scholarly journals Pattern of skin disorders in hilly district of Pauri Garhwal with their dermoscopic findings: an epidemiological study

2021 ◽  
Vol 7 (5) ◽  
pp. 652
Author(s):  
Neeti Kumari ◽  
Sunanda Verma ◽  
S. D. S. Rawat ◽  
A. K. Mehta ◽  
Astha Pant
Keyword(s):  
Health Services ◽  
Epidemiological Study ◽  
Clinical Diagnosis ◽  
Economic Status ◽  
Skin Disorders ◽  
Non Invasive ◽  
Socio Economic Status ◽  
Diffuse Erythema ◽  
Irritant Dermatitis ◽  
Dermatological Disorders

<p><strong>Background:</strong> The pattern of skin disorders is largely affected by climate, geography, occupation, socio-economic status, nutrition, genetics and habits of the community. Nowadays, dermoscope is being increasingly used as a non-invasive aid in diagnosis of various skin disorders. Objective of the study was to study the etiology, distribution and dermoscopic findings of various skin disorders in 5 remote villages of hilly district of Pauri Garhwal, Uttarakhand over a period of 1 month (April 2021).</p><p><strong>Methods:</strong>  The study was conducted as a weekly OPD in 5 villages of Hilly district of Pauri over a period of 1 month with free consultation and medications. Details of patients, their complaints, clinical diagnosis and dermoscopic findings were recorded.</p><p><strong>Results:</strong>  Overall, allergic/irritant dermatitis were found to be most common (30%) followed by infective disorders (27.25%), photodermatitis (20.2%), inflammatory disorders (4.3%), miscellaneous disorders (LSC, stasis dermatitis, pityriasis rosea, others) up to 9.5% and viral exanthematous rash possibly COVID-19 associated in 8.62% cases. Most common dermoscopic finding of allergic/irritant dermatitis were red dots (92%), in photodermatitis were brown dots (82.09%) and viral exanthem was diffuse erythema (100%).</p><p><strong>Conclusions:</strong>  Hilly areas contribute to a large burden of dermatological disorders which needs to be catered too. With the help of this knowledge, we can plan appropriate range of health services to meet the patient’s needs in hilly regions.</p>

scholarly journals What is the impact of socio-economic inequalities on the use of mental health services?

2007 ◽  
Vol 16 (1) ◽  
pp. 16-19 ◽  
Author(s):  
Francesco Amaddeo ◽  
Julia Jones
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Economic Status ◽  
Psychiatric Morbidity ◽  
Social Background ◽  
Developed Countries ◽  
Socio Economic Status ◽  
The Impact ◽  
Economic Inequalities

AbstractAmartya Sen, who received the Nobel Prize for Economics, has demonstrated that the incidence of deprivation, in terms ofcapability, can be surprisingly high even in the most developed countries of the world. The study of socio-economic inequalities, in relation to the utilisation of health services, is a priority for epidemiological research. Socio-economic status (SES) has no universal definition. Within the international research literature, SES has been related to social class, social position, occupational status, educational attainment, income, wealth and standard of living. Existing research studies have shown that people from a more deprived social background, with a lower SES, are more likely to have a higher psychiatric morbidity. Many studies show that SES influences psychiatric services utilization, however the real factors linking SES and mental health services utilisation remain unclear. In this editorial we discuss what is currently known about the relationship between SES and the use of mental health services. We also make an argument for why we believe there is still much to uncover in this field, to understand fully how individuals are influenced by their personal socio-economic status, or the neighbourhood in which they live, in terms of their use of mental health services. Further research in this area will help clarify what interventions are required to provide greater equality in access to mental health services.

Sind vor dem Virus alle gleich? Gerechte Gesundheitsversorgung in der Krise

2021 ◽  
Vol 70 (7-8) ◽  
pp. 437-453
Author(s):  
Kristina Woock ◽  
Susanne Busch
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care System ◽  
Economic Status ◽  
Risk Of Infection ◽  
Current Crisis ◽  
Socio Economic Status ◽  
Distribution Of Resources ◽  
Intergenerational Fairness ◽  
Care System

Im Rahmen der COVID-19-Pandemie wird die Frage nach einer gerechten Gesundheitsversorgung anhand verschiedener Interventionsebenen diskutiert. Menschen mit niedrigem sozioökonomischem Status weisen aufgrund ihrer höheren Exposition zum Virus ein höheres Infektionsrisiko auf. Intergenerationale Gerechtigkeit, beispielsweise im Kontext der Impfpriorisierung, ist ebenfalls in der Diskussion. Menschen, die nicht an COVID-19 erkrankt sind, nehmen Gesundheitsleistungen seltener in Anspruch. Um eine gerechtere Gesundheitsversorgung zu gewährleisten wird vorgeschlagen, dass eine sozial gerechte Grundstruktur nicht die gleichmäßige Verteilung von Ressourcen bedeutet, sondern dass eine gleiche Ausgangslage für alle den Ausschlag für mehr Gerechtigkeit in der Krise gibt. Abstract: Is the Virus a Respecter of Persons? Fair Provision of Health-Services in the Current Crisis. In the context of the COVID-19 pandemic the issue of a fair provision of health-services is being raised on different layers of intervention. People with a low socio-economic status face a higher risk of infection because of increased exposure to the virus. Intergenerational fairness is under discussion, for instance in the context of the prioritization of inoculation. People that suffer from other diseases than COVID-19 take less advantage of the health-care system. For ensuring a more suitable distribution of resources it is being suggested that not equality in the distribution of resources but equity in initial positions will ensure more justness in a crisis.

scholarly journals Epidemiological study of multiple sclerosis in Israel: Part III Multiple sclerosis and socio-economic status

1967 ◽  
Vol 30 (1) ◽  
pp. 1-6 ◽  
Author(s):  
A. Antonovsky ◽  
U. Leibowitz ◽  
J. M. Medalie ◽  
H. A. Smith ◽  
L. Halpern ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Epidemiological Study ◽  
Economic Status ◽  
Socio Economic Status

scholarly journals Newborn low birth weight: do socio-economic inequality still persist in India?

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Prem Shankar Mishra ◽  
Debashree Sinha ◽  
Pradeep Kumar ◽  
Shobhit Srivastava ◽  
Rahul Bawankule
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Health Services ◽  
Weight Status ◽  
Economic Status ◽  
Economic Inequality ◽  
The Body ◽  
Socio Economic Status ◽  
Related Inequality ◽  
Natal Care

Abstract Background The incidence of preterm birth and subsequent low birth weight (LBW) are vital global public health issues. It contributes to high infant and child mortality in the early stages of life and later on in adult life; it increases the risk for non-communicable diseases. The study aims to understand the socio-economic status-related inequality for LBW among children in India. It hypothesises that there is no association between the socio-economic status of the household and the newborn’s LBW in India. Methods The study utilised data from the fourth round of the National Family Health Survey, a national representative cross-sectional survey conducted in 2015-16 (N = 127,141). The concentration index (CCI) and the concentration curve (CC) measured socio-economic inequality in low birth status among newborns. Wagstaff decomposition further analysed key contributors in CCI by segregating significant covariates. Results About 18.2% of children had low birth weight status. The value of concentration was − 0.05 representing that low birth weight status is concentrated among children from lower socio-economic status. Further, the wealth quintile explained 76.6% of the SES related inequality followed by regions of India (− 44%) and the educational status of mothers (43.4%) for LBW among children in India. Additionally, the body mass index of the women (28.4%), ante-natal care (20.8%) and residential status (− 15.7%) explained SES related inequality for LBW among children in India. Conclusion Adequate attention should be given to the mother’s nutritional status. Awareness of education and usage of health services during pregnancy should be promoted. Further, there is a need to improve the coverage and awareness of the ante-natal care (ANC) program. In such cases, the role of the health workers is of utmost importance. Programs on maternal health services can be merged with maternal nutrition to bring about an overall decline in the LBW of children in India.

scholarly journals INEQUALITY IN COMMUNITY HEALTH SERVICES USE IN ISRAEL: A COMPARISON BETWEEN ELDER JEWS AND ARABS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S863-S863
Author(s):  
Ariela Lowenstein ◽  
Sigal Pearl Naim
Keyword(s):  
Quality Of Life ◽  
Health Services ◽  
Service Use ◽  
Population Aging ◽  
Economic Status ◽  
Public Health Issue ◽  
Health Services Use ◽  
Socio Economic Status ◽  
Services Use

Abstract Population aging is an important social and public health issue globally. However, increase in longevity causes physical frailty and disability for many elders, which might lead to independence loss and impact quality of life. This increases health services usage and leads to higher costs of medical treatments. Data show that higher socio-economic status and accessibility to health services might reduce inequality in service use and impact mortality rates and quality of life. Also, that improved socio-economic status and population accessibility to Health services may stem from inner health system factors, as well as those related to the patients. Among minorities lower usage of formal professional services, including health services, are often related to cultural differences and many times to lower technological level, which are not considered by service providing organizations. Thus, lack of attention to service using minorities’ needs may cause a gap between potential consumers to services use. Israel is a multi-cultural society with mixed population of Jews and Arabs. Currently, Arabs comprise 20.9% and Jews 74.3%. However, the rate of disabled Jews is 16% compared to 31% among older Arabs.

scholarly journals Socio-economic status, chronic morbidity and health services utilization by families

1996 ◽  
Vol 13 (4) ◽  
pp. 382-385 ◽  
Author(s):  
E Gómez Rodríguez ◽  
P Moreno Raymundo ◽  
M Hernández Monsalve ◽  
J Gérvas
Keyword(s):  
Health Services ◽  
Health Services Utilization ◽  
Economic Status ◽  
Services Utilization ◽  
Socio Economic Status ◽  
Chronic Morbidity

scholarly journals Trend of home or hospital delivery and child birth among Muslim women of Biratnagar, Nepal

2017 ◽  
Vol 13 (1) ◽  
pp. 68-76
Author(s):  
Babu Ram Pokhrel ◽  
P Sharma ◽  
N Jha
Keyword(s):  
Health Services ◽  
Institutional Delivery ◽  
Economic Status ◽  
Muslim Women ◽  
Health Seeking ◽  
Cross Sectional ◽  
Child Birth ◽  
Hospital Delivery ◽  
Socio Economic Status ◽  
Study Population

Background: Maternal morbidity and mortality remains one of the biggest public health challenges in Nepal. This paper explores the trend of home or hospital delivery and child birth in certain ethnic group. The illiteracy women’s low socio economic status in the society, lack of access and difficult geographical rugged terrain are major reasons for not delivering children in health institutions in Nepal.Objective: To find out the trend of hospital or home delivery among Muslim women of Biratnagar city.Methods: Cross-sectional study was conducted among 200 Muslim women of ward 7 of Biratnagar municipality. They were interviewed to assess their health seeking trend of home or hospital delivery and child birth along with factors associated with the use of health services. Information's on usages of health services, education level, family structure, and occupational status information were also collected using a pre-tested and structured questionnaire.Results: The overall institutional delivery in the study population was 24.5%. Illiteracy, low socio-economic status, and poverty in women are the major challenging features of not delivering babies in health institutions.Conclusion: Only one fourth of the women of the study population had hospital/health institutional delivery. Hospital deliveries were seen among the educated women with many antenatal visits. Therefore female education must be encouraged in this community. Health Renaissance 2015;13 (1): 68-76

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