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https://www.readbyqxmd.com/read/28535258/invited-commentary-beyond-individuals-area-poverty-and-health-or-the-search-for-an-impactful-epidemiology
#1
Ana V Diez Roux
In this commentary, I reflect on the paper "Poverty and Health: Prospective Evidence From the Alameda County Study" by Haan et al. (Am J Epidemiol. 1987;125(6):989-998), which together with supporting work ushered in a surge of epidemiologic interest in the impact of social contexts on health. I discuss why the paper was influential and how the premise of this type of work influenced theories and methods in epidemiology. The paper is placed in the broader context of the nature of evidence in epidemiology and the ultimate purpose of epidemiologic inquiry...
May 23, 2017: American Journal of Epidemiology
https://www.readbyqxmd.com/read/28532556/ethical-challenges-in-the-provision-of-dialysis-in-resource-constrained-environments
#2
REVIEW
Valerie A Luyckx, Ingrid Miljeteig, Addisu M Ejigu, M Rafique Moosa
The number of patients requiring dialysis by 2030 is projected to double worldwide, with the largest increase expected in low- and middle-income countries (LMICs). Dialysis is seldom considered a high priority by health care funders, consequently, few LMICs develop policies regarding dialysis allocation. Dialysis facilities may exist, but access remains highly inequitable in LMICs. High out-of-pocket payments make dialysis unsustainable and plunge many families into poverty. Patients, families, and clinicians suffer significant emotional and moral distress from daily life-and-death decisions imposed by dialysis...
May 2017: Seminars in Nephrology
https://www.readbyqxmd.com/read/28532403/assessing-the-impoverishment-effects-of-out-of-pocket-healthcare-payments-prior-to-the-uptake-of-the-national-health-insurance-scheme-in-ghana
#3
James Akazili, John Ele-Ojo Ataguba, Edmund Wedam Kanmiki, John Gyapong, Osman Sankoh, Abraham Oduro, Di McIntyre
BACKGROUND: There is a global concern regarding how households could be protected from relatively large healthcare payments which are a major limitation to accessing healthcare. Such payments also endanger the welfare of households with the potential of moving households into extreme impoverishment. This paper examines the impoverishing effects of out-of-pocket (OOP) healthcare payments in Ghana prior to the introduction of Ghana's national health insurance scheme. METHODS: Data come from the Ghana Living Standard Survey 5 (2005/2006)...
May 22, 2017: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/28532399/economic-stress-and-condescending-treatment-in-childhood-and-adult-self-rated-health-results-from-a-population-study-in-sweden
#4
Fredrik Granström, Hans-Georg Eriksson, Anu Molarius
BACKGROUND: Even today, 12% of the children in Sweden live in poverty and many children are exposed to adverse experiences, such as being bullied, which may have long-term consequences on public health. This study examined the associations between economic stress and condescending treatment in childhood and self-rated health (SRH) in adulthood. METHODS: The study is based on 26,706 persons who responded to a postal survey questionnaire sent to a random sample of men and women aged 25-84 years in 2012 (response rate 53%)...
May 22, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28529221/close-together-far-apart-an-assessment-of-the-public-health-needs-of-three-geographically-proximate-communities-in-central-haiti
#5
Kevin A Pettit, Jacob R Kundert, John M VanBuren, William T Story, Christopher T Buresh
Haiti, a country marked by extreme poverty and poor health, is also an active site for thousands of non-governmental organizations. The community needs assessment is an important tool that allows aid organizations to understand better community perspectives regarding health. In this study, 84 community members were interviewed across three geographically proximate communities in the Arcahaie region of Haiti to identify similarities and differences in community needs. Overall, the most important public health-related problems included access to clean water, sanitation, health care, and education...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28527472/-leaving-no-one-behind-reflections-on-the-design-of-community-based-hiv-prevention-for-migrants-in-johannesburg-s-inner-city-hostels-and-informal-settlements
#6
Fiona Scorgie, Jo Vearey, Monique Oliff, Jonathan Stadler, Emilie Venables, Matthew F Chersich, Sinead Delany-Moretlwe
BACKGROUND: Unmanaged urban growth in southern and eastern Africa has led to a growth of informal housing in cities, which are home to poor, marginalised populations, and associated with the highest HIV prevalence in urban areas. This article describes and reflects on the authors' experiences in designing and implementing an HIV intervention originally intended for migrant men living in single-sex hostels of inner-city Johannesburg. It shows how formative research findings were incorporated into project design, substantially shifting the scope of the original project...
May 20, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28527271/self-rated-health-multimorbidity-and-depression-in-mexican-older-adults-proposal-and-evaluation-of-a-simple-conceptual-model
#7
Eduardo Bustos-Vázquez, Julián Alfredo Fernández-Niño, Claudia Iveth Astudillo-Garcia
INTRODUCTION: Self-rated health is an individual and subjective conceptualization involving the intersection of biological, social and psychological factors. It provides an invaluable and unique evaluation of a person's general health status. OBJECTIVE: To propose and evaluate a simple conceptual model to understand self-rated health and its relationship to multimorbidity, disability and depressive symptoms in Mexican older adults. MATERIALS AND METHODS: We conducted a cross-sectional study based on a national representative sample of 8,874 adults of 60 years of age and older...
April 1, 2017: Biomédica: Revista del Instituto Nacional de Salud
https://www.readbyqxmd.com/read/28521791/exploring-the-role-of-socioeconomic-factors-in-the-development-and-spread-of-anti-malarial-drug-resistance-a-qualitative-study
#8
Philip Emeka Anyanwu, John Fulton, Etta Evans, Timothy Paget
BACKGROUND: Malaria remains a global health issue with the burden unevenly distributed to the disadvantage of the developing countries of the world. Poverty contributes to the malaria burden as it has the ability to affect integral aspects of malaria control. There have been renewed efforts in the global malaria control, resulting in reductions in the global malaria burden over the last decade. However, the development of resistance to artemisinin-based combination therapy threatens the sustainability of the present success in malaria control...
May 18, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28520758/cumulative-family-risks-across-income-levels-predict-deterioration-of-children-s-general-health-during-childhood-and-adolescence
#9
Yi-Ching Lin, Dong-Chul Seo
Family is considered an important agent in the health development of children. This process is significant but quite complex because the prevalence of potential risk factors in the family can hinder children's health. This study examined if multiple family risks might have cumulative effect on children and youth's health across various levels of household income. The data in this study were drawn from the 2011-2012 U.S. National Survey of Children's Health (N = 79,601). A cumulative family risk (CFR) index was developed, which included such constructs as single-parenthood, unstable employment, large family, parenting stress, poor maternal education, poor maternal general health and poor maternal mental health...
2017: PloS One
https://www.readbyqxmd.com/read/28520683/socioeconomic-consequences-of-systemic-lupus-erythematosus
#10
Megan R W Barber, Ann E Clarke
PURPOSE OF REVIEW: The present review addresses recent literature investigating the socioeconomic consequences of systemic lupus erythematosus (SLE). We highlight the latest updates on health disparities affecting the SLE population, the direct and indirect economic costs of the disease, and less quantifiable costs such as reduced health-related quality of life (HRQoL). RECENT FINDINGS: Health disparities continue to exist among socially disadvantaged populations, including African Americans, Hispanics, and patients with decreased educational attainment and in poverty...
May 16, 2017: Current Opinion in Rheumatology
https://www.readbyqxmd.com/read/28520490/contextualizing-the-social-determinants-of-health-disparities-in-disability-by-educational-attainment-across-us-states
#11
Jennifer Karas Montez, Anna Zajacova, Mark D Hayward
OBJECTIVES: To examine how disparities in adult disability by educational attainment vary across US states. METHODS: We used the nationally representative data of more than 6 million adults aged 45 to 89 years in the 2010-2014 American Community Survey. We defined disability as difficulty with activities of daily living. We categorized education as low (less than high school), mid (high school or some college), or high (bachelor's or higher). We estimated age-standardized disability prevalence by educational attainment and state...
May 18, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28503361/a-review-of-the-key-considerations-in-mental-health-services-research-a-focus-on-low-income-children-and-families
#12
Deborah J Jones, Margaret Anton, Chloe Zachary, Sarah Pittman, Patrick Turner, Rex Forehand, Olga Khavjou
Children have been particularly vulnerable to the economic challenges of the past decade, with half (45 to 51%) of children under the age of 18 living in a low-income home and nearly 22% of those living in poverty. Low-income children are overrepresented in a range of statistics on psychosocial maladjustment issues, but their families are less likely than other socioeconomic groups to participate in mental health services and intervention research. Thus, this review asserts that substantive advances in mental health services and intervention research with low income families must move beyond a between-group, deficit-focused perspective to a more nuanced contemplation of how to: 1) Operationalize the "income" in low-income families; 2) Disentangle the interrelationship of low income, race, and ethnicity; and 3) Optimize recruitment, engagement and retention efforts via sensitivity to the culture of low-income status...
December 2016: Couple & Family Psychology
https://www.readbyqxmd.com/read/28502224/diagnosis-and-treatment-of-paediatric-tuberculosis-an-insight-review
#13
Nityananda Mandal, Parveen Kumar Anand, Subhash Gautam, Shritam Das, Tahziba Hussain
Tuberculosis (TB) is a major public health problem, invading all age groups world-wide. It is an opportunistic infection affecting the individuals alone or with co-infections. Childhood TB is a neglected aspect and a significant health problem in epidemic areas. It constitutes more than 20% of TB incidence. Pediatric TB exists in the shadow of adult TB. The clinicians concentrate on pulmonary manifestation of TB, whereas it is a major problem in both pulmonary and extra-pulmonary infections. The rate of infection with this disease is mostly associated with poverty, social disruption and human immunodeficiency virus (HIV) infection...
August 2017: Critical Reviews in Microbiology
https://www.readbyqxmd.com/read/28501239/economic-insecurity-and-intimate-partner-and-sexual-violence-victimization
#14
Matthew J Breiding, Kathleen C Basile, Joanne Klevens, Sharon G Smith
INTRODUCTION: Previous research has consistently found that low SES is associated with higher levels of both intimate partner violence (IPV) and sexual violence (SV) victimization. Though associated with poverty, two indicators of economic insecurity, food and housing insecurity, have been identified as conceptually distinct social determinants of health. This study examined the relationship between food and housing insecurity experienced in the preceding 12 months and IPV and SV victimization experienced in the preceding 12 months, after controlling for SES and other demographic variables...
May 10, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28498841/awareness-and-attitudes-towards-anthrax-and-meat-consumption-practices-among-affected-communities-in-zambia-a-mixed-methods-approach
#15
Doreen Chilolo Sitali, Chisoni Mumba, Eystein Skjerve, Oliver Mweemba, Consolata Kabonesa, Mwinyi Omary Mwinyi, Luke Nyakarahuka, John Bwalya Muma
BACKGROUND: In Zambia, human anthrax cases often occur following cases of animal anthrax. Human behaviour has been implicated in this transmission. The objective of the study was to explore human behavioural patterns that may contribute to outbreaks of anthrax among affected communities. METHODS: A mixed methods study was conducted in four districts of Zambia from November 2015 to February 2016. A cross sectional survey involving 1,127 respondents, six focus group discussions and seven key informant interviews with professional staff were conducted...
May 12, 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28498650/medicare-beneficiaries-high-out-of-pocket-costs-cost-burdens-by-income-and-health-status
#16
Cathy Schoen, Karen Davis, Amber Willink
ISSUE: Fifty-six million people--17 percent of the U.S. population--rely on Medicare. Yet, its benefits exclude dental, vision, hearing, and long-term services, and it contains no ceiling on out-of-pocket costs for covered services, exposing beneficiaries to high costs. GOAL: To inform discussion of possible changes to Medicare, this issue brief looks at beneficiaries’ out-of-pocket costs by income and health status. METHODS: Spending estimates based on the Medicare Current Beneficiary Survey. FINDINGS AND CONCLUSION: More than one-fourth of all Medicare beneficiaries--15 million people--spend 20 percent or more of their incomes on premiums plus medical care, including cost-sharing and uncovered services...
May 2017: Issue Brief of the Commonwealth Fund
https://www.readbyqxmd.com/read/28495835/uk-poverty-has-devastating-effect-on-children-s-health-doctors-warn
#17
Gareth Iacobucci
No abstract text is available yet for this article.
May 11, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28495384/medicinal-chemistry-of-antischistosomal-drugs-praziquantel-and-oxamniquine
#18
REVIEW
Vinícius Barros Ribeiro da Silva, Bruna Rafaella Koresch Leiva Campos, Jamerson Ferreira de Oliveira, Jean-Luc Decout, Maria do Carmo Alves de Lima
Neglected tropical diseases (NTDs) are a group of diseases that, besides prevailing in poverty conditions, contribute to the maintenance of social inequality, being a strong barrier to a country development. Schistosomiasis, a NTD, is a tropical and subtropical disease caused by the trematode Schistosoma mansoni (Africa, Middle East, Caribbean, Brazil, Venezuela, Suriname), japonicum (China, Indonesia, the Philippines), mekongi (several districts of Cambodia and the Lao People's Democratic Republic), intercalatum and guianensis (areas of tropical rainforests in Central Africa) and hematobium (Middle East Africa, Corsica, France) whose adult forms inhabit the mesenteric vessels of the host, while the intermediate forms are found in the aquatic gastropod snails of the genus Biomphalaria...
April 27, 2017: Bioorganic & Medicinal Chemistry
https://www.readbyqxmd.com/read/28495101/maternal-and-child-health-in-israel-building-lives
#19
REVIEW
Lisa Rubin, Ilana Belmaker, Eli Somekh, Jacob Urkin, Mary Rudolf, Mira Honovich, Natalya Bilenko, Zachi Grossman
Israel is home to a child-oriented society that values strong family ties, universal child benefits, and free education for all children from 3 years of age to school grade 12. Alongside the universal health-care services that are guaranteed by the National Health Insurance Law and strong, community-based primary and preventive care services, these values have resulted in good maternal and child health. In 2015, infant and maternal mortality (3·1 deaths per 1000 livebirths and 2·0 deaths per 100 000 livebirths, respectively) were lower than the mean infant and maternal mortality of countries within the Organisation for Economic Co-operation and Development...
May 5, 2017: Lancet
https://www.readbyqxmd.com/read/28493694/community-vulnerability-to-health-impacts-of-wildland-fire-smoke-exposure
#20
Ana G Rappold, Jeanette M Reyes, George Pouliot, Wayne E Cascio, David Diaz-Sanchez
Identifying communities vulnerable to adverse health effects from exposure to wildfire smoke may help prepare responses, increase the resilience to smoke and improve public health outcomes during smoke days. We developed a Community Health-Vulnerability Index (CHVI) based on factors known to increase the risks of health effects from air pollution and wildfire smoke exposures. These factors included county prevalence rates for asthma in children and adults, chronic obstructive pulmonary disease, hypertension, diabetes, obesity, percent of population 65 years of age and older, and indicators of socioeconomic status including poverty, education, income and unemployment...
May 11, 2017: Environmental Science & Technology
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