2023-09-28 14:46:10 +00:00
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abstract: 'Background Tackling poverty requires reconsideration of quantitative
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factors related to ``who{''''} is poor and by ``how much{''''} and
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qualitative factors addressing ``what poverty means in these
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individuals'' lives{''''}. Greater understanding is required concerning the
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types of access actually used by families in poverty in attempts to meet
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their basic needs. Poverty must be addressed based on the question:
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``Inequality of what?{''''} It is in reflecting on the realities of such
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groups when their basic needs are not met that public policies can be
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improved and implemented with legitimate priorities. Objective: Describe
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coverage and access to public health, education and social assistance
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services and the related effects on the quality of life of families in
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extreme poverty. Methods An exploratory mixed methods study was
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conducted applying Amartya Sen''s ``Basic Capability Equality{''''}
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framework, with: 1) 27 interviews with managers and professionals from
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public services serving territories with extreme poverty; 2) Survey with
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a systematic proportionate stratified sample of 336 heads of households
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in extreme poverty from a total 2605 families. The resulting data was
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analyzed with thematic content analysis and descriptive statistics,
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respectively. Results The managers and professionals described the lives
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of families in extreme poverty with phrases such as, ``These people
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suffer. Sadness weighs on their lives!{''''} and ``Depression is the most
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common illness{''''}. Their precarious circumstances and inadequate access
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were cited as causes. Quality of life was considered bad or very bad by
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41.4\% of heads of households. A total income of less than one-third of
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the minimum wage was received by 56.9\% of the sample. One or more
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people were unemployed in the family in 55.8\% of cases. For 53.3\% of
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heads of households, public services ``did not meet any or few of their
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needs{''''}.The main social determinants of health were described as:
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alcohol and drugs (68.8\%); lack of good health care (60.7\%); and
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absence of income/work (37.5\%). The following were identified as
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solutions to improve their quality of life: (1) health (40.5\%); (2)
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education (37.8\%); and (3) employment (44.6\%). Conclusions The social
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determinants of poverty and health must be addressed jointly through
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intersectoral public policies and egalitarian mechanisms that promote
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investment in social protection.'
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affiliation: 'de Franca, VH (Corresponding Author), Univ Fed Juiz de Fora, Dept Med,
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Campus Avancado Governador Valadares, BR-35032620 Governador Valadares, MG, Brazil.
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de Franca, Viviane Helena, Univ Fed Juiz de Fora, Dept Med, Campus Avancado Governador
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Valadares, BR-35032620 Governador Valadares, MG, Brazil.
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Modena, Celina Maria; Confalonieri, Ulisses Eugenio Cavalcanti, Fundacao Oswaldo
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Cruz Minas, Inst Rene Rachou, Ave Augusto de Lima, BR-30190009 Belo Horizonte, MG,
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Brazil.'
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article-number: '132'
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author: de Franca, Viviane Helena and Modena, Celina Maria and Confalonieri, Ulisses
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Eugenio Cavalcanti
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author-email: vivianehfranca@hotmail.com
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author_list:
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- family: de Franca
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given: Viviane Helena
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- family: Modena
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given: Celina Maria
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- family: Confalonieri
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given: Ulisses Eugenio Cavalcanti
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da: '2023-09-28'
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doi: 10.1186/s12939-020-01243-y
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eissn: 1475-9276
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files: []
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journal: INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
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keywords: 'Quality of life; Public policies; Health promotion; Intersectoral
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action; Management; Health equity'
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language: English
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month: AUG 6
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number: '1'
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number-of-cited-references: '63'
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orcid-numbers: Reis, AlessanRSS/0000-0001-8486-7469
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papis_id: 34610aff973587218763661a407a3180
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ref: Defranca2020equalitypoverty
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times-cited: '2'
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title: 'Equality and poverty: views from managers and professionals from public services
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and household heads in the Belo Horizonte Metropolitan Area, Brazil'
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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:000561037400001
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usage-count-last-180-days: '1'
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usage-count-since-2013: '9'
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volume: '19'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2020'
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