scholarly journals The impact of diarrhoea in infants on the quality of life of low-income households

2008 ◽  
Vol 50 (2) ◽  
pp. 62-62c ◽  
Author(s):  
M Murray ◽  
M Versteeg ◽  
J Hugo
2020 ◽  
Vol 7 (2) ◽  
pp. 1-5
Author(s):  
Paraschiva Chereches-Panta

Low socioeconomic level may contribute to the severity of asthma, frequency of exacerbation, and hospitalization and affects the quality of life. The aim of the study was to evaluate the impact of socioeconomic status (SES) on general score of quality of life (GSQL). Methods: The study group included children aged between 8-16 years with persistent asthma, and we followed them up 12 months. We analyzed the location and the size of the household, educational level, and employment status of parents and family income. The GSQL was obtained based on the questionnaire of quality of life in children with asthma. According to the SES, we divided the study group into high income and low-income groups. Results: Half of the patients belonged to families with low income. There were no significant differences in GSQL regarding the living area, educational level, and parents' employment status. The general score of quality of life was higher in patients from the high-income group than those with lower income at the beginning of the study (5.04±1.09 versus 4.43±0.97; p=0.0101). Alter 12 months GSQL increased significantly in both groups (6.57±0.57 versus 6.49±0.56; p=0.3167). The quality of life was not affected by atopic status. Conclusions: The low income has a negative impact on children GSQL. The educational level and employment status of parents, rural area, and the association of other allergic diseases do not affect the quality of life.


Author(s):  
Clifford C Sheckter ◽  
Gretchen J Carrougher ◽  
Steven E Wolf ◽  
Jeffrey C Schneider ◽  
Nicole Gibran ◽  
...  

Abstract Introduction The costs required to provide acute care for patients with serious burn injuries are significant. In the US, these costs are often shared by patients. However, the impacts of pre-injury finances on health-related quality of life (HRQL) have been poorly characterized. We hypothesized that lower income and public payers would be associated with poorer HRQL. Methods Burn survivors with complete data for pre-injury personal income and payer status were extracted from the longitudinal Burn Model System National Database. HRQL outcomes were measured with VR-12 scores at 6, 12, and 24 months post-injury. VR-12 scores were evaluated using generalized linear models, adjusting for potential confounders (e.g., age, gender, self-identified race, burn injury severity). Results 453 participants had complete data for income and payer status. More than one third of BMS participants earned less than $25,000/year (36%), 24% earned $25,000-49,000/year, 23% earned $50,000-99,000/year, 11% earned $100,000-149,000/year, 3% earned $150,000-199,000/year, and 4% earned >$200,000/year. VR-12 mental component (MCS) and physical component summary (PCS) scores were highest for those who earned $150-199k/year (55.8 and 55.8), and lowest for those who earned <$25,000/year (49.0 and 46.4). After adjusting for demographics, payer, and burn severity, 12-month MCS and PCS and 24-month PCS scores were negatively associated with Medicare payer (p<0.05). Low income was not significantly associated with lower VR-12 scores. Conclusion There was a peaking relationship between HRQL and middle-class income, but this trend was not significant after adjusting for covariates. Public payers, particularly Medicare, were independently associated with poorer HRQL. The findings might be used to identify those at risk of financial toxicity for targeting assistance during rehabilitation.


2021 ◽  
Vol 34 (1) ◽  
pp. 81-87
Author(s):  
Tatiany Roque ◽  
Isabela Magnani ◽  
Saul Paiva ◽  
Lucas Abreu

The aim of this study was to assess the impact of oral conditions on the oral health-related quality of life (OHRQoL) of early adolescents aged 11 to 14 years in the rural population of a Brazilian municipality. Adolescents attending public schools in the municipality participated in the study. OHRQoL was measured using the short Brazilian version of the Child Perceptions Questionnaire (CPQ11-14) with four domains: oral symptoms, functional limitations, emotional wellbeing and social wellbeing. A higher score indicates a more negative perception of the adolescent regarding his/her OHRQoL. Oral conditions such as dental caries, malocclusion and dental trauma were evaluated using DMTF index, Dental Aesthetics Index (DAI) and Andreasen criteria, respectively. The variables sex and age, number of siblings, parents’ schooling, family monthly income, number of times of tooth-brushing/day and visits to the dentist/year were also evaluated. Descriptive analysis and regression models were performed. Of the 202 participants, 94 (46.5%) were female and 108 (53.5%) were male. Adolescents from low-income families (p=0.042) and with more severe malocclusion (p=0.037) scored higher in the CPQ11-14. Those with severe malocclusion scored higher in the emotional wellbeing domain (p=0.009). Females scored higher than males in the oral symptoms domain (p=0.002). Adolescents from low-income families scored higher in the social wellbeing domain (p=0.006). Malocclusion negatively affected the OHRQoL of adolescents from a Brazilian rural area, mainly regarding emotional wellbeing. Negative repercussions were also observed among females and adolescents whose families had lower income.


2019 ◽  
Vol 15 (5) ◽  
pp. 372-381 ◽  
Author(s):  
Elizabeth M. Vaughan ◽  
Craig A. Johnston ◽  
Katherine R. Arlinghaus ◽  
David J. Hyman ◽  
John P. Foreyt

Background: Prior studies have supported the efficacy of diabetes group visits. However, the benefit of diabetes group visits for low-income and underserved individuals is not clear. The purpose of this study was to conduct a narrative review in order to clarify the efficacy of diabetes group visits in low-income and underserved settings. Methods: The authors performed a narrative review, categorizing studies into nonrandomized and randomized. Results: A total of 14 studies were identified. Hemoglobin A1c was the most commonly measured outcome, which improved for the majority of group visit participants. Preventive care showed consistent improvement for intervention arms. There were several other study outcomes including metabolic (i.e., blood pressure), behavioral (i.e., exercise), functional (i.e., quality of life), and system-based (i.e., cost). Conclusion: Diabetes group visits for low-income and underserved individuals resulted in superior preventive care but the impact on glycemic control remains unclear.


2013 ◽  
Vol 88 (5) ◽  
pp. 760-763 ◽  
Author(s):  
Maria Flavia Pereira da Silva ◽  
Maria Rita Parise Fortes ◽  
Luciane Donida Bartoli Miot ◽  
Silvio Alencar Marques

BACKGROUND: Psoriasis is a chronic inflammatory disease of the skin that affects patients of all ages andboth genders. The impact of the disease on quality of life is greater among patients with moderate to severe psoriasis. OBJECTIVE: to establish a correlation between the psoriasis area and severity index (PASI) and theDermatology Life Quality Index (DLQI) based on a quality of life questionnaire adapted to the Brazilian contextfor patients with plaque psoriasis before and after systemic treatment. METHODS: This was a cross-sectional, descriptive study of psoriasis patients who did not undergo treatment or who manifested clinical activity of the disease. Patients were evaluated according to the PASI and the quality of life questionnaire adapted to theBrazilian context before and 60 days after systemic treatment. RESULTS: Thirty-five patients participated in thestudy. Twenty-six were men, with a mean age of 46 years. There was no correlation between the PASI and thequality of life questionnaire adapted to the Brazilian context, but there was a correlation between the PASI andsome items of the quality of life questionnaire adapted to the Brazilian context, such as jobs involving public contact. CONCLUSION: The non-correlation between the PASI and the quality of life questionnaire adapted to the Brazilian context in this work may be associated with a history of chronic disease, which implies greater acceptance of the illness, or may be related to the low income and social status of the patients studied. The correlationobserved among patients with careers involving public contact suggests that some professions are more impacted by the disease. It may be necessary to adapt the quality of life questionnaire to patients with a low income andcultural and social limitations. The small sample size (n=35 patients) and the short follow-up period of 60 dayswere some of the limitations of this work.


2009 ◽  
Vol 2 (1) ◽  
pp. 24-34
Author(s):  
Javiera Falcone Castillo ◽  
Borja Castro Serrano ◽  
Paula Serrano Pérez ◽  
Valeria Ortiz Ramírez ◽  
Magdalena Toral Chaignea

In the female population, depression and anxiety are two of the most common health problems. In addition, worry, irritability and fatigue are symptoms by which women commonly seek consultation at health centers. If to this scenario we add living in poverty, the situation is intensified. This is why we see with more frequent studies that show the difference between men and women when they experience these kind of situations. This study aims at observing the relationship between quality of life, poverty, and the Program: Strength for a Healthy Life (PSFHL). This program promotes the development of cognitive and emotional capacities to strengthen the lives of low-income women (the average household income is of $444.00 dollars). The impact evaluation is descriptive, with a non-experimental and longitudinal design. Results show that the PSFHL has a significant impact that prevails through time, that women increase their quality of life, and that they decrease their symptoms.


2011 ◽  
Vol 86 (6) ◽  
pp. 1113-1121 ◽  
Author(s):  
Caroline dos Santos Tejada ◽  
Raúl Andrés Mendoza-Sassi ◽  
Hiram Larangeira de Almeida Jr ◽  
Paulo Neves Figueiredo ◽  
Victor Felipe dos Santos Tejada

BACKGROUNDS: Skin diseases are extremely frequent and may affect quality of life; therefore, it is important to assess it and identify which factors are associated with it. OBJECTIVES: To assess quality of life and its associated factors in dermatological patients. METHODS: A cross-sectional study involving a sample of 548 patients seen at the Dermatology Outpatient Clinic of Sistema Único de Saúde (the Brazilian National Public Health System), University Hospital, Federal University of Rio Grande do Sul (RS). Information related to socio-demographic data, medical consultation and quality of life was collected by means of the Dermatology Life Quality Index. RESULTS: A median of 7 and a mean of 7.7 (SD = 5.0) were obtained with the Dermatology Life Quality Index. The skin diseases with higher scores on the Dermatology Life Quality Index were psoriasis (median = 15.5), vitiligo (median = 13), atopic dermatitis (median = 12) and acne (median = 10). With respect to factors associated with quality of life, it was found that younger, single patients with a low income, one skin disease and longer disease duration presented poorer quality of life. CONCLUSION: The assessment of the impact of dermatoses on patients' quality of life is important for clinical management. It is essential to detect patients at higher risk of experiencing worse quality of life in order to treat them in a more integrated way.


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