wow-inequalities/02-data/intermediate/wos_sample/f5cf63d7098abcee300e3efe9261f9cc-bourne-paul-andrew/info.yaml

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