Poverty assessment as a multidimensional socio-economic concept: the case of the Rawalpindi region in Pakistan

The definition on poverty has progressed into a multidimensional concept focusing more on socio-economic dimensions than being a mere measure of financial deprivation. Corresponding to this advancement, this study investigated the incidence of multidimensional poverty (MDP) in the Rawalpindi region of Pakistan, taking into account three dimensions, i.e. education, health and housing. Findings revealed an inconsistent declining trend of MDP over time. This inconsistency was mainly attributed to observed fluctuations in deprivation levels of education, health and housing in the region. Over time, education deprivation showed a significant net increase. Notably, the magnitude of MDP in rural areas was higher than in urban areas.     

The breadth and depth of multidimensional child poverty in China

This study analysed the multidimensional child poverty status in China between 1989 and 2009, using the China Health and Nutrition survey data. Based on the Alkire–Foster method for measuring poverty, a multidimensional poverty index was calculated and further decomposed into seven deprivation dimensions: nutrition, water, sanitation, health, education, shelter and information. The study has four main findings: (1) The multidimensional child poverty rate in China declined gradually where the sanitation facility was most severely deprived; (2) The poverty gap between rich and poor provinces remained over the years; (3) The urban–rural disparity was reduced in all seven dimensions; (4) The poorest of the poor climbed out of ultra‐poverty and became the moderately poor or even the non‐poor.     

An empirical analysis of monetary and multidimensional poverty: evidence from a household survey in Pakistan

ABSTRACT

The present study computes multidimensional poverty and compares it with unidimensional estimates of poverty for the district of Mandi Bahuddin in the Punjab province of Pakistan for the years 2010 and 2014. By employing the Foster, Greer and Thorbecke (FGT) and Alkire-Foster Methods, the incidence, severity and depth of unidimensional and multidimensionality poverty was estimated. We found an increase in absolute and relative poverty levels in 2014 as compared to 2010. The multidimensional poverty in terms of household assets has also increased over time. However, the relative proportion of educational and health poverty towards MPI remains higher, thereby calling for a holistic approach to identify multidimensional poverty in the social sector. A comprehensive policy dossier needs to be framed for designing effective poverty alleviation and social welfare programmes in the Punjab, Pakistan.     

Child Poverty in Rural China: Multidimensional Perspective

This paper describes a pilot study on child multidimensional poverty in rural China by introducing the Alkire–Foster method based on survey data collected from five provinces/autonomous regions. Results showed that the headcount ratio of child multidimensional poverty was 14.29%. On average, multidimensionally poor children were deprived in 37.62% of all the dimensions, and their adjusted headcount ratio (multidimensional poverty) index was 0.054. Health was the most deprived dimension, followed by the subsistence and participation dimensions. Disabled children, children influenced by HIV/AIDS, and ethnic minority children were severely deprived. This study not only adds to the current literature on child poverty in China, but also provides policy suggestions for future action plans.     

Does the unification of health financing affect the distribution pattern of out‐of‐pocket health expenses in Turkey?

Turkey has implemented health reforms for over a decade and has taken significant steps toward unifying health financing. This study investigated the financial burden associated with out‐of‐pocket (OOP) expenditures under universal health coverage, using national 2003–2015 household budget data from the Turkish Statistical Institute. Progress was evaluated using Kakwani–Suits indices and Lorenz concentration curves. The results indicate that overall, more than a decade after its unification, redistribution of wealth in the Turkish health financing system has benefitted the wealthy but not the poor. Both curve and index approaches (Kakwani index 2003 = ?0.50; 2015 = ?0.44) reveal an increasingly regressive pattern of OOP health expenditures. The effective use of fiscal space and good political leadership are essential for the successful continuation of reforms to combat poverty in Turkey.     

The validity and reliability of a Turkish version of the Poverty-Related Quality of Life (PQoL) questionnaire

Measuring poverty in health care settings may help to identify patients living in poverty and also support development of appropriate policies to reduce health inequalities. The objective of this study was to translate the Poverty-Related Quality of Life Questionnaire into Turkish and then test its validity and reliability for a Turkish patient population. The psychometric properties of the scale were examined by collecting data from 300 patients in emergency departments in three randomly selected hospitals in Ankara, Turkey. The results of the study suggest that the Turkish version of the Poverty-Related Quality of Life Questionnaire has satisfactory validity and reliability.     

Demographic and Welfare State Predictors of Out-of-Pocket Health Expenditures: A Path Analytic Model

ABSTRACT

Out-of-pocket (OOP) payments are principal components of financing healthcare and have a significant effect on poverty in numerous developing countries. The present study seeks to ascertain the relation among demographic, welfare state, and OOP health expenditure indicators using a path analysis. National representative household budget data from the Turkish Statistical Institute for 2015 were used. To test the goodness of fit of the model, multiple fit indices were utilized. The model fit for redefined path analytic model data was good (X²/df = 70.20/9 = 7.8; RMSEA = 0.032; GFI = 1.00; AGFI = 0.99; CFI = 0.99). The results of the analysis revealed that demographic and welfare indicators are causally related to OOP health expenditures, and income was a mediating factor for this interrelationship. Designing of socially inclusive policies on the basis of the values of equity is essential to combat poverty due to OOP health expenditures in developing countries.     

Beyond Income: A Social Justice Approach to Assessing Poverty among Older Adults with Chronic Kidney Disease

ABSTRACT

How social workers define and assess poverty is a matter of economic and social justice. Recent conceptual and measurement advances point to a multidimensional definition of poverty which captures material, social, and political deprivations. Using data from a survey, this article describes how nephrology social workers assess poverty among older adults living with a chronic kidney disease (N = 52). Results suggest respondents already conceive of poverty as a multidimensional experience, support awareness-raising about poverty, and primarily assess poverty by employment status, income, access to transportation, and education. Opportunities to expand poverty assessment in future work are promising.     

Persistent mind: The effects of information provision on policy preferences

In constitutional states, representatives exchange information, discuss the budget direction and agree on a budget. The agreement is assumed to hold for one fiscal year. To test the validity of this constitutional assumption, we implemented an online panel survey with a randomized conjoint design three times over one year in Japan to track the direction of respondents’ preferences within a multidimensional public policy space. The policy space consisted of spending on education, infrastructure, health insurance, pensions, and poverty relief programs, as well as fiscal retrenchment. Providing information on the poverty rate in the first wave directed respondents’ preferences toward support for poverty relief programs by either increasing or reallocating the budget. The effects persisted in the second wave 5 months later across a diverse range of respondent backgrounds and political positions. By the third wave one year later, the effects had diminished. Once placed in a multidimensional space, information exchange might have a more extended scope than unidimensional approaches have shown. This finding, we believe, can broaden our capability to implement policies for poverty reduction.     

Impact of Childhood Socioeconomic Position on Self‐Rated Health Trajectories of South Korean Adults

The aim of this study was to examine the impact of childhood socioeconomic position (SEP) on adult health trajectory in South Korea. Seven waves of data from the Korea Welfare Panel Study (KOWEPS, 2007–2012; Korea Institute for Health and Social Affairs, 2014 ) were analyzed using latent growth curve analysis. Health condition was measured by self‐assessment. The major independent variables were indicators of childhood and adult SEP. The findings suggest that those who perceive their childhood economic condition to be more affluent are more likely to assess their health to be better at the intercept. The insignificant effect of childhood economic condition on the slope and the quadratic term suggest that the initial gap remains over time. On the other hand, a disruption in education as a result of poverty was significantly associated with the intercept, slope, and quadratic term. The results suggest that although the large gap at wave 1 somewhat decreases, the gap in health remains because of the significant quadratic term. Childhood SEP has a a lasting effect on adult health trajectories, after controlling for adult SEP. Significant findings support policies and programs that are targeted to reduce socioeconomic disparities in childhood to enhance equality and public health.     

Child Health in Rural Mexico: Has Progresa Reduced Children's Morbidity Risks?

It is well known that ill health during early childhood can have deleterious consequences for future developmental outcomes. Furthermore, children growing up in poverty are at risk of experiencing frequent and severe episodes of illness because they are highly exposed to the risk factors associated with catching infectious diseases. Progresa, Mexico's main anti‐poverty programme, aims to support and promote parents living in rural areas to invest in children's education, health and nutrition. Poorer unhealthy children in remote rural areas have limited access to health care. This paper investigates whether this rural intervention improved children's health status during its first three years of operation. We examine whether Progresa reduces children's morbidity risks by looking at the changes over time in the incidence of diarrhoea and acute respiratory infections. Additionally, we assess whether there are differential treatment effects according to households’ severity of poverty. The analyses of this study have been carried out using longitudinal data from a randomized treatment and control survey. Our results indicate that there is some evidence that Progresa contributes to reducing morbidity rates. We find that for both diseases under study, the Programme effect is mainly due to a decrease in the morbidity risks of children aged between 24 and 59 months. However, the evidence of a Programme effect is stronger for diarrhoea than for respiratory infections.     

Economic distress and health: A fixed effects analysis of low‐income persons in Singapore

Using fixed effects regressions, this study examined the transactional effects of different types of economic status on the physical and mental health of low‐income persons in Singapore. Among the economic variables considered, unemployment and arrears had the most significant effects. This signals the physical and psychological distress of being out of work and possessing arrears while income is low. The insignificant effects of poor health on household earnings suggest possible earnings supplementation by other household members. The findings imply the fruitfulness of dually improving employment prospects and health, work activation that takes into consideration mental health effects, increasing affordability of health services in liberal welfare systems, improving mental bandwidth through reducing arrears accounts, and short lag time from application to receipt of assistance. These implications point to a larger question on health and welfare systems in an increasingly uncertain economic environment for households in poverty. Key Practitioner Message: ? Employment and health are inter‐related: employment assistance incorporating physical and mental health interventions and vice versa can be more effective than either alone; ? Compared with decreasing arrears amounts, reducing the number of arrears can more effectively relieve mental distress; ? Effects between economic distress and health materialise quickly; minimising the lag time between application and receipt of assistance will provide great relief.     

Living in poverty: a qualitative inquiry of emaciated adolescents and young women coming from low-income families in a Chinese context

Anorexia nervosa (AN) is no longer a disease of the rich in the West. Hitherto, no study has been carried out in the West or in the Chinese context that documents the experiences of poor people suffering from AN. This qualitative study aims to identify the subjective experiences of seven Chinese emaciated adolescents and young women coming from low‐income families, their family difficulties and needs, and resilience in coping. The results of the study have shown that family poverty has significantly triggered the onset of AN for two emaciated adolescents, while factors such as parents’ marital discord and relentless pursuit of thinness have also been reported. Family difficulties experienced included problems in parenting, inadequate financial resources, and insufficient information and access to health and social services. Strong family motivation and filial piety are found to be important cultural assets conducive to recovery. Implications of this study for social work practice are discussed.     

False positives or hidden dimensions: What can monetary and multidimensional measurement tell us about child poverty in Vietnam?

Roelen K, Gassmann F, de Neubourg C. False positives or hidden dimensions: what can monetary and multidimensional measurement tell us about child poverty in Vietnam? A widely used division between poverty measures based on conceptual underpinnings and analytical outcomes is that of monetary versus multidimensional measures. Comparisons of the use and outcomes of the two methods have shown that they predominantly provide different pictures of poverty in terms of size, rank and group. This article contributes to the long‐standing and ongoing debate on poverty measurement by comparing the use of monetary and multidimensional poverty approaches, with a special focus on children in Vietnam and extending the empirical analysis beyond conventional methods. In addition to investigating whether poverty outcomes or groups of identified poor children differ when using the two different poverty measures, we also investigated the drivers underlying these differences. Findings confirm a considerable degree of mismatch: both poverty measures proved to be inadequate proxies for the other and factors underlying the identification by either one or both of the measures differed.     

国家汲取能力、政策导向和中国城镇卫生保健的筹资与服务不公平

改革以后,中国政府在承担卫生保健职能方面的意愿和能力发生了变化,本文考察了这些变化对城镇卫生保健筹资和服务公平性的影响。文章着重分析了两个相关问题：在多大程度上,卫生保健的筹资具有累进性？在多大程度上,医疗服务的利用是公平的？第一节解释为什么在改革开放期间中国政府承担卫生保健的意愿与能力都有所下降,并探讨这些变化对卫生总费用的结构产生了什么样的影响。接下来的两节分别对中国城市卫生保健筹资和服务利用的不平等程度进行了实证分析。第四节进一步指出,筹资与服务方面的不平等将本来就处于弱势的社会群体置于更加不利的地位。总之,以市场为导向的卫生体制改革不但没有解决医疗费用上涨问题,反而加剧了这一问题;它因此损害了卫生保健筹资的公平性,降低了弱势人群对卫生服务的获取,增加了因病致贫的几率。     

Asymmetric impact of inflation and unemployment on poverty in Pakistan: new evidence from asymmetric ARDL cointegration

The current study is intended to examine the asymmetric impact of inflation and unemployment on the poverty of Pakistan over the period of 1970 to 2016 by applying asymmetric Autoregressive Distributed Lag (ARDL) cointegration approach. The results revealed the presence of long-run asymmetries among inflation, unemployment and poverty. These findings also confirmed the atypical reaction of poverty to negative and positive shocks in unemployment and inflation. Furthermore, findings also confirmed negative and significant association among health expenditures (HE), population growth and poverty. The findings of the study have relevant implications for policymakers interested in the asymmetric relationship among inflation, unemployment and poverty in Pakistan.     

Socio‐Economic Factors and Mental Health of Young People in India and China: An Elusive Link with Globalization

Globalization and its related social, cultural, and economic changes have significant mental health outcomes for young people. However, mental health disorders among youth are seldom included in the range of problems linked to globalization. It is imperative that these multifaceted associations are considered in light of the substantial and increasing burden of disease caused by mental illness, particularly in Asian countries, which are comparatively young and in next few decades will be the major sources of the growth of world’s young population. The evidence reviewed in this study makes an argument that globalization has increased [relative] poverty and deprivation, social and income inequality, migration, occupational stress, educational competition, and educated unemployment in India and China. Simultaneously there is evidence which shows that these variables are causally linked with mental health of young people. Altogether, these phenomena are accompanied by higher rates of suicide among lower class, migrant, and student youth. This substantiates the proposition that globalization has significant consequences for the mental health of young people. Some interventions for debate and discussion are considered.     

Changes in flourishing from adolescence to young adulthood: An 8-year follow-up

Most research on mental health among adolescents and young adults concentrates on understanding mental illness. However, mental health is more than the absence of mental illness. Among adolescents and young adults, positive mental health—a combination of emotional, social and psychological well-being—is related to higher prosocial behaviour, school integration and self-concept. However, much of the research on positive mental health among young adults has been with college students. Limited research has examined the presence and correlates of positive mental health, or flourishing, among a nationally representative sample of US young adults. This study extended from another researcher's original examination of positive mental health among US adolescents to describe the prevalence of flourishing among these same individuals in young adulthood. Our sample included 1090 individuals from the 2011 Panel Study of Income Dynamics Transition into Adulthood Supplement. Univariate and bivariate tests were used to describe the prevalence of flourishing during young adulthood and changes from adolescence to young adulthood. We used multivariable logistic regression to examine the relationships among indicators of healthy development and flourishing. Results suggest that flourishing improved during the transition into young adulthood and that targeting factors like life skills and civic engagement may enhance flourishing.     

Adolescents at risk of mental health problems in the COVID-19 pandemic: A prospective population-based study of the effects of government mandates and school closures

There is increasing evidence that the COVID-19 pandemic has had substantial mental health impacts for adolescents. Yet, few definitive studies have investigated which adolescents were at higher risk of poor mental health and well-being during the pandemic. Data were drawn from the Childhood to Adolescence Transition Study, a prospective cohort study of students in Australia (N = 1211). Prevalence of mental health outcomes (depressive symptoms, anxiety symptoms, self-harm and good subjective well-being) was estimated in school Years 5–12, where Years 11 (2020) and 12 (2021) coincided with the pandemic. The age- and sex-adjusted relative risk of each mental health outcome for each priority group during the pandemic were estimated. During the pandemic, over 50% of study participants reported depressive symptoms, and one quarter reported anxiety symptoms. There was a decrease in good subjective well-being compared with pre-pandemic years, while self-harm prevalence remained similar. History of mental health problems, school disengagement and frequent peer victimisation increased the risk of experiencing mental health problems during the pandemic. Schools play a central role in maintaining the mental health and good subjective well-being of students, and this is particularly important during periods of social disruption, such as the COVID-19 pandemic.     

The Key to Precise Poverty Alleviation Rests in the Precise Indentification of Impoverished Populations—An Analysis of the Targeting Effectiveness of China’s Rural Dibao Program

The success of the poverty elimination program, as an important element in the strategy of building a moderately prosperous society in all respects by 2020, depends on the accurate identification of the population living in poverty. An analysis of 2013 data from the China Household Income Project (CHIP 2013) shows that in terms of the income-based poverty line, the targeting of the current rural minimum living standard guarantee or subsistence allowance program (dibao) program is very imprecise; it improves with the use of multidimensional poverty criteria, but coverage remains poor. In order to unify the criteria for the rural poverty alleviation (fupin) criteria and the dibao criteria, a uniform set of national criteria should be established. This should shift from income as the sole criterion to multidimensional criteria, so that a uniform scheme can be developed to identify those in need. At the same time, the coverage of the dibao program should be extended and the transfer amounts increased, so that the scheme genuinely covers all of the target population in rural China.