No abstract

Consistent with Biological Sensitivity to Context and Differential Susceptibility hypotheses, this study found that children who, as infants, were more temperamentally reactive were more sensitive to the quality of childcare they experienced as toddlers, but not to the amount of childcare with peers they had experienced since birth. Children with both highly positively and negatively reactive temperaments were more socially integrated when care quality was higher and less integrated when care quality was lower compared with moderately reactive children. Reactive temperament was not found to moderate relations between care quality or care duration and internalizing or externalizing behavior problems. These findings support the need to consider individual differences among children in evaluating the impacts of childcare.

No abstract

No abstract

IntroductionAccompanying rapid urbanization in Bangladesh are inequities in health and healthcare which are most visibly manifested in slums or low-income settlements. This study examines socioeconomic, demographic and geographic patterns of self-reported chronic illness and healthcare seeking among adult slum dwellers in Bangladesh. Understanding these patterns is critical in designing more equitable urban health systems and in enabling the country's goal of Universal Health Coverage by 2030. MethodsThis descriptive cross-sectional study compares survey data from slum settlements located in two urban sites in Bangladesh, Tongi and Sylhet. Reported chronic illness symptoms and associated healthcare-seeking strategies are compared, and the catastrophic impact of household healthcare expenditures are assessed. ResultsSignificant differences in healthcare-seeking for chronic illness were apparent both within and between slum settlements related to sex, wealth score (PPI), and location. Women were more likely to use private clinics than men. Compared to poorer residents, those from wealthier households sought care to a greater extent in private clinics, while poorer households relied more on drug shops and public hospitals. Chronic symptoms also differed. A greater prevalence of musculoskeletal, respiratory, digestive and neurological symptoms was reported among those with lower PPIs. In both slum sites, reliance on the private healthcare market was widespread, but greater in industrialized Tongi. Tongi also experienced a higher probability of catastrophic expenditure than Sylhet.