Economic Class and Access to Physician Services under Public Medical Care Insurance

1973 ◽  
Vol 3 (3) ◽  
pp. 341-355 ◽  
Author(s):  
R. G. Beck
Keyword(s):  
Medical Care ◽  
Low Income ◽  
High Income ◽  
Dynamic Effects ◽  
Physician Services ◽  
Large Sample ◽  
Economic Class ◽  
Definition Of ◽  
Relative Accessibility

The dynamic effects of public medical care insurance on access to physician services are examined in this paper. A special definition of access is employed where access is measured as the inverse of the proportion of families of a given economic class who have not used physician services in a given year. Data are presented for the period 1963 through 1968 for a large sample of families in the Province of Saskatchewan in Canada. The evidence suggests that low-income classes have less contact with physicians than high-income classes. This disparity in accessibility is reduced, but not removed, as experience with Medicare increases. It is concluded that public medical care insurance does result in increased relative accessibility to physicians for the low-income classes.

SATUAN TIMBULAN DAN KOMPOSISI SAMPAH DOMESTIK KABUPATEN TANAH DATAR

Jurnal Dampak ◽  
2014 ◽  
Vol 11 (1) ◽  
pp. 28 ◽  
Author(s):  
Yommi Dewilda ◽  
Yeggi Darnas
Keyword(s):  
Low Income ◽  
High Income ◽  
Income Data

Penelitian ini bertujuan untuk mendapatkan data timbulan dan komposisi sampah domestik di Kabupaten Tanah Datar serta dapat membandingkan perbedaan timbulan dan komposisi sampah yang dihasilkan berdasarkan tingkat pendapatan masyarakat (High income, Medium income dan Low income). Data timbulan dan komposisi sampah diperlukan dalam perencanaan dan pengembangan sistem pengelolaan sampah. Sampling timbulan dan jumlah sampling dilakukan berdasarkan SNI 19-3964-1994. Hasil penelitian timbulan sampah domestik dalam satuan berat 0,232 kg/o/h dan dalam satuan volume 3,646 l/o/h. Berdasarkan tingkat pendapatan dalam satuan berat High Income (HI) 0,308 kg/o/h, Medium Income (MI) 0,198 kg/o/h dan Low Income (LI) 0,190 kg/o/h dalam satuan volume HI 4,269 l/o/h, MI 3,835 l/o/h dan LI 2,835 l/o/h. Timbulan sampah yang dihasilkan penduduk dengan High Incame lebih besar dibandingkan dengan penduduk dengan pendapatan Medium Income dan Low Income. Komposisi sampah domestik untuk sampah basah 75,5%; sampah plastik 16,6%; sampah kertas 5,3%; sampah tekstil 0,8%; sampah kayu 0,3%; sampah kaca 0,7%; sampah logam ferrous 0,2%; sampah logam non ferrous 0,1%; dan sampah lain-lain 0,5%.Kata kunci: sampah domestik, komposisi sampah, timbulan Sampah

scholarly journals Incidence Correction Factors for Moderate and Severe Acute Child Malnutrition From 2 Longitudinal Cohorts in Mali and Burkina Faso

2020 ◽  
Vol 189 (12) ◽  
pp. 1623-1627
Author(s):  
Francisco M Barba ◽  
Lieven Huybregts ◽  
Jef L Leroy
Keyword(s):  
Burkina Faso ◽  
Low Income ◽  
Severe Acute Malnutrition ◽  
Acute Malnutrition ◽  
Cross Sectional ◽  
Incidence Data ◽  
Moderate Acute Malnutrition ◽  
Cluster Randomized ◽  
Definition Of ◽  
Mid Upper Arm Circumference

Abstract Child acute malnutrition (AM) is an important cause of child mortality. Accurately estimating its burden requires cumulative incidence data from longitudinal studies, which are rarely available in low-income settings. In the absence of such data, the AM burden is approximated using prevalence estimates from cross-sectional surveys and the incidence correction factor $K$, obtained from the few available cohorts that measured AM. We estimated $K$ factors for severe acute malnutrition (SAM) and moderate acute malnutrition (MAM) from AM incidence and prevalence using representative cross-sectional baseline and longitudinal data from 2 cluster-randomized controlled trials (Innovative Approaches for the Prevention of Childhood Malnutrition—PROMIS) conducted between 2014 and 2017 in Burkina Faso and Mali. We compared K estimates using complete (weight-for-length z score, mid-upper arm circumference (MUAC), and edema) and partial (MUAC, edema) definitions of SAM and MAM. $K$ estimates for SAM were 9.4 and 5.7 in Burkina Faso and in Mali, respectively; K estimates for MAM were 4.7 in Burkina Faso and 5.1 in Mali. The MUAC and edema–based definition of AM did not lead to different $K$ estimates. Our results suggest that $K$ can be reliably estimated when only MUAC and edema-based data are available. Additional studies, however, are required to confirm this finding in different settings.

scholarly journals Socioeconomic Disparities in Foods/Beverages and Nutrients Consumed by U.S. Adolescents When Snacking: National Health and Nutrition Examination Survey 2005–2018

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2530
Author(s):  
Navika Gangrade ◽  
Janet Figueroa ◽  
Tashara M. Leak
Keyword(s):  
National Health ◽  
Low Socioeconomic Status ◽  
Low Income ◽  
High Income ◽  
Future Research ◽  
Nutrition Examination Survey ◽  
Middle Income ◽  
Low Socioeconomic ◽  
Health And Nutrition ◽  
Income Ratio

Snacking contributes a significant portion of adolescents’ daily energy intake and is associated with poor overall diet and increased body mass index. Adolescents from low socioeconomic status (SES) households have poorer snacking behaviors than their higher-SES counterparts. However, it is unclear if the types of food/beverages and nutrients consumed during snacking differ by SES among adolescents. Therefore, this study examines SES disparities in the aforementioned snacking characteristics by analyzing the data of 7132 adolescents (12–19 years) from the National Health and Nutrition Examination Survey 2005–2018. Results reveal that adolescents from low-income households (poverty-to-income ratio (PIR) ≤ 1.3) have lower odds of consuming the food/beverage categories “Milk and Dairy” (aOR: 0.74; 95% CI: 0.58-0.95; p = 0.007) and “Fruits” (aOR: 0.62, 95% CI: 0.50–0.78; p = 0.001) as snacks and higher odds of consuming “Beverages” (aOR: 1.45; 95% CI: 1.19-1.76; p = 0.001) compared to those from high-income households (PIR > 3.5). Additionally, adolescents from low- and middle-income (PIR > 1.3–3.5) households consume more added sugar (7.98 and 7.78 g vs. 6.66 g; p = 0.012, p = 0.026) and less fiber (0.78 and 0.77 g vs. 0.84 g; p = 0.044, p = 0.019) from snacks compared to their high-income counterparts. Future research is necessary to understand factors that influence snacking among adolescents, and interventions are needed, especially for adolescents from low-SES communities.

scholarly journals Vertical position can affect categorization of the rich and the poor in Chinese culture

2021 ◽  
Vol 15 ◽  
pp. 183449092110257
Author(s):  
Qiong Li ◽  
Chen Deng ◽  
Bin Zuo ◽  
Xiaobin Zhang
Keyword(s):  
Low Income ◽  
Chinese Culture ◽  
Social Categorization ◽  
High Income ◽  
Vertical Position ◽  
The Poor ◽  
The Social ◽  
The Rich

This study explored whether vertical position affects social categorization of the rich and the poor. Experiment 1 used high- and low-income occupations as stimuli, and found participants categorized high-income occupations faster when they were presented in the top vertical position compared to the bottom vertical position. In Experiment 2, participants responded using either the “up” or “down” key to categorize high- and low-income occupations, and responded faster to high-income occupations with the “up” key and low-income occupations with the “down” key. In Experiment 3, names identified as belonging to either rich or poor individuals were presented at the top or bottom of a screen, and the results were the same as in Experiments 1 and 2. These findings suggest that social categorization based on wealth involved perceptual simulations of vertical position, and that vertical position affects the social categorization of the rich and the poor.

scholarly journals Household willingness to adopt a single-stage solar-supported hyper-thermophilic anaerobic biogas digester in Ghana

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Isaac Mbir Bryant ◽  
Abdul-Rahaman Afitiri
Keyword(s):  
Low Income ◽  
Interactive Effect ◽  
Clean Energy ◽  
Simple Random Sampling ◽  
High Income ◽  
Single Stage ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Quality Life ◽  
Willingness To Adopt

Abstract Background Sustainability of energy is key for quality life; thus, the use of clean energy at the household level warrants moving from fossil-based energy to modern forms like biogas. However, the joint interactive effect of household income, biogas usage and willingness to adopt a single-stage solar-supported hyper-thermophilic anaerobic biogas digester (SSHTABD) is not known. Methods A cross-sectional survey was carried out to assess the willingness of residents of Elmina to adopt the SSHTABD. Stratified and simple random sampling techniques were used to select 219 respondents fitted into a complementary log–log regression model. Results Household willingness to adopt the SSHTABD was 86%. Among them are households not willing to use biogas but have high income and households willing to use biogas but have either low or high income are more likely to adopt the technology compared to households not willing to use biogas and have low income. Households not willing to use biogas, but have high income (OR = 1.725, confidence interval [CI] 0.803–3.706) and households willing to use biogas, but have low income (OR = 1.877, CI 1.103–3.188) compared to households willing to use biogas and have high income (OR = 1.725, CI 1.080–3.451) are more likely to adopt the technology as households not willing to use biogas and have low income. Additionally, households employed under the formal government sector, formal and informal private sectors are 40%, 136% and 103%, respectively, more likely to adopt the technology than those unemployed. Conclusion The high willingness of households to adopt the technology calls for government to support households to own biogas digesters thus requires policy interventions and interdisciplinary research.

scholarly journals Defining the Threshold of Permissible Risk for Non-therapeutic Clinical Trials with Children in Europe

2017 ◽  
Vol 24 (4) ◽  
pp. 414-431
Author(s):  
Katherine Wade*
Keyword(s):  
Clinical Trials ◽  
Medical Care ◽  
Medicinal Products ◽  
Council Of Europe ◽  
Therapeutic Trials ◽  
Research With Children ◽  
Individual Trial ◽  
The One ◽  
Definition Of ◽  
Trial Participants

Abstract It is important that clinical research with children is encouraged so that they are not exposed to the dangers of extrapolation from adult treatments. Clinical trials with investigational medicinal products (imps) are an important part of improving medical care for children. Both the 2001 Clinical Trials Directive and the 2014 Regulation recognise the need for such research, including the need for non-therapeutic trials with imps. However, it is also recognised that a balance must be struck between permitting tailored medical care for children as a group on the one hand, and protecting individual trial participants from harm on the other. A central issue in striking this balance relates to defining the threshold of risk which should be permitted in such research. This article provides a critical analysis of the current European law in relation to the definition of acceptable risk for non-therapeutic clinical trials with imps and makes recommendations for reform, drawing on law from the Council of Europe, as well as law from the us.

Evaluation of a Promotional Strategy to Increase Bicycle Helmet Use by Children

PEDIATRICS ◽  
1993 ◽  
Vol 91 (4) ◽  
pp. 772-777
Author(s):  
Patricia C. Parkin ◽  
Laura J. Spence ◽  
Xiaohan Hu ◽  
Katherine E. Kranz ◽  
Linda G. Shortt ◽  
...  
Keyword(s):  
Low Income ◽  
Head Injuries ◽  
Control Area ◽  
High Income ◽  
Bicycle Helmet ◽  
Helmet Use ◽  
Modest Increase ◽  
Promotional Strategy ◽  
Intervention Area ◽  
Low Income Families

Bicycle-related head injuries are an important cause of death and disability, despite the availability of helmets. The objective of this study was to evaluate the effectiveness of a school-based bicycle helmet promotion program in increasing helmet use by children while controlling for secular trends. Two high-income and two low-income schools in an urban Canadian community were selected to receive a bicycle helmet promotion intervention, with the remaining 18 schools serving as controls. Approximately 1800 observations of bicycling children were made at randomly selected observational sites 2 to 5 months after the intervention to assess changes in behavior. Helmet use at all observation sites tripled from 3.4% (1990, preintervention) to 16% (1991, postintervention). In the high-income intervention area, observed helmet use rose dramatically from 4% to 36% in contrast to the more modest increase in the high-income control area from 4% to 15%. In the low-income intervention area, there was a modest increase from 1% to 7%, but it did not differ from the increase in the low-income control area from 3% to 13%. The program was highly successful in children of high-income families but not in children of low-income families. Developing strategies for low-income families remains a priority.

scholarly journals The Effects of Choice on Reading Engagement and Comprehension for Second- and Third-Grade Students: An Action Research Report

2017 ◽  
Vol 3 (2) ◽  
pp. 19-38
Author(s):  
Julie Fraumeni-Mcbride
Keyword(s):  
Reading Comprehension ◽  
Action Research ◽  
School Performance ◽  
Low Income ◽  
High Income ◽  
Reading Engagement ◽  
Third Grade ◽  
Research Report ◽  
School Students ◽  
Third Grade Students

Poor literacy rates contribute to low school performance for children across America. In particular, low-income schools continue to struggle with declining literacy rates. Issues with literacy are often attributed to lack of reading comprehension. This study tested the effects of choice on reading comprehension in second- and third-grade students at a high-income school and a low-income school. Students were observed while reading silently and aloud to see if either method affected reading comprehension. Data were collected from 32 students before, during, and after reading to determine whether students’ comprehension levels were higher when given opportunities to choose their own books or when they read assigned books. Trials were performed while students read silently and then aloud. Results indicated that students had higher comprehension levels both when they could choose their own books and when they read silently.

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