Prospects of mHealth to Improve the Health of the Disadvantaged Population in Bangladesh

2014 ◽  
pp. 465-484
Keyword(s):  
Disadvantaged Population

scholarly journals Consistent Honor, Persistent Disadvantage: American Indian and Alaska Native Veteran Health in the National Survey of Veterans

2021 ◽  
Vol 33 (7-8_suppl) ◽  
pp. 68S-81S
Author(s):  
Kimberly R. Huyser ◽  
Sofia Locklear ◽  
Connor Sheehan ◽  
Brenda L. Moore ◽  
John S. Butler
Keyword(s):  
Socioeconomic Status ◽  
American Indian ◽  
National Survey ◽  
Alaska Native ◽  
Daily Living ◽  
Disadvantaged Population ◽  
Additional Support ◽  
Fair Poor ◽  
National Survey Of Veterans ◽  
Hispanic White

Objective: To examine self-rated health and activities of daily living (ADLs) limitations among American Indian and Alaska Native (AI/AN) veterans relative to white veterans. Methods: We use the 2010 National Survey of Veterans and limit the sample to veterans who identify as AI/AN or non-Hispanic white. We calculated descriptive statistics, confidence intervals, and used logistic regression. Results: AI/AN veterans are younger, have lower levels of income, and have higher levels of exposure to combat and environmental hazards compared to white veterans. We found that AI/AN veterans are significantly more likely to report fair/poor health controlling for socioeconomic status and experience an ADL controlling for age, health behaviors, socioeconomic status, and military factors. Discussion: The results indicate that AI/AN veterans are a disadvantaged population in terms of their health and disability compared to white veterans. AI/AN veterans may require additional support from family members and/or Veteran Affairs to address ADLs.

scholarly journals Situational analysis of diabetic retinopathy treatment Services in Ghana

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Agatha Mensah-Debrah ◽  
Kwesi Nyan Amissah Arthur ◽  
David Ben Kumah ◽  
Kwadwo Owusu Akuffo ◽  
Isaiah Osei Duah ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Vitreoretinal Surgery ◽  
Health Facilities ◽  
Service Utilisation ◽  
Eye Care ◽  
Treatment Service ◽  
Treatment Services ◽  
Disadvantaged Population ◽  
Anti Vegf ◽  
Geographical Regions

Abstract Background Although the equitable distribution of diabetic retinopathy (DR) services across Ghana remains paramount, there is currently a poor understanding of nationwide DR treatment services. This study aims to conduct a situation analysis of DR treatment services in Ghana and provide evidence on the breadth, coverage, workload, and gaps in service delivery for DR treatment. Methods A cross-sectional study was designed to identify health facilities which treat DR in Ghana from June 2018 to August 2018. Data were obtained from the facilities using a semi-structured questionnaire which included questions identifying human resources involved in DR treatment, location of health facilities with laser, vitreoretinal surgery and Anti–vascular endothelial growth factor therapy (Anti-VEGF) for DR treatment, service utilisation and workload at these facilities, and the average price of DR treatment in these facilities. Results Fourteen facilities offer DR treatment in Ghana; four in the public sector, seven in the private sector and three in the Christian Health Association of Ghana (CHAG) centres. There was a huge disparity in the distribution of facilities offering DR services, the eye care cadre, workload, and DR treatment service (retinal laser, Anti-VEGF, and vitreoretinal surgery). The retinal laser treatment price was independent of all variables (facility type, settings, regions, and National Health Insurance Scheme coverage). However, settings (p = 0.028) and geographical regions (p = 0.010) were significantly associated with anti-VEGF treatment price per eye. Conclusion Our results suggest a disproportionate distribution of DR services in Ghana. Hence, there should be a strategic development and implementation of an eye care plan to ensure the widespread provision of DR services to the disadvantaged population as we aim towards a disadvantaged population as we aim towards a universal health coverage.

scholarly journals Predictors of 10-year mortality in a population of community-dwelling Brazilian elderly: the Bambuí cohort study of aging

2011 ◽  
Vol 27 (suppl 3) ◽  
pp. s360-s369 ◽  
Author(s):  
Maria Fernanda Lima-Costa ◽  
Sergio Viana Peixoto ◽  
Divane L. Matos ◽  
Josélia O. A. Firmo ◽  
Elizabeth Uchôa
Keyword(s):  
Cohort Study ◽  
Community Dwelling ◽  
Socioeconomically Disadvantaged ◽  
Never Married ◽  
Predictors Of Mortality ◽  
Disadvantaged Population ◽  
Lost To Follow Up ◽  
State Examination ◽  
Cruzi Infection

We used data on 1,399 participants aged 60 and over from the Bambuí Cohort Study of Aging to examine predictors of mortality in a socioeconomically disadvantaged population. From 1997 to 2007, 599 participants died and 6.2% were lost to follow-up, leading to 12,415 person-years (pyrs) of observation. The death rate was 48.3 per 1,000 pyrs. Age (adjusted hazard ratio [HR] = 1.40), male gender (HR = 1.80), never married (HR = 1.78) or a widow (HR = 1.26), poor self-rated health (HR = 1.31), inability to perform four or more activities of daily living (HR = 3.29), number of cardiovascular risk factors (HR = 1.51 for two and HR = 1.91 for three or more), Trypanosoma cruzi infection (HR = 1.27), and number of medications (HR = 1.06) were each significantly (p < 0.05) and independently associated with mortality. The Mini-Mental State Examination score showed a protective effect (HR = 0.96). Except T. cruzi infection, other predictors of mortality were highly consistent with those found in more affluent elderly populations.

scholarly journals Effects of income inequality on COVID-19 infections and deaths during the first wave of the pandemic: Evidence from European countries

2021 ◽  
Author(s):  
David A. Sánchez-Páez
Keyword(s):  
Income Inequality ◽  
Gini Index ◽  
Statistical Significance ◽  
Positive Association ◽  
European Countries ◽  
Multivariate Models ◽  
Disadvantaged Population ◽  
Loess Regression ◽  
Bivariate Models ◽  
Lower Health

Evidence from research on infectious diseases suggests that income inequality is related to higher rates of infection and death in disadvantaged population groups. Our objective is to examine whether there was an association between income inequality and the numbers of cases and deaths during the first wave of the COVID- 19 pandemic in European countries. We determined the duration of the first wave by first smoothing the number of daily cases, and then using a LOESS regression to fit the smoothed trend. Next, we estimated quasi-Poisson regressions. Results from the bivariate models suggest there was a moderate positive association between the Gini index values and the cumulated number of infections and deaths during the first wave, although the statistical significance of this association disappeared when controls were included. Results from multivariate models suggest that higher numbers of infections and deaths from COVID-19 were associated with countries having more essential workers, larger elderly populations and lower health care capacities.

scholarly journals A cross sectional survey of internet use among a highly socially disadvantaged population of tobacco smokers

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Sam McCrabb ◽  
Laura Twyman ◽  
Kerrin Palazzi ◽  
Ashleigh Guillaumier ◽  
Christine Paul ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Internet Use ◽  
Internet Access ◽  
The Internet ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Disadvantaged Population ◽  
Socially Disadvantaged ◽  
Frequent Use ◽  
Device Use

Abstract Background Tobacco smoking is highest among population groups which are the most socially disadvantaged. Internet-based smoking cessation programs have been found to be effective, though rates of internet access are not well known in these groups. This study describes the rates of internet use and types of technology used to access the internet by a population of socially disadvantaged smokers. The study also examined relationships between sociodemographic and smoking behaviours with amount of internet use and type of device used. Methods A cross-sectional survey of 369 clients (response rate 77%) from two non-government community service organisations in metropolitan New South Wales, Australia was conducted using touchscreen computers. Descriptive statistics and logistic regressions were used to examine results. Results Eligible participants ranged from 19 to 88 years old current tobacco users. Over half (58%) of the participants reported weekly or more frequent use of the internet with less than a third (28%) not having any access. The odds of using the internet at least weekly decreased with age and as heaviness of smoking increased (OR = 0.94, p < 0.001; OR = 0.81, p = 0.022, respectively). Odds of internet use were higher as income increased (OR = 2.74, p < 0.001 for individuals earning $201–$400 per week; OR = 2.83, p = 0.006 for individuals earning > $400 per week). Device use differed for age and income. Conclusions Internet-based interventions appear to reach the majority of socially disadvantaged populations. It is expected that this reach will continue to grow, making internet-based interventions a potential platform for providing care to low socioeconomic individuals who smoke, however inequalities may be exacerbated for those individual without internet access. Implications Internet use among socially disadvantaged tobacco users is moderate (58%). An internet-based smoking cessation intervention for socially disadvantaged tobacco users may be an effective intervention however, older, heavier tobacco users may not benefit as easily due to limited internet access and therefore acknowledging these limitations when developing an intervention can help to acknowledge limitation of intervention reach.

scholarly journals Burden of adverse childhood experiences in children attending paediatric clinics in South Western Sydney, Australia: a retrospective audit

2019 ◽  
Vol 3 (1) ◽  
pp. e000330 ◽  
Author(s):  
Yuanee Mary Wickramasinghe ◽  
Shanti Raman ◽  
Pankaj Garg ◽  
Romy Hurwitz
Keyword(s):  
Adverse Childhood Experiences ◽  
Age Groups ◽  
Clinical Information ◽  
Vulnerable Children ◽  
Childhood Experiences ◽  
Disadvantaged Population ◽  
Retrospective Audit ◽  
Adverse Childhood ◽  
Significant Burden ◽  
Developmental Health

ObjectivesAdverse childhood experiences (ACE) are associated with poor short, medium and long-term health outcomes. South Western Sydney (SWS) has a large culturally diverse population, including many disadvantaged population groups. Our aims were to determine the burden of ACE in children attending community paediatric (CP) clinics using a purposefully developed ACE checklist, and explore any association with developmental health of children.MethodsWe trialled the ACE checklist in all CP clinics including child development (CD) and vulnerable child (VC) clinics between February 2017 and August 2017. Data were collated from completed ACE checklists and relevant clinical information from CP clinics. Statistical analysis was performed using SPSS and MedCalc software.ResultsOf 279 children seen in CP clinics with checklists completed for the period, 167 (60%) attended CD clinics and 112 (40%) attended VC clinics. Seventy-eight (28%) had ACE ≥4 and 178 (64%) had ACE ≥1. Of those attending CD clinics, 8 (5%) had ACE ≥4 compared with 70 (63%) attending VC clinics (p<0.001). Of all age groups, children ≥10 years of age had the highest proportion of children with ACE ≥4 (65%); significant association between age group and ACE ≥4 (p<0.001). There was a significant association between cultural background and ACE ≥4 (p<0.001); indigenous children had the highest proportion of ACE ≥4 (n=21; 64%), followed by Anglo-Australian children (55%). On logistic regression analysis, only attending VC clinics was significantly associated with ACE ≥4. There was no significant association between ACE ≥4 and developmental health.ConclusionAmong children attending CP clinics in SWS, more than a quarter had a significant burden of ACE; those attending specialised clinics for vulnerable children, those from particular ethnic groups and from older age groups, had the highest burden of ACE. Our findings support the need for specialised pathways for paediatric assessment for vulnerable, at-risk children.

scholarly journals Randomized Trial on Mindfulness Training for Smokers Targeted to a Disadvantaged Population

2014 ◽  
Vol 49 (5) ◽  
pp. 571-585 ◽  
Author(s):  
James M. Davis ◽  
Simon B. Goldberg ◽  
Maggie C. Anderson ◽  
Alison R. Manley ◽  
Stevens S. Smith ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Mindfulness Training ◽  
Disadvantaged Population

Environmental Justice in Warehousing Location

2018 ◽  
Vol 33 (3) ◽  
pp. 287-298 ◽  
Author(s):  
Quan Yuan
Keyword(s):  
Environmental Justice ◽  
Environmental Impacts ◽  
Metropolitan Areas ◽  
Location Choice ◽  
Spatial Relationship ◽  
Environmental Hazards ◽  
Local Communities ◽  
Firm Location ◽  
Spatial Expansion ◽  
Disadvantaged Population

With the rapid spatial expansion of the warehousing industry in major metropolitan areas, environmental impacts associated with warehousing activities have been growing in the recent decades. This study focuses on the disproportionate distribution of warehousing facilities in disadvantaged neighborhoods and discusses how the disparities result from the interactions between various socioeconomic processes. From the perspective of environmental justice, warehousing-related environmental hazards affect the spatial relationship between warehouses and local communities. The changing factors in the firm location choice of warehousing facilities and the housing location choice of disadvantaged population jointly lead to the environmental justice problem in warehousing location.

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