scholarly journals How Well Do Health-Mediation Programs Address the Determinants of the Poor Health Status of Roma? A Longitudinal Case Study

Author(s):  
Andrej Belak ◽  
Zuzana Dankulincova Veselska ◽  
Andrea Madarasova Geckova ◽  
Jitse P. van Dijk ◽  
Sijmen A. Reijneveld

2010 ◽  
Vol 16 (2) ◽  
pp. 119 ◽  
Author(s):  
Christine Tindal ◽  
Kay Cook ◽  
Nena Foster

This paper examines the stigma of injecting drug use as an underlying factor in the poor health status of Australian injecting drug users. Drawing on various models of stigma described in the literature, we examine injecting drug users’ experiences. As a case study, examples from Victorian (specifically Melbourne) policy and practice are included to exemplify community and societal attitudes towards injecting drug users and the implications of these for injecting drug user health. We conclude that redressing the negative effects of stigma requires political will, financial support, increased community commitment and a better understanding of the links between the social determinant of health and the poor health status of injecting drug users. Without reducing the stigma of injecting drug use the health of this marginalised population is likely to get worse, which will have broader negative population health effects.



Author(s):  
Dr. Hari S. Bisht ◽  

According to World Health Organization (WHO), the Social Determinants of Health (SDH) have an important influence on health inequities – the unfair and avoidable differences in health status seen within and between countries. In countries at all levels of income, health and illness follow a social gradient: the lower the socioeconomic position, the worse the health. The main objective of this paper is to understand these determinants that are prevailing and its relation with the health status of the elderly people in mountain region of Uttarakhand. In order to accomplish the study the data have been collected from 183 households from the three different geographic mountain areas of six administrative regions. The collected data have been further analyzed with SPSS latest version. The findings of study shows that & the self stated very poor health status majority were from the Garhwal mountain region, females those were widows, those were above 81 years, Shudra by caste followed by Khatriya caste, residing in joint family, living in Kuchha houses, civil pensioners, educated above high school & above and average income group followed by high and low income group of the elderly households. However, with respect to the poor health status, occupation, education and income of the household of elderly as the p-values associated with the Ch-square statistics are found to be less than the level of significance. The study concluded with that in built environment of the elderly people like the region, caste, being a female and widow and age above 81 years followed by living amenities like Kuchha house and residing in a joint family system are more significant with respect to the poor health status, while occupation, education and income of the household of elderly as the p-values associated with the Ch-square statistics is found to be less than the level of significance in the mountain region of Uttarakhand.



2022 ◽  
pp. 107780122110680
Author(s):  
Young-taek Kim ◽  
Chiyoung Cha ◽  
Mi-ran Lee

The purpose of this study was to identify the influence of violence on depressive symptoms in women. We analyzed panel data from the Korean Longitudinal Survey of Women and Families ( n  =  6,632). Exposure to sexual violence was a significant predictor of the onset of depressive symptoms. After adjusting for all covariates, other predictors included the perception of a poor or very poor health status than normal and participants in their 40s and 50s versus participants younger than 40 years. Assessing exposure to sexual violence might be beneficial for evaluating depressive symptoms in women who are newly diagnosed with depression.



2000 ◽  
Vol 32 (2) ◽  
pp. 191-206 ◽  
Author(s):  
KIRSTY MCNAY

Indirect estimates of maternal mortality in India indicate that fertility decline has reduced maternal deaths by reducing the frequency of pregnancy and childbirth. The earlier stages of fertility decline are also likely to have lowered maternal mortality by reducing the risk of pregnancy and childbirth as the proportion of births among risky multiparous, older women declines. However, further fertility decline may well be associated with some increase in risk. Risk will also remain high if the health status of Indian girls and women remains poor. This study uses a sample of maternal deaths and deliveries among patients who survived which occurred in Civil Hospital, Ahmedabad, Gujarat during 1982–1993 to investigate these issues further. The women in the sample have relatively low fertility and represent a fairly late stage of fertility decline. They also have persistently poor health status. Logit regression analysis reveals that although fertility decline is associated with some increase in risk, poor health status is the more important maternal mortality risk factor. Without attention to female health, even childbearing among expectant mothers with low fertility continues to be hazardous.



2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Antoine Christiaens ◽  
Benoit Boland ◽  
Marie Germanidis ◽  
Olivia Dalleur ◽  
Séverine Henrard

Abstract Background Glucose-lowering therapy (GLT) should be individualized in older patients with type 2 diabetes (T2D) according to their health status and their life expectancy. This study aimed at assessing the inappropriateness of GLT prescribing and the one-year mortality rate in geriatric patients with T2D. Methods Retrospective cohort study of consecutive inpatients with T2D admitted to a geriatric ward of a Belgian university hospital. Inclusion criteria were age ≥ 75 years, T2D with GLT before admission, and HbA1c measurement during the hospital stay. Comorbidities and geriatric syndromes were collected. GLT agents were classified into hypoglycaemic and non-hypoglycaemic ones, and their dosages were expressed in daily defined dose (DDD). Health status (intermediate or poor) and GLT appropriateness (appropriate, overtreatment, undertreatment) were assessed according to the 2019 Endocrine Society guideline on diabetes treatment in older adults, in which GLT overtreatment requires the presence of hypoglycaemic therapy. One-year mortality was determined using the National Registry of vital status, and its associated factors were analysed using multivariable Cox’ regression. Results The 318 geriatric patients with T2D (median age 84 years; 46% female) were in intermediate (33%) or poor health (67%). These two groups reached similar low HbA1c values (median 6.9%) with similar GLT regimens. GLT overtreatment was frequent (57%) irrespectively of the geriatric features. One-year mortality rate was high (38.5%) and associated in multivariate analysis with poor health status (HR: 1.59, p = 0.033), malnutrition (HR: 1.67, p = 0.006) and GLT overtreatment (HR: 1.73, p = 0.023). Patients with GLT overtreatment had a higher mortality rate (44.5%). Conclusions GLT overtreatment was present in more than half of these geriatric patients. Many of them were in poor health status and died within one-year. Special attention should be paid to individualisation of the HbA1c goals in the geriatric patients with diabetes, and to GLT de-intensification in those being over-treated.





2009 ◽  
Vol 38 (5) ◽  
pp. 1374-1379 ◽  
Author(s):  
N. E Rice ◽  
S. Bandinelli ◽  
A. M. Corsi ◽  
L. Ferrucci ◽  
J. M Guralnik ◽  
...  






Aging Cell ◽  
2009 ◽  
Vol 8 (1) ◽  
pp. 18-25 ◽  
Author(s):  
Kate L. Gibson ◽  
Yu-Chang Wu ◽  
Yvonne Barnett ◽  
Orla Duggan ◽  
Robert Vaughan ◽  
...  


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