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poverty and health

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https://www.readbyqxmd.com/read/29329234/poor-people-are-hospitalized-three-times-more-for-mental-health-services-than-the-non-poor-in-central-valley-california
#1
Gyanesh Lama, Emmanuel Alcala, John A Capitman
Introduction: Providing health insurance to the poor has become a standard policy response to health disparities between the poor and the non-poor. It is often assumed that if the poor people are given health insurance, they will use preventative care, which will prevent more expensive emergency visits and inpatient hospitalization, and in turn, it will save healthcare cost in the long run. This paper presents the findings from our study in California about what happens to the poor when they are given health insurance...
January 12, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/29326964/transportation-and-other-nonfinancial-barriers-among-uninsured-primary-care-patients
#2
Akiko Kamimura, Samin Panahi, Zobayer Ahmmad, Mu Pye, Jeanie Ashby
Introduction: Nonfinancial barriers are frequent causes of unmet need in health-care services. The significance of transportation barriers can weigh more than the issues of access to care. The purpose of this cross-sectional study was to examine transportation and other nonfinancial barriers among low-income uninsured patients of a safety net health-care facility (free clinic). Methods: The survey data were collected from patients aged 18 years and older who spoke English or Spanish at a free clinic, which served uninsured individuals in poverty in the United States...
January 2018: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/29326095/development-of-a-maternal-newborn-and-child-mhealth-intervention-in-thai-nguyen-province-vietnam-protocol-for-the-mmom-project
#3
Bronwyn McBride, Liem Thanh Nguyen, David Wiljer, Nguyen C Vu, Cuong K Nguyen, John O'Neil
BACKGROUND: Ethnic minority women (EMW) living in mountainous areas of northern Vietnam have disproportionately high infant and maternal mortality rates as a result of low maternal health knowledge, poverty, and remoteness from low-capacity health centers. OBJECTIVE: The objective of this study was to describe the protocol for the development and evaluation of the mMom intervention, which is an integrated mobile health (mHealth) system designed to improve maternal and infant health knowledge, and behavior among women in remote areas of Thai Nguyen, Vietnam...
January 11, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29325657/my-quest-an-intervention-using-text-messaging-to-improve-dietary-and-physical-activity-behaviors-and-promote-weight-loss-in-low-income-women
#4
Jamie B Griffin, Barb Struempler, Katie Funderburk, Sondra M Parmer, Cecilia Tran, Danielle D Wadsworth
OBJECTIVE: To evaluate changes in dietary and physical activity behaviors and weight after implementation of a 12-week text messaging initiative (My Quest). DESIGN: The researchers conducted a 1-group, pre- to posttest study design to determine changes after implementation of a text messaging initiative developed using the tenets of the Social Cognitive Theory. SETTING: A total of 55 Alabama counties (84% rural) with high rates of poverty, overweight/obesity, and chronic diseases...
January 2018: Journal of Nutrition Education and Behavior
https://www.readbyqxmd.com/read/29325516/brucellosis-remains-a-neglected-disease-in-the-developing-world-a-call-for-interdisciplinary-action
#5
K A Franc, R C Krecek, B N Häsler, A M Arenas-Gamboa
BACKGROUND: Brucellosis is an endemic zoonotic disease in most of the developing world that causes devastating losses to the livestock industry and small-scale livestock holders. Infected animals exhibit clinical signs that are of economic significance to stakeholders and include reduced fertility, abortion, poor weight gain, lost draught power, and a substantial decline in milk production. In humans, brucellosis typically manifests as a variety of non-specific clinical signs. Chronicity and recurring febrile conditions, as well as devastating complications in pregnant women are common sequelae...
January 11, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29324737/barriers-of-attendance-to-dog-rabies-static-point-vaccination-clinics-in-blantyre-malawi
#6
Stella Mazeri, Andrew D Gibson, Natascha Meunier, Barend M deC Bronsvoort, Ian G Handel, Richard J Mellanby, Luke Gamble
Rabies is a devastating yet preventable disease that causes around 59,000 human deaths annually. Almost all human rabies cases are caused by bites from rabies-infected dogs. A large proportion of these cases occur in Sub Saharan Africa (SSA). Annual vaccination of at least 70% of the dog population is recommended by the World Health Organisation in order to eliminate rabies. However, achieving such high vaccination coverage has proven challenging, especially in low resource settings. Despite being logistically and economically more feasible than door-to-door approaches, static point (SP) vaccination campaigns often suffer from low attendance and therefore result in low vaccination coverage...
January 11, 2018: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29324732/tobacco-product-use-among-military-veterans-united-states-2010-2015
#7
Satomi Odani, Israel T Agaku, Corinne M Graffunder, Michael A Tynan, Brian S Armour
In 2015, an estimated 18.8 million U.S. adults were military veterans (1). Although the prevalence of tobacco-attributable conditions is high among veterans (2), there is a paucity of data on use of tobacco products, other than cigarettes, in this population. To monitor tobacco product use among veterans, CDC analyzed self-reported current (i.e., past 30-day) use of five tobacco product types (cigarettes, cigars [big cigars, cigarillos, or little cigars], roll-your-own tobacco, pipes, and smokeless tobacco [chewing tobacco, snuff, dip, or snus]) from the National Survey on Drug Use and Health (NSDUH)...
January 12, 2018: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/29324605/estimating-the-hospital-delivery-costs-associated-with-severe-maternal-morbidity-in-new-york-city-2008-2012
#8
Renata E Howland, Meghan Angley, Sang Hee Won, Wendy Wilcox, Hannah Searing, Tsu-Yu Tsao
OBJECTIVE: To quantify the average and total hospital delivery costs associated with severe maternal morbidity in excess of nonsevere maternal morbidity deliveries over a 5-year period in New York City adjusting for other sociodemographic and clinical factors. METHODS: We conducted a population-based cross-sectional study using linked birth certificates and hospital discharge data for New York City deliveries from 2008 to 2012. Severe maternal morbidity was defined using a published algorithm of International Classification of Diseases, 9 Revision, Clinical Modification disease and procedure codes...
January 9, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29323930/the-economic-burden-of-asthma-in-the-united-states-2008-2013
#9
Tursynbek Nurmagambetov, Robin Kuwahara, Paul Garbe
RATIONALE: Asthma is a chronic disease that affects quality of life, productivity at work and school, healthcare use, and can result in death. Measuring the current economic burden of asthma provides important information on the impact of asthma on society. This information can be used to make informed decisions about allocation of limited public health resources. OBJECTIVES: In this paper, we provide a comprehensive approach to estimate current prevalence, medical costs, cost of absenteeism (missed work and schooldays) and mortality attributable to asthma from a national perspective...
January 11, 2018: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/29320825/practical-algorisms-for-pcr-rflp-based-genotyping-of-echinococcus-granulosus-sensu-lato
#10
Hye-Jin Kim, Tae-Soon Yong, Myeong Heon Shin, Kyu-Jae Lee, Gab-Man Park, Uktamjon Suvonkulov, Dmitriy Kovalenko, Hak Sun Yu
Echinococcus granulosus sensu lato (s.l.) is a causative agent of cystic echinococcosis or cystic hydatid disease in humans and domestic and wild animals. The disease is a serious health problem in countries associated with poverty and poor hygiene practices, particularly in livestock raising. We introduced a practical algorism for genotyping the parasite, which may be useful to many developing countries. To evaluate the efficiency of the algorism, we genotyped 3 unknown strains isolated from human patients...
December 2017: Korean Journal of Parasitology
https://www.readbyqxmd.com/read/29316932/why-do-people-participate-in-mass-anti-malarial-administration-findings-from-a-qualitative-study-in-nong-district-savannakhet-province-lao-pdr-laos
#11
Bipin Adhikari, Koukeo Phommasone, Palingnaphone Kommarasy, Xayaphone Soundala, Phonesavanh Souvanthong, Tiengkham Pongvongsa, Gisela Henriques, Paul N Newton, Nicholas J White, Nicholas P J Day, Arjen M Dondorp, Lorenz von Seidlein, Mayfong Mayxay, Phaik Yeong Cheah, Christopher Pell
BACKGROUND: As a part of targeted malaria elimination (TME) in the Greater Mekong Sub-region (GMS), mass drug administration (MDA) with anti-malarials was conducted in four villages in Nong District, Savannakhet Province, Lao PDR (Laos). A high proportion of the target population participated in the MDA, with over 87% agreeing to take the anti-malarial. Drawing on qualitative data collected alongside the MDA, this article explores the factors that led to this high population coverage...
January 9, 2018: Malaria Journal
https://www.readbyqxmd.com/read/29314518/adult-consequences-of-prenatal-drug-exposure
#12
Ju Lee Oei
Maternal drug use is not new but over the last few decades, the number of mothers using drugs of addiction has escalated to epidemic levels. These drugs are both legal (e.g. prescription medication) and illegal (e.g. heroin) and all will cross the placental barrier into the developing infant. The most immediate and obvious consequence of intra-uterine drug exposure is newborn withdrawal or the Neonatal Abstinence Syndrome (NAS) which is now, with prompt recognition and treatment, an uncommon cause of neonatal death...
January 2018: Internal Medicine Journal
https://www.readbyqxmd.com/read/29311178/using-state-administrative-data-to-identify-social-complexity-risk-factors-for-children
#13
Kimberly C Arthur, Barbara A Lucenko, Irina V Sharkova, Jingping Xing, Rita Mangione-Smith
PURPOSE: Screening for social determinants of health is challenging but critically important for optimizing child health outcomes. We aimed to test the feasibility of using an integrated state agency administrative database to identify social complexity risk factors and examined their relationship to emergency department (ED) use. METHODS: We conducted a retrospective cohort study among children younger than 18 years with Washington State Medicaid insurance coverage (N = 505,367)...
January 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29305526/associations-of-neighbourhood-crime-with-adverse-pregnancy-outcomes-among-women-in-chicago-analysis-of-electronic-health-records-from-2009-to-2013
#14
Stephanie L Mayne, Lindsay R Pool, William A Grobman, Kiarri N Kershaw
BACKGROUND: Adverse pregnancy outcomes are associated with higher cardiovascular disease risk among mothers and future health problems of offspring. Neighbourhood crime may contribute to adverse pregnancy outcomes by increasing chronic stress, yet the association has been relatively understudied. METHODS: Electronic health records from 34 383 singleton births at a single hospital in Chicago (2009-2013) were geocoded and linked to 1-year rates of police-recorded crime at the neighbourhood (Chicago community area) level...
January 5, 2018: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/29305437/dementia-in-latin-america-assessing-the-present-and-envisioning-the-future
#15
REVIEW
Mario A Parra, Sandra Baez, Ricardo Allegri, Ricardo Nitrini, Francisco Lopera, Andrea Slachevsky, Nilton Custodio, David Lira, Olivier Piguet, Fiona Kumfor, David Huepe, Patricia Cogram, Thomas Bak, Facundo Manes, Agustin Ibanez
The demographic structure of Latin American countries (LAC) is fast approaching that of developing countries, and the predicted prevalence of dementia in the former already exceeds the latter. Dementia has been declared a global challenge, yet regions around the world show differences in both the nature and magnitude of such a challenge. This article provides evidence and insights on barriers which, if overcome, would enable the harmonization of strategies to tackle the dementia challenge in LAC. First, we analyze the lack of available epidemiologic data, the need for standardizing clinical practice and improving physician training, and the existing barriers regarding resources, culture, and stigmas...
January 5, 2018: Neurology
https://www.readbyqxmd.com/read/29304819/heavy-metal-exposure-and-nasal-staphylococcus-aureus-colonization-analysis-of-the-national-health-and-nutrition-examination-survey-nhanes
#16
Shoshannah Eggers, Nasia Safdar, Kristen Mc Malecki
BACKGROUND: Heavy metals including lead and cadmium can disrupt the immune system and the human microbiota. and are increasingly of concern with respect to the propogation of antibiotic-resistence. Infection by methicillin-resistant Staphylococcus aureus (MRSA) is a major cause of global morbidity and mortality. Heavy metal exposure may be associated with increased MRSA colonization and infection, and a decrease in methicillin-susceptible Staphylococcus aureus (MSSA) through co-selection mechanisms and natural selection of antibiotic resistance in the presence of heavy metals...
January 5, 2018: Environmental Health: a Global Access Science Source
https://www.readbyqxmd.com/read/29303396/mental-health-correlates-of-cigarette-use-in-lgbt-individuals-in-the-southeastern-united-states
#17
Christopher F Drescher, Eliot J Lopez, James A Griffin, Thomas M Toomey, Elizabeth D Eldridge, Lara M Stepleman
BACKGROUND: Smoking prevalence for lesbian, gay, bisexual, and transgender (LGBT) individuals is higher than for heterosexual, cisgender individuals. Elevated smoking rates have been linked to psychiatric comorbidities, substance use, poverty, low education levels, and stress. OBJECTIVES: This study examined mental health (MH) correlates of cigarette use in LGBT individuals residing in a metropolitan area in the southeastern United States. METHODS: Participants were 335 individuals from an LGBT health needs assessment (mean age 34...
January 5, 2018: Substance Use & Misuse
https://www.readbyqxmd.com/read/29302648/incidence-of-malaria-typhoid-co-infection-among-adult-population-in-unwana-community-afikpo-north-local-government-area-ebonyi-state-southeastern-nigeria
#18
O O Odikamnoro, I M Ikeh, F N Okoh, S C Ebiriekwe, I A Nnadozie, J O Nkwuda, G C Asobie
Background: Malaria and typhoid fever are two leading infections of poverty with serious health and socioeconomic impacts, and due to their geographical overlap, co-infections are very common. Their mimicking symptomatology often present with gross misdiagnosis and mistreatment. This study was carried out to determine the incidence of malaria and typhoid co-infections among adult population in Unwana Community, Afikpo-North Local Government Area of Ebonyi State. Materials and Methods: Three hundred and fifty (350) individuals were examined, their blood samples subjected to microscopic examination and widal agglutination tests, for identification of Plasmodium parasites and antibodies to Salmonella enterica serovar typhi respectively...
2018: African Journal of Infectious Diseases
https://www.readbyqxmd.com/read/29300747/household-expenditure-on-leprosy-outpatient-services-in-the-indian-health-system-a-comparative-study
#19
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/29299816/housing-and-food-insecurity-care-access-and-health-status-among-the-chronically-ill-an-analysis-of-the-behavioral-risk-factor-surveillance-system
#20
Paniz Charkhchi, Soudabeh Fazeli Dehkordy, Ruth C Carlos
BACKGROUND: The proportion of the United States population with chronic illness continues to rise. Understanding the determinants of quality of care-particularly social determinants-is critical to the provision of care in this population. OBJECTIVE: To estimate the prevalence of housing and food insecurity among persons with common chronic conditions and to assess the independent effects of chronic illness and sociodemographic characteristics on (1) housing and food insecurity, and (2) health care access hardship and health status...
January 3, 2018: Journal of General Internal Medicine
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