = "3",

    }

    Social protection systems in vulnerable families : Their importance for the public health. / Arcos, Estela; Sanchez, Ximena; Toffoletto, Maria Cecilia; Baeza, Margarita; Gazmuri, Patricia; Muñoz, Luz Angélica; Vollrath, Antonia.

    En: Revista de Saude Publica, Vol. 48, N.º 3, 2014, p. 398-405.

    Resultado de la investigación: Contribución a la publicaciónArticle

    TY - JOUR

    T1 - Social protection systems in vulnerable families

    T2 - Revista de Saude Publica

    AU - Arcos,Estela

    AU - Sanchez,Ximena

    AU - Toffoletto,Maria Cecilia

    AU - Baeza,Margarita

    AU - Gazmuri,Patricia

    AU - Muñoz,Luz Angélica

    AU - Vollrath,Antonia

    PY - 2014

    Y1 - 2014

    N2 - Objective: To analyze the effectiveness of the Chilean System of Childhood Welfare in transferring benefits to socially vulnerable families. Methods: A cross-sectional study with a sample of 132 families from the Metropolitan Region, Chile, stratified according to degree of social vulnerability, between September 2011 and January 2012. Semi-structured interviews were conducted with mothers of the studied families in public health facilities or their households. The variables studied were family structure, psychosocial risk in the family context and integrated benefits from the welfare system in families that fulfill the necessary requirements for transfer of benefits. Descriptive statistics to measure location and dispersion were calculated. A binary logistic regression, which accounts for the sample size of the study, was carried out. Results: The groups were homogenous regarding family size, the presence of biological father in the household, the number of relatives living in the same dwelling, income generation capacity and the rate of dependency and psychosocial risk (p ≥ 0.05). The transfer of benefits was low in all three groups of the sample (≤ 23.0%). The benefit with the best coverage in the system was the Single Family Subsidy, whose transfer was associated with the size of the family, the presence of relatives in the dwelling, the absence of the father in the household, a high rate of dependency and a high income generation capacity (p ≤ 0.10). Conclusions: The effectiveness of benefit transfer was poor, especially in families that were extremely socially vulnerable. Further explanatory studies of benefit transfers to the vulnerable population, of differing intensity and duration, are required in order to reduce health disparities and inequalities.

    AB - Objective: To analyze the effectiveness of the Chilean System of Childhood Welfare in transferring benefits to socially vulnerable families. Methods: A cross-sectional study with a sample of 132 families from the Metropolitan Region, Chile, stratified according to degree of social vulnerability, between September 2011 and January 2012. Semi-structured interviews were conducted with mothers of the studied families in public health facilities or their households. The variables studied were family structure, psychosocial risk in the family context and integrated benefits from the welfare system in families that fulfill the necessary requirements for transfer of benefits. Descriptive statistics to measure location and dispersion were calculated. A binary logistic regression, which accounts for the sample size of the study, was carried out. Results: The groups were homogenous regarding family size, the presence of biological father in the household, the number of relatives living in the same dwelling, income generation capacity and the rate of dependency and psychosocial risk (p ≥ 0.05). The transfer of benefits was low in all three groups of the sample (≤ 23.0%). The benefit with the best coverage in the system was the Single Family Subsidy, whose transfer was associated with the size of the family, the presence of relatives in the dwelling, the absence of the father in the household, a high rate of dependency and a high income generation capacity (p ≤ 0.10). Conclusions: The effectiveness of benefit transfer was poor, especially in families that were extremely socially vulnerable. Further explanatory studies of benefit transfers to the vulnerable population, of differing intensity and duration, are required in order to reduce health disparities and inequalities.

    KW - Chile

    KW - Cross-sectional studies

    KW - Health economics

    KW - Health inequalities

    KW - Health vulnerability

    KW - Social assistance

    KW - Social inequity

    UR - http://www.scopus.com/inward/record.url?scp=84905921004&partnerID=8YFLogxK

    U2 - 10.1590/S0034-8910.2014048005131

    DO - 10.1590/S0034-8910.2014048005131

    M3 - Article

    VL - 48

    SP - 398

    EP - 405

    JO - Revista de Saude Publica

    JF - Revista de Saude Publica

    SN - 0034-8910

    IS - 3

    ER -