scholarly journals Health outcomes in low-income children with current asthma in Canada

2009 ◽  
Vol 29 (2) ◽  
pp. 49-55 ◽  
Author(s):  
T. To ◽  
S. Dell ◽  
M. Tassoudji ◽  
C. Wang
Keyword(s):  
Health Services ◽  
Health Outcomes ◽  
Low Income ◽  
Health Services Use ◽  
Current Asthma ◽  
Low Income Children ◽  
Income Adequacy ◽  
Children With Asthma ◽  
Low Income Families ◽  
Services Use

Data collected from the Canadian National Longitudinal Survey of Children and Youth (NLSCY) in 1994/95 and 1996/97 were used to measure longitudinal health outcomes among children with asthma. Over 10 000 children aged 1 to 11 years with complete data on asthma status in both years were included. Outcomes included hospitalizations and health services use (HSU). Current asthma was defined as children diagnosed with asthma by a physician and who took prescribed inhalants regularly, had wheezing or an attack in the previous year, or had their activities limited by asthma. Children having asthma significantly increased their odds of hospitalization (OR = 2.52; 95% CI: 1.71, 3.70) and health services use (OR = 3.80; 95% CI: 2.69, 5.37). Low‑income adequacy (LIA) in 1994/ 95 significantly predicts hospitalization and HSU in 1996/97 (OR = 2.68; 95% CI: 1.29, 5.59 and OR = 0.67; 95% CI: 0.45, 0.99, respectively). Our results confirmed that both having current asthma and living in low-income families had a significant impact on the health status of children in Canada. Programs seeking to decrease the economic burden of pediatric hospitalizations need to focus on asthma and low-income populations.

scholarly journals Assessment of Behavioral Health Services Use Among Low-Income Medicare Beneficiaries After Reductions in Coinsurance Fees

2020 ◽  
Vol 3 (10) ◽  
pp. e2019854 ◽  
Author(s):  
Vicki Fung ◽  
Mary Price ◽  
Andrew A. Nierenberg ◽  
John Hsu ◽  
Joseph P. Newhouse ◽  
...  
Keyword(s):  
Health Services ◽  
Behavioral Health ◽  
Low Income ◽  
Medicare Beneficiaries ◽  
Behavioral Health Services ◽  
Health Services Use ◽  
Services Use

scholarly journals Effect of smoke-free legislation on respiratory health services use in children with asthma: a population-based open cohort study in Ontario, Canada

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e048137
Author(s):  
Teresa To ◽  
Ivy Fong ◽  
Jingqin Zhu ◽  
Rachel McGihon ◽  
Kimball Zhang ◽  
...  
Keyword(s):  
Cohort Study ◽  
Health Services ◽  
Population Based ◽  
Respiratory Morbidity ◽  
Health Services Use ◽  
Children With Asthma ◽  
Ed Visits ◽  
The Impact ◽  
Sports Fields ◽  
Services Use

ObjectiveThis study will add to existing literature by examining the impact of smoke-free legislation in outdoor areas among children with asthma. We aimed to examine the effect of the 2015 Smoke-Free Ontario Act (SFOA) amendment, which prohibited smoking on patios, playgrounds and sports fields, on health services use (HSU) rates in children with asthma.MethodsWe conducted a population-based open cohort study using health administrative data from the province of Ontario, Canada. Each year, all Ontario residents aged 0–18 years with physician diagnosed asthma were included in the study. Annual rates of HSU (emergency department (ED) visits, hospitalisations and physician office visits) for asthma and asthma-related conditions (eg, bronchitis, allergic rhinitis, influenza and pneumonia) were calculated. Interrupted time-series analysis, accounting for seasonality, was used to estimate changes in HSU following the 2015 SFOA.ResultsThe study population ranged from 618 957 individuals in 2010 to 498 812 in 2018. An estimated average increase in ED visits for asthma in infants aged 0–1 years of 0.42 per 100 individuals (95% CI: 0.09 to 0.75) and a 57% relative increase corresponding to the 2015 SFOA was observed. A significant decrease in ED visits for asthma-related conditions of 0.19 per 100 individuals (95% CI: −0.37 to –0.01) and a 22% relative decrease corresponding to the 2015 SFOA was observed.ConclusionBased on the observed positive effect of restricting smoking on patios, playgrounds and sports fields on respiratory morbidity in children with asthma, other jurisdictions globally should consider implementing similar smoke-free policies.

Low-income people's perspectives on determinants of health services use

2000 ◽  
Author(s):  
Miriam Stewart ◽  
Linda Reutter ◽  
Janet Fast ◽  
Kim Raine-Travers ◽  
Deana Shorten ◽  
...  
Keyword(s):  
Health Services ◽  
Low Income ◽  
Determinants Of Health ◽  
Health Services Use ◽  
Services Use

scholarly journals Health Services Use and Health Outcomes among Informal Economy Workers Compared with Formal Economy Workers: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 18 (6) ◽  
pp. 3189
Author(s):  
Nisha Naicker ◽  
Frank Pega ◽  
David Rees ◽  
Spo Kgalamono ◽  
Tanusha Singh
Keyword(s):  
Occupational Health ◽  
Health Services ◽  
Informal Economy ◽  
Odds Ratio ◽  
Health Services Use ◽  
Quality Of Evidence ◽  
Formal Economy ◽  
Relative Differences ◽  
Services Use

Background: There are approximately two billion workers in the informal economy globally. Compared to workers in the formal economy, these workers are often marginalised with minimal or no benefits from occupational health and safety regulations, labour laws, social protection and/or health care. Thus, informal economy workers may have higher occupational health risks compared to their formal counterparts. Our objective was to systematically review and meta-analyse evidence on relative differences (or inequalities) in health services use and health outcomes among informal economy workers, compared with formal economy workers. Methods: We searched PubMed and EMBASE in March 2020 for studies published in 1999–2020. The eligible population was informal economy workers. The comparator was formal economy workers. The eligible outcomes were general and occupational health services use, fatal and non-fatal occupational injuries, HIV, tuberculosis, musculoskeletal disorders, depression, noise-induced hearing loss and respiratory infections. Two authors independently screened records, extracted data, assessed risk of bias with RoB-SPEO, and assessed quality of evidence with GRADE. Inverse variance meta-analyses were conducted with random effects. Results: Twelve studies with 1,637,297 participants from seven countries in four WHO regions (Africa, Americas, Eastern Mediterranean and Western Pacific) were included. Compared with formal economy workers, informal economy workers were found to be less likely to use any health services (odds ratio 0.89, 95% confidence interval 0.85–0.94, four studies, 195,667 participants, I2 89%, low quality of evidence) and more likely to have depression (odds ratio 5.02, 95% confidence interval 2.72–9.27, three studies, 26,260 participants, I2 87%, low quality of evidence). We are very uncertain about the other outcomes (very-low quality of evidence). Conclusion: Informal economy workers may be less likely than formal economy workers to use any health services and more likely to have depression. The evidence is uncertain for relative differences in the other eligible outcomes. Further research is warranted to strengthen the current body of evidence and needed to improve population health and reduce health inequalities among workers.

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