<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-7459</journal-id>
<journal-title><![CDATA[Horizonte sanitario]]></journal-title>
<abbrev-journal-title><![CDATA[Horiz. sanitario]]></abbrev-journal-title>
<issn>2007-7459</issn>
<publisher>
<publisher-name><![CDATA[Universidad Juárez Autónoma de Tabasco, División Académica de Ciencias de la Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-74592017000100016</article-id>
<article-id pub-id-type="doi">10.19136/hs.a16n1.1412</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Mortalidad por diarreas e inequidades en Costa Rica]]></article-title>
<article-title xml:lang="en"><![CDATA[Mortality for diarrheas and inequities in Costa Rica]]></article-title>
<article-title xml:lang="pt"><![CDATA[Mortalidade por diarreas e desigualdades na Costa Rica]]></article-title>
<article-title xml:lang="fr"><![CDATA[Mortalité par diarrhées et inégalités au Costa Rica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chamizo García]]></surname>
<given-names><![CDATA[Horacio Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Costa Rica Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2017</year>
</pub-date>
<volume>16</volume>
<numero>1</numero>
<fpage>16</fpage>
<lpage>27</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-74592017000100016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-74592017000100016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-74592017000100016&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Se realizó un estudio ecológico sobre la mortalidad por enfermedades diarreicas en Costa Rica, con el propósito de aportar evidencias sobre las inequidades en salud y su determinación social.  Materiales y métodos: Se calculó el riesgo relativo de morir por diarreas estandarizado por edad (del año 2008 al 2013) y se construyeron mapas. Se establecieron correlaciones espaciales entre la mortalidad por diarreas, factores socioeconómicos (como Gini) y la calidad de la salud ambiental (medida a través de un indicador sintético multifactorial).  Resultados: Se identificó la tendencia espacial de incremento del riesgo de morir por diarreas hacia los territorios externos al área metropolitana, costeros y fronterizos, coincidiendo con las zonas de peor condición socioeconómica y ambiental del país.  Conclusiones: Se observan inequidades en la mortalidad por diarreas que pueden ser explicadas a partir de las condiciones ambientales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: An ecological study was carried out on the mortality due to diarrheal diseases in Costa Rica, with the purpose of providing evidence on inequities in health and social determination.  Material and methods: We estimated the relative risk of dying from diarrhea standardized by age (from the year 2008 to 2013) and maps were constructed. Spatial correlations were observed between the mortality from diarrhea, socio-economic factors (as Gini) and the quality of the environmental health (measured through a synthetic multifactorial indicator).  Results: We identified the spatial trend of increasing the risk of dying from diarrhea toward the territories outside the metropolitan area, coastal and border, coinciding with the areas of worst socio-economic and environmental condition of the country.  Conclusions: The It observed inequalities in mortality from diarrhea, which can be explained from the environmental conditions.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo: Realizou-se um estudo ecologico sobre a mortalidade por enfermidades diarreicas na Costa Rica, com o proposito de apresentar evidências sobre as iniquidades na Saúde e sua determinação social.  Materiais e métodos: Calculou-se o risco relativo de morrer por diarrea padronizado por idade (do ano de 2008 a 2013) e se construiram os mapas. Estabeleceu-se correlações geográficas entre a mortalidade por diarreas, fatores socio-economicos (como Gini) e a qualidade da saude ambiental (medida por meio de um indicador sintético multifatorial).  Resultados: Identificou-se a tendência geográfica de aumento do risco de morrer por diarreas na periferia das áreas metropolitanas, costeiras e fronteiriças, coincindindo com as áreas de pior condição socio-economica e ambiental do país.  Conclusões: Observou-se iniquidades na mortalidade por diarrea que podem ser explicadas a partir das condições ambientais.]]></p></abstract>
<abstract abstract-type="short" xml:lang="fr"><p><![CDATA[Résumé  Objectif: Une étude écologique sur la mortalité due aux maladies diarrhéiques a été menée au Costa Rica afin de fournir des évidences sur les inégalités en matière de santé et de détermination sociale.  Matériel et méthodes: Le risque relatif de décès par diarrhée, standardisé par âge, a été calculé pour les années 2008 à 2013, et des cartes ont été élaborées. Des corrélations spatiales entre mortalité par diarrhée, facteurs socio-économiques (tels que Gini) et qualité de la santé environnementale (mesurée par un indicateur synthétique multifactoriel) ont été établies.  Résultats: La tendance spatiale à l&#8217;augmentation du risque de mortalité para diarrhée dans les territoires extérieurs à la zone métropolitaine, côtiers et frontaliers, qui coïncident avec les zones ayant les pires conditions socio-économiques et environnementales du pays, a été identifiée.  Conclusions: Des inégalités de mortalité due à la diarrhée sont observées qui peuvent être expliquée par les conditions environnementales.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Inequidades sociales y geográficas]]></kwd>
<kwd lng="es"><![CDATA[mortalidad por diarreas]]></kwd>
<kwd lng="es"><![CDATA[condiciones de salud]]></kwd>
<kwd lng="es"><![CDATA[geografía humana]]></kwd>
<kwd lng="es"><![CDATA[determinantes de la mortalidad]]></kwd>
<kwd lng="en"><![CDATA[social and geographical inequities]]></kwd>
<kwd lng="en"><![CDATA[mortality from diarrhea]]></kwd>
<kwd lng="en"><![CDATA[health conditions]]></kwd>
<kwd lng="en"><![CDATA[human geography]]></kwd>
<kwd lng="en"><![CDATA[determinants of mortality]]></kwd>
<kwd lng="pt"><![CDATA[Iniquidades sociais e geográficas]]></kwd>
<kwd lng="pt"><![CDATA[mortalidade por diarreas]]></kwd>
<kwd lng="pt"><![CDATA[condições de saúde]]></kwd>
<kwd lng="pt"><![CDATA[geografia humana]]></kwd>
<kwd lng="pt"><![CDATA[determinantes da mortalidade]]></kwd>
<kwd lng="fr"><![CDATA[Inégalités sociales et géographiques]]></kwd>
<kwd lng="fr"><![CDATA[mortalité par diarrhées]]></kwd>
<kwd lng="fr"><![CDATA[conditions de santé]]></kwd>
<kwd lng="fr"><![CDATA[géographie humaine]]></kwd>
<kwd lng="fr"><![CDATA[déterminants de la mortalité]]></kwd>
</kwd-group>
</article-meta>
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