Gelişmekte olan bir ülkede cinsiyet, sağlık, fakirlik ve kira ödeyicisi olmayanlar: Ekonomik ve finansal krizin arkasındaki insan yüzü

AMAÇ: Yapısal düzenleme, dünyada petrol ve gıda fiyatlarındaki artış, insanların milyarlarca dolarını dolandıran alternatif yatırım araçlarının çoğalması, çift haneli enflasyon, fakirlik ve bankacılık krizi Jamaika’nın soyoekonomik görünümünü etkileyen konuların bazılarıdır. Fakirler, düşük eğitimliler, köylüler, kira ödeyicisi olmayanlar ve kadınlar kirzler sırasında sıkıntı çekmeye devam etmektedirler. Henüz, kira ödeyicisi olmayan insanların sağlık durumlarını, sağlık koşullarını ve özelliklerini değerlendiren hiç çalışma yoktur. Bu çalışmada beş bileşen değerlendirilmiştir: 1) sağlık durumu, 2) sağlık koşulları, 3) kira ödemeyicisi olmamanın sosyodemografik profili, 4) kimin kira ödeyicisi olmadığını açıklayan faktörler ve 5) cinsiyete odaklanma. YÖNTEM: Bu çalışma 6,783 kişilik örneği olan kesitsel bir çalışmanın verilerinin ikincil analizidir. BULGULAR: Erkekler ve şehir civarında yaşayanlar 1,4 kat daha fazla iyiden çok iyiye sağlık durumu bildirdiler. Kira ödeyicisi olmayanlar bekâr (her 100 kişiden 68’i) ve köylü (her 100 kişiden 53’ü) idi. Her 100 kişiden; 46’sı kronik soruna sahipti, 62’si formal eğitim almamıştı, 80’inin sağlık sigortası yoktu, 42’si alt sınıftandı ve 15’i hasta idi. Yüzde yetmiş yedisi kronik sorunla tıbbi bakım talep etmişken %61’i akut sorundan dolayı tıbbi bakım talep etti. SONUÇ: Bulguların politika yönü vardır ve biz krizler sırasında sağlığı izlemeye devam etmeliyiz.

Gender, health, poverty and non-rent payers in a developing country: The human face behind the economic and financial crisis

AIM: Structural adjustment, increases in world oil and food prices, a proliferation of alternative investment schemes that defrauded people of billions of dollars, double-digit inflation, poverty and banking crises are just some of the issues that have influenced the socioeconomic landscape of Jamaica. The poor, lowly educated, rural residents, non-rent paying and females continue to suffer during the crises. Yet, there has been no study that evaluates the health statuses, health conditions, and characteristics of non-rent paying people. This study is fivefold. It examined 1) health status, 2) health conditions, 3) sociodemographic profile of non-rent paying, 4) factors that explain who non-rent paying people are, and 5) a gender focus. METHODS: This is a secondary data analysis which utilizes data from a national probability cross- sectional survey, with a sample of 6,783 respondents. RESULTS: Males were 1.4 times more likely to report good-to-very good health status, and peri-urban dwellers were 1.4 more probable to indicate good-to-very good health status. Non-rent paying respondents were single (68 out of every 100); rural dwellers (53 out of every 100); 46 out of every 100 had particular chronic condition; no formal education (62 out of every 100); no health insurance coverage (80 out of every 100); lower class (42 out of every 100), and 15 out of every 100 self-reported an illness. Seventy- seven percent of those with chronic conditions sought medical care compared to 61% of those with acute conditions. CONCLUSION: The findings have policy directions, as we continue to monitor health during crises.

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