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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...

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Autores principales: Gowda, Mrunalini J, Bhojani, Upendra, Devadasan, Narayanan, Beerenahally, Thriveni S
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
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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.
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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
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