scholarly journals The Long Arm of Prospective Childhood Income for Mature Adult Health in the U.S.

2021 ◽  
Author(s):  
David Brady ◽  
Christian Guerra ◽  
Ulrich Kohler ◽  
Bruce Link
Keyword(s):  
Heart Attack ◽  
Chronic Conditions ◽  
Economic Status ◽  
Panel Study ◽  
Adult Health ◽  
Mature Adult ◽  
Absolute Income ◽  
Significant Relationships ◽  
Childhood Conditions ◽  
Life Threatening

Pioneering scholarship links retrospective childhood conditions to mature adult health. We distinctively provide critical evidence with prospective state-of-the-art measures of parent income observed multiple times during childhood in the 1970s-1990s. Using the Panel Study of Income Dynamics, we analyze six health outcomes (self-rated health, heart attack, stroke, life-threatening chronic conditions, non-life-threatening chronic conditions, and psychological distress) among 40-65 year olds (N=3,813-3,944). Parent relative income rank has statistically and substantively significant relationships with five of six outcomes. The relationships with heart attack, stroke and life threatening chronic conditions are particularly strong. Parent income rank performs slightly better than alternative prospective and retrospective measures. At the same time, we provide novel validation on which retrospective measures (i.e. father’s education) perform almost as well as prospective measures. Further, we inform several perennial debates about how relative versus absolute income and other measures of socio-economic status and social class influence health.

scholarly journals Profile of Organophosphorus Poisoning

KYAMC Journal ◽  
2018 ◽  
Vol 9 (3) ◽  
pp. 133-135
Author(s):  
Joya Debnath ◽  
Arpan Kumar Basak ◽  
Md Zubaidur Rahman ◽  
Anujit Saha
Keyword(s):  
Organophosphorus Compound ◽  
Economic Status ◽  
Frequency Pattern ◽  
Major Health Problem ◽  
Major Health ◽  
The Public ◽  
Medical College ◽  
Phosphorus Poisoning ◽  
Life Threatening ◽  
The Government

Background : Self poisoning with organophosphate pesticides is a major health problem in world wide. Organophosphorus compound poisoning is a very common toxicological emergency encountered at Mirzapur in Tangail. It is particularly common among the rural agricultural worker's which comprise a substantial group of the population of this region.Objective: The objective of this study was to find out the incidence, frequency, pattern of poisoning, outcome and aetiological aspect of Organo phosphorus poisoning patient admitted in Kumudini Women's Medical college Hospital.Methods: A total 366 cases of OPC poisoning were analysed during 1 year from January 2015 to December 2015. The emphasis was given on age, sex, socio-economic status, occupation, motive of poisoning, types of compound consumed its quality, place, distance from referral place and the ultimate outcome.Results: Young population of rural background, particularly agricultural workers were the commonest patients (51.91%). The most common motive of poisoning was with a suicidal intent, both in males (27.59%) and females (66.39%). Financial crisis was one of the most common reasons analysed as the motive behind the poisoning (54.20%). Three hundred forty four Patients recovered and 22 were expired. The major cause of death in these cases was respiratory failure followed by multi-organ failure.Conclusion : Strict of the pesticide act and involving a new policy by the government to educate the public and youth in large about the dangerous, life threatening effects of Organophosphorus compound could help amelerioating the harmful effects of such poisoning.KYAMC Journal Vol. 9, No.-3, October 2018, Page 133-135

scholarly journals Relationship between workers’ return to work, job retention and income in industrial accidents in Korea: a longitudinal study

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e039948
Author(s):  
Suk Won Bae ◽  
Inchul Jeong ◽  
Jin-Ha Yoon ◽  
Seung Wook Lee ◽  
Tae Hyun Kim ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Return To Work ◽  
Original Work ◽  
Occupational Injury ◽  
Economic Status ◽  
Panel Study ◽  
Estimating Equation ◽  
Job Retention ◽  
Industrial Accidents ◽  
Priority Assignment

ObjectiveThis study aims to compare workers’ income before and after an occupational injury, with regard to return to work and job retention, over a period of 5 years.DesignThis study was designed as a longitudinal study.SettingThe Panel Study of Workers’ Compensation Insurance (PSWCI) survey targeted workers involved in industrial accidents for which medical care was terminated in the year 2012.ParticipantsThe panel study was conducted on a final sample of 2000 workers who were selected proportionally by region (nine regions) after priority assignment by disability rating (six levels). A total of 1458 workers were finally included in this study.MethodsThis study used data from the first to fifth PSWCI. To identify the effect on income after occupational injury considering return to work and job retention, we used the generalised estimating equation.ResultsIn regard to workers’ return to work, the OR that income after an occupational injury would be higher than that before an occupational injury was 3.17 (2.41–4.17) for those who returned to original work and 2.32 (1.81–2.97) for those re-employed as compared with who did not return to work and 1.27 (1.07–1.15) for those who retained their job as compared with those who did not. The ORs were 2.91 (2.26–3.75) for those who were re-employed and retained jobs and 2.96 (2.15–4.08) for those who returned to original work and did not retain jobs as compared with those who did not return to work and did not retain jobs.ConclusionsIt is important for accident victims to retain their jobs to maintain their economic status.

scholarly journals Health care network for chronic conditions: an intervention and evaluation in the health system

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C S Cardoso ◽  
N R Baldoni ◽  
C F Melo ◽  
L O Rezende ◽  
K Noronha ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care Professionals ◽  
Chronic Conditions ◽  
Panel Study ◽  
Health Indicators ◽  
Institutional Capacity ◽  
Local Health ◽  
Care Network ◽  
Health Care Network

Abstract Background Health assessments are necessary for the (re) formulation of effective public policies and to guarantee the quality of care offered. This study aim to evaluate the perception of health professionals concerning the institutional capacity of the health system to care for Chronic Conditions (CC) after intervention in a medium-sized municipality in Minas Gerais, Brazil. Methods It is a panel study with evaluation before, during and after an intervention in the health system with a focus on three CC, i.e., i) diabetes; ii) hypertension; and iii) pregnant women. Health care professionals from primary and specialized care units were interviewed using the Assessment of Chronic Illness Care (ACIC) scale, which was applied in nine focal groups organized by health care unit. Results A total of 240 professionals participated of this evaluation, being 94, 63 and 82 participants in 2013, 2015 and 2018 respectively. The ACIC scores showed an positive evolution in the capacity of the health system to care for CC over the years. In the first wave the global score was 5.40 (basic capacity), while in the third wave the score was 9.38 (optimal capacity), with a significant increase in the scores (p < 0.01). Conclusions An important gain in the institutional capacity of the municipality was evidenced for the care of chronic conditions after intervention in the health system. Such an enhancement of the health system to operate in the CC might be sustainable over the time. Furthermore, its impact may directly reflect on the health indicators of the population. Key messages The results showed a strengthening of the local health system. These findings can subsidize other municipalities with a similar reality in the organization of the health care network and, consequently improve the care provided to chronic conditions.

Chinese Herbal Medicine in the Management of Atherosclerosis-Related Chronic Conditions in an Aging Population

2019 ◽  
pp. 593-615
Author(s):  
Enoch Chan ◽  
Sai Wang Seto ◽  
Tsoi Ming Au Yeung ◽  
Gabriel Hoi Huen Chan
Keyword(s):  
Herbal Medicine ◽  
Chinese Herbal Medicine ◽  
Heart Attack ◽  
Chronic Conditions ◽  
Chronic Condition ◽  
Healthy Aging ◽  
The Elderly ◽  
Chinese Herbal ◽  
Mainstream Healthcare ◽  
The Cost

Chronic conditions are important problems for an aging society. They impede on healthy aging and increases the cost of living due to increased medical cost. The most prevalent chronic conditions faced by the elderly population are hypertension, high cholesterol and diabetes mellitus. They increase the risk of developing atherosclerosis, a chronic condition which causes heart attack and stroke. This chapter provides a review on existing therapeutics for the treatment of cardiovascular disease, and briefly discusses their side effects. This chapter also provides a brief introduction to Traditional Chinese Medicine (TCM), and its development in ancient China. This will be followed by a discussion on the recent research on the use of Chinese herbal medicine (CHM) in the treatment of cardiovascular diseases, and the potentials and challenges of incorporating CHM in mainstream healthcare system.

scholarly journals Patients with more comorbidities have better detection of chronic conditions, but poorer management and control: findings from six middle-income countries

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Grace Sum ◽  
Gerald Choon-Huat Koh ◽  
Stewart W. Mercer ◽  
Lim Yee Wei ◽  
Azeem Majeed ◽  
...  
Keyword(s):  
Chronic Conditions ◽  
World Health Organisation ◽  
World Health ◽  
Uncontrolled Hypertension ◽  
Adult Health ◽  
Cross Sectional ◽  
Middle Income ◽  
Middle Income Countries ◽  
Increased Risk ◽  
And Control

Abstract Background The burden of non-communicable diseases (NCDs) is rising rapidly in middle-income countries (MICs), where NCDs are often undiagnosed, untreated and uncontrolled. How comorbidity impacts diagnosis, treatment, and control of NCDs is an emerging area of research inquiry and have important clinical implications as highlighted in the recent National Institute for Health and Care Excellence guidelines for treating patients suffering from multiple NCDs. This is the first study to examine the association between increasing numbers of comorbidities with being undiagnosed, untreated, and uncontrolled for NCDs, in 6 large MICs. Methods Cross-sectional analysis of the World Health Organisation Study of Global Ageing and Adult Health (WHO SAGE) Wave 1 (2007–10), which consisted of adults aged ≥18 years from 6 populous MICs, including China, Ghana, India, Mexico, Russia and South Africa (overall n = 41, 557). Results A higher number of comorbidities was associated with better odds of diagnosis for hypertension, angina, and arthritis, and higher odds of having treatment for hypertension and angina. However, more comorbidities were associated with increased odds of uncontrolled hypertension, angina, arthritis, and asthma. Comorbidity with concordant conditions was associated with improved diagnosis and treatment of hypertension and angina. Conclusion Patients with more comorbidities have better diagnosis of chronic conditions, but this does not translate into better management and control of these conditions. Patients with multiple NCDs are high users of health services and are at an increased risk of adverse health outcomes. Hence, improving their access to care is a priority for healthcare systems.

My Gain or Your Loss? Changes in within-Couple Relative Wealth and Partners’ Life Satisfaction

2020 ◽  
Author(s):  
Daria Tisch
Keyword(s):  
Life Satisfaction ◽  
Fixed Effects ◽  
Gender Ideology ◽  
Panel Study ◽  
Theoretical Approaches ◽  
Significant Relationships ◽  
Relative Wealth ◽  
And Gender ◽  
Relative Resources ◽  
The Relationship

Abstract This article studies the relationship between partner’s wealth share and their life satisfaction in different-sex couples using the German Socio-Economic Panel Study (2002, 2007, 2012, and 2017). Resource-based theories and gender ideology are two prominent approaches to explain the effects of within-couple relative resources on various outcomes. Recently, scholars have argued that not relative but absolute personal resources are the crucial factor (autonomy perspective). Testing these different approaches is challenging because relative wealth mathematically perfectly depends on both partners’ absolute wealth, meaning the effects of relative and absolute wealth are hard to disentangle. To accurately test the theoretical approaches, this study analyses the relationship between relative wealth and life satisfaction under different conditions, such as whether relative wealth increases due to an increase in one’s own absolute wealth or a decrease in one’s partner’s absolute wealth. Individual fixed effects regressions show no statistically significant relationships between relative wealth and life satisfaction for men. In contrast, for women the relationship between their relative wealth and life satisfaction is significantly positive, in line with resource-based theories and the autonomy perspective. Further analyses reveal that this relationship is driven rather by changes in women’s own than in their partner’s absolute wealth.

Late complications among adult survivors of neuroblastoma in the St. Jude Lifetime Cohort Study (SJLIFE).

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. 10561-10561
Author(s):  
Carmen Louise Wilson ◽  
Cathleen Marie Cook ◽  
Tara M. Brinkman ◽  
Sujuan Huang ◽  
Wayne Lee Furman ◽  
...  
Keyword(s):  
Chronic Conditions ◽  
Prevalence Ratio ◽  
Adult Survivors ◽  
Late Complications ◽  
Binomial Regression ◽  
Life Threatening ◽  
Cumulative Count ◽  
Grade 3 ◽  
Long Term Survivors

10561 Background: Assessment of late outcomes in neuroblastoma survivors has generally consisted of self-reported health events within retrospective cohorts. We aimed to characterize the health outcomes of a clinically-assessed cohort of long-term survivors of neuroblastoma diagnosed between 1963-2003. Methods: In a cohort of 239 ten-year survivors of neuroblastoma, of whom 137 (57%) underwent comprehensive clinical assessments, chronic conditions were graded using a modified version of the Common Terminology Criteria of Adverse Events, version 4.03. Comparisons were made using 272 clinically assessed community controls. Log-binomial regression was used to compare the prevalence of chronic conditions (grade 1-5) between survivors and controls and to calculate prevalence ratio (PR) and 95% confidence intervals (CI). Mean cumulative count (treating death as a competing risk) of chronic conditions by age was used to estimate cumulative burden with imputation of outcomes for non-clinically assessed survivors. Results: The median age at diagnosis was 0.9 (range: 0.0-14.4) and the median age at follow-up was 31.9 (range: 20.2-54.6) years for clinically assessed survivors. Median age of controls was 34.7 (range: 18.3-70.2). Treatment consisted of chemotherapy (75%), radiation (23%) and surgery (91%). Survivors were more likely than controls to have hearing loss (31.4% vs. 2.9%, PR = 10.7, 95% CI = 5.2-22.0), cardiomyopathy (8.8% vs. 0.7%, PR = 11.9, 95% CI = 2.7-52.5), hypothyroidism (10.9% vs. 5.2%, PR = 2.1, 95% CI = 1.1-4.3) or neurological disorders (56.9% vs. 32.4%, PR = 1.8, 95% CI = 1.4-2.2). At 35 years of age, the cumulative incidence of survivors experiencing at least one grade 3-5 condition was 67.3% (95% CI = 58.3-76.0%). By age 35 survivors experienced, on average, 8.5 (95% CI = 7.6-9.3) grade 1-5 and 2.4 (95% CI = 2.0-2.8) grade 3-5 conditions per 100 survivors, which was higher than the burden of grade 1-5 (3.3 [95%CI = 2.9-3.7]) and grade 3-5 (0.9 [95%CI = 0.7-1.0]) conditions identified among controls. Conclusions: Two-thirds of survivors are affected by severe or life-threatening health conditions. Continued follow-up, screening and intervention provide opportunities to optimize health.

scholarly journals Patterns of Care at the End of Life for Children and Young Adults with Life-Threatening Complex Chronic Conditions

2018 ◽  
Vol 193 ◽  
pp. 196-203.e2 ◽  
Author(s):  
Danielle D. DeCourcey ◽  
Melanie Silverman ◽  
Adeolu Oladunjoye ◽  
Emily M. Balkin ◽  
Joanne Wolfe
Keyword(s):  
Young Adults ◽  
End Of Life ◽  
Chronic Conditions ◽  
Patterns Of Care ◽  
Complex Chronic Conditions ◽  
Life Threatening ◽  
Children And Young Adults

scholarly journals Long-Run Impacts of Childhood Access to the Safety Net

2016 ◽  
Vol 106 (4) ◽  
pp. 903-934 ◽  
Author(s):  
Hilary Hoynes ◽  
Diane Whitmore Schanzenbach ◽  
Douglas Almond
Keyword(s):  
Family Background ◽  
Panel Study ◽  
Safety Net ◽  
Economic Resources ◽  
Adult Health ◽  
Income Dynamics ◽  
Long Run ◽  
Self Sufficiency ◽  
Access To Food ◽  
The Impact

We examine the impact of a positive and policy-driven change in economic resources available in utero and during childhood. We focus on the introduction of the Food Stamp Program, which was rolled out across counties between 1961 and 1975. We use the Panel Study of Income Dynamics to assemble unique data linking family background and county of residence in early childhood to adult health and economic outcomes. Our findings indicate access to food stamps in childhood leads to a significant reduction in the incidence of metabolic syndrome and, for women, an increase in economic self-sufficiency. (JEL I12, I38, J24)

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