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https://www.readbyqxmd.com/read/29345995/the-effects-of-household-medical-expenditures-on-income-inequality-in-the-united-states
#1
Andrea S Christopher, David U Himmelstein, Steffie Woolhandler, Danny McCormick
OBJECTIVES: To assess the effect of households' outlays for medical expenditures on income inequality and changes since the implementation of the Affordable Care Act (ACA). METHODS: We analyzed data from the US Current Population Surveys for calendar years 2010 through 2014. We calculated the Gini index of income inequality before and after subtracting households' medical outlays (including insurance premiums and out-of-pocket costs) from income, the financial burden of medical outlays for each income decile, and the number of individuals pushed below poverty by medical outlays...
January 18, 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29334928/consumption-of-sweetened-beverages-and-poverty-in-colombia-when-access-is-not-an-advantage
#2
Oscar F Herran, Gonzalo A Patiño, Edna M Gamboa
BACKGROUND: This study characterizes the intake of sweetened beverages and establishes whether economic inequalities in their consumption exists. METHODS: Ecological study. Mixed methods using food frequency questionnaire and inequality indices. Based on the National Nutrition Survey, Colombia, 2010. The sweetened beverage intake of 17,514 subjects in 33 geodemographic units was estimated with a food frequency questionnaire and summarized. The calculation of inequality was based on the monetary poverty...
January 15, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29311035/the-reality-of-disability-multidimensional-poverty-of-people-with-disabled-and-their-families-in-latin-america
#3
Mónica Pinilla-Roncancio
BACKGROUND: Disability and poverty are interconnected and although this relationship has been recognised, there is a lack of empirical evidence to support any possible causal relationship in this topic, particularly in the context of Latin America (LA). HYPOTHESIS: This study tests the hypothesis "Disability increases the risk of multidimensional poverty of people living with disabilities and their families". METHODS: Using national census data from Brazil, Chile, Colombia, Costa Rica and Mexico, the Global Multidimensional Poverty Index (Global MPI) was calculated with the aim of measuring and comparing the levels of multidimensional poverty of people living in households with and without disabled members in the five countries...
December 30, 2017: Disability and Health Journal
https://www.readbyqxmd.com/read/29300747/household-expenditure-on-leprosy-outpatient-services-in-the-indian-health-system-a-comparative-study
#4
Anuj Tiwari, Pramilesh Suryawanshi, Akash Raikwar, Mohammad Arif, Jan Hendrik Richardus
BACKGROUND: Leprosy is a major public health problem in many low and middle income countries, especially in India, and contributes considerably to the global burden of the disease. Leprosy and poverty are closely associated, and therefore the economic burden of leprosy is a concern. However, evidence on patient's expenditure is scarce. In this study, we estimate the expenditure in primary care (outpatient) by leprosy households in two different public health settings. METHODOLOGY / PRINCIPAL FINDINGS: We performed a cross-sectional study, comparing the Union Territory of Dadra and Nagar Haveli with the Umbergaon block of Valsad, Gujrat, India...
January 4, 2018: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29294949/the-association-between-intimate-partner-violence-and-distance-traveled-to-access-abortion-in-a-nationally-representative-sample-of-abortion-patients
#5
Gretchen Ely, Nadine Murshid
The objective of this article is to describe a secondary data analysis of the 2008 Abortion Patient Survey (APS 2008) data exploring the association between intimate partner violence (IPV) and travel distances in a national sample of patients seeking abortion services in the United States. The researchers used the 2008 APS, which is the most recent publicly available version of this dataset, to conduct chi-square tests to examine the bivariate associations between all independent and dependent variables. Prevalence ratios were calculated to determine the association between physical and sexual violence and distance traveled to get an abortion, controlling for length of pregnancy, age, education, income, poverty category, race, relationship status, insurance type, whether women went to the closest clinic, whether the pregnancy was wanted, and number of previous abortions...
October 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29289642/disparities-in-cigarette-tax-exposure-by-race-ethnicity-poverty-and-sexual-orientation-2006-2014-usa
#6
Shelley D Golden, Amanda Y Kong, Joseph G L Lee, Kurt M Ribisl
Cigarette excise taxes are an effective tobacco control strategy but they vary geographically due to differences in state and local taxation. There are also pronounced sociodemographic differences in community composition, suggesting that different population groups might face vastly different cigarette excise tax rates. In this study, we examine how cigarette excise tax rates differ for population groups defined by race, ethnicity, poverty status, and sexual orientation, and how these differences have evolved over time...
December 28, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/29279935/association-of-modifiable-risk-factors-in-young-adulthood-with-racial-disparity-in-incident-type-2-diabetes-during-middle-adulthood
#7
COMPARATIVE STUDY
Michael P Bancks, Kiarri Kershaw, April P Carson, Penny Gordon-Larsen, Pamela J Schreiner, Mercedes R Carnethon
Importance: In the United States, black individuals are twice as likely to develop type 2 diabetes compared with white individuals, and these disparities are particularly pronounced in young and middle age. Prior studies have identified differences in traditional risk factors that may be associated with racial disparities in diabetes incidence but have not simultaneously adjusted for risk factors measured across multiple domains (eg, the individual and the environment) and updated over time...
December 26, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29273115/cost-effectiveness-of-a-savings-led-economic-empowerment-intervention-for-aids-affected-adolescents-in-uganda-implications-for-scale-up-in-low-resource-communities
#8
Fred M Ssewamala, Julia Shu-Huah Wang, Torsten B Neilands, Laura Gauer Bermudez, Irwin Garfinkel, Jane Waldfogel, Jeanne Brooks-Gunn, Gwyneth Kirkbride
PURPOSE: Nearly 12 million children and adolescents in sub-Saharan Africa have lost one or both parents to AIDS. Within sub-Saharan Africa, Uganda has been greatly impacted, with an estimated 1.2 million orphaned children, nearly half of which have experienced parental loss due to the epidemic. Cost-effective and scalable interventions are needed to improve developmental outcomes for these children, most of whom are growing up in poverty. This article examines the direct impacts and cost-effectiveness of a savings-led family economic empowerment intervention, Bridges to the Future, that employed varying matched savings incentives to encourage investment in Ugandan children orphaned by AIDS...
January 2018: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/29227024/blood-biomarkers-as-predictors-of-long-term-mortality-in-copd
#9
Angelico Mendy, Erick Forno, Theophile Niyonsenga, Janvier Gasana
BACKGROUND: Blood biomarkers are easily accessible and might reflect chronic obstructive pulmonary disease (COPD) activity. AIM: The aim of this study was to determine whether a panel of blood biomarkers [C-reactive protein (CRP), neutrophils, eosinophils, albumin and vitamin D] could predict mortality in COPD. METHODS: We analyzed data from 431 COPD participants to the 2007-2010 National Health and Nutrition Examination Surveys who were followed for a median time of 36 months...
December 11, 2017: Clinical Respiratory Journal
https://www.readbyqxmd.com/read/29209969/children-s-environmental-chemical-exposures-in-the-usa-nhanes-2003-2012
#10
Michael Hendryx, Juhua Luo
Children are vulnerable to environmental chemical exposures, but little is known about the extent of multiple chemical exposures among children. We analyzed biomonitoring data from five cycles (2003-2012) of the National Health and Nutrition Examination Survey (NHANES) to describe multiple chemical exposures in US children, examine levels of chemical concentrations present over time, and examine differences in chemical exposures by selected demographic groups. We analyzed data for 36 chemical analytes across five chemical classes in a sample of 4299 children aged 6-18...
December 5, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29175868/do-socioeconomic-inequalities-in-pain-psychological-distress-and-oral-health-increase-or-decrease-over-the-life-course-evidence-from-sweden-over-43-years-of-follow-up
#11
Roger Keller Celeste, Johan Fritzell
BACKGROUND: Inequalities over the life course may increase due to accumulation of disadvantage or may decrease because ageing can work as a leveller. We report how absolute and relative socioeconomic inequalities in musculoskeletal pain, oral health and psychological distress evolve with ageing. METHODS: Data were combined from two nationally representative Swedish panel studies: the Swedish Level-of-Living Survey and the Swedish Panel Study of Living Conditions of the Oldest Old...
November 24, 2017: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/29155825/poverty-and-health-among-cdc-plantation-labourers-in-cameroon-perceptions-challenges-and-coping-strategies
#12
Valerie Makoge, Lenneke Vaandrager, Harro Maat, Maria Koelen
Creating better access to good quality healthcare for the poor is a major challenge to development. In this study, we examined inter-linkages between poverty and disease, referred to as poverty-related diseases (PRDs), by investigating how Cameroon Development Corporation (CDC) camp dwellers respond to diseases that adversely affect their health and wellbeing. Living in plantation camps is associated with poverty, overcrowding, poor sanitation and the rapid spread of diseases. In a survey of 237 CDC camp dwellers in Cameroon, we used the health belief model to understand the drivers (perceived threats, benefits and cues for treatment seeking) of reported responses...
November 20, 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29152921/proximity-to-pediatric-cardiac-surgical-care-among-adolescents-with-congenital-heart-defects-in-11-new-york-counties
#13
Kristin M Sommerhalter, Tabassum Z Insaf, Tugba Akkaya-Hocagil, Claire E McGarry, Sherry L Farr, Karrie F Downing, George K Lui, Ali N Zaidi, Alissa R Van Zutphen
BACKGROUND: Many individuals with congenital heart defects (CHDs) discontinue cardiac care in adolescence, putting them at risk of adverse health outcomes. Because geographic barriers may contribute to cessation of care, we sought to characterize geographic access to comprehensive cardiac care among adolescents with CHDs. METHODS: Using a population-based, 11-county surveillance system of CHDs in New York, we characterized proximity to the nearest pediatric cardiac surgical care center among adolescents aged 11 to 19 years with CHDs...
November 1, 2017: Birth Defects Research
https://www.readbyqxmd.com/read/29139110/unconditional-cash-transfers-for-reducing-poverty-and-vulnerabilities-effect-on-use-of-health-services-and-health-outcomes-in-low-and-middle-income-countries
#14
REVIEW
Frank Pega, Sze Yan Liu, Stefan Walter, Roman Pabayo, Ruhi Saith, Stefan K Lhachimi
BACKGROUND: Unconditional cash transfers (UCTs; provided without obligation) for reducing poverty and vulnerabilities (e.g. orphanhood, old age or HIV infection) are a type of social protection intervention that addresses a key social determinant of health (income) in low- and middle-income countries (LMICs). The relative effectiveness of UCTs compared with conditional cash transfers (CCTs; provided so long as the recipient engages in prescribed behaviours such as using a health service or attending school) is unknown...
November 15, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29137869/morbidity-and-mortality-in-homeless-individuals-prisoners-sex-workers-and-individuals-with-substance-use-disorders-in-high-income-countries-a-systematic-review-and-meta-analysis
#15
Robert W Aldridge, Alistair Story, Stephen W Hwang, Merete Nordentoft, Serena A Luchenski, Greg Hartwell, Emily J Tweed, Dan Lewer, Srinivasa Vittal Katikireddi, Andrew C Hayward
BACKGROUND: Inclusion health focuses on people in extremely poor health due to poverty, marginalisation, and multimorbidity. We aimed to review morbidity and mortality data on four overlapping populations who experience considerable social exclusion: homeless populations, individuals with substance use disorders, sex workers, and imprisoned individuals. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, and the Cochrane Library for studies published between Jan 1, 2005, and Oct 1, 2015...
November 10, 2017: Lancet
https://www.readbyqxmd.com/read/29121494/being-a-mother-of-preterm-multiples-in-the-context-of-socioeconomic-disadvantage-perceived-stress-and-psychological-symptoms
#16
Joana Baptista, Vanessa Moutinho, Vera Mateus, Hercília Guimarães, Fátima Clemente, Sara Almeida, Maria Agostinha Andrade, Clara Paz Dias, Alice Freitas, Carla Martins, Isabel Soares
OBJECTIVE: This study aimed to examine the differences between mothers of preterm multiples and mothers of preterm singletons regarding perceived stress and maternal psychological symptoms, and to explore the putative adverse amplified effect of socioeconomic disadvantage. METHOD: Ninety-five mothers of 1-year-olds born preterm participated in this cross-sectional study. Data collection was carried out in two public hospitals from Northern Portugal. To assess maternal perceived daily stress and psychological symptoms, mothers completed two questionnaires...
November 6, 2017: Jornal de Pediatria
https://www.readbyqxmd.com/read/29114554/perceived-health-discomfort-among-adolescent-girls-and-related-factors-in-an-urban-area-south-india
#17
Shabnam Omidvar, Afsaneh Bakhtiari, Mojgan Firouzbakht, Fatemeh Nasiri Amiri, Khyrunnisa Begum
INTRODUCTION: Adolescence is a period of life that is a bridge between childhood and adulthood. India has the world's largest adolescent girl's population, and adolescent girls are an important vulnerable group of population. Perceived health is a predictor of morbidity and mortality in adults and has been an important marker of the health status in population health studies for decades. The aim of the study was to describe adolescent's perception of health and association between some factors such as nutrition status, socioeconomic status (SES), and health status...
2017: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/29110864/pulmonary-tuberculosis-in-patna-india-durations-delays-and-health-care-seeking-behaviour-among-patients-identified-through-household-surveys
#18
Nerges Mistry, Eunice Lobo, Shimoni Shah, Sheela Rangan, Yatin Dholakia
BACKGROUND: Delays in accessing effective health care plays a pivotal role in increasing Tuberculosis (TB) transmission within the community. Patna, North India, with high levels of poverty and weak public health system, faces huge challenges for achieving effective TB control. The study aims to determine delays that occur from onset of TB symptoms until initiation of pulmonary TB (PTB) treatment among patients in Patna. METHODS: Of the 109 self-reporting TB patients identified through an active household survey, 64 PTB patients were interviewed...
December 2017: Journal of Epidemiology and Global Health
https://www.readbyqxmd.com/read/29095004/-evaluation-of-the-nutritional-status-of-children-under-5-years-of-age-concordance-between-anthropometric-indices-in-the-indigenous-population-of-chiapas-mexico
#19
Héctor Ochoa-Díaz López, Esmeralda García-Parra, Elena Flores-Guillén, Rosario García-Miranda, Roberto Solís-Hernández
INTRODUCTION: Nutritional status is determined through various methods, including anthropometry. In children under 5 years of age indeces as weight/age (w/a), height/age (h/a), weight/height (w/h) and body mass index (BMI) are used. The purpose of this article is to analyze and compare the ability of different anthropometric indeces to identify children from marginalized communities in Chiapas (Mexico) with nutritional problems. OBJECTIVE: To analyze the correlation among the different anthropometric indeces to determine the nutritional status of children under 5 years of age in poor rural areas with a background of short stature...
July 28, 2017: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/29084118/disparities-in-zika-virus-testing-and-incidence-among-women-of-reproductive-age-new-york-city-2016
#20
Christopher T Lee, Sharon K Greene, Jennifer Baumgartner, Anne Fine
CONTEXT: The New York City Department of Health and Mental Hygiene (NYC DOHMH) performs surveillance for reportable diseases, including Zika virus (ZIKV) infection and disease, to inform public health responses. Incidence rates of other mosquito-borne diseases related to international travel are associated with census tract poverty level in NYC, suggesting that high poverty areas might be at higher risk for ZIKV infections. OBJECTIVES: We assessed ZIKV testing rates and incidence of travel-associated infection among reproductive age women in NYC to identify areas with high incidence and low testing rates and assess the effectiveness of public health interventions...
October 27, 2017: Journal of Public Health Management and Practice: JPHMP
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