Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Income Distribution”

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 703 records · Page 39Linked to original sources
PubMed2005

Magnitude and distribution of canine fecal contamination and helminth eggs in two areas of different urban structure, Greater Buenos Aires, Argentina.

The canine fecal contamination and the potential transmission of parasites to human and canine populations represent a public health problem of cosmopolitan importance. The objectives of this work were to evaluate the magnitude of fecal and parasite contamination in two suburban areas of different characteristics, and to investigate their distribution in various urban microenvironments such as yards, green spaces and sidewalks. The areas were referred to as middle-income neighbourhood (MIN) and low-income neighbourhood (LIN). To evaluate fecal contamination and its distribution, feces were counted and areas surveyed were calculated. The parasite contamination was evaluated from the prevalence of helminthosis found in a randomly selected fecal sample of the canine population in each of the study areas. The respective median fecal densities in MIN and LIN were 0.11 and 0.12 feces/m2 for green spaces, 0.10 and 0.19 feces/m2 for sidewalks (Mann-Whitney test, p<0.05), and 0.04 and 0.07 feces/m2 for households. In all the surveyed environments, dogs were free-ranging animals and preferred to defecate on grass surfaces rather than on bare soil, tile or sand. In MIN and LIN the respective prevalences were 40% and 70% for helminths in general (Chi square=15.17, p<0.01), 14 and 53% for Ancylostoma (Chi square=23.99, p<0.01), 9 and 17% for Toxocara (p>0.05), and 26 and 38% for Trichuris (p>0.05). Sidewalks were the most contaminated environments in LIN. The level of infected feces in sidewalks and yards was higher in LIN than in MIN (Mann-Whitney test, p<0.05). This study includes a discussion of the influence of variables such as canine population density, sidewalk structure and amount of available green spaces on the distribution of fecal contamination, and results obtained are compared with those previously recorded for Buenos Aires City. An increasing gradient of contamination by canine feces and parasites was observed as socioeconomic status decreased, the canine population increased and the sanitation condition decrease.

Animals↗
PubMed1989

Changing distribution of GABA-like immunoreactivity in pigeon visual areas during the early posthatching period and effects of retinal removal on tectal GABAergic systems.

The distribution of GABA-like immunoreactivity in the pigeon visual system was studied during the first 9 days after hatching using a mouse monoclonal antibody, mAb 3A12, to glutaraldehyde linked GABA (Matute & Streit, 1986). GABA-like immunoreactivity was seen in cell bodies as well as in neuropil at the level of both the retina and central visual regions at any posthatching age. However, the distribution of putative GABAergic cells and processes varied with age reaching the adult pattern at around 9 days. As a general observation, almost no cell bodies in the retina (except for some perikarya in the ganglion cell layer) were labeled at hatching but densely packed immunostained processes were present in the inner plexiform layer. During the next few days, GABA-immunoreactive amacrine and horizontal cells appeared and the adult distribution of GABA-like immunoreactivity was reached at around 9 days. In the other visual regions examined, the general trend in the variation of GABA-like immunoreactivity included: (1) a progressive decrease in the density of immunostained cell bodies and (2) an almost parallel increase in the concentration of stained neuropil. Since in pigeons the adult organization of visual pathways and the final distribution of putative GABAergic systems are reached at around the same age, we suggest the possibility that incoming ganglion cell axons play a role in regulating the distribution of GABA-like immunoreactivity in visual areas. This hypothesis is supported by the fact that the distribution of GABA-like immunoreactivity in the superficial layers of the optic tectum was altered following ablation of the contralateral retina immediately after hatching.

Animals↗
PubMed2006

Socioeconomic gradients in clinical stage at presentation and survival among breast cancer patients in the Stockholm area 1977-1997.

A program to ensure an equivalent standard of care for all patients with breast cancer was initiated in the Stockholm area in the mid 1970s. As part of an evaluation of this program, social gradients in clinical stage at presentation and survival were analyzed among patients diagnosed during 1977 through 1997. The patients (n = 15,021) were selected from a database covering about 88% of all diagnosed breast cancer cases in the region. Putative associations were analyzed between clinical stage, survival and different socioeconomic indicators (level of education, income and occupation). There were significant social differences (p < 0.01) in distribution of clinical stage as well as in total and stage-specific survival. High income, more skilled work and a high level of education were all associated with clinically less advanced tumors and hence better survival. However, stage-specific survival differences were mostly generated by differences in nonbreast cancer mortality. The results indicate social inequalities regarding awareness of the disease and/or access to early detection. Social gradients in nonbreast cancer mortality were also found to influence observed survival. In contrast, we observed no significant social differences in stage-specific breast cancer mortality.

Adolescent↗
PubMed2005

The relation of education and income to cognitive function among professional women.

We investigated the relation of educational attainment and annual household income to cognitive function and cognitive decline in community-dwelling women aged 66 years or older. Subjects were 6,314 health professionals participating in the Women's Health Study, among whom information on education and income was self-reported. From 1998 to 2000, we administered five cognitive tests, measuring general cognition, episodic memory and verbal fluency, using a validated telephone interview. Second cognitive assessments were conducted approximately 2 years later; information was complete for 5,573 women at the time of analysis, with 94% follow-up. We used linear and logistic regression to calculate multivariate-adjusted mean differences as well as odds of cognitive impairment (defined as worst 10% of test distribution) and of substantial decline in performance (worst 10% of distribution), across various levels of education and income. After adjusting for numerous potential confounding factors, we found strong trends of increasing mean cognitive performance with increasing level of education (p trend<0.0005 on all cognitive measures). Odds of cognitive impairment also consistently decreased with increasing education. For income, we found significant trends of increasing mean cognitive performance with increasing income on the summary score and on episodic memory (p trends<0.0001). Results were generally similar for cognitive decline over 2 years, although slightly weaker. Thus, in these well-educated, professional women, educational attainment and income both predicted cognitive function and decline.

Aged↗
PubMed2001

Effect of extended coverage of immunosuppressive medications by medicare on the survival of cadaveric renal transplants.

Between 1993 and 1995, Medicare extended its coverage of maintenance immunosuppression medications following renal transplantation from 1 to 3 years. We hypothesized that Medicare's extension of immunosuppressive coverage would improve graft survival among low-income transplant recipients. We merged patient-level clinical data from the USRDS-distributed UNOS registry of kidney transplants throughout the USA with median family income for each patient's ZIP code from the 1990 Census. We were able to merge median incomes to 10,837 first cadaveric renal transplants performed in 1992-93 and 16,732 performed in 1995-97. Each of these chronological cohorts was divided into two groups, those with family incomes above (high-income group) and those below (low-income group) $36,033. There were no differences in graft survival at 1 year based on income in either chronological era. However, when Medicare covered immunosuppression medications for just 1 year, the low-income group of 1-year graft survivors had a 4.5% lower graft survival at the end of 3 years post-transplant (p < 0.001). During the 1995-97 period, during which Medicare provided 3 years' immunosuppression coverage, the low-income and high-income groups had equivalent graft survival at 3 years post-transplant.

Cadaver↗
PubMed2004

Fast food, race/ethnicity, and income: a geographic analysis.

BACKGROUND: Environmental factors may contribute to the increasing prevalence of obesity, especially in black and low-income populations. In this paper, the geographic distribution of fast food restaurants is examined relative to neighborhood sociodemographics. METHODS: Using geographic information system software, all fast-food restaurants within the city limits of New Orleans, Louisiana, in 2001 were mapped. Buffers around census tracts were generated to simulate 1-mile and 0.5-mile "shopping areas" around and including each tract, and fast food restaurant density (number of restaurants per square mile) was calculated for each area. Using multiple regression, the geographic association between fast food restaurant density and black and low-income neighborhoods was assessed, while controlling for environmental confounders that might also influence the placement of restaurants (commercial activity, presence of major highways, and median home values). RESULTS: In 156 census tracts, a total of 155 fast food restaurants were identified. In the regression analysis that included the environmental confounders, fast-food restaurant density in shopping areas with 1-mile buffers was independently correlated with median household income and percent of black residents in the census tract. Similar results were found for shopping areas with 0.5-mile buffers. Predominantly black neighborhoods have 2.4 fast-food restaurants per square mile compared to 1.5 restaurants in predominantly white neighborhoods. CONCLUSIONS: The link between fast food restaurants and black and low-income neighborhoods may contribute to the understanding of environmental causes of the obesity epidemic in these populations.

Eating↗
PubMed1995

The growth of Malawian preschool children from different socioeconomic groups.

OBJECTIVE: The growth of Malawian preschool children from different socioeconomic groups was examined to determine the relevance of the NCHS/WHO growth reference data for assessing child nutritional status in Malawi. DESIGN: The study involved a comparison of anthropometric data from three cross-sectional surveys of preschool children over 24 months of age. SETTING: Malawi, Central Africa. SUBJECTS: Anthropometric measurements were taken on high income Malawian children (n = 380) during a census of affluent preschools in the country's three major urban centres. Comparative data were obtained from two existing sample surveys of low income urban children (n = 225) and rural village children (n = 667). RESULTS: The distribution of weight-for-age Z-scores (HAZ) for the high income children 24-35 months of age closely resembled the NCHS/WHO child reference population (mean HAZ = -0.21; SD = 1.05). After this age HAZ decreased to a mean value of -0.58 between 60 and 71 months. Large differences in growth were observed between children from different socioeconomic groups. Regression analysis showed that at 24 months the high income children were, on average, 6.6 cm taller than the low income urban children (P < 0.001), and 9.2 cm taller than the rural children (P < 0.001). By 59 months of age these differences increased to 9.6 cm and 11.1 cm, respectively. CONCLUSIONS: Although some questions remain regarding the growth potential of Malawian children, the results suggest the NCHS/WHO reference data are relevant for Malawi and the high levels of child stunting found in the country are due to environmental not genetic factors.

Body Height↗
PubMed1992

Prevalence of migraine headache in the United States. Relation to age, income, race, and other sociodemographic factors.

OBJECTIVE: To describe the magnitude and distribution of the public health problem posed by migraine in the United States by examining migraine prevalence, attack frequency, and attack-related disability by gender, age, race, household income, geographic region, and urban vs rural residence. DESIGN: In 1989, a self-administered questionnaire was sent to a sample of 15,000 households. A designated member of each household initially responded to the questionnaire. Each household member with severe headache was asked to respond to detailed questions about symptoms, frequency, and severity of headaches. SETTING: A sample of households selected from a panel to be representative of the US population in terms of age, gender, household size, and geographic area. PARTICIPANTS: After a single mailing, 20,468 subjects (63.4% response rate) between 12 and 80 years of age responded to the survey. Respondents and non-respondents did not differ by gender, household income, region of the country, or urban vs rural status. Whites and the elderly were more likely to respond. Migraine headache cases were identified on the basis of reported symptoms using established diagnostic criteria. RESULTS: 17.6% of females and 5.7% of males were found to have one or more migraine headaches per year. The prevalence of migraine varied considerably by age and was highest in both men and women between the ages of 35 to 45 years. Migraine prevalence was strongly associated with household income; prevalence in the lowest income group (less than $10,000) was more than 60% higher than in the two highest income groups (greater than or equal to $30,000). The proportion of migraine sufferers who experienced moderate to severe disability was not related to gender, age, income, urban vs rural residence, or region of the country. In contrast, the frequency of headaches was lower in higher-income groups. Attack frequency was inversely related to disability. CONCLUSIONS: A projection to the US population suggests that 8.7 million females and 2.6 million males suffer from migraine headache with moderate to severe disability. Of these, 3.4 million females and 1.1 million males experience one or more attacks per month. Females between ages 30 to 49 years from lower-income households are at especially high risk of having migraines and are more likely than other groups to use emergency care services for their acute condition.

Adolescent↗
PubMed1997

Going for the gold: the redistributive agenda behind market-based health care reform.

Political conflict over the respective roles of the state and the market in health care has a long history. Current interest in market approaches represents the resurgence of ideas and arguments that have been promoted with varying intensity throughout this century. (In practice, advocates have never wanted a truly competitive market, but rather one managed by and for particular private interests). Yet international experience over the last forty years has demonstrated that greater reliance on the market is associated with inferior system performance--inequity, inefficiency, high cost, and public dissatisfaction. The United States is the leading example. So why is this issue back again? Because market mechanisms yield distributional advantages for particular influential groups. (1) A more costly health care system yields higher prices and incomes for suppliers--physicians, drug companies, and private insurers. (2) Private payment distributes overall system costs according to use (or expected use) of services, costing wealthier and healthier people less than finance from (income-related) taxation. (3) Wealthy and unhealthy people can purchase (real or perceived) better access or quality for themselves, without having to support a similar standard for others. Thus there is, and always has been, a natural alliance of economic interest between service providers and upper-income citizens to support shifting health financing from public to private sources. Analytic arguments for the potential superiority of hypothetical competitive markets are simply one of the rhetorical forms through which this permanent conflict of economic interest is expressed in political debate.

Australia↗
PubMed2006

Neighbourhood income and anxiety: a study based on random samples of the Swedish population.

BACKGROUND: Few studies have investigated the association between the neighbourhood characteristics and the vast panorama of mental disorders. This study examined whether there is an association between neighbourhood income and anxiety, a common mental disorder. METHODS: A national random sample of the entire Swedish population was used, consisting of 30 884 men and women aged 25-64 years. The sample was obtained from pooled data during the period 1995-2002 from the Swedish Annual Level of Living Survey. Small area market statistics were used in order to define neighbourhoods. The proportion of individuals with incomes in the lowest national income quartile was calculated for each neighbourhood. The distribution was then divided into quartiles. A log binomial model was applied in the estimation of prevalence ratios. Four models were calculated with stepwise inclusion of the variables. Model 4 was adjusted for all the individual variables, i.e. age, gender, marital status, immigrant status, social network, housing tenure, employment status, and income. RESULTS: In neighbourhoods with the highest proportions of individuals with low income the prevalence ratio of anxiety was 1.33 (95% confidence interval 1.24-1.42). The association demonstrated between neighbourhood income and anxiety decreased after stepwise inclusion of the individual variables and disappeared after all the individual variables were accounted for. CONCLUSION: Compositional explanations, rather than contextual explanations, lie behind the association between neighbourhood income and anxiety, a common mental disorder. However, we do not exclude the possibility that there is a contextual effect on severe mental disorders or among children with behavioural problems.

Adult↗
PubMed1985

[The formal dynamics of population transition].

This paper reexamines the facts and theories of the much debated population transition and proposes that the transition should be regarded as a "regularity" governing the population growth of the nations during the past 200 years. It is argued that in almost all cases the mortality decline has preceded the fertility decline but socioeconomic covariates of fertility have been found to be inconsistent, a supply dominant resolution with built-in dynamics of the renewal process should be adopted. Fertility decline is then related to a subjective increase in the supply of children, and alternatively, to the relative income of the young adults entering the labor market. Evidence affirming the relationships between mortality decline, shifting age composition, and fertility decline are provided.

Age Distribution↗
PubMed2002

Unequal exposure to ecological hazards: environmental injustices in the Commonwealth of Massachusetts.

This study analyzes the social and geographic distribution of ecological hazards across 368 communities in the Commonwealth of Massachusetts. Combining census data with a variety of environmental data, we tested for and identified both income-based and racially based biases to the geographic distribution of 17 different types of environmentally hazardous sites and industrial facilities. We also developed a composite measure of cumulative exposure to compare the relative overall risks characteristic of each community. To the best of our knowledge, this point system makes this the first environmental justice study to develop a means for measuring and ranking cumulative exposure for communities. The study also controls for the intensity of hazards in each community by accounting for the area across which hazards are distributed. The findings indicate that ecologically hazardous sites and facilities are disproportionately located and concentrated in communities of color and working-class communities. The implication of this research for policymakers and citizen advocates is that cumulative exposure of residents to environmentally hazardous facilities and sites should receive greater consideration regarding community demographics and environmental health indicators. We conclude that the provision of additional resources for environmental monitoring and ranking, as well as yearly progress reports, is necessary for communities and state agencies to achieve equal access to clean and healthy environments for all residents.

Environmental Exposure↗
PubMed1998

Point prevalence of barotitis in children and adults after flight, and effect of autoinflation.

The most common cause of barotitis is pressure changes during descent in aviation. Equilibration is normally achieved by swallowing, jaw movements, yawning, or chewing, but some have to perform a Valsalva maneuver several times during descent and even by these means some fail. The aim of the study was to estimate the point prevalence of barotrauma in children and adults after flight, and to test the effect of an autoinflation device (Otovent), in improving negative middle ear pressure after flight. Questionnaires and Otovent, were distributed to all air passengers in eight incoming flights. The questionnaires inquired about nasal allergy, nasal congestion, previous and actual ear pain, use of decongestants and experience of inflating the Otovent set during descent. After flight, the passengers were offered an ear examination including otoscopy and tympanometry both before and after a Valsalva maneuver, as well as after Otovent inflation. Otoscopic signs of barotitis were found in 10% of the adults and in 22% of the children. Negative middle ear pressure of more than 10 hPa after landing was found in 20% of the adults and in 40% of the children. The Valsalva maneuver normalized the pressure in 46% of the adults and in 33% of the children. Of the adults, 73%, and of the children, 69% with an unsuccessful Valsalva maneuver could improve or normalize the middle ear pressure by inflating the Otovent set. In conclusion, we recommend autoinflation using the Otovent set to air passengers with problems clearing the ears during flight.

Acoustic Impedance Tests↗
PubMed2005

Consumption of higher numbers of cigarettes in Mexican youth: the importance of social permissiveness of smoking.

This study sought to assess the relationship between level of cigarette smoking and social factors indicating permissiveness of smoking among youth. This was a school-based cross-sectional questionnaire study carried out in a random sample of students (n=13,293, 11-24 years) at public schools in Morelos, Mexico. Chi2 test and multiple logistic regression analysis were used to evaluate correlates of level of smoking (> or < or = 5 cigarettes/day). There is a rising trend in smoking among Mexican in-school youth, a tendency towards smoking initiation at increasingly younger ages and a decrease in the gender gap regarding smoking. When young people smoked at home, at school and outside, they were over fives times as likely to smoke >5 cigarettes/day. Prevention of smoking among Mexican adolescents should emphasize smoke-free schools, no smoking policies in the community and parental anti-tobacco education.

Adolescent↗
PubMed2004

[Distribution of risk factors according to socioeconomic status in male and female cases with coronary artery disease].

OBJECTIVE: Socioeconomic status (SES) is associated with coronary artery disease (CAD) risk factors, coronary morbidity and mortality. In industrialized countries several studies showed that the lowest SES groups have higher coronary morbidity and mortality rates and higher coronary risk factors profile. The aim of our study was to investigate the distribution of risk factors in cases with CAD in different socioeconomic groups. METHODS: Our study group consists of 550 consecutive cases with > or = 50% lesions in at least one coronary artery. Educational level and income were taken into consideration for the determination of the SES. In both sexes the distribution of eight risk factors such as, smoking, family history, diabetes mellitus, hypertension, high low-density lipoprotein cholesterol (LDL-C), low high-density lipoprotein cholesterol (HDL-C), body mass index, central obesity was compared in three different groups determined according to the education and income levels. RESULTS: In men, the distribution of risk factors did not differ according to education levels. In women, central obesity was found to be higher in the group with low education level. In men, the prevalence of low HDL-C, high LDL-C and obesity increased with increasing levels of economical status. In women, central obesity was found to be inversely related with the economic status. CONCLUSION: Our data show a higher risk factor profile in men with higher income level, while in women central obesity was inversely related to the income and educational level. These data should be considered in secondary prevention efforts.

Aged↗