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: Article

1 Cita (Scopus)

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
N.º3
DOI
EstadoPublished - 1 ene 2014

Huella dactilar

Public Policy
Public Health
Fathers
Public Facilities
Chile
Health Facilities
Vulnerable Populations
Sample Size
Cross-Sectional Studies
Logistic Models
Mothers
Interviews
Health

ASJC Scopus subject areas

  • Medicine(all)

Citar esto

Arcos, E., Sanchez, X., Toffoletto, M. C., Baeza, M., Gazmuri, P., Muñoz, L. A., & Vollrath, A. (2014). Social protection systems in vulnerable families: Their importance for the public health. Revista de Saude Publica, 48(3), 398-405. https://doi.org/10.1590/S0034-8910.2014048005131
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. 2014 ; Vol. 48, N.º 3. pp. 398-405.
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Arcos, E, Sanchez, X, Toffoletto, MC, Baeza, M, Gazmuri, P, Muñoz, LA & Vollrath, A 2014, 'Social protection systems in vulnerable families: Their importance for the public health', Revista de Saude Publica, vol. 48, n.º 3, pp. 398-405. https://doi.org/10.1590/S0034-8910.2014048005131

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, 01.01.2014, p. 398-405.

Resultado de la investigación: Article

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T1 - Social protection systems in vulnerable families

T2 - Their importance for the public health

AU - Arcos, Estela

AU - Sanchez, Ximena

AU - Toffoletto, Maria Cecilia

AU - Baeza, Margarita

AU - Gazmuri, Patricia

AU - Muñoz, Luz Angélica

AU - Vollrath, Antonia

PY - 2014/1/1

Y1 - 2014/1/1

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

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