Child health, parasites and lower socioeconomic status: Outcomes of a long-term screening, intervention and training study by health volunteers in rural Nepal.

Acta Tropica ◽  
2020 ◽  
Vol 202 ◽  
pp. 105263
Author(s):  
Aral Sürmeli ◽  
Tuana Tolunay ◽  
Yesim Yasin ◽  
Hülya Kusoglu ◽  
Abdullah Arcan ◽  
...  
Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Mark R Helmers ◽  
William Patrick ◽  
Cody Fowler ◽  
Amit Iyengar ◽  
Jason J Han ◽  
...  

Introduction: Lower socioeconomic status (SES) has been associated with worse outcomes in patients undergoing cardiac surgery; however, this has not been fully elucidated in mitral valve (MV) surgery. We sought to determine the effect of SES on short-term outcomes and long-term mortality following MV surgery. Hypothesis: Lower SES is associated with higher mortality following isolated MV surgery. Methods: Retrospective analysis of our institution’s MV database was performed between November 1998 and March 2019 for all adult patients undergoing isolated MV surgery in our state and 4 neighboring states. Patients for whom address data was missing were excluded. SES was determined by the Area Deprivation Index (ADI). The ADI uses 17 social determinants of heath to estimate the average SES for all US Census Block Groups (mean 1500 people). This score is then nationally indexed from 1 to 100, with lower SES represented by higher scores. Patients were stratified by ADI quartiles. Baseline characteristics and postoperative outcomes were compared between quartiles. Results: Overall, 3,860 surgeries met inclusion criteria during the study period. Of these, 1,795 (46.5%) patients fell into the lowest ADI quartile, 1,216 (31.5%) in the second quartile, 476 (12.3%) in the third quartile, and 344 (8.9%) in the highest quartile. 30-day mortality was not significantly different between ADI quartiles and ADI was not a significant determinate of 30-day survival in a multivariable logistical regression. Figure 1 show the distribution of patient addresses within Census Block Groups as well as 10-year survival by Kaplan-Meier estimates, stratified by ADI quartiles. Cox proportional hazards model revealed that lower SES as determined by ADI was associated with increased 10-year mortality (P = 0.008). Conclusions: Lower SES is associated with worse long-term survival in patients undergoing isolated MV surgery. Social interventions to bridge this survival gap are warranted.


2015 ◽  
Vol 52 (1) ◽  
pp. 98-128 ◽  
Author(s):  
Jackelyn Hwang

This study draws upon cognitive maps and interviews with 56 residents living in a gentrifying area to examine how residents socially construct neighborhoods. Most minority respondents, regardless of socioeconomic status and years of residency, defined their neighborhood as a large and inclusive spatial area, using a single name and conventional boundaries, invoking the area’s Black cultural history, and often directly responding to the alternative way residents defined their neighborhoods. Both long-term and newer White respondents defined their neighborhood as smaller spatial areas and used a variety of names and unconventional boundaries that excluded areas that they perceived to have lower socioeconomic status and more crime. The large and inclusive socially constructed neighborhood was eventually displaced. These findings shed light on how the internal narratives of neighborhood identity and boundaries are meaningfully tied to a broader structure of inequality and shape how neighborhood identities and boundaries change or remain.


2019 ◽  
Vol 42 (8) ◽  
pp. 735-740
Author(s):  
Ankit N. Medhekar ◽  
Shubash Adhikari ◽  
Ahmed S. Abdul‐Al ◽  
Sayna Matinrazm ◽  
Krishna Kancharla ◽  
...  

2018 ◽  
Vol 33 (7) ◽  
pp. 468-473 ◽  
Author(s):  
Pratibha Singhi ◽  
Prabhjot Malhi ◽  
Renu Suthar ◽  
Brijendra Deo ◽  
N. K. Khandelwal

To study the cognitive profile and scholastic performance of children with parenchymal neurocysticercosis. A total of 500 children with a diagnosis of neurocysticercosis and epilepsy registered in our pediatric neurocysticercosis clinic between January 1996 and December 2002 were enrolled. Patients were evaluated for their scholastic performance using their school grades. Cognitive assessment was done using Parental interview and the “Draw-a-Man” test. Poor scholastic performance was seen in 22.2% (111) children. Draw-a-Man test was done in 148 children; 18.2% (27/148) had scores equivalent to IQ <70. Intermittent headache, behavior problems, and poor memory were reported in 40% (201) children. Multiple lesions, lower socioeconomic status, and calcified lesions on follow-up were associated with academic underachievement ( P < .05). About a fourth of children with neurocysticercosis had cognitive impairment during follow-up. This was mostly seen in children from lower socioeconomic status and in those with multiple-lesion neurocysticercosis.


2021 ◽  
pp. 0169796X2199685
Author(s):  
Svenn-Erik Mamelund ◽  
Jessica Dimka ◽  
Nan Zou Bakkeli

In the absence of vaccines to fight the COVID-19 pandemic, in 2020 governments had to respond by rely on non-pharmaceutical interventions (NPIs). Socioeconomic inequalities likely influenced the uptake of NPIs. Using Norwegian survey data, we study whether income was associated with increased handwashing, keeping 1 m distance, using facemasks increased use of home office, and less use of public transportation. Except for using facemasks and less public transportation in a non-work context, all analyzed NPIs showed an independent positive association with income. Social disparities in NPI uptake may be important drivers of higher risks of disease outcomes for people of lower socioeconomic status.


2017 ◽  
Vol 32 (3) ◽  
Author(s):  
Courtney L Hundley ◽  
Richard W. Wilson ◽  
John Chenault ◽  
Jamie L. Smimble

This was an exploratory study to assess the association between density of fringe lenders (e.g.payday) and health status. For Louisville, Kentucky, ZIP code level data on hospitalizations and mortalityrates as health measures were compared to fringe bank locations. We found lower socioeconomic status(SES) positively correlated with greater frequency of fringe banks; rates of illness appear to be higher in ZIPcodes with more fringe banks, but this finding was not statistically significant. In conclusion, neighbor-hoods between higher frequencies of fringe banks appear to have poorer health; it is premature to rule in orrule out a direct or indirect association between neighborhood presence of fringe banks, but there is enoughevidence to justify additional research to put any conclusions on a firmer footing.


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