2023-09-28 14:46:10 +00:00
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abstract: 'Background: Empirical studies have used a piecemeal approach to the
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examination of health, health care-seeking, uninsured people and the
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health status of those who are chronically ill, but no study emerged in
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an extensive literature search, on the developing nations, and in
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particular Latin America and the Caribbean, that has investigated health
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and health care-seeking behaviour among uninsured ill people in a single
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research.
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Aims: The current study aims to narrow this divide by investigating
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health, self-reported diagnosed health conditions, and health
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care-seeking behaviour among uninsured ill Jamaicans, and to model
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factors which account for their moderate-to-very good health status as
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well as health care-seeking behaviour.
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Methods and materials: The current study utilises cross-sectional survey
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data on Jamaicans which was collected in 2007. The survey is a
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modification of the World Bank''s Living Standard Household Survey. This
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work extracted a sample of 736 respondents who indicated that they were
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ill and uninsured from a sample of 6,783 respondents. Logistic
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regression analyses examined 1) the relationship between
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moderate-to-very good health status and some socio-demographic, economic
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and biological variables; as well as 2) a correlation between medical
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care-seeking behaviour and some socio-demographic, economic and
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biological variables.
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Results: Sixty out of every 100 uninsured ill Jamaicans were females; 43
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out of every 100 were poor; 59 out of every 100 uninsured ill persons
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dwelled in rural areas; 1 of every 2 utilised public health care
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facilities, two-thirds had chronic health conditions, and 22 out of
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every 100 reported at least poor health. Moderate-to-very good health
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status was correlated with age (OR = 0.97, 95\% CI = 0.95-0.98); male
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(OR = 0.60, 95\% CI = 0.37-0.97); middle class (OR = 0.45, 95\% CI =
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0.21-0.95); logged income (OR = 2.87, 95\% CI = 1.50-5.49); area of
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residence (Other Town - OR = 2.33, 95(boolean AND)\% CI = 1.19-4.54;
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Urban - OR = 2.01, 95\% CI = 1.11-3.62), and health care-seeking
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behaviour (OR = 0.45, 95\% CI = 0.27-0.74). Sixty-one of every 100
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uninsured respondents with ill health sought medical care. Medical
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care-seeking behaviour was significantly related to chronic illness (OR
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= 2.25, 95\% CI = 1.31-3.88); age (OR = 1.03, 95\% CI = 1.01-1.04);
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crowding (OR = 1.12, 1.01-1.24); income (OR = 1.00, 95\% CI =
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1.00-1.00); and married people (OR = 0.48, 95\% CI = 0.28-0.82).
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Uninsured ill Jamaicans who resided in rural areas had the lowest
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moderate-to-very good health status, but there was no difference in
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health care-seeking behaviour based on the geographical location of
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residence.
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Conclusion: Despite the fact that there is health insurance coverage
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available for those who are chronically ill and elderly in Jamaica,
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there are still many such people who are without health insurance
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coverage. The task of public health specialists and policy makers is to
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fashion public education and interventions that will address many of the
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realities which emerged in this research.'
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affiliation: 'Bourne, PA (Corresponding Author), Univ W Indies, Dept Community Hlth
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Stat, Fac Med Sci, Kingston 7, Jamaica.
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Bourne, Paul Andrew, Univ W Indies, Dept Community Hlth \& Psychiat, Fac Med Sci,
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Kingston 7, Jamaica.'
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author: Bourne, Paul Andrew
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author-email: paulbourne1@yahoo.com
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author_list:
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- family: Bourne
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given: Paul Andrew
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da: '2023-09-28'
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eissn: 1986-8103
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files: []
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issn: 1840-2291
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journal: HEALTHMED
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keywords: 'Uninsured; uninsured ill; chronic illness; health status; health
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care-seeking behaviour; health disparity; inequality in health;
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developing nation'
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keywords-plus: HEALTH; POVERTY; ILLNESS; INCOME
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language: English
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number: '3'
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number-of-cited-references: '35'
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pages: 499-514
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papis_id: 2412a1a54bdd363b54108c390ce49161
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ref: Bourne2010uninsuredill
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researcherid-numbers: Bourne, Paul Andrew/AAE-2714-2022
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times-cited: '3'
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title: The uninsured ill in a developing nation
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000281882000003
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usage-count-last-180-days: '0'
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usage-count-since-2013: '4'
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volume: '4'
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web-of-science-categories: Medicine, General \& Internal
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year: '2010'
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