scholarly journals Quality of basic health care and social vulnerability: a spatial analysis

2021 ◽  
Vol 55 ◽  
Author(s):  
Katyucia Oliveira Crispim de Souza ◽  
Lislaine Aparecida Fracolli ◽  
Caíque Jordan Nunes Ribeiro ◽  
Andreia Freire de Menezes ◽  
Glebson Moura Silva ◽  
...  
Keyword(s):  
Health Care ◽  
Spatial Analysis ◽  
Social Vulnerability ◽  
Vulnerability Index ◽  
Health Determinants ◽  
Social Vulnerability Index ◽  
Basic Health ◽  
Basic Health Care ◽  
The Social

ABSTRACT Objective: To analyze the association between quality of basic health care and social vulnerability in municipalities of the Brazilian northeast. Method: Ecological study with spatial analysis using univariate global and local Moran’s indexes. Bivariate analyses were employed to examine the relationship between the quality of basic health care and the Social Vulnerability Index in the Northeast. The dependent variable corresponded to the final scores of certifications of teams of basic health care in the Northeast that had participated in the third cycle of the Brazilian Program for the Improvement of Access and Quality of Basic Health Care. The independent variable was the Social Vulnerability Index of the municipality. Results: The bivariate analysis has pointed out the presence of areas of low vulnerability with high quality basic health care in the municipalities in the states of Piauí, Ceará, Rio Grande do Norte, Pernambuco, and Bahia. The state of Maranhão is emphasized for its low performance in basic health care in a large number of municipalities with high vulnerability. Conclusion: The study has revealed a spatial relation between the indicators of social vulnerability and quality of basic health care in the Northeast, suggesting that limitations in access to health resources and services may be related to social and health determinants.

Impact of Social Vulnerability on Access to Educational Programming Designed to Enhance Living Donation

2021 ◽  
pp. 152692482110460
Author(s):  
Alexis J. Carter ◽  
Rhiannon D. Reed ◽  
A. Cozette Kale ◽  
Haiyan Qu ◽  
Vineeta Kumar ◽  
...  
Keyword(s):  
Health Care ◽  
Social Vulnerability ◽  
Living Donor ◽  
Research Question ◽  
College Education ◽  
Vulnerability Index ◽  
Social Vulnerability Index ◽  
Chi Square ◽  
Control And Prevention ◽  
Transplant Candidate

Introduction Transplant candidate participation in the Living Donor Navigator Program is associated with an increased likelihood of achieving living donor kidney transplantation; yet not every transplant candidate participates in navigator programming. Research Question We sought to assess interest and ability to participate in the Living Donor Navigator Program by the degree of social vulnerability. Design Eighty-two adult kidney-only candidates initiating evaluation at our center provided Likert-scaled responses to survey questions on interest and ability to participate in the Living Donor Navigator Program. Surveys were linked at the participant-level to the Centers for Disease Control and Prevention Social Vulnerability Index and county health rankings and overall social vulnerability and subthemes, individual barriers, telehealth capabilities/ knowledge, interest, and ability to participate were assessed utilizing nonparametric Wilcoxon ranks sums tests, chi-square, and Fisher's exact tests. Results Participants indicating distance as a barrier to participation in navigator programming lived approximately 82 miles farther from our center. Disinterested participants lived in areas with the highest social vulnerability, higher physical inactivity rates, lower college education rates, and higher uninsurance (lack of insurance) and unemployment rates. Similarly, participants without a computer, who never heard of telehealth, and who were not encouraged to participate in telehealth resided in areas of highest social vulnerability. Conclusion These data suggest geography combined with being from under-resourced areas with high social vulnerability was negatively associated with health care engagement. Geography and poverty may be surrogates for lower health literacy and fewer health care interactions.

scholarly journals ASSESSMENT OF SOCIAL VULNERABILITY TO THE IMPACT OF FLOOD HAZARD: A CASE STUDY OF KOPILI RIVER BASIN, ASSAM, INDIA

2018 ◽  
Vol XLII-5 ◽  
pp. 455-460
Author(s):  
S. V. Shiva Prasad Sharma ◽  
P. S. Roy ◽  
V. Chakravarthi
Keyword(s):  
Social Vulnerability ◽  
Flood Hazard ◽  
Vulnerability Index ◽  
Social Vulnerability Index ◽  
The Social ◽  
Vulnerability Indicators ◽  
Multi Temporal ◽  
The Impact ◽  
Vulnerable Zones

<p><strong>Abstract.</strong> In the present study, an attempt is made to understand the impact on Social Vulnerability of the Kopili basin due to various severities of flood hazard. The flood hazard is generated using multi-temporal historical satellite based analysis and integration of annual flood inundation layers. The census of India data of 2001 and 2011 is spatially joined with village database to study the impact at village level. Using 5 Census variables from both Census 2001 &amp;amp; 2011 as vulnerability indicators, the Social Vulnerability Index (SVI) is derived and classified into various vulnerable zones namely Low, Moderate and High Vulnerable zones. The findings of the study show that the number of villages falling in Low and High Vulnerable zones had decreased during Census 2011 when compared to 2001 and a rise of 6% in villages falling in moderate vulnerable zones during 2011 is observed. The spatial database generated is useful to understand the impact of floods on the Social Vulnerability status of the basin and can be a useful input to further study the Physical, Economic and Environmental Vulnerabilities of the basin.</p>

scholarly journals The role of the social vulnerability index in personal protective equipment shortages, number of cases, and associated mortality during the coronavirus disease 2019 (COVID-19) pandemic in Michigan skilled nursing facilities

2020 ◽  
pp. 1-4
Author(s):  
Jennifer J. LeRose ◽  
Courtney Merlo ◽  
Phong Duong ◽  
Kelsi Harden ◽  
Rebecca Rush ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Social Vulnerability ◽  
Vulnerability Index ◽  
Mortality Rates ◽  
Skilled Nursing Facilities ◽  
Protective Equipment ◽  
Nursing Facilities ◽  
Social Vulnerability Index ◽  
Skilled Nursing ◽  
The Social

Abstract The Social Vulnerability Index (SVI) is used to stratify community need for support during disasters. We evaluated relationships between the SVI and personal protective equipment shortages, COVID-19 caseload, and mortality rates in skilled nursing facilities (SNFs). In SVI quartile 4, personal protective equipment shortages were 2.3 times those in SNFs in quartile 1; COVID-19 case loads were 1.6 times those of SNFs in quartile 1; and mortality rates in were 1.9 times those of SNFs in SVI quartile 1.

scholarly journals The Social Vulnerability Index: Assessing Replicability in Predicting Mortality Over 27 Years

2019 ◽  
Vol 67 (6) ◽  
pp. 1305-1306 ◽  
Author(s):  
Camille Ouvrard ◽  
José Alberto Avila-Funes ◽  
Jean-François Dartigues ◽  
Hélène Amieva ◽  
Maturin Tabue-Teguo
Keyword(s):  
Social Vulnerability ◽  
Vulnerability Index ◽  
Social Vulnerability Index ◽  
The Social

scholarly journals Social Vulnerability in Patients with Multimorbidity: A Cross-Sectional Analysis

2019 ◽  
Vol 16 (7) ◽  
pp. 1244 ◽  
Author(s):  
Tu Nguyen ◽  
Patrice Ngangue ◽  
Tarek Bouhali ◽  
Bridget Ryan ◽  
Moira Stewart ◽  
...  
Keyword(s):  
Cardiovascular Diseases ◽  
Social Vulnerability ◽  
Chronic Conditions ◽  
Vulnerability Index ◽  
Social Vulnerability Index ◽  
Cross Sectional ◽  
Term Care ◽  
Cross Sectional Analysis ◽  
The Social ◽  
Sectional Analysis

Background: Social aspects play an important role in individual health and should be taken into consideration in the long-term care for people with multimorbidity. Purposes: To describe social vulnerability, to examine its correlation with the number of chronic conditions, and to investigate which chronic conditions were significantly associated with the most socially vulnerable state in patients with multimorbidity. Methods: Cross-sectional analysis from the baseline data of the Patient-Centred Innovations for Persons with Multimorbidity (PACEinMM) Study. Participants were patients attending primary healthcare settings in Quebec, Canada. A social vulnerability index was applied to identify social vulnerability level. The index value ranges from 0 to 1 (1 as the most vulnerable). Spearman’s rank correlation coefficient was calculated for the correlation between the social vulnerability index and the number of chronic conditions. Logistic regression was applied to investigate which chronic conditions were independently associated with the most socially vulnerable state. Results: There were 301 participants, mean age 61.0 ± 10.5, 53.2% female. The mean number of chronic health conditions was 5.01 ± 1.82, with the most common being hyperlipidemia (78.1%), hypertension (69.4%), and obesity (54.2%). The social vulnerability index had a median value of 0.13 (range 0.00–0.78). There was a positive correlation between the social vulnerability index and the number of chronic conditions (r = 0.24, p < 0.001). Obesity, depression/anxiety, and cardiovascular diseases were significantly associated with the most socially vulnerable patients with multimorbidity. Conclusions: There was a significant correlation between social vulnerability and the total number of chronic conditions, with depression/anxiety, obesity, and cardiovascular diseases being the most related to social vulnerability.

scholarly journals The Social Vulnerability Index, Mortality and Disability in Mexican Middle-Aged and Older Adults

Geriatrics ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 24
Author(s):  
Natalia Sánchez-Garrido ◽  
Sara G. Aguilar-Navarro ◽  
José Alberto Ávila-Funes ◽  
Olga Theou ◽  
Melissa Andrew ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Vulnerability ◽  
Vulnerability Index ◽  
Adverse Outcomes ◽  
Social Vulnerability Index ◽  
Middle Aged ◽  
Logistic Regression Models ◽  
The Social ◽  
Aging Study ◽  
Different Populations

The social vulnerability index (SVI) independently predicts mortality and others adverse outcomes across different populations. There is no evidence that the SVI can predict adverse outcomes in individuals living in countries with high social vulnerability such as Latin America. The aim of this study was to analyze the association of the SVI with mortality and disability in Mexican middle-aged and older adults. This is a longitudinal study with a follow-up of 47 months, the Mexican Health and Aging Study, including people over the age of 40 years. A SVI was calculated using 42 items stratified in three categories low (<0.36), medium (0.36–0.47), and high (>0.47) vulnerability. We examined the association of SVI with three-year mortality and incident disability. Cox and logistic regression models were fitted to test these associations. We included 14,217 participants (58.4% women) with a mean age of 63.9 years (±SD 10.1). The mean SVI was of 0.42 (±SD 0.12). Mortality rate at three years was 6% (n = 809) and incident disability was 13.2% (n = 1367). SVI was independently associated with mortality, with a HR of 1.4 (95% CI 1.1–1.8, p < 0.001) for the highest category of the SVI compared to the lowest. Regarding disability, the OR was 1.3 (95% CI 1.1–1.5, p = 0.026) when comparing the highest and the lowest levels of the SVI. The SVI was independently associated with mortality and disability. Our findings support previous evidence on the SVI and builds on how this association persists even in those individuals with underlying contextual social vulnerability.

scholarly journals Importance of health education actions to improve quality of life of vulnerable populations

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Jara Baraybar Alvarenga de Oliveira ◽  
B Albertini Reis ◽  
B Fedrigo ◽  
G souza vasconcellos ◽  
L Bertaglia ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health Education ◽  
Vulnerable Populations ◽  
Basic Health ◽  
Basic Health Care ◽  
Epidemiological Surveys ◽  
Brazilian Amazon Region ◽  
Autonomous Development

Abstract Introduction Health Education (HE), which is an integral part of Brazilian basic health care policy, reflects on the actions of a specific service or area. In regions where access to health care is precarious and poor socioeconomic conditions predominates, HE is fundamental for the comprehension of the health-illness process which aims at promoting a better quality of life. This study aims to assess through experiment the viability and adhesion of HE actions conducted in indigenous and Riverside communities in the Brazilian Amazon region. Methodology This study aims at reporting field trips during health expeditions between July and August 2019 in communities of the state of Pará, Brazil. The HE was composed by seven students and professors. Throughout patient's medical care, the team selected individuals to participate in different group dynamics at common spaces in the community area. The topics covered had been pre-screened based on epidemiological surveys conducted in previous expeditions. Visual and ludic resources were adapted to match local reality. Results 2860 medical and dental care consultations were given. The adherence to the dynamics in was significant and covered the majority of them. The topics approached by the HE team were breast-feeding, family-planning, non-transmissible chronic diseases, healthy eating habits, hygiene, and awareness for natural resources. It has been observed that culture was a determinant factor for small a number of individuals in the comprehension of actions taken by the HE team. Conclusions Despite the strong cultural influence, HE proves to be a fertile ground and it must be encouraged in indigenous and riverside communities. The actions taken by the HE team should consider the local reality in every step of the process of implementation. In spite of the context in which locals of indigenous and riverside communities are inserted, HE promotes an autonomous development of their quality of life. Key messages Health education is one of the pillars of the national policy of basic health care in Brazil and is fundamental to promote better quality of life in vulnerable populations. Encouraging interventions in vulnerable communities contributes directly to the autonomous development of quality of life.

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