Socio-economic deprivation and health outcomes in Ialomița County (Romania)

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Issue: Volume 11, Issue 2, 2017

Abstract

Several health researchers have emphasised the effects of socio-economic factors on population health outcomes. Many studies have been demonstrating the relationship between socio-economic conditions and individual health, as they have stated that deprived population are more likely to have a higher rate of morbidity and mortality due to different diseases. This study examines the association between socioeconomic deprivation and health outcomes among the population from urban and rural communities in Ialomiţa County (Romania). The research is based on statistical and spatial analysis, using indicators related to socio-economic deprivation (economic status index, housing endowment index, education level index and) and indicators related to health outcomes. Preliminary results showed the expansion of deprived areas, overlapping areas with precarious population health, generally areas with high incidence of respiratory and digestive diseases, high mortality due to infectious diseases.

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Authors Affiliations

Ana-Maria Taloş*

University of Bucharest, Romania

* Corresponding author. Email: ana.talos@geo.unibuc.ro

References

Arrow, J.O. (1996), ‘Estimating the influence of health as a risk factor on unemployment: a survival analysis of employment durations for workers surveyed in the German Socio-Economic Panel (1984–1990)’, Social Science and Medicine, no. 42, pp. 1651–1659.

Bashir, S. (2002), ‘Home is where the harm is: inadequate housing as a public health crisis’, Public Health, no. 92, pp. 733–8.

Bell, N., Schuurman N. and Hayes M.V. (2007), ‘Using GIS-based methods of multicriteria analysis to construct socio-economic deprivation indices’, International Journal of Health Geographics, vol. 6, no.17.

Benzeval, M., Judge, K. and Whitehead, M. (1995), Tackling Inequalities in Health: An Agenda for Action, London, King’s Fund.

Boyle, P., Gatrell, A. and Duke-Williams, O. (2001), ‘Do area-level population change, deprivation and variations in deprivation affect individual-level self-reported limiting long-term illness?’, Social Science & Medicine, no. 53, pp. 795-799.

Braveman, P.A., Cubbin, C., Egerter, S.,Williams, D.R. and Pamuk, E. (2010), ‘Socioeconomic disparities in health in the United States: what the patterns tell us’, American Journal of Public Health, no.100 (S1), pp. S186–S196.

Cabrera Barona, P., Murphy, T., Kienberger S. and Blaschke, T. (2015), ‘A multi-criteria spatial deprivation index to support health inequality analyses’, International Journal of Health Geographics, vol. 14, no. 11.

Duncan, C., Jones, K. and Moon, G. (1998), ‘Context, composition and heterogeneity: using multilevel models in health research’, Social Science and Medicine, no. 46, pp. 97-117.

Fearn, R. (1987), ‘Rural health care: a British success or a tale of unmet need?’, Social Science and Medicine, no. 24, pp. 263-274.

Galea, S and Vlahov, D. (2005), ‘Urban health: evidence, challenges and directions’, Public Health, no. 26, pp. 1–25.

Haase, T. and Pratschke, J. (2012), ‘The 2011 pobal HP deprivation index for small areas’, Dublin.

Havard, S., Deguen, S., Bodin, J., Louis, K., Laurent, O and Bard, D. (2008), ‘A small-area index of socioeconomic deprivation to capture health inequalities in France’, Social Science & Medicine, no. 67, pp. 2007-2016.

Haynes, R., Gale, S., Lovett, A. and Bentham, G. (1996), ‘Unemployment rate as an updatable health needs indicator for small areas’, Journal of Public Health Medicine, no. 18, pp. 27-32

Haynes R., Gale S. (1999), ‘Mortality, long term illness and deprivation in rural and metropolitan wards of England and Wales’, Health and Place, no.5, p. 301-312.

Kessler, R.C., House, J.S. and Turner, J.B. (1987), ‘Unemployment and health in a community sample’, Journal of Health and Social Behavior, no. 28, pp. 51–59.

Lalloué, B., Monnez, J.M., Padilla, C., Kihal, W., Le Meur, N., Zmirou-Navier D. and Deguen, S. (2013), ‘A statistical procedure to create a neighborhood socioeconomic index for health inequalities analysis’, International Journal for Equity in Health, vol. 12, no. 21, pp. 1-11.

Mahadevana, R. and Hoang, V. (2016), ‘The nexus between poverty and deprivation in Vietnam’, Journal of Policy Modeling, no. 38, pp. 290–303.

Marmot, M. and Bell, R. (2012), ‘Fair society, healthy lives’, Public Health, no. 126, pp. 4–10.

Nagahawatte, N.T. and Goldenberg, R.L. (2008), ‘Poverty, maternal health, and adverse pregnancy outcomes’, Annals of the New York Academy of Science, no. 1136, pp. 80–85.

OECD (2008), Handbook on Constructing Composite Indicators, Paris, OECD.

Pampalon, R. and Raymond, G. (2000), ‘A deprivation Index for health and welfare planning in Quebec’, Chronic Diseases in Canada, vol. 21, no. 3, pp. 104-113.

Pampalon, R., Hamel, D., Gamache, P. and Raymond G. (2009), ‘A deprivation index for health planning in Canada’, Chronic diseases in Canada, vol. 29, no. 4, pp. 178-191.

Pasetto, R., Sampaolo, L. and Pirastu, R. (2010), ‘Measures of material and social circumstances to adjust for deprivation in small-area studies of environment and health: review and perspectives’, Annual First Super Sanita, vol. 46, no. 2, pp. 185-197.

Pearson, J.A. (2008), ‘Can’t buy me whiteness: new lessons from the titanic on race, ethnicity and health’, Du Bois Review, vol. 5, no. 1, p. 27.

Pollack, C.E. and Lynch, J. (2009), ‘Health status of people undergoing foreclosure in the Philadelphia region’, American Journal of Public Health, no. 99, pp. 1833–1839.

Schuurman, N, Bell, N, Dunn, JR. and Oliver, L. (2007), ‘Deprivation index, population health and geography: an evaluation of the spatial effectiveness of indices at multiple scales’, Journal of Urban Health, vol. 84, no. 4, pp. 591-603.

Sloggett, A. and Joshi, H. (1998), ‘Deprivation indicators as predictors of life events 1981-1992 based on the UK ONS longitudinal study’, Journal of Epidemiology and Community Health, no. 52, p. 228-233.

Taloș, A.M. (2017), ‘Population lifestyle and health in Ialomița County (Romania)’, Romanian Journal of Geography, vol. 61, no. 1, pp. 79-86.

Townsend, P. (1987), ‘Deprivation’, Journal of Social Policy, vol. 16, pp. 25–46.

Watt, I.S. and Sheldon, T.A. (1993), ‘Rurality and resource allocation in the UK’, Health Policy, no. 26, pp. 19-27.

Zamfir, D., Dumitrache, L., Stoica, I.V. and Vîrdol, D. (2015), ‘Spatial inequalities in health care provision in Romania: millestones for territorial sustainable development’, Carpathian Journal of Earth and Environmental Sciences, vol. 10, no. 3, pp. 177-188.

Zhao, Y., You, J, Guthridge, SL. and Lee, AH. (2011), ‘A multilevel analysis on the relationship between neighbourhood poverty and public hospital utilization: is the high Indigenous morbidity avoidable?’, BMC Public Health, no. 11, p. 737.

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