Paul A. BOURNE, Charlene SHARPE-PRYCE, Segree DRYSDALE

Gelişmekte olan ingilizce konuşan bir millette kiracıların sağlığı

AMAÇ: 1190’lardan beri Jamaika bankacılık, dünya petrol ve yiyecek ve kamu borcu krizlerini yaşadı, ancak kiracıların sağlık durumlarını değerlendiren bir çalışma yapılmadı. Bu çalışma, Jamaika’daki kiracıların 1)sağlık durumlarını, 2) rapor ettikleri hastalıkları ve 3) sağlık kapsamını oluşturan faktörleri belirlemeyi amaçlamıştır. Ayrıca, eşitsizlikleri belirlemek için kiracıların belirli demografik özelliklerini toplumunkilerle karşılaştırmayı hedeflemiştir. YÖNTEM: Bu çalışmada ulusal bir kesitsel çalışma izlem olan “2007 Jamaica Survey of Living Conditions (JSLC)”ın verileri kullanılmıştır. 6.783 kişilik Jamaika örneğinin kira ödeyen 1.062 (%15,7)’si alt örnek olarak kullanılmıştır. 1) Kendisi tarafından değerlenmiş sağlık, 2) hastalık varlığı ve 3) sağlık sigortası kapsama modellerini belirlemek için lojistik regresyon analizi kullanılmıştır. BULGULAR: Kiracılar arasında fakirlik kırsal bir olgudur (her 100 en fakirin 69’u). En fakir %20’lik dilimdeki kiracıların beşte ikisi tıbbi yardım aramıştır ve her 50 kişiden 27’si düzenlenen reçeteyi satın almıştır. En fakir %20’lik dilimdeki kiracıların %21’i kronik hastalığa sahiptir ve %29’u sosyal yardım almıştır. Varlıklı kiracılar alt sınıftan olanlara göre 4,7 kat (95%CI: 0,9 – 24,9) daha yüksek ihtimalle iyi sağlık durumuna sahiptir. Her dört hasta kiracının üçü kamu sağlık hizmetini kullanmıştır. SONUÇ: Bu bulguar kiracıları anlamayı ve sağlar ve gelecekte müdahale yapabilmek için kullanılabilir.

[Health of tenants in an english-speaking developing nation]

AIM: Since 1990s, Jamaica has experienced banking, world oil, food and public debt crises was well as the recession; yet no study has examined the health status of tenants. Aim of this study is to determine factors that account for 1) health status, 2) self-reported illness, and 3) health coverage of tenants in Jamaica, and compare particular demographic characteristics of tenants with that of the population as well as health, health conditions and health seeking behaviour in order to establish disparities. METHOD: This work utilized a 2007 national cross-sectional probability survey. A sub-sample of 1, 062 respondents (tenants) were taken from the initial sample of 6,783 respondents. Logistic regression analyses were used to establish 1) self-rated health, 2) presence of illness and 3) health insurance coverage models. RESULTS: Poverty among tenants is a rural phenomenon (69 out of every 100 poorest). Two out of every 5 tenants in the poorest income quintile sought medical care, 27 out of every 50 purchased the prescribed medication, 21% had chronic illnesses, 29% received social assistance and wealthy tenants were 4.7 times (95%CI: 0.90 – 24.9) more likely to have good health than those in the lower class. Three out of every 4 sick tenants utilized public health care services. CONCLUSİON: These findings provide an understanding of tenants, and can be used to make policy intervention in the future.

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