scholarly journals Suicidal Ideation: The Role of Economic and Aboriginal Cultural Status after Multivariate Adjustment

2009 ◽  
Vol 54 (9) ◽  
pp. 589-595 ◽  
Author(s):  
Mark Lemstra ◽  
Cory Neudorf ◽  
Johan Mackenbach ◽  
Tanis Kershaw ◽  
Ushasri Nannapaneni ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
First Nations ◽  
Household Income ◽  
Aboriginal People ◽  
High Income ◽  
Independent Effect ◽  
Health Region ◽  
Income Status ◽  
Multivariate Adjustment ◽  
Cultural Status

Objective: To determine if Aboriginal (in this paper, First Nations and Métis people) cultural status is independently associated with lifetime suicidal ideation in the Saskatoon Health Region after controlling for other covariates, particularly income status. Methods: Data collected by Statistics Canada in all 3 cycles of the Canadian Community Health Survey (CCHS) were merged with identical questions asked in February 2007 by the Saskatoon Health Region. The health outcome was lifetime suicidal ideation. The risk indicators included demographics, socioeconomic status, cultural status, behaviours, life stress, health care use, and other health problems. Results: Participants ( n = 5948) completed the survey with a response rate of 81.1%. The prevalence of lifetime suicidal ideation was 11.9%. After stratification, it was found that high-income Aboriginal people have similar low levels of suicidal ideation, compared with high-income Caucasian people. The risk–hazard model demonstrated a larger independent effect of income status in explaining the association between Aboriginal cultural status and lifetime suicidal ideation, compared with the independent effect of age. After full multivariate adjustment, Aboriginal cultural status had a substantially reduced association with lifetime suicidal ideation. The odds of lifetime suicidal ideation for Aboriginal people reduced from 3.28 to 1.99 after multivariate adjustment for household income alone. Conclusion: The results of this study suggest reductions in lifetime suicidal ideation can be observed in Aboriginal people in Canada by adjusting levels of household income.

scholarly journals Role of SES on the association between childhood parental death and adulthood suicidal ideation: a mediation analysis using longitudinal dataset in South Korea

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jaehong Yoon ◽  
Ja Young Kim ◽  
Ji-Hwan Kim ◽  
Seung-Sup Kim
Keyword(s):  
Suicidal Ideation ◽  
South Korea ◽  
Mediation Analysis ◽  
Household Income ◽  
Parental Death ◽  
Middle Adulthood ◽  
Late Adulthood ◽  
Mediating Role ◽  
Direct Association

Abstract Background We sought to examine the association between childhood experience of parental death (CEPD) and adulthood suicidal ideation, and the mediating role of adulthood SES in the association. Methods We analyzed a nationally representative dataset of 8609 adults from the Korea Welfare Panel Study, which is a longitudinal cohort dataset in South Korea. CEPD was measured using a question: “During your childhood (0-17 years old), have you experienced the death of parents?” We classified responses of CEPD during 2006–2011 into ‘yes,’ and the others into ‘no.’ Suicidal ideation over the past year was assessed annually during 2012–2019. As a potential mediator, adulthood educational attainment and household income in 2011 were included in the analysis. Logistic regression was applied to examine the association of CEPD with adulthood suicidal ideation across age groups (early adulthood, 19–39 years old; middle adulthood, 40–59 years old; late adulthood, ≥60 years old), after excluding people who reported lifetime suicidal ideation in 2011. Causal mediation analysis using a parametric regression model was applied to examine the mediating role of adulthood SES in the association between CEPD and adulthood suicidal ideation. Results After adjusting for potential confounders including childhood SES, CEPD was significantly associated with adulthood suicidal ideation among the late adulthood group (OR: 1.43; 95% CI: 1.13–1.81), while the association was not statistically significant among the early; and middle adulthood groups. In mediation analysis of adulthood household income, both indirect association (ORNIE: 1.05; 95% CI: 1.02–1.09) and direct association (ORNDE: 1.37; 95% CI: 1.09–1.73) were statistically significant among the late adulthood group. In the mediation analysis of adulthood education attainment among the late adulthood, only a direct association was statistically significant (ORNDE: 1.43; 95% CI: 1.14–1.80). Conclusions These results suggest that CEPD could be a risk factor for adulthood suicidal ideation. Furthermore, the findings imply that income security policy might be necessary to reduce suicide among the late adulthood group.

scholarly journals Income Status and Life Satisfaction

2021 ◽  
Author(s):  
Felix R. FitzRoy ◽  
Michael A. Nolan
Keyword(s):  
Life Satisfaction ◽  
Household Income ◽  
Statistical Significance ◽  
Panel Survey ◽  
Explanatory Variables ◽  
Income Status ◽  
Two Measures ◽  
Reference Income ◽  
Relative Form ◽  
Retirement Status

AbstractThe importance of both income rank and relative income, as indicators of status, has long been recognised in the literature on life satisfaction and happiness. Recently, several authors have made explicit comparisons of the relative importance of these two measures of income status, and concluded that rank dominates to the extent that reference income becomes insignificant in regressions including both these explanatory variables, and that even absolute or household income, otherwise always positively related to happiness, may lose statistical significance. Here we test this hypothesis with a large UK panel (British Household Panel Survey and Understanding Society) for 1996–2017, split by age and retirement status, and find, contrary to previous results, that rank, household income and reference income are all usually important explanatory variables, but with significant differences between subgroups. This finding holds when rank is in its often-used relative form, and also with absolute rank.

Abstract P220: Disparity In Hospital Admissions And Length Of Stay Based On Income Status For Emergency Department Hypertensive Crisis Visits: A Cross-sectional Study Using The Nationwide Emergency Department Sample

Hypertension ◽  
2021 ◽  
Vol 78 (Suppl_1) ◽  
Author(s):  
Shreya Srivastava ◽  
Bhargav Vemulapalli ◽  
Alexis K Okoh ◽  
John Kassotis
Keyword(s):  
Emergency Department ◽  
Length Of Stay ◽  
Regression Model ◽  
Household Income ◽  
Hypertensive Crisis ◽  
Cross Sectional ◽  
Delivery Of Care ◽  
Income Status ◽  
Ed Visits ◽  
Income Quartile

Introduction: Racial, gender and lower socioeconomic status have been shown to negatively impact the delivery of care. How this impacts the management of hypertensive crisis (HC) remains unclear. Objective: Identify disparities on admission frequency and length of stay (LOS) among those presenting with HC, as a function of household income. Methods: This is a cross-sectional analysis of 2016 ED visits and supplemental Inpatient data from the Nationwide Emergency Department Sample. Median household income quartiles were established. A multivariable logistic regression model was used to estimate odds of admission in each income quartile. A multivariable linear regression model was used to predict LOS. Results: After applying sample weighting, the total number of ED visits was 33,728 with 25442, 6906, and 1380 visits for hypertensive urgency (HU), emergency (HE) and unspecified crisis, respectively. There were 13191, 8889, 6401, 5247 visits in the (1 st ) lowest, 2 nd , 3 rd and 4 th (highest) income quartiles, respectively. The median age was 61 and 58 years for HU and HE, respectively. The most common comorbidity was chronic kidney disease. Individuals with the highest income, had a lower odds of admission compared to the lowest quartile [Adjusted Odds Ratio: 0.41, 95% CI: 0.22,0.74] ( Figure 1a ). There was a significant linear association between income quartile and LOS across all HC and HE [beta coefficient: 0.411, 0.407 p value = 0.015, 0.019] ( Figure 1b ). Conclusions: In this study, patients with lower income were more likely to be admitted, while those with higher income exhibited a longer LOS. Clinicians must be made aware these disparities to ensure the equitable delivery of care.

scholarly journals Old Keyam – A Framework for Examining Disproportionate Experience of Tuberculosis Among Aboriginal Peoples of the Canadian Prairies

2013 ◽  
Vol 9 (1) ◽  
pp. 30
Author(s):  
Kathleen McMullin ◽  
Sylvia Abonyi ◽  
Maria Mayan ◽  
Pamela Orr ◽  
Carmen Lopez-Hille ◽  
...  
Keyword(s):  
First Nations ◽  
Aboriginal People ◽  
Qualitative Interviews ◽  
Aboriginal Peoples ◽  
Community Based ◽  
Canadian Prairies ◽  
Tuberculosis Transmission ◽  
The Social ◽  
Interdisciplinary Study ◽  
Collaborative Efforts

On the Canadian Prairies, First Nations and Métis peoples are disproportionately affected by tuberculosis (TB) compared to other Canadians. Statistics show enduring transmission and high rates of active TB disease. Despite awareness of the social determinants of TB transmission—such as substance abuse, comorbidities, and basic needs being unmet—transmission and outbreaks continue to occur among Aboriginal people. The Determinants of Tuberculosis Transmission project is a mixed methods, interdisciplinary study that used quantitative questionnaires and qualitative interviews to look more closely at patients’ experiences of TB. Provincial Network Committees (PNCs) comprised of Elders, traditionalists, community-based TB workers, and health researchers in three participating provinces guided the project from inception through to data analysis, interpretation, and dissemination. The collaborative efforts of the patients, the research team, and the PNCs uncovered a continuing influence of colonization in TB transmission. Overwhelming feelings of apathy and despair for the hold that TB continues to have in the lives of patients, families, and communities is captured by the Cree word “keyam,” which may be translated as “to give up” or to ask, “What is the use?” This paper explores the concept of keyam in relation to TB transmission.

scholarly journals Global competitiveness divide and the middle-income-trap

2020 ◽  
Author(s):  
Timothy Yaw Acheampong
Keyword(s):  
High Income ◽  
World Economic Forum ◽  
Middle Income ◽  
Income Levels ◽  
Global Competitiveness ◽  
Middle Income Countries ◽  
Income Status ◽  
The World ◽  
World Economic ◽  
Middle Income Trap

In recent times, the middle-income trap (MIT) has become a pertinent issue as economists, researchers and development practitioners continue seek answers to why the majority of middle-income countries find it difficult to advance to high-income status. There is still no consensus in literature as to the exact cause(s) and the solution to the MIT. The World Economic Forum posits that, the score of countries on the Global Competitive Index (GCI) 4.0 accounts for over 80% of the variation in income levels of countries. This suggests that the extent of global competitiveness of countries could potentially help them to escape the MIT. However, some competitiveness literature have identified an apparent competitiveness divide among countries. This paper therefore seeks to answer the following questions: how does middle-income countries differ from the high-income countries in terms of global competitiveness. The study utilises an independent samples t-test and effect size measures to examine the GCI 4.0 scores of 140 countries. The study finds a very large and significant competitiveness divide between the high and middle-income countries.

scholarly journals Forecasting of Households Consumption Expenditure with Nonparametric Regression: The Case of Turkey

2016 ◽  
Vol 19 (2) ◽  
pp. 19-32
Author(s):  
Noyan Aydin ◽  
Taner Akmercan
Keyword(s):  
Low Income ◽  
Household Income ◽  
Household Size ◽  
High Income ◽  
Consumption Expenditure ◽  
Income Levels ◽  
Parametric Regression ◽  
Household Disposable Income ◽  
R Programming ◽  
The Relationship

Abstract The relationship between household income and expenditure is important for understanding how the shape of the economic dynamics of the households. In this study, the relationship between household consumption expenditure and household disposable income were analyzed by Locally Weighted Scatterplot Smoothing Regression which is a nonparametric method using R programming. This study aimed to determine relationship between variables directly, unlike making any assumptions are commonly used as in the conventional parametric regression. According to the findings, effect on expenditure with increasing of income and household size together increased rapidly at first, and then speed of increase decreased. This increase can be explained by having greater compulsory consumption expenditure relatively in small households. Besides, expenditure is relatively higher in middle and high income levels according to low income level. However, the change in expenditure is limited in middle and is the most limited in high income levels when household size changes.

Meta-analysis of risk factors associated with suicidal ideation after stroke:  A focus on Asian populations

2020 ◽  
Author(s):  
Shuang Mei zhang ◽  
Zhao yang Qiu ◽  
Wei feng Zhu ◽  
An rong Wang ◽  
zhaoxu zhang
Keyword(s):  
Risk Factors ◽  
Suicidal Ideation ◽  
Sleep Disorders ◽  
Household Income ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Stroke Survivors ◽  
Asian Populations ◽  
One Year ◽  
Underlying Risk

Abstract Background Over the past decade, increasing attention has been paid on post-stroke suicide (PSS), which is one of complications of stroke. The rates of stroke and suicide are relatively high, especially in Asian populations. Thus, a deeper understanding of the prevalence and epidemiological impact of suicide after stroke is urgently needed. Clinical diagnosis and prevention of PSS are at the incipient stage, but the risk factors responsible for the occurrence of PSS in different regions and stages of the disease remain largely unknown. The present meta-analysis aimed to determine the incidence of PSS at different stages and time courses, and to identify the underlying risk factors for PSS. Methods We systematically searched the Cochrane library, Embase, PubMed,CNKI and Web of Science databases from their inception until April 2019. The research articles reporting on the risk factor for PSS were screened and included in the meta-analysis. The data from the included studies were extracted according to the predefined criteria. Results A total of 12 studies (n = 2693036) were included for meta-analyses. Of these studies, 7 reported suicide prevalence were meta-analyzed. The pooled estimate of suicidal ideation rates after stroke was 12%, which could be influenced by multiple risk factors, including men, smoking, depression, sleep disorders, previous stroke and low household income. Studies conducted in Asia demonstrated higher suicide prevalence (approximately 15%) compared to other regions. Smoking, alcohol consumption, low family income, depression, heart disease and sleep disorders were the important risk factors for the pathogenesis of suicide after stroke. When compared to PSS more than one year, the incidence of suicide within one year after stroke was more likely to be statistically significant. It was found that 4 out of every 1,000 stroke survivors tended to commit suicide. The results of this meta-analysis showed that depression (OR = 2.32; p < 0.01) was significantly associated with suicidal ideation, regardless of stroke duration. Conclusion Despite some limitations, we successfully identified the prevalence of PSS in Asian populations and the underlying risk factors. Based on the results of this meta-analysis, 4 out of every 1,000 stroke survivors committed suicide and the individuals with suicidal ideation tended to suicide within one year after stroke. Notably, depression was significantly associated with suicidal ideation, regardless of stroke duration. In addition, stroke survivors with low household income had nearly double the risk of suicidal ideation, especially in Asian populations. Hence, targeting the identified risk factors may be helpful to improve stroke patient care and prevent suicidal ideation after stroke.(Registration No. CRD42019128813).

Economic Traps and Progress in Middle-Income Countries

2020 ◽  
pp. 1-23
Author(s):  
José Antonio Alonso ◽  
José Antonio Ocampo
Keyword(s):  
High Income ◽  
Middle Income ◽  
Development Path ◽  
Middle Income Countries ◽  
Policy Responses ◽  
Income Status ◽  
Rare Phenomenon ◽  
Analytical Work

The chapter discusses the existence of potential economic traps that limit the capacity for middle-income countries (MICs) to converge towards high-income status. It presents an empirical exploration of the two interpretations (absolute and relative) of middle-income traps (MITs) and considers transitions between country categories that occurred during the last three decades. Even if transitions are a rare phenomenon, the authors conclude that evidence is not able to settle the existence of MITs, but it is enough to illustrate the severity of the challenges that MICs face in their development path. The chapter analyses the theoretical arguments offered to justify the presence of these pitfalls, as well as the main policy responses required to overcome them. Even if more analytical work is required, the chapter underlines that the debate around MITs has revitalized reflection on the active policies required to promote growth in MICs. Finally, the chapter presents an overview of the book, underlying the main contributions of each chapter.

Pell Grant Versus Income Data in Postsecondary Research

2019 ◽  
Vol 48 (5) ◽  
pp. 309-315 ◽  
Author(s):  
Kelly Ochs Rosinger ◽  
Karly S. Ford
Keyword(s):  
Low Income ◽  
Household Income ◽  
Income Quintile ◽  
Pell Grant ◽  
Detailed Data ◽  
Low Income Students ◽  
Economic Diversity ◽  
Income Status ◽  
Income Data ◽  
Recent Policy

Given growing disparities in college enrollment by household income, policymakers and researchers often are interested in understanding whether policies expand access for low-income students. In this brief, we highlight the limitations of a commonly available measure of low-income status—whether students receive a federal Pell grant—and compare it to new data on enrollment by income quintile to evaluate a recent policy effort within elite colleges aimed at expanding access. We demonstrate that Pell is a rough measure of low-income status and that without more detailed data on colleges’ economic diversity, policy evaluations focusing on existing Pell data will suffer from measurement error and potentially miss enrollment effects for moderate- and high-income students.

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