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Search Results: 1 - 10 of 22591 matches for " social inequity "
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Inequidad en personas que padecen de Tuberculosis: Estudio piloto en tres Centros de Salud de Lima (Perú)
Musayón Oblitas,Yesenia; Loncharich Vera,Natalie; Castillo Rios,Ruth; Saravia Portuguez,Alina;
Index de Enfermería , 2008, DOI: 10.4321/S1132-12962008000200007
Abstract: objective. identify the magnitude of persons' poverty with tuberculosis and his change throughout the esnt. methods. pilot study of a patients' historical cohort deposited the esnt across socioeconomic evaluations to the moment which the patient joins to the strategy, on having reached the first phase of the treatment and end of the treatment. results. 45 % of the patients presents extreme poverty, other one 45 % is poor and 9.09 % is not poor, according to nbi. according to value of the familiar basic basket, 76.76 % is in extreme poverty, 18,18 % in poverty and 6.06 % is not poor. the extreme poverty increased to the half of the treatment 81.82 % and was kept until the end. the index of concentration to the beginning of the strategy was 0.24 and to the half and end of the strategy was 0.22. conclusions. the magnitude of poverty of the persons with tuberculosis increases lightly during his permanency in the esnt.
Social inequalities and the rise in violent deaths in Salvador, Bahia State, Brazil: 2000-2006
Viana, Luiz Antonio Chaves;Costa, Maria da Concei??o Nascimento;Paim, Jairnilson Silva;Vieira-da-Silva, Ligia Maria;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011001400016
Abstract: an ecological study was carried out using information zones as units of analysis in order to assess the evolution of socio-spatial inequalities in mortality due to external causes and homicides in salvador, bahia state, brazil, in 2000 and 2006. the brazilian institute of geography and statistics (instituto brasileiro de geografia e estatística - ibge) and the city health department (secretaria municipal de saúde) provided the data sources, and causes of death were reviewed and reclassified based on reports from the institute of legal medicine (instituto médico legal). the information zones were classified into four social strata according to income and schooling. the ratio between mortality rates (inequality ratio) was calculated and confirmed a rise of 98.5% in the homicide rate. in 2000, the risk of death due to external causes and murders in the stratum with the worst living conditions was respectively 1.40 and 1.94 times greater than in the reference stratum. in 2006 these figures were 2.02 and 2.24. the authors discuss the implications for inter-sectoral public policies, based on evidence from the study's findings.
Nursing?s role in tuberculosis control: a discussion from the perspective of equity
Oblitas, Flor Yesenia Musayón;Loncharich, Natalie;Salazar, María Esther;David, Helena Maria Leal;Silva, Inés;Velásquez, Doris;
Revista Latino-Americana de Enfermagem , 2010, DOI: 10.1590/S0104-11692010000100020
Abstract: this paper aims to analyze nurses’ role in tuberculosis control from the perspective of equity in the context of latin american countries. tuberculosis is frequently associated with poverty, but many other determinants play an important role in its prevalence. latin american countries fight against the presence of this illness and nursing professionals play a protagonist role in tb control, proposing comprehensive interventions in different spheres - individuals, families and society. the focus of nursing intervention ranges from public policy proposals, based on epidemiological research, through the establishment of multi-sector programs, to direct care and client education at the operative level. different professional nursing institutions can play a decisive role in this problem’ integral approach, both in national and international scopes. this requires the establishment of educative, social, technical and politically integrated support networks.
IMPLICATIONS OF CITIZEN PARTICIPATION IN LOCAL PUBLIC ADMINISTRATION UPON CITIZENS SATISFACTION
Bente Florina Maria
Annals of the University of Oradea : Economic Science , 2010,
Abstract: The satisfaction of citizens considering public services depends on the way the authorities identify and offer solutions to fulfil citizens expectations, which are at least identical or even superior to the services offered in private domain. In addition, the worldwide governments are forced to adapt to the pressure exercised by the changes that appear in the demographic, technologic and economic environment, by the growing expectations of citizens and the necessity of lowering the taxes. As a consequence, the public system is starting to adopt the solutions that the citizens identified for the developing of the public policies, implying and making the community responsible in the act of governing.
Evolution of inequalities in mortality in Salvador, Bahia State, Brazil, 1991/2006
Cruz, Shirley Andrade;Vieira-da-Silva, Ligia Maria;Costa, Maria da Concei??o Nascimento;Paim, Jairnilson Silva;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011001400006
Abstract: an ecological study was carried out with the aim of analyzing the evolution of inequalities in mortality in salvador, bahia state, brazil, between 1991 and 2006. the city was divided into four social strata from 95 geographic information zones. the variables used for social stratification were education level and income of heads of households. crude and age-standardized mortality rates, age specific mortality rates, proportional infant mortality and the proportional mortality ratio, were calculated for each zone and social strata. data was obtained from death certificates and the populational census. although differences between strata were smaller in 2000 than in 1991, they persist and are still high, ranging from 28.7% to 65.5%. the differences between information zones were as much as 575%. the authors discuss the shortcomings of information systems, recommending that health indicators should be estimated by social classes and pointing out the limits and possibilities of the methodology used here.
Massa marginal na América Latina: mudan?as na conceitua??o e enfrentamento da pobreza 40 anos após uma teoria
Alves, Hayda;Escorel, Sarah;
Physis: Revista de Saúde Coletiva , 2012, DOI: 10.1590/S0103-73312012000100006
Abstract: approaches to, and expressions of, social issues as poverty involve discussing how social fractures connected with the process of capitalist restructuring are shaped and to be addressed in several dimensions (economic, political, cultural and social). this paper aims to review this debate 40 years after jose nun's marginality theory turned a fresh eye to latin american poverty. it highlights singularities over that period in ways of looking at poverty as a social issue in latin america and the approximation with french theorists of social exclusion. after the 1990's the debate is steered by the theoretical perspective of social exclusion, operationalised as a category capable of revealing the weakening and breakdown of social cohesion in terms of multiple levels and relational dimensions.
Apontamentos socioantropológicos sobre comunidade e saúde
Gomes,Mara H de Andréa;
Revista de Saúde Pública , 2006, DOI: 10.1590/S0034-89102006000300023
Abstract: the notion of community utilized by planners and healthcare providers is doubly deceptive. on the one hand, it presupposes apparent equality and absence of conflicts between people in the same population group. on the other hand, it supposes a certain possibility of intervention by healthcare services in relation to behavioral patterns that are considered undesirable, from the point of view of disease control or health promotion. used this way, this concept ends up concealing the "social nature" of the target population: poor people and the setbacks that their condition of poverty causes. to bring to light the problem of the euphemism implicit in this notion of community, the objective of the present article was to present simmel's radically relational approach for characterizing the subordination of these population groups to healthcare policies and programs. for this purpose, the starting point was the appropriation of the sociological notion of community by the healthcare services, from t?nnies' classic formulation and its influence on the authors of the chicago school.
Associa??o entre renda, características clínicas e angiográficas de pacientes submetidos a interven??o coronária percutanea
Campos, Carlos Augusto Homem de Magalh?es;Quadros, Alexandre Schaan de;Welter, Dulce I.;Camozzatto, Fernanda;Rovinski, Denise;Sarmento-Leite, Rogério;Gottschall, Carlos;
Revista Brasileira de Cardiologia Invasiva , 2010, DOI: 10.1590/S2179-83972010000100010
Abstract: background: there is great scientific interest with respect to socioeconomic status and population health, and several studies have shown the influence of these variables on clinical outcome of patients. the present study assesses the influence of income on the distribution of risk factors, clinical and angiographic characteristics in patients undergoing percutaneous coronary intervention. method: patients undergoing percutaneous coronary intervention in a tertiary center from december 2007 to march 2008 were prospectively included. the information on income was directly collected from the patient by one of the investigators. in this analysis, subjects were divided into quartiles according to their respective monthly income. results: four hundred patients with mean age of 61.01 ± 10.36 years, 64.7% males and 24.6% diabetics were included. a majority had stable angina (54.9%), and there were no differences between groups regarding comorbidities. income was associated with the percentage of male patients (48% in the first quartile vs. 81.3% in the last quartile; p < 0.001), the weight and height (p < 0.05), but there was no association with mean body mass index. we also observed a significant association between income and use of drug-eluting stents with the following rates from first to fourth quartile: 0, 1%, 1.9% and 7.7% (p = 0.003). conclusion: in this study, there was an association between income and gender, anthropometric characteristics and use of drug-eluting stents. there was no association between income and risk factors, medical history and angiographic characteristics of patients.
Mortalidade materna de mulheres negras no Brasil
Martins, Alaerte Leandro;
Cadernos de Saúde Pública , 2006, DOI: 10.1590/S0102-311X2006001100022
Abstract: every minute a woman dies in the world due to labor or complications of pregnancy. maternal mortality is a public health problem in brazil and affects the country's various regions unequally. researchers agree that maternal death occurs mainly in women with lower income and less schooling. the racial issue emerges in the midst of socioeconomic issues. the analysis is hampered by the difficulty in understanding brazil's official classification of race/color, which often impedes recording this information. various maternal mortality committees are applying the color item and reviewing their data. the current article analyzes various maternal mortality committee reports, showing that the risk of maternal mortality is greater among black women (which encompasses two census categories, negra, or black, and parda, or brown), thus representing a major expression of social inequality. the article concludes with a review of political and technical recommendations to decrease maternal mortality.
Desigualdades sociais no Município do Rio de Janeiro: uma compara??o entre os censos 1991 e 1996
Najar, Alberto Lopes;Farias, Luís Otávio;Marques, Eduardo César;Zackiewicz, Christina;
Cadernos de Saúde Pública , 2002, DOI: 10.1590/S0102-311X2002000700010
Abstract: this article presents a comparative model for the results of the 1996 and 1991 censuses, based on the relations indicated by the results from 1991. the authors conduct a reclassification of the social quality index (sqi) proposed by najar (1997) for comparison of the two censuses, controlling for the variable "heads of households with 15 or more years of schooling". as is known, the 1996 census was conducted with the purpose of counting the population, and its scope of variables was quite limited. in this sense, the comparison presented here is exploratory and is limited to the variable that registers level of schooling for heads of private, permanent households, seeking to identify some changes. after situating the discussion from the perspective of analytical traditions on which it is based, the authors present and discuss the results, indicating important changes in the way the literature classically interpreted the distribution of social structure in greater metropolitan rio de janeiro. an increase was observed in years of schooling in the rio de janeiro population, especially among female heads of households. from the perspective of methodological tradition, this study is also in keeping with the groundbreaking work of vetter (1981) and pin?on-charlot et al. (1986).
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