Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Economic Conditions”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 379 records · Page 21Linked to original sources
PubMed1990

[Economic attitudes in the activities of therapeutic-prophylactic facilities under the conditions of new economic mechanisms].

For two years an experiment on restructuring of health services system is being conducted in Leningrad. The economic mechanisms are being introduced into the health services system which allow health authorities, using internal resources, to considerably improve the delivery of medical care for the population. The introduction of economic incentives into the system of payment for labour, the use of some economic mechanisms into the co-operation between medical institutions led to considerable intensification of labour, improved the discipline and performance indices of medical institutions. The most expedient form of work proved to be collective contract which allowed to considerably broaden the rights of doctors and staff. Institutions working on the basis of collective contract achieved much better results. Unnecessary hospitalization of patients has decreased and planned hospitalization increased, intensification of labour is going on which permits to significantly increase wages. Intra-sectorial cost accounting relationships is a progressive form of public health organization and management.

Delivery of Health Care↗
PubMedDate not supplied

The future of the public's health: vision, values, and strategies.

The expansive vision of modern public health, "healthy people in healthy communities," is politically charged. This paper offers a justification for this broad vision and offers concrete proposals. By pointing to the poor condition of public health agencies; urging a transition to an intersectoral public health system; promoting the adoption of bold changes in U.S. physical, social, and economic conditions; and endorsing a values shift to a commitment to collective interest in healthier communities, we hope to take a dramatic step toward achieving these aspirations for "healthy people in healthy communities."

Health Policy↗
PubMed2006

Depressive episodes in Sardinian emigrants to Argentina: why are females at risk?

BACKGROUND/OBJECTIVE: To compare the frequency of ICD-10 depressive episodes in a community sample of Sardinian immigrants in Argentina and a community sample of Sardinian residents in Sardinia, Italy. METHOD: A search of telephone directories provided all subscribers with Sardinian surnames in the Argentinean area involved. A 75.8% of all subjects thus identified took part in the study (n = 210). The characteristics of randomisation methods used to identify the community sample in Sardinia (n = 1040) have already been published elsewhere. All subjects were interviewed using the Composite International Diagnostic Interview Simplified. RESULTS: A higher frequency of depressive disorders was observed among the Sardinian immigrants in Argentina (26.7 vs. 13.5%, P < 0.0001). Females in particular showed a higher risk with respect to the Sardinian sample resident in Sardinia. DISCUSSION: On comparison of the present findings with the lifetime rate of depressive episodes in Sardinian immigrants in Paris (France), reported in a previous research study, a lower prevalence was observed among the latter group than in Sardinian immigrants in Argentina but the young male immigrants in Paris were at risk. CONCLUSION: The results obtained seem to suggest that emigration to a country where economic conditions have since dramatically changed may predispose subjects to depressive disorders, particularly when compared to the percentage of affected subjects in their native population and among subjects who had emigrated to more economically stable countries. Further epidemiological studies are warranted in order to confirm the present results and to clarify the determinants of the major risk for females in such a condition.

Adolescent↗
PubMed2006

Tick-borne encephalitis in the Baltic States: identifying risk factors in space and time.

This paper presents preliminary results in our investigations of the biological (abiotic and biotic) and non-biological causes of the spatial heterogeneity and temporal change of tick-borne encephalitis (TBE), both within and between Estonia, Latvia, and Lithuania. Spatial analysis revealed that the land cover and precise seasonal patterns of climatic indices (temperature and normalized difference vegetation index) can explain 55% of the observed spatial variation in TBE incidence over the period 1993-98 across all the Baltic States. Temporal analysis of climatic variables indicates a very specific change in spring temperature conditions from 1993 onwards that could enhance the transmission of TBE virus. Further time series analysis of climate, together with analysis of biotic factors, socio-economic conditions, and human behaviour is being undertaken to explain the epidemiological patterns more fully.

Animals↗
PubMed1987

Pulmonary tuberculosis and its socio-cultural setting in Vadodara.

Pulmonary tuberculosis is one of the major diseases whose incidence remains unabated in many Indian cities. It appears to reflect one of the consequences of modern urban conditions prevailing in the country. In the present paper, the close association between the distribution pattern of pulmonary tuberculosis in Vadodara with the social, cultural and economic conditions of life in the city becomes clear even when a small slice of recent time, 1977 to 1981, is taken to view it. The paper briefly sifts available data and indicates some of the directions in which the problem could be tackled to create a more healthy environment for city dwellers.

Age Factors↗
PubMed2006

Living conditions and psychosomatic complaints in Swedish schoolchildren.

BACKGROUND: The proportion of Swedish schoolchildren that reports psychosomatic complaints has increased during recent decades, parallel to major structural changes in Swedish society. AIM: To investigate the association of psychosomatic complaints in relation to household socio-economic conditions. METHODS: Cross-sectional study based on data from child supplements linked to nationally representative household surveys in Sweden during 2000-2003, covering a sample of 5390 children aged 10-18 y. Symptom variables were based on child interviews, while data from parental interviews were used to create socio-economic variables. RESULTS: Girls more often reported headache and recurrent abdominal pain (RAP) than boys, and these differences became more pronounced with age. Economic stress in the household was associated with headache (OR 1.21, p<0.05), RAP (OR 1.46, p<0.001) as well as difficulties falling asleep (OR 1.35, p<0.01), while there were no consistent associations between symptoms and social class or unemployed parents. Children in single-parent families consistently reported somewhat more symptoms than children in two-parent families (OR 1.26 for at least two of the three symptoms, p<0.05). CONCLUSION: Economic stress, but not social class, was a significant but moderate risk factor for all three psychosomatic symptoms. It is possible that a growing proportion of families in economic stress has contributed to the parallel increase in reported psychosomatic complaints among Swedish schoolchildren. Further studies are needed to clarify the relation between lack of money, relational strain/support and psychosomatic complaints.

Adolescent↗
PubMed1998

[Our experience in introducing current antibiotic prophylaxis into abdominal surgery--the initial results].

Over a one-year period (Nov. 1996-Nov. 1997), a total of 154 patients are admitted on an emergency basis, with deferred emergency and for routine treatment in the Clinic of Emergency Surgery. They are distributed in three groups, as follows: patients not requiring perioperative antibiotic prophylaxis and postoperative antibiotic therapy--27, patients subjected to perioperative parenteral antibiotic prophylaxis under adequate hospital conditions--121, and patients undergoing antibiotic prophylaxis in conditions inappropriate for its application--six. The drug schemes elaborated are in conformity with worldwide and Bulgarian experience along this line, and with the concrete hospital and economical conditions in this country. In all patient indicated for antibiotic prophylaxis the listed below antibacterial agents (presented as drug schemes) are administered i.v. a single time prior to anesthesia induction: in operations on the gastrointestinal tract except for interventions in acute appendicitis: cephalotin/cefazolin 2.0 g and metronidazole 0.5 g i.v.; in operations for acute appendicitis: amoxicillin/clavulanate 1.2 g and petronidazole 0.5 f i.v.; biliary surgery free of extrahepatic cholestasis: cephalotin/cefazolin 2.0 g i.v.; biliary surgery with present or preceding extrahepatic cholestasis: cefotetan 2 g i.v.; contaminated liver cysts (parasitic and nonparasitic): cefotetan 2 g i.v.; abdominal trauma without perforation of a hollow organ: cefotetan 2 g i.v.; in plastic repair of the anterior abdominal wall (congenital defects, postoperative eventration) and in poor risk patients (local and general status: cephalotin/cefazolin 2.0 g i.v. In 135 patients the postoperative period runs a course free of complications worthy of notice. Complications directly linked to introduction of the method proposed are recorded in ten cases: operative wound suppuration (4) and hospital infection (6). Complications not related directly to the procedure are observed in nine cases: urinary tract infection (4), bronchopneumonia (2), fever with unknown source of infection (including negative hemoculture) necessitating additional antibiotic therapy (2) and secondary infection (within a week of intervention) necessitating further therapy with antibiotics. The specific features of antibiotic prophylaxis used in the various types of operative interventions are discussed from microbiological, clinical and pharmacotherapeutic viewpoints. The obtained results are compared with pertinent literature data on the issue with a special reference to the clinical efficacy attained. They mirror the approach against the background of the concrete hospital conditions in this country. The method developed is fully consistent with the level of surgical expertise in Bulgaria. All efforts should be aimed at intrahospital environment improvement by means of meticulous asepsis and antisepsis.

Abdomen↗
PubMed1987

Relation of economic change to Swedish health and social well-being, 1950-1980.

To what extent, and through what mechanisms, does the deterioration of economic conditions affect the health of the population at the national level? In this paper, the author presents the results of a study of Swedish data, analyzing the post-World War II changes in mortality rates in relation to deleterious economic changes, especially unemployment, business failure rates, and declines in real per capita income. The analysis uses a version of the 'Economic Change Model of Pathology' which includes the influence of health risks related to patterns of consumption and production. It is found that economic growth plays a principal role in reducing mortality at nearly all ages, and specifically mortality due to total cardiovascular disease, cerebrovascular disease, total heart disease, ischemic heart disease, total malignancies, disorders of infancy, and motor vehicle accidents. Economic recession, by contrast, is related to increases in total mortality for virtually all age groups, in both sexes, for major causes of death and causes due to psychopathological conditions. Per capita alcohol consumption, by specific beverage, is an important risk to mortality rates in cerebrovascular disease, malignancies, cirrhosis, motor vehicle accidents, suicide, homicide, and infant diseases. Cigarette consumption rates are positively related to mortality due to cardiovascular, malignant, and infant diseases; fat consumption rates are positively related to cardiovascular and cancer mortality.

Economics↗
PubMed1991

[Socio-hygienic characteristics of families from the rural regions of Uzbekistan].

For the purpose of obtaining a socio-economic characteristic of a rural family a complex survey has been conducted in three regions of the Uzbek Republic covering all families having children of early age. The findings showed that in rural areas of the republic women marry early and the birth spacing in 74-78 percent of women does not exceed 2 years. Rural women deliver babies during the whole period of reproductive age but when they reach the age of 28-30 the birth spacing increases. All rural families tend to have many children and there is no evidence that they might shift to having less children in the nearest years. About 60 percent of rural families have two babies under 3 years of age. Living and socio-economic conditions of most rural families are estimated as poor. Most of these families have many children, their health culture is poor and medical activity slow. Many of these families preserve old, at times negative traditions. The demographic development of a rural family does not correspond to the level of socio-economic development of the rural area. All this contributes to the formation of a slow dynamic lifestyle concentrated on narrow family interests. As a whole an average rural Uzbek family lags behind other such families from industrial regions of the country as far as their cultural and socio-economic development is concerned, and to overcome this backwardness it is necessary to create real conditions for more active involvement of population in different spheres of social and public activities.

Adult↗
PubMed2000

Cultural meanings of tuberculosis in Aceh Province, Sumatra.

This paper shows how disease transmission and particularly what biomedicine calls tuberculosis are interpreted in the non-Western context of Aceh Province, Sumatra, Indonesia. It tries also to focus on factors influencing perceptions and health-seeking behaviors. Results show that what biomedicine calls TB is represented by a semantic network of illnesses. Parts of this network are clearly identified as transmissible while others are related to specific phenomena affecting the individual, such as terbuk (poisoning) or trouk (fatigue produced by hard work), and are not considered contagious. Forms of transmission are interpreted mostly through empirical and analogic categories. TB is attributed to four different aspects: (a) biomedical categories such as germ theory; (b) socio-economic conditions; (c) transgression of social rules; and (d) poisoning and the influences of supernatural powers. Health-seeking behaviors are related to the perceived causes of the disease, economic factors, and the accessibility of health services.

Adult↗
PubMed2003

[Urban schistosomiasis and social and epidemiological heterogeneity in Campinas, São Paulo, Brazil].

This study deals with the relationship between schistosomiasis and urbanization, particularly the urbanization process experienced by cities in dependent capitalist countries, with large groups of people in precarious living conditions. Six hundred and ten notified autochthonous cases in Campinas during the period from 1970 to 1990 are analyzed through notification files with regard to patients socio-economic conditions. Autochthonous cases of schistosomiasis were demonstrated as having a more heterogeneous geographical distribution within the urban area than could be inferred from previous studies that correlate the occurrence of transmission with precarious sanitary conditions.

English Abstract↗
PubMedDate not supplied

[Effect of air pollution and socioeconomic conditions on the incidence of chronic and recurrent respiratory infections in school children].

Basing on information from questionnaires distributed to 4007 children of an age range from 5 to 15 years living in regions of different air pollution an analysis of incidence of upper airway diseases and socio-economic conditions of their families was carried out. The authors conclude that air pollution effects incidence of respiratory diseases. Children from highly polluted regions (Zabrze, Zdzieszowice) have higher incidence of respiratory infections than children from less polluted regions. Socio-economic factors also have an effect on incidence of respiratory infections in children. Children from well situated families have lower incidence indexes. Boys develop respiratory disorders more frequently than girls.

Adolescent↗
PubMed1992

Transfer of population as a solution to international disputes: population exchanges between Greece and Turkey as a model for plans to solve the Jewish-Arab dispute in Palestine during the 1930s.

The author explores the reasons for the failure of a plan for population exchanges that took place between Jews and Arabs in Palestine in the 1930s. Special focus is given to the success of previous exchanges between Greece and Turkey that took place during the 1920s and why this model failed in Palestine. The author concludes that "the Zionist plans which assumed that one could encourage voluntary transfer by creating attractive economic conditions in the target areas, did not take into account the factors of nationalism, ties to place of residence, religion, etc. These factors carried no less weight than the economic factor and they could effectively prevent any voluntary transfer of the Arab population."

Asia↗
PubMed1989

Trends in drinking habits among Finnish youth from 1973 to 1987.

The aim of this study has been to analyze the trends in drinking habits among Finnish youth from 1973 to 1987. The data were collected by questionnaires from representative nationwide samples of 14- to 18-year-olds in 1973, and from 1977, biennially. Response rates varied between 79% (1985) and 88% (1981). The use of alcohol was common among young people in the early 1970s, decreased until the beginning of the 1980s, and then increased again beginning in 1983. The use of alcohol had increased among young people in every sociodemographic group and school type in recent years. However, the increase, per capita, of alcohol consumption in Finland has grown in recent years after a long stable period due to an increase in the availability of alcoholic beverages and better economic conditions. The spending money available to young people for their leisure time activities, including alcohol consumption, increased markedly after 1983. The liberalization of alcohol policies in connection with fast economic development had a special effect on alcohol use among young people in the early 1970s and then again in the 1980s.

Adolescent↗
PubMed2002

The roles of blink reflex and sympathetic skin response in multiple sclerosis diagnosis.

The neurological history and examination are important in multiple sclerosis (MS) diagnosis, but early and accurate diagnosis of MS often requires judicious use of paraclinical information. Electrophysiologic techniques have an important role in demonstrating lesions that are clincally silent but magnetic resonance imaging (MRI) is accepted as the most sensitive paraclincal test for detecting asymptomatic dissemination in space for MS patients. In order to test the sensitivity of electrophysiologic techniques in diagnosing asymptomatic MS lesions, we performed blink reflex (BR) and sympathetic skin response (SSR) studies on 13 female (mean age 39 -/+ 9 years) and 8 male (mean age 35 -/+ 14 years) patients with a diagnosis of definite MS who do not have any clinical symptoms nor signs referable to brainstem or autonomic system dysfunction. Forty three percent of patients on SSR testing and 40% of patients on BR testing demonstrated abnormal results. In countries with unfavorable economic conditions, diagnosis, especially the follow-up evaluation of MS patients, poses a major dilemma. The role of diagnostic techniques in MS diagnosis when MRI is available is an economic problem. Diagnostic evaluation adds to the cost of health expenses. We usually choose to perform MRI only at the initial diagnosis of MS and perform follow-up evaluations during remissions and exacerbations with the aid of electrophysiologic techniques. We stress the importance of electrophysiologic screenings in MS patients because they provide data that cannot be obtained through clinical evaluations only with a little cost.

Adult↗
PubMed1998

Accounting for two population turnarounds in nonmetropolitan America.

"The turnaround [in U.S. rural-to-urban migration] of the 1970s, the metropolitan resurgence of the 1980s, and the rural rebound of the 1990s [have been] described as three unanticipated changes in migration.... [This chapter] compares the magnitude of the three changes in net migration and contrasts the two nonmetropolitan turnarounds.... The results support a view of the 1970s turnaround as the outcome of long-term deconcentrating trends that were interrupted from the late 1970s to the late 1980s by circumstances that favored metropolitan areas. The return of nonmetropolitan territory to net in-migration in the 1990s appears to be due in part to favorable economic conditions that allow more people to act on preferences for smaller places."

Americas↗
PubMed1996

Epidemiology of urolithiasis.

The epidemiology of urolithiasis differs according to geographical area and historical period: changing socio-economic conditions have generated changes in the incidence and type of lithiasis in terms of both the site and the physical-chemical composition of the calculi. Reno-ureteral calculosis typical of adult age and featuring mainly calcium oxalate and phosphate is currently more frequent in economically developed countries, where the prevalence rate hovers between 4% and 20% and the annual incidence of hospitalization for calculosis ranges from 0.03 to 0.1%. On the contrary "primitive" vesical calculosis is fairly widespread in Asia, with calculi composed of ammonium urate and calcium oxalate. Vesical calculosis, due to malnutrition in the very early years of life, is currently frequent in huge areas of Turkey, Iran, India, China, Indochina and Indonesia, although the incidence is decreasing in proportion as social conditions gradually improve. At the beginning of the 20th century primitive vesical calculosis was relatively frequent in Europe also, but in the course of the last 100 years, there has been a gradual decrease in its incidence, while the reno-ureteral calculosis has become more common. This trend definited as "stone wave" has been explained in terms of changing social conditions and the consequent changes in eating habits. In Europe, Northern America, Australia, Japan, and, more recently, Saudi Arabia affluence has spread to all social classes, and with it the tendency to eat "rich" food in large quantities. Calcium oxalate and/or phosphate stones account for almost 70% of all renal stones observed in economically developed countries. The prevalence of this type of stones varies considerably on account of environmental factors, especially dietary intake and lifestyle, while radiolucent and infection stones seem to be less influenced by environmental conditions. In the seventies the pathogenetic role for calcium oxalate stones of a diet rich in proteins, refined carbohydrate and sodium has become evident, while the effect of alimentary calcium and oxalate is still debated. However, the concurrence of a genetic predisposition seem to be crucial for calcium stone formation. In fact the importance of family history for idiopathic calcium stone disease is clearly demonstrated, although little is known about the metabolic alterations underlying this predisposition and their genetic transmission mechanisms.

Adult↗
PubMed1987

[Social conditions and ischemic heart disease in the female].

In the development of ischemic heart disease (IHD) in women, there are a variety of factors which, possibly, may exert an influence. The recognition of such factors must be considered prerequisite to a preventive approach to the disease. Possible relationships between socio-economic conditions, in particular education level and occupation as well as marital status and number of children, with manifestations of IHD or presence of risk factors have been studied. Recently, results have been published from the Cottbus Prevention Study/GDR (CGPPS), the World Health Organization Project Eberbach-Wiesloch/FRG and US-American analyses (NHANES II). On evaluation of available data and assessment of the coronary risk profile in women, it should be taken into consideration that comparison is encumbered by the facts that the studies did not employ uniform definitions of socio-economic classification, risk factors and IHD and that they were subject to differing historical developments. Similar to that observed in men, arterial hypertension and overweight was seen significantly more frequently in women factory workers and rural women than in their more sophisticated counterparts. As in other studies, the prevalence of hypercholesterolemia in women did not differ among the socio-economic stratifications. The number of smokers was significantly higher in those at the upper levels of education than in women factory workers and rural women or office workers and housewives. There was an inverse relationship between the level of education and mean arterial blood pressure. There was no relationship, however, between income and cholesterol levels. In women working at the lower levels of employment, there was a higher incidence of IHD.(ABSTRACT TRUNCATED AT 250 WORDS)

Coronary Disease↗