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[PMID]:29474393
[Au] Autor:Guo Y; Chang SS; Sha F; Yip PSF
[Ad] Endereço:Department of Social Work and Social Administration, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
[Ti] Título:Poverty concentration in an affluent city: Geographic variation and correlates of neighborhood poverty rates in Hong Kong.
[So] Source:PLoS One;13(2):e0190566, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Previous investigations of geographic concentration of urban poverty indicate the contribution of a variety of factors, such as economic restructuring and class-based segregation, racial segregation, demographic structure, and public policy. However, the models used by most past research do not consider the possibility that poverty concentration may take different forms in different locations across a city, and most studies have been conducted in Western settings. We investigated the spatial patterning of neighborhood poverty and its correlates in Hong Kong, which is amongst cities with the highest GDP in the region, using the city-wide ordinary least square (OLS) regression model and the local-specific geographically weighted regression (GWR) model. We found substantial geographic variations in small-area poverty rates and identified several poverty clusters in the territory. Factors found to contribute to urban poverty in Western cities, such as socioeconomic factors, ethnicity, and public housing, were also mostly associated with local poverty rates in Hong Kong. Our results also suggest some heterogeneity in the associations of poverty with specific correlates (e.g. access to hospitals) that would be masked in the city-wide OLS model. Policy aimed to alleviate poverty should consider both city-wide and local-specific factors.
[Mh] Termos MeSH primário: Pobreza
Distribuição Espacial da População
[Mh] Termos MeSH secundário: Hong Kong
Seres Humanos
Análise de Regressão
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180224
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190566


  2 / 31663 MEDLINE  
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[PMID]:29198367
[Au] Autor:Richardson AS; Ghosh-Dastidar M; Beckman R; Flórez KR; DeSantis A; Collins RL; Dubowitz T
[Ad] Endereço:RAND Corporation, Health Division, Pittsburgh, PA. Electronic address: arichard@rand.org.
[Ti] Título:Can the introduction of a full-service supermarket in a food desert improve residents' economic status and health?
[So] Source:Ann Epidemiol;27(12):771-776, 2017 Dec.
[Is] ISSN:1873-2585
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To estimate the impacts of a new supermarket in a low-income desert, on residents' economic status and health. METHODS: We surveyed a randomly selected cohort in two low-income Pittsburgh neighborhoods before and about 1 year following the opening of a supermarket. We used difference-in-difference approach to test changes across the two neighborhoods in residents' food security, United States Department of Agriculture Supplemental Nutrition Assistance Program and Special Supplemental Nutrition Program for Women Infant and Children participation, employment, income, and self-reported health/chronic disease diagnoses. RESULTS: We observed declines in food insecurity (-11.8%, P < .01), Supplemental Nutrition Assistance Program participation (-12.2%, P < .01), and fewer new diagnoses of high cholesterol (-9.6%, P = .01) and arthritis (-7.4%, P = .02) in the neighborhood with the new supermarket relative to residents of the comparison neighborhood. We also found suggestive evidence that residents' incomes increased more ($1550, P = .09) and prevalence of diabetes increased less in the neighborhood with the supermarket than in the comparison neighborhood (-3.6%, P = .10). CONCLUSIONS: Locating a new supermarket in a low-income neighborhood may improve residents' economic well-being and health. Policymakers should consider broad impacts of neighborhood investment that could translate into improved health for residents of underserved neighborhoods.
[Mh] Termos MeSH primário: Comércio
Abastecimento de Alimentos/métodos
Assistência Pública
Distribuição Espacial da População
[Mh] Termos MeSH secundário: Adulto
Criança
Feminino
Nível de Saúde
Seres Humanos
Masculino
Pobreza
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171205
[St] Status:MEDLINE


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[PMID]:28453714
[Au] Autor:Lorenzetti LMJ; Leatherman S; Flax VL
[Ad] Endereço:Department of Health Policy & Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, NC, USA.
[Ti] Título:Evaluating the effect of integrated microfinance and health interventions: an updated review of the evidence.
[So] Source:Health Policy Plan;32(5):732-756, 2017 Jun 01.
[Is] ISSN:1460-2237
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Background: Solutions delivered within firm sectoral boundaries are inadequate in achieving income security and better health for poor populations. Integrated microfinance and health interventions leverage networks of women to promote financial inclusion, build livelihoods, and safeguard against high cost illnesses. Our understanding of the effect of integrated interventions has been limited by variability in intervention, outcome, design, and methodological rigour. This systematic review synthesises the literature through 2015 to understand the effect of integrated microfinance and health programs. Methods: We searched PubMed, Scopus, Embase, EconLit, and Global Health databases and sourced bibliographies, identifying 964 articles exclusive of duplicates. Title, abstract, and full text review yielded 35 articles. Articles evaluated the effect of intentionally integrated microfinance and health programs on client outcomes. We rated the quality of evidence for each article. Results: Most interventions combined microfinance with health education, which demonstrated positive effects on health knowledge and behaviours, though not health status. Among programs that integrated microfinance with other health components ( i.e. health micro-insurance, linkages to health providers, and access to health products), results were generally positive but mixed due to the smaller number and quality of studies. Interventions combining multiple health components in a given study demonstrated positive effects, though it was unclear which component was driving the effect. Most articles (57%) were moderate in quality. Discussion: Integrated microfinance and health education programs were effective, though longer intervention periods are necessary to measure more complex pathways to health status. The effect of microfinance combined with other health components was less clear. Stronger randomized research designs with multiple study arms are required to improve evidence and disentangle the effects of multiple component microfinance and health interventions. Few studies attempted to understand changes in economic outcomes, limiting our understanding of the relationship between health and income effects.
[Mh] Termos MeSH primário: Apoio Financeiro
Promoção da Saúde/métodos
Pobreza
[Mh] Termos MeSH secundário: Redes Comunitárias/economia
Conhecimentos, Atitudes e Prática em Saúde
Acesso aos Serviços de Saúde/economia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1093/heapol/czw170


  4 / 31663 MEDLINE  
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[PMID]:28450271
[Au] Autor:Latulippe K; Hamel C; Giroux D
[Ad] Endereço:Department of Studies of Teaching and Learning, Laval University, Québec, QC, Canada.
[Ti] Título:Social Health Inequalities and eHealth: A Literature Review With Qualitative Synthesis of Theoretical and Empirical Studies.
[So] Source:J Med Internet Res;19(4):e136, 2017 Apr 27.
[Is] ISSN:1438-8871
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: eHealth is developing rapidly and brings with it a promise to reduce social health inequalities (SHIs). Yet, it appears that it also has the potential to increase them. OBJECTIVES: The general objective of this review was to set out how to ensure that eHealth contributes to reducing SHIs rather than exacerbating them. This review has three objectives: (1) identifying characteristics of people at risk of experiencing social inequality in health; (2) determining the possibilities of developing eHealth tools that avoid increasing SHI; and (3) modeling the process of using an eHealth tool by people vulnerable to SHI. METHODS: Following the EPPI approach (Evidence for Policy and Practice of Information of the Institute of Education at the University of London), two databases were searched for the terms SHIs and eHealth and their derivatives in titles and abstracts. Qualitative, quantitative, and mixed articles were included and evaluated. The software NVivo (QSR International) was employed to extract the data and allow for a metasynthesis of the data. RESULTS: Of the 73 articles retained, 10 were theoretical, 7 were from reviews, and 56 were based on empirical studies. Of the latter, 40 used a quantitative approach, 8 used a qualitative approach, 4 used mixed methods approach, and only 4 were based on participatory research-action approach. The digital divide in eHealth is a serious barrier and contributes greatly to SHI. Ethnicity and low income are the most commonly used characteristics to identify people at risk of SHI. The most promising actions for reducing SHI via eHealth are to aim for universal access to the tool of eHealth, become aware of users' literacy level, create eHealth tools that respect the cultural attributes of future users, and encourage the participation of people at risk of SHI. CONCLUSIONS: eHealth has the potential to widen the gulf between those at risk of SHI and the rest of the population. The widespread expansion of eHealth technologies calls for rigorous consideration of interventions, which are not likely to exacerbate SHI.
[Mh] Termos MeSH primário: Conhecimentos em Informática/estatística & dados numéricos
Disparidades nos Níveis de Saúde
Internet/utilização
Telemedicina/utilização
[Mh] Termos MeSH secundário: Seres Humanos
Pobreza/estatística & dados numéricos
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.2196/jmir.6731


  5 / 31663 MEDLINE  
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[PMID]:29179827
[Au] Autor:Oruche UM; Robb SL; Aalsma M; Pescosolido B; Brown-Podgorski B; Draucker CB
[Ad] Endereço:School of Nursing, Indiana University-Purdue University Indianapolis, United States. Electronic address: uoruche@iu.edu.
[Ti] Título:Developing a Multiple Caregiver Group for Caregivers of Adolescents With Disruptive Behaviors.
[So] Source:Arch Psychiatr Nurs;31(6):596-601, 2017 12.
[Is] ISSN:1532-8228
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article describes the development of a 6-week multiple caregiver group intervention for primary caregivers of adolescents diagnosed with Oppositional Defiant Disorder or Conduct Disorder in low-income African American families. The intervention is aimed at increasing the primary caregivers' self-efficacy in managing interactions within the family and especially with child serving educational, mental health, juvenile justice, and child welfare systems. Development of the intervention involved seven iterative activities performed in a collaborative effort between an interdisciplinary academic team, community engagement specialists, members of the targeted population, and clinical partners from a large public mental health system. The intervention development process described in this article can provide guidance for teams that aim to develop new mental health interventions that target specific outcomes in populations with unique needs.
[Mh] Termos MeSH primário: Cuidadores/educação
Cuidadores/psicologia
Comportamento Problema/psicologia
Autoeficácia
[Mh] Termos MeSH secundário: Adolescente
Grupo com Ancestrais do Continente Africano
Transtorno da Conduta/terapia
Feminino
Seres Humanos
Transtornos Mentais/psicologia
Pais/psicologia
Pobreza
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:27774743
[Au] Autor:White LJ; Greenfield DB
[Ad] Endereço:Department of Psychology, University of Miami, USA.
[Ti] Título:Executive functioning in Spanish- and English-speaking Head Start preschoolers.
[So] Source:Dev Sci;20(1), 2017 Jan.
[Is] ISSN:1467-7687
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A growing percentage of low-income children in the United States come from Spanish-speaking homes and are dual language learners (DLLs). Recent research shows that bilingual children, compared to monolinguals, have enhanced executive functioning (EF), a set of foundational cognitive skills that predict higher social-emotional competence and academic achievement in preschool and beyond. Although this association has been found among children of different backgrounds, no study to date has assessed whether bilingual Latino preschoolers from low-income backgrounds have higher EF than their monolingual peers and their emerging bilingual peers, respectively. The current study assessed 303 predominantly Latino Head Start preschoolers (83.5% Latino and 13.5% African American) to examine this relationship. Using a language screener, three groups were formed (148 Spanish-English bilinguals, 83 English monolinguals, and 72 Spanish-dominant emerging bilinguals) and subsequently compared on a latent factor of EF. As predicted, results indicated that the bilingual group outperformed the monolingual English group on EF. Implications for the findings of the lack of EF differences between the Spanish-dominant emerging bilinguals and the other two groups are also discussed. This study advances our understanding of the intersection between language and cognitive development for young low-income Latino DLLs growing up in the United States and highlights bilingualism as a potential advantage in this population. A video abstract of this article can be viewed at: https://www.youtube.com/watch?v=J2Eq_MwLRfQ.
[Mh] Termos MeSH primário: Função Executiva/fisiologia
Multilinguismo
[Mh] Termos MeSH secundário: Pré-Escolar
Cognição/fisiologia
Hispano-Americanos
Seres Humanos
Pobreza
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE
[do] DOI:10.1111/desc.12502


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[PMID]:29443478
[Au] Autor:Fowler PJ; Schoeny M
[Ti] Título:The Family Unification Program: A Randomized-Controlled Trial of Housing Stability.
[So] Source:Child Welfare;94(1):167-187, 2015.
[Is] ISSN:0009-4021
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The study tests the short-term impact on housing stability of the Family Unification Program (FUP), a permanent housing program for child welfare- involved families at risk of separation from children due to inadequate housing. Families eligible for FUP (n = 150) received housing case management services as usual, and half were referred for permanent housing vouchers made available through FUP. Families referred for FUP secured more enriched home learning environments, while more precariously housed families exhibited greater housing, stability when referred for FUP. The intervention did not relate with housing affordability or improvements in neighborhood quality. Findings suggest benefits of FUP-especially for more vulnerable families--in key areas that support child developmet; however, families continue to struggle in the context of poverty.
[Mh] Termos MeSH primário: Bem-Estar da Criança
Características da Família
Pessoas em Situação de Rua/estatística & dados numéricos
Habitação
Assistência Pública
[Mh] Termos MeSH secundário: Adolescente
Chicago
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Recém-Nascido
Estudos Longitudinais
Masculino
Pobreza
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180215
[St] Status:MEDLINE


  8 / 31663 MEDLINE  
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[PMID]:29443475
[Au] Autor:Hirsch BK; Yang MY; Font S; Slack KS
[Ti] Título:Physically Hazardous Housing and Risk for Child Protective Services Involvement.
[So] Source:Child Welfare;94(1):87-104, 2015.
[Is] ISSN:0009-4021
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The quality and safety of the home environment is a common focus of Child Protective Services (CPS) investigations.Yet little is known about whether such conditions influence CPS outcomes. The present study uses a sample of low-income families to assess the relative importance of housing conditions and other common risk and protective factors associated with child maltreatment. Results show that hazardous conditions predict investigated child neglect, but not physical abuse or indicated reports.
[Mh] Termos MeSH primário: Maus-Tratos Infantis
Serviços de Proteção Infantil
Habitação
Pobreza
[Mh] Termos MeSH secundário: Criança
Bem-Estar da Criança
Pré-Escolar
Feminino
Seres Humanos
Illinois
Lactente
Recém-Nascido
Masculino
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180215
[St] Status:MEDLINE


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[PMID]:29326481
[Au] Autor:Shinn M; Gibbons-Benton J; Brown SR
[Ad] Endereço:Vanderbilt University.
[Ti] Título:Poverty, Homelessness, and Family Break-Up.
[So] Source:Child Welfare;94(1):105-122, 2015.
[Is] ISSN:0009-4021
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study examines the extent and correlates of family separations in families experiencing homelessness. Of 2,307 parents recruited in family shelters across 12 sites, a tenth were separated from partners and a quarter from one or more children. Additional separations before and after shelter entry and reasons, from parents' perspectives, were documented in qualitative interviews with a subsample of 80 parents. Separations were associated with economic hardship, shelter conditions, and family characteristics.
[Mh] Termos MeSH primário: Características da Família
Pessoas em Situação de Rua/psicologia
Pessoas em Situação de Rua/estatística & dados numéricos
Pais/psicologia
Pobreza/psicologia
Pobreza/estatística & dados numéricos
Habitação Popular/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Bem-Estar da Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Recém-Nascido
Entrevistas como Assunto
Masculino
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180113
[St] Status:MEDLINE


  10 / 31663 MEDLINE  
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[PMID]:29181938
[Au] Autor:Onarheim KH; Gopinathan U
[Ti] Título:Global health financing: Priority to poor people or poor countries?.
[So] Source:Tidsskr Nor Laegeforen;137(22), 2017 11 28.
[Is] ISSN:0807-7096
[Cp] País de publicação:Norway
[La] Idioma:nor
[Mh] Termos MeSH primário: Saúde Global/economia
Financiamento da Assistência à Saúde
Pobreza
[Mh] Termos MeSH secundário: Prioridades em Saúde/economia
Seres Humanos
Lactente
Mortalidade Infantil
Expectativa de Vida
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE
[do] DOI:10.4045/tidsskr.17.0715



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