Poverty affects access to regular source of primary care among the general population in Hong Kong

A territory‐wide two‐stage stratified random sample of 2,282 community‐dwelling Hong Kong adults were surveyed between 2014 and 2015 to investigate the association between poverty and regular source of primary care utilization. Poverty was operationalized by income‐poverty and deprivation. About 94% of our sample reported having regular source of primary care (Western and/or Chinese medical practitioner) and about 69% among them were in private sector. Multivariable logistic regression showed that people who were income‐poor and deprived were less likely to have regular source of primary care (income‐poor: OR = 0.523, p = .027; deprived: OR = 0.488, p = .007) and visit private primary care doctors (income‐poor: OR = 0.445, deprived: OR = 0.222, both p < .0001). Those who had chronic diseases were more likely to have regular source of primary care (multimorbid: OR = 10.709, p < .0001), but less likely to access care in the private sector (one chronic disease: OR = 0.690, p = .019; multimorbid: OR = 0.374, p < .0001) than those without. Further, being older and less skilled were significantly associated with less likelihood of visiting a private doctor. Path analysis showed that the number of chronic diseases had significant indirect effect on having regular source of primary care with being income‐poor and deprived as the mediators (β = ?.0183, p = .0016). Therefore, despite a public health‐care system that aims to deny no one from adequate health care for lack of means, regular source of primary care in Hong Kong is found to be pro‐rich. Future policies should tackle the problem of health‐care inequalities to meet the needs of the underprivileged.     

Socio-economic wellbeing in Australian mining towns: A comparative analysis

Understanding the links between resource dependence and socio-economic wellbeing has long been a subject of interest amongst social scientists in North America. By contrast, relatively few Australian studies exist on this topic. This is despite the significant role of resource industries in shaping Australia's economic and social geography. Where research has been undertaken it tends to focus on the experience of a single town or region. This paper presents a cross-sectional analysis of socio-economic performance across 33 small mining towns in Western Australia. We design and test a number of empirical models that are hypothesised to account for the variability in socio-economic performance across different resource industry contexts. The results of the analysis suggest that socio-economic wellbeing in these towns is highly variable, and contingent on a range of factors including the nature of the particular commodity, company structure, and location.     

Relative Deprivation and Career Decision Self‐Efficacy: Influences of Self‐Regulation and Parental Educational Attainment

Nearly 70% of Korean women pursue postsecondary education, yet they occupy lower‐status positions than do men (K. Kim & Han, 2008 ). Therefore, the authors examined relative deprivation in equal opportunities and its effect on career‐related self‐efficacy among 603 Korean female college students. Self‐regulation was hypothesized to mediate the effects of relative deprivation on career decision self‐efficacy. This effect was hypothesized to differ according to parents’ educational attainment due to different degrees of parental support. As expected, self‐regulation mediated the relationship between relative deprivation and career decision self‐efficacy for participants whose parents had high education levels. However, participants whose parents had low education levels demonstrated less involvement in resolving relative deprivation. Findings suggest that career counselors should use different interventions based on parental education level to influence students’ self‐regulation and to enhance career decision self‐efficacy.     

Prostate-specific antigen decline pattern in advanced prostate cancer receiving androgen deprivation therapy and relationship with prostate-specific antigen progression

Introduction: The aim of this study is to evaluate prostate-specific antigen decline pattern including prostate-specific antigen kinetics following androgen deprivation therapy on prostate-specific antigen progression in the patients with advanced prostate cancer.

Materials and methods: Ninety-seven advanced prostate cancer patients receiving maximum androgen deprivation therapy were enrolled in case–control study. Baseline prostate-specific antigen, Gleason Score, bone metastase, nadir prostate-specific antigen, time to nadir prostate-specific antigen, declining slope to nadir prostate-specific antigen, estimated baseline prostate-specific antigen half-time, current prostate-specific antigen, post-nadir prostate-specific antigen time, estimated prostate-specific antigen, estimated decline of baseline prostate-specific antigen as quantitative, and ratio were recorded and calculated.

Results: The ratio of prostate-specific antigen progression was significantly lower at the patients who had slower declining slope to prostate-specific antigen, longer time to nadir prostate-specific antigen, and lower estimated decline ratio of baseline prostate-specific antigen (p: .016, p: .020, and p: .026, respectively).

Conclusions: The shorter time to nadir prostate-specific antigen following androgen deprivation therapy, faster declining slope to nadir prostate-specific antigen and higher estimated decline ratio of baseline prostate-specific antigen are associated with higher risk of disease progression in patients with hormone-sensitive prostate cancer.     

Women’s mental health during pregnancy: A participatory qualitative study

Background/objectives

British public health and academic policy and guidance promotes service user involvement in health care and research, however collaborative research remains underrepresented in literature relating to pregnant women’s mental health. The aim of this participatory research was to explore mothers’ and professionals’ perspectives on the factors that influence pregnant women’s mental health.

Long-term effects of international migration: Lessons from Israel

The paper shows that characteristics of immigrants at the time of immigration affect both long-term occupational achievements and income at the end of the labor force career, after age 59. Data representing 174,000 Jewish males 60 and older from a 1985 survey by the Israeli Central Bureau of Statistics are analyzed to show how the timing of immigration, the number of years in the country, age at immigration, country of origin, and educational resources at time of immigration are related to years in the labor force in the host country, occupational achievement, pension entitlement and income after age 59. Both direct and indirect effects are analyzed. The results show the importance of immigration characteristics on long-term socioeconomic adjustment, and the necessity of considering social status over the life course as an indicator of long-term immigrant adjustment. Decomposition of the effect of country of origin pinpoints what characteristics at time of immigration influence social status differences in ethnic groups at older ages. The discussion includes a number of methodological implications for future studies in immigration.Abbreviations AA Asian-African - CBS Israeli Central Bureau of Statistics - EA European-American This article is based on a paper presented at the annual meeting of the Society for the Advancement of Socio-Economics, New York, March 1993. It was written while the authors were on leave from Ben-Gurion University of the Negev.     

The implications of different ethnicity categorisation methods for understanding outcomes and developing policy in New Zealand

ABSTRACT

Identifying with more than one ethnicity is becoming increasingly common in New Zealand. It is therefore important that the methods of categorising ethnicity used by government agencies and researchers effectively account for diverse ethnic identities. The aim of this research was to assess the impact of using different methods of categorising ethnicity on understanding outcomes in New Zealand, using Census 2013 information about tobacco smoking among the population aged 15+ years as an illustration. Prioritised, total response and single/combination categorisation methods were compared. Prioritised and total response categorisation generally produced similar prevalence estimates and patterns for smoking status, although estimates diverged somewhat for Māori ethnic groups and to a lesser extent for Pacific Peoples and Asian ethnic groups. Single/combination categorisation indicated that combination ethnic groups tend to have smoking outcomes between those of the constituent groups. Categorisation method had a considerable impact on the size of some ethnic groups. Prioritised ethnicity categorisation may be inappropriate for use by government agencies and for policy-relevant research principally concerned with children, young people, Māori or Pacific Peoples. Single/combination categorisation is useful for understanding the associations between ethnicity and outcomes, however previous work suggests this method should be used with caution.     

基于参数可调均值迁移滤波实现筒子纱的识别检测

使用2017年全国流动人口动态监测调查数据和结构方程模型,从公共健康保障和收入相对剥夺双重视角考察农村流动劳动力健康影响因素。研究发现：公共健康保障对农村流动劳动力健康具有显著性影响,参加医保、接受公共健康教育改善了农村流动劳动力的自评健康状况且降低了患慢性病风险,但就近医疗服务机构距离越远,农村流动劳动力健康则越差。收入相对剥夺对农村流动劳动力健康产生了不利影响,即横向收入相对剥夺和纵向收入相对剥夺程度越严重,农村流动劳动力健康水平越低。分群组检验结果表明,不同流动距离下农村流动劳动力健康影响因素存在异质性。政府应从完善公共健康保障政策、提高医疗服务可及性,缓解收入相对剥夺等多个方面提升农村流动劳动力健康水平。     

Informal waste harvesting in Victoria Falls town, Zimbabwe: Socio-economic benefits

Waste harvesting, which occurs mostly but not exclusively at open waste dumps in Zimbabwe, constitutes one of the most important survival options for the urban poor. This paper analyses and discusses socio-economic benefits of informal waste harvesters in Victoria Falls town. Victoria Falls town has an estimated population of 31,000 and is presently the fastest growing urban centre in Zimbabwe. An estimated 8000 tonnes of solid wastes are generated in the town every month. Questionnaires were administered to informal waste harvesters who recover materials mostly from three large open waste dumps. Thirteen dumpsite harvesters, who were available at the time of the survey and willing to participate, were interviewed during the month of October 2002. The questionnaire solicited for information on the character and dynamics of recuperative activities in the town, socio-economic and demographic characteristics of waste harvesters, type of materials recovered and their uses, and income derived from sale of harvested materials and how it is spent. Additional data were obtained from field observations.The study identified two categories of waste harvesters. The first group specialises in the recovery of foodstuffs mainly for household use. The second group comprises informal waste harvesters who specialise in the recovery of building materials such as bricks and river sand and scrap metal primarily for sale. Data provided by dumpsite waste harvesters interviewed show that the mean monthly income from the sale of harvested materials varied from Z$7500 (for 23.1% of the respondents) to Z$22,500.5 (for 15.3% of the respondents). Using the income they obtain from waste harvesting, most respondents (84.6%) indicated that they can now afford to pay school fees for their children in time while 61.5% stated that after engaging in resource recovery, they moved from informal settlements to Chinotimba where they now stay to a more decent accommodation with electricity, piped water and flush toilets. Prior to engaging in waste recovery, over a half of the informal waste harvesters indicated that were staying in informal settlements. The findings of this study, in particular the income and expenditure data, demonstrate that by engaging in waste harvesting, some of the urban poor are able to eke out living in an urban environment where economic opportunities are very limited. However, the contribution of informal waste harvesting to urban livelihoods in urban areas of Zimbabwe needs further investigation.     

Multidimensional Deprivation: Contrasting Social Welfare and Counting Approaches

Adoption of a multidimensional approach to deprivation poses the challenge of understanding the interaction between different dimensions. Are we concerned with the union of all those deprived on at least one dimension or with the intersection of those deprived on all dimensions? How does the approach of counting deprivations relate to approaches based on social welfare? The paper brings out key features of different approaches and sets them in a common framework.