Determinantes sociais da saúde na Colômbia: análise regional e desafios

Objective: To characterize the social determinants of health across geographic regions in Colombia. Materials and methods: A descriptive correlational study was conducted between 2023 and 2024 using the DESOSA81 instrument with a sample of 2,725 participants from five Colombian regions. Univariate and bivariate analyses were performed. Pearson’s Chisquare test was applied to examine associations between variables, and Kendall’s Tau-b and Tau-c coefficients were used to assess the strength of association. Results: Women predominated in the sample, with a mean age of 36.5 years. Significant regional differences were observed in social and economic conditions, revealing inequities in access to employment, education, and health services. Gender, educational attainment, and employment status were found to influence health-related behaviors,stress levels, and overall well-being, reflecting structural andintermediate inequalities that vary across territories. Conclusions: This study highlights rural–urban disparities and confirms that social and economic inequities, compounded by factors such as gender and geographic location, are key determinants of health and well-being in Colombia.