Interrelationship of Poverty and Disease

Ma, Pond

doi:10.2307/4591336

Cited by 14 publications

(8 citation statements)

References 9 publications

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“…The complex relationship between socio-economic status and behavior and disability has been discussed by several authors (9)(10)(11). Although our patients had the same kinds and numbers of health problems as others (12), the older ones in particular showed somewhat atypical utilization patterns.…”

Section: Discussionmentioning

confidence: 48%

Stable Chronic Disease: A Behavioral Model

Byl¹,

Clever²

1977

J American Geriatrics Society

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A three-year study was undertaken in the general medical clinic of a private community hospital, to assess the health behavior, health status, and profile of function of stable chronic disease was developed and tested. It was shown that these patients used a disproportionate amount of health care services. Half of the group was treated by a nurse practitioner/physician team and half by a house officer/preceptor team. Patients in both groups behaved similarly. These patients: 1) made frequent demands for outpatient services but did not need more than average hospital care; 2) tended to have problems of socio-economic indigency; 3) were likely to have hypertension, obesity, arthritis, and functional disease; 4) were chiefly women; 5) required special visits 9 percent of the time, usually for exacerbations of illness or intercurrent health problems; 6) made greater demands if they had functional complaints as a primary or secondary health problem; and 7) viewed their health more positively and functioned at a higher level if they were over 65 years of age. It was also found that the nurse practitioner, working in consultation with a physician, was able to provide high-quality health care.

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Section: Discussionmentioning

confidence: 48%

Stable Chronic Disease: A Behavioral Model

Byl¹,

Clever²

1977

J American Geriatrics Society

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“…This result contradicts the results reported by Bern et al, 2005 who found that income, land ownership and other assets were not important as determinants of KA in Bangladesh 18 . Some studies did fi nd poverty and infectious disease links 5,7,13,19,20 . In the analysis of KA, poverty-disease incidence link is diffi cult to establish due to the interactions between these two variables 5,9,21,22 .…”

Section: Discussionmentioning

confidence: 99%

“…For the success of disease control activities, it is important to design interventions by taking into account not only the environmental factors but also the community level socioeconomic factors. In Nepal, KA is confi ned to 12 low altitude tropical climate districts of the country and a number of studies have mentioned a host of socio-economic, cultural, environmental and governance factors as the root causes of the disease 3,4,5,6,7,8 . Community-level poverty is both a cause and a consequence of poverty and the vicious cycle of poverty and KA makes it one of the most intractable problem for poor communities of the country 5,9 .…”

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confidence: 99%

Kala azar in Nepal: Estimating the effects of socioeconomic factors on disease incidence

Adhikari

Supakankunti

Khan

1970

Kathmandu Univ. Med. J.

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Background: The incidence of Kala Azar (KA), a neglected tropical infectious disease, describes the pattern of disease, but is not principally concerned with explaining its causes. The transmission of the infectious diseases is determined by the complex interactions between environmental and socioeconomic factors. Environmental factors are predicted to have a signifi cant impact on disease transmission; moreover, socioeconomic factors modify the magnitude and direction of these impacts. A number of studies have examined possible determinants of KA in endemic countries of the world; however, most of them appear to have used either qualitative approaches or subjective speculations. None of the studies indicates in quantitative terms the potential effects of poverty-alleviation programs on the incidence of KA. Materials and methods: Data related to charecteristics of community were collected from primary as well as secondary sources. Underlying socioeconomic determints on KA incidence were estimated by exploiting a linear multiple regression. Results:The multivariate analysis has confi rmed that burden of KA is disproportionately borne by vulnerable and marginalized groups. KA is most entrenched in the poorest communities. Elimination of KA is directly related to poverty alleviation because if the poverty incidence reduces by10 percent, it will lead to reduction of KA incidence by 16 percent. The strategy for disease control or elimination should shift from traditional disease-centered approaches to a holistic approach that can break the links between poverty and KA. Conclusions: To achieve the target of elimination of KA in Nepal by 2015, the poverty incidence should be reduced from existing poverty 27 percent to at least 16 percent in KA endemic areas. The association between poverty and KA refl ects causality running in both directions: poverty multiplies KA incidence and KA pushes poor into marginal poor or further poverty.

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“…This work, including especially the extensive study on poverty and health by Kosa and his colleagues,16 indicates a general pattern in which disease prevalence is inversely related to socioeconomic status-with considerably higher rates of mortality and morbidity among the poor and socioeconomically disadvantaged in both rural and urban areas as compared to the more affluent segments of the population. [16][17][18][19][20] In the case of childhood illness and, more specifically, the tracer diseases under consideration here, Kessner notes that there is a dearth of reliable data relating the distribution of these diseases to socioeconomic status, but that in general, the available literature indicates that: 1) "the most common denominator for high rates of middle ear disease is a poverty-related factor," and 2) "the prevalence of anemia is inversely related to social class. "11…”

Section: Discussionmentioning

confidence: 99%

Impact of a rural preventive care outreach program on children's health.

Cowen¹,

Culley²,

Hochstrasser³

et al. 1978

Am J Public Health

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A "treatment-control" research design incorporating a modified "tracer disease" methodology for measuring health outcomes has been applied to the evaluation of a rural pediatric outreach preventive health care program in Appalachia. The primary research objective was to assess the general level of effectiveness of the health services provided by the program in preventing and/or reducing illness due to common childhood diseases among children receiving these services, when compared to similar (i.e., "matched") children receiving standard pediatric outpatient care but without such outreach services.The research findings indicate that prevalence rates for the selected tracer diseases were generally

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Interrelationship of Poverty and Disease

Cited by 14 publications

References 9 publications

Stable Chronic Disease: A Behavioral Model

Stable Chronic Disease: A Behavioral Model

Kala azar in Nepal: Estimating the effects of socioeconomic factors on disease incidence

Impact of a rural preventive care outreach program on children's health.

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