Cargando…
The rising burden of chronic conditions among urban poor: a three-year follow-up survey in Bengaluru, India
BACKGROUND: Chronic conditions are on rise globally and in India. Prevailing intra-urban inequities in access to healthcare services compounds the problems faced by urban poor. This paper reports the trends in self-reported prevalence of chronic conditions and health-seeking pattern among residents...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4537574/ https://www.ncbi.nlm.nih.gov/pubmed/26275608 http://dx.doi.org/10.1186/s12913-015-0999-5 |
_version_ | 1782385910816440320 |
---|---|
author | Gowda, Mrunalini J Bhojani, Upendra Devadasan, Narayanan Beerenahally, Thriveni S |
author_facet | Gowda, Mrunalini J Bhojani, Upendra Devadasan, Narayanan Beerenahally, Thriveni S |
author_sort | Gowda, Mrunalini J |
collection | PubMed |
description | BACKGROUND: Chronic conditions are on rise globally and in India. Prevailing intra-urban inequities in access to healthcare services compounds the problems faced by urban poor. This paper reports the trends in self-reported prevalence of chronic conditions and health-seeking pattern among residents of a poor urban neighborhood in south India. METHODS: A cross sectional survey of 1099 households (5340 individuals) was conducted using a structured questionnaire. The prevalence and health-seeking pattern for chronic conditions in general and for hypertension and diabetes in particular were assessed and compared with a survey conducted in the same community three years ago. The predictors of prevalence and health-seeking pattern were analyzed through a multivariable logistic regression analysis. RESULTS: The overall self-reported prevalence of chronic conditions was 12 %, with hypertension (7 %) and diabetes (5.8 %) being the common conditions. The self-reported prevalence of chronic conditions increased by 3.8 percentage point over a period of three years (OR: 1.5). Older people, women and people living below the poverty line had greater odds of having chronic conditions across the two studies compared. Majority of patients (89.3 %) sought care from private health facilities indicating a decrease by 8.7 percentage points in use of government health facility compared to the earlier study (OR: 0.5). Patients seeking care from super specialty hospitals and those living below the poverty line were more likely to seek care from government health facilities. CONCLUSION: There is need to strengthen health services with a preferential focus on government services to assure affordable care for chronic conditions to urban poor. |
format | Online Article Text |
id | pubmed-4537574 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-45375742015-08-16 The rising burden of chronic conditions among urban poor: a three-year follow-up survey in Bengaluru, India Gowda, Mrunalini J Bhojani, Upendra Devadasan, Narayanan Beerenahally, Thriveni S BMC Health Serv Res Research Article BACKGROUND: Chronic conditions are on rise globally and in India. Prevailing intra-urban inequities in access to healthcare services compounds the problems faced by urban poor. This paper reports the trends in self-reported prevalence of chronic conditions and health-seeking pattern among residents of a poor urban neighborhood in south India. METHODS: A cross sectional survey of 1099 households (5340 individuals) was conducted using a structured questionnaire. The prevalence and health-seeking pattern for chronic conditions in general and for hypertension and diabetes in particular were assessed and compared with a survey conducted in the same community three years ago. The predictors of prevalence and health-seeking pattern were analyzed through a multivariable logistic regression analysis. RESULTS: The overall self-reported prevalence of chronic conditions was 12 %, with hypertension (7 %) and diabetes (5.8 %) being the common conditions. The self-reported prevalence of chronic conditions increased by 3.8 percentage point over a period of three years (OR: 1.5). Older people, women and people living below the poverty line had greater odds of having chronic conditions across the two studies compared. Majority of patients (89.3 %) sought care from private health facilities indicating a decrease by 8.7 percentage points in use of government health facility compared to the earlier study (OR: 0.5). Patients seeking care from super specialty hospitals and those living below the poverty line were more likely to seek care from government health facilities. CONCLUSION: There is need to strengthen health services with a preferential focus on government services to assure affordable care for chronic conditions to urban poor. BioMed Central 2015-08-15 /pmc/articles/PMC4537574/ /pubmed/26275608 http://dx.doi.org/10.1186/s12913-015-0999-5 Text en © Gowda et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Gowda, Mrunalini J Bhojani, Upendra Devadasan, Narayanan Beerenahally, Thriveni S The rising burden of chronic conditions among urban poor: a three-year follow-up survey in Bengaluru, India |
title | The rising burden of chronic conditions among urban poor: a three-year follow-up survey in Bengaluru, India |
title_full | The rising burden of chronic conditions among urban poor: a three-year follow-up survey in Bengaluru, India |
title_fullStr | The rising burden of chronic conditions among urban poor: a three-year follow-up survey in Bengaluru, India |
title_full_unstemmed | The rising burden of chronic conditions among urban poor: a three-year follow-up survey in Bengaluru, India |
title_short | The rising burden of chronic conditions among urban poor: a three-year follow-up survey in Bengaluru, India |
title_sort | rising burden of chronic conditions among urban poor: a three-year follow-up survey in bengaluru, india |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4537574/ https://www.ncbi.nlm.nih.gov/pubmed/26275608 http://dx.doi.org/10.1186/s12913-015-0999-5 |
work_keys_str_mv | AT gowdamrunalinij therisingburdenofchronicconditionsamongurbanpoorathreeyearfollowupsurveyinbengaluruindia AT bhojaniupendra therisingburdenofchronicconditionsamongurbanpoorathreeyearfollowupsurveyinbengaluruindia AT devadasannarayanan therisingburdenofchronicconditionsamongurbanpoorathreeyearfollowupsurveyinbengaluruindia AT beerenahallythrivenis therisingburdenofchronicconditionsamongurbanpoorathreeyearfollowupsurveyinbengaluruindia AT gowdamrunalinij risingburdenofchronicconditionsamongurbanpoorathreeyearfollowupsurveyinbengaluruindia AT bhojaniupendra risingburdenofchronicconditionsamongurbanpoorathreeyearfollowupsurveyinbengaluruindia AT devadasannarayanan risingburdenofchronicconditionsamongurbanpoorathreeyearfollowupsurveyinbengaluruindia AT beerenahallythrivenis risingburdenofchronicconditionsamongurbanpoorathreeyearfollowupsurveyinbengaluruindia |