ISSN 2146-8346
 

Original Research 


Health, Social Inequalities and Food Expenditure: The implications of the economic and financial crises

Paul Andrew Bourne.

Cited by (1)

Abstract
Introduction: Economic and financial crises have resulted in changes in health indicators and health financing in many developing nations. Yet no single study has evaluated health indicators (including illness, self-rated health, health care utilization, purchased medication, typology of health conditions) and food expenditure, and disaggregated these by social hierarchies. Objectives: This work assesses health indicators (including illness, self-rated health, health care utilization, purchased medication, typology of health conditions), food expenditure and disaggregated these by social hierarchies. This paper models self-rated health by some explanatory variables as well as annual food expenditure. Methods: Using household survey for 2007, the present study evaluates various health indicators by income quintile; model logged annual food expenditure and good-to-very good health status. Ordinary least square and multiple logistic regressions were used to establish the models. Findings: The main findings are 1) females continue to report lower good-to-very good health than their male counterparts; 2) rural residents experienced lower health status; 3) the economically vulnerable’s health is lower; 4) quality of health of those in tertiary level education is adversely affected; 5) health status of elderly is being negatively influenced; 6) the poorest spent US $6.06 (SD = US $ 3.94) daily on food compared to US 13.87 (SD = US $8.84) for those in the wealthiest income quintile; 7) 43 out of every 100 in the poorest income quintile had chronic conditions and purchased the prescribed medications compared to 73 out of every 100 in the wealthiest income quintile; 8) the greatest prevalence of people not to visit a health care practitioner were the poorest, and this was due to inafffordability (33%). Conclusion: The findings provide a platform for action and policy framework.

Key words: Health, health conditions, chronic illness, economic crisis, food expenditure, social inequality, health disparity


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Export to
Export to
Related Records
 Articles by Paul Andrew Bourne
on Google
on Google Scholar
Article Statistics
 Viewed: 2215
Downloaded: 539
Cited: 1

REFERENCES
1. Statistical Institute of Jamaica (STATIN). Demographic statistics, 2009. Kingston: STATIN; 2010.
2. Planning Institute of Jamaica (PIOJ), Statistical Institute of Jamaica (STATIN). Jamaica Survey of Living Conditions, 2002, 2009. Kingston: PIOJ, STATIN; 2003, 2010.
3. Powell LA, Bourne P, Waller G. Probing Jamaica's Political Culture, volume 1: Main Trends in the July – August 2006 Leadership and Governance Survey. Kingston: Centre for Leadership and Governance; 2007. [PMC Free Fulltext]   
4. Planning Institute of Jamaica (PIOJ). Economic and Social Survey, Jamaica, 1989-2009. Kingston: PIOJ; 1990-2010.
5. International Monetary Fund (IMF). Jamaica: 2008 Article IV consultation-Staff report. IMF Country Report No 08/199. Washington DC: IMF; 2008.
6. Ramacon EG. Remittances survey 2010. Kingston: Bank of Jamaica; 2011.
7. Pan American Health Organization. Equity and health: Views from the Pan American Sanitary Bureau. Washington DC: PAHO; 2001
8. Pan American Health Organization. Investment in health: Social and Economic returns. Washington DC: PAHO; 2001.
9. Theodore K, Lafoucade A, Stoddard D, Thomas W. Health system inequalities and poverty in Jamaica. In: Pan American Health Organization. Investment in health: Social and Economic returns. Washington DC: PAHO; 2001. p. 189-206.
10. Van Doorslaer E, Wagstaff A. Inequality in the delivery of health care: Methods and results for Jamaica. In: Pan American Health Organization. Investment in health: Social and Economic returns. Washington DC: PAHO; 2001. p. 233-244.
11. Wilks R, Younger N, Tulloch-Reid M, McFarlane S, Francis D. Jamaica health and lifestyle survey 2007-8. Technical report. Kingston: Epidemiology Research Unit, Tropical Medicine Research Institute, University of the West Indies, Mona; 2008.
12. Callender J. Lifestyle management in the hypertensive diabetic. Cajanus. 2000; 33:67-70.
13. McCarthy FM. Diagnosing and treating psychological problems in patients with diabetes and hypertension. Cajanus. 2000; 33:77-83.
14. Morrison E. Diabetes and hypertension: Twin trouble. Cajanus. 2000; 33:61-63.
15. Chan M. Impact of the global financial and economic crisis on health. Washington DC: WHO; 2008.
16. Saadah F, Pradhan M, Surbakti S. Health care during financial crisis: What can we learn from the Indonesian National Socioeconomic survey? Washington DC: World Bank; 2000.
17. Gonzalez M. Defining economic crisis globally as well as in the Caribbean. Aruba: Paper presented to the 27th Biennial Conference, October 24-29, 2010, Aruba.
18. Musac S. Africa's Health in 2010/AED. Washington D.C: USAid; 2010.
19. Paxson C, Schady N. Child health and economic crisis in Peru. The World Bank Economic Review. 2005; 19:203-223. [DOI via Crossref]   
20. Johnston J, Montecino JA. Jamaica: Macroeconomic policy, debt and the IMF. Washington D.C: Centre for Economic and Policy Research; 2011.
21. Horton R. The global financial crisis: an acute threat to health. The Lancet. 2009; 373:355-356. [DOI via Crossref]   
22. UNDP, UNFPA, UNICEF, WFP. Recovering from economic and financial crises: Food security and safety nets. Washington D.C.: UNDP, UNFPA, UNICEF, WFP; 2010.
23. Gilligan D, Hoddinott J, Taffesse A. The Impact of Ethiopia's Productive Safety Net Programme and its Linkages. Journal of Development Studies. 2009; 45(10): 1684-1706. [DOI via Crossref]   
24. Kim N, Serra-Garcia M. Economic crises, health and education in Jamaica. Estudios Económicos. 2010; 25(1): 105-134.
25. Grossman M. The demand for health- a theoretical and empirical investigation. New York: National Bureau of Economic Research; 1972.
26. Smith JP, Kington R. Demographic and economic correlates of health in old age. Demography. 1997; 34(1):159-170. [DOI via Crossref]   
27. Kelly M, Morgan A, Bonnefog J, Beth J, Bergmer V. The Social Determinants of Health: developing Evidence Base for Political Action, WHO Final Report to the Commission. Washington D.C: WHO; 2007.
28. Graham H. Social Determinants and their Unequal Distribution Clarifying Policy Understanding The Milbank Quarterly. 2004; 82 (1), 101-124. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
29. Pettigrew M. Whitehead M, McIntyre SJ, Graham H, Egan M. Evidence for Public Health Policy on Inequalities: 1: The Reality According To Policymakers. Journal of Epidemiology and Community Health. 2004; 5: 811–816. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
30. Bourne PA, McGrowder DA. Rural health in Jamaica: Examining and refining the predictive factors of good health status of rural residents. Journal of Rural and Remote Health. 2009; 9 (2):1116.
31. Bourne PA, Rhule J. Good Health Status of Rural Women in the Reproductive Ages. International Journal of Collaborative Research on Internal Medicine & Public Health. 2009; 1(5):132-155.
32. Bourne PA. A theoretical framework of good health status of Jamaicans: using econometric analysis to model good health status over the life course. North American Journal of Medical Sciences. 2009; 1(2): 86-95. [Pubmed]    [PMC Free Fulltext]   
33. Hambleton IR, Clarke K, Broome HL, Fraser HS, Brathwaite F, Hennis AJ. 2005. Historical and current predictors of self-reported health status among elderly persons in Barbados. Rev Pan Salud Public. 2005; 17:342-352. [DOI via Crossref]    [Pubmed]   
34. Bourne PA. Dichotomising poor self-reported health status: Using secondary cross-sectional survey data for Jamaica. North Am J Med Sci. 2009; 1(6): 295-302.
35. Statistical Institute Of Jamaica. Jamaica Survey of Living Conditions, 2007 [Computer file]. Kingston, Jamaica: Statistical Institute of Jamaica [producer], 2007. Kingston: Planning Institute of Jamaica and Derek Gordon Databank, University of the West Indies [distributors]; 2008.
36. Marmot M. The influence of Income on Health: Views of an Epidemiologist. Does money really matter? Or is it a marker for something else? Health Affairs. 2002; 21: 31-46. [DOI via Crossref]   
37. Stuckler D, Basu S, Suhrcke M, McKee M. The health implications of financial crisis: A review of the evidence. Ulster Med J. 2009; 78:142-145. [Pubmed]    [PMC Free Fulltext]   
38. Dollar D, Kraay A. Growth is Good for the Poor. Policy Research Working Paper No. 2587. Washington D.C: The World Bank (April); 2001.
39. Downes A. The global economic crisis and Caribbean States: Impact and response. Presented at Commonwealth Secretariat Conference on the Global Economic Crisis and Small States, London, July 6-7, 2009.
40. United States Aids Agency (USAids). Impact of global economic crisis on health in Africa: Africa's health in 2010. Washington DC: USAids; 2010.
41. Kirkpatrick C, Tennant D. Responding to financial crisis. The case of Jamaica. World Development. 2002; 30:1933-1950. [DOI via Crossref]   

This Article Cited By the following articles

Health inequalities by socioeconomic characteristics in Spain: the economic crisis effect
Int J Equity Health 2016; 15(1): .

1
 

How to Cite this Article
Pubmed Style

Paul Andrew Bourne. Health, Social Inequalities and Food Expenditure: The implications of the economic and financial crises. J Behav Health. 2013; 2(2): 173-188. doi:10.5455/jbh.20121127012802


Web Style

Paul Andrew Bourne. Health, Social Inequalities and Food Expenditure: The implications of the economic and financial crises. http://www.jbehavioralhealth.com/?mno=26698 [Access: May 27, 2018]. doi:10.5455/jbh.20121127012802


AMA (American Medical Association) Style

Paul Andrew Bourne. Health, Social Inequalities and Food Expenditure: The implications of the economic and financial crises. J Behav Health. 2013; 2(2): 173-188. doi:10.5455/jbh.20121127012802



Vancouver/ICMJE Style

Paul Andrew Bourne. Health, Social Inequalities and Food Expenditure: The implications of the economic and financial crises. J Behav Health. (2013), [cited May 27, 2018]; 2(2): 173-188. doi:10.5455/jbh.20121127012802



Harvard Style

Paul Andrew Bourne (2013) Health, Social Inequalities and Food Expenditure: The implications of the economic and financial crises. J Behav Health, 2 (2), 173-188. doi:10.5455/jbh.20121127012802



Turabian Style

Paul Andrew Bourne. 2013. Health, Social Inequalities and Food Expenditure: The implications of the economic and financial crises. Journal of Behavioral Health, 2 (2), 173-188. doi:10.5455/jbh.20121127012802



Chicago Style

Paul Andrew Bourne. "Health, Social Inequalities and Food Expenditure: The implications of the economic and financial crises." Journal of Behavioral Health 2 (2013), 173-188. doi:10.5455/jbh.20121127012802



MLA (The Modern Language Association) Style

Paul Andrew Bourne. "Health, Social Inequalities and Food Expenditure: The implications of the economic and financial crises." Journal of Behavioral Health 2.2 (2013), 173-188. Print. doi:10.5455/jbh.20121127012802



APA (American Psychological Association) Style

Paul Andrew Bourne (2013) Health, Social Inequalities and Food Expenditure: The implications of the economic and financial crises. Journal of Behavioral Health, 2 (2), 173-188. doi:10.5455/jbh.20121127012802





Most Viewed Articles
  • Factors contributing to the increase in HIV and STD transmission among African American young adults in Mississippi
    Shemeka Hamlin-Palmer, Clifton C Addison, Brenda W. Campbell Jenkins
    J Behav Health. 2012; 1(2): 118-126
    » Abstract & References » doi: 10.5455/jbh.20120328011808

  • Hypertensive patients: knowledge, Self-care management practices and challenges
    Verna Eugene, Paul Andrew Bourne
    J Behav Health. 2013; 2(3): 259-268
    » Abstract & References » doi: 10.5455/jbh.20130217103511

  • Mindfulness and Addictive Behaviors
    Marcello Spinella, Sara Martino, Christine Ferri
    J Behav Health. 2013; 2(1): 1-7
    » Abstract & References » doi: 10.5455/jbh.20120908033138

  • "Olanzapine induced hypothermia: a rare case report"
    Javed Ather Siddiqui, Shazia Farheen Qureshi, Abdullah Al Zahrani
    J Behav Health. 2016; 5(4): 191-193
    » Abstract & References » doi: 10.5455/jbh.20160727120938

  • Role of piracetam in treatment of cerebral palsy disease
    Marwa O. Elgendy, Sadia A. Tayel, Mohamed E.A. Abdelrahim, Ahmed M.A. Ali, Mohamed H. Meabed
    J Behav Health. 2012; 1(1): 53-58
    » Abstract & References » doi: 10.5455/jbh.20120229090811

  • Feminist Identity and the Superwoman Ideal
    Sara M Martino, Shaelene R Lauriano
    J Behav Health. 2013; 2(2): 167-172
    » Abstract & References » doi: 10.5455/jbh.20130224082826

  • The relevance of staff performance evaluation in a pre - existing nursing environment: Everything is New to Everyone
    Hamidah Hassan, Ruth Packiavathy Rajen Durai, Maziah Marzuki, Santhna Letchimi Panduragan, Samsiah Mat
    J Behav Health. 2013; 2(1): 87-93
    » Abstract & References » doi: 10.5455/jbh.20120621074822

  • Knowledge, awareness and perception of female students of Emergency contraceptive pills
    Vijender Kumar Agrawal, Pooja Agrawal
    J Behav Health. 2013; 2(3): 230-235
    » Abstract & References » doi: 10.5455/jbh.20130702055839

  • Energy Balance and the association between energy expenditure and dietary intake
    Clemens Drenowatz
    J Behav Health. 2012; 1(4): 315-321
    » Abstract & References » doi: 10.5455/jbh.20120726015600

  • Sleep habits of first year and final year female MBBS students
    Ayyaz Ahmed Bhatti, Umar Ali Khan, Faziala Sabih, Nida Naeem, Mahvash Khan, Fatima Riaz
    J Behav Health. 2012; 1(2): 110-113
    » Abstract & References » doi: 10.5455/jbh.20120406013432

  • Most Downloaded
  • "Olanzapine induced hypothermia: a rare case report"
    Javed Ather Siddiqui, Shazia Farheen Qureshi, Abdullah Al Zahrani
    J Behav Health. 2016; 5(4): 191-193
    » Abstract & References » doi: 10.5455/jbh.20160727120938

  • Trichobezoar due to psychiatric co-morbidity: A rare case report
    Javed Ather Siddiqi, Ali Mahmoud El Daous, Yousef Bin Ahmed Shawosh
    J Behav Health. 2017; 6(1): 70-72
    » Abstract » doi: 10.5455/jbh.20160924112736

  • Psychiatric aspects of pain disorder and its management.
    Shazia Farhee Qureshi, Javed Ather Siddiqui, Abdullah Al Zahrani
    J Behav Health. 2017; 6(3): 143-145
    » Abstract » doi: 10.5455/jbh.20170123102818

  • Internet Gaming Disorder: A Case Report.
    Javed Ather Siddiqui, Shazia Farheen Qureshi, Abdul Khaliq Alghamdi
    J Behav Health. 2018; 7(1): 41-44
    » Abstract » doi: 10.5455/jbh.20170928054951

  • Hypertensive patients: knowledge, Self-care management practices and challenges
    Verna Eugene, Paul Andrew Bourne
    J Behav Health. 2013; 2(3): 259-268
    » Abstract & References » doi: 10.5455/jbh.20130217103511

  • Hot, sweaty, and satisfied: Effects of Bikram yoga on psychological well-being
    Allison A. Rissell, Brian K. Miller, Lisa K. Lloyd, James S. Williams
    J Behav Health. 2014; 3(1): 71-76
    » Abstract & References » doi: 10.5455/jbh.20131231051431

  • Role of piracetam in treatment of cerebral palsy disease
    Marwa O. Elgendy, Sadia A. Tayel, Mohamed E.A. Abdelrahim, Ahmed M.A. Ali, Mohamed H. Meabed
    J Behav Health. 2012; 1(1): 53-58
    » Abstract & References » doi: 10.5455/jbh.20120229090811

  • Mindfulness and Addictive Behaviors
    Marcello Spinella, Sara Martino, Christine Ferri
    J Behav Health. 2013; 2(1): 1-7
    » Abstract & References » doi: 10.5455/jbh.20120908033138

  • Feminist Identity and the Superwoman Ideal
    Sara M Martino, Shaelene R Lauriano
    J Behav Health. 2013; 2(2): 167-172
    » Abstract & References » doi: 10.5455/jbh.20130224082826

  • The relevance of staff performance evaluation in a pre - existing nursing environment: Everything is New to Everyone
    Hamidah Hassan, Ruth Packiavathy Rajen Durai, Maziah Marzuki, Santhna Letchimi Panduragan, Samsiah Mat
    J Behav Health. 2013; 2(1): 87-93
    » Abstract & References » doi: 10.5455/jbh.20120621074822

  • Most Cited Articles
  • What is lacking in patient-physician communication: Perspectives from Asian American breast cancer patients and oncologists
    Sunmin Lee, Lu Chen, Grace X Ma, Carolyn Y Fang
    J Behav Health. 2012; 1(2): 102-109
    » Abstract & References » doi: 10.5455/jbh.20120403024919
    Cited : 9 times [Click to see citing articles]

  • Association between physical activity behavior and sleep-related parameters of Adolescents
    Paul D. Loprinzi, Kevin E. Finn, Susan A. Harrington, Hyo Lee, Michael W. Beets, Bradley J. Cardinal
    J Behav Health. 2012; 1(4): 286-293
    » Abstract & References » doi: 10.5455/jbh.20120725113528
    Cited : 7 times [Click to see citing articles]

  • Interference in the alcohol Stroop task with college student binge drinkers
    Kevin A Hallgren, Barbara S McCrady
    J Behav Health. 2013; 2(2): 112-119
    » Abstract & References » doi: 10.5455/jbh.20130224082728
    Cited : 7 times [Click to see citing articles]

  • Psychosocial factors associated with recent Alcohol use among Youth
    Keith King, Rebecca Vidourek, Mary Haag, Ashley Merianos
    J Behav Health. 2012; 1(4): 231-242
    » Abstract & References » doi: 10.5455/jbh.20120801024224
    Cited : 6 times [Click to see citing articles]

  • Associations between anthropometric and sleep parameters among adolescents: considerations by gender
    Paul D. Loprinzi, Laura C. Stigler, Kathy K. Hager
    J Behav Health. 2013; 2(3): 236-242
    » Abstract & References » doi: 10.5455/jbh.20130703061438
    Cited : 6 times [Click to see citing articles]

  • Parent Involvement and Neurocognitive Functioning in Childhood Cancer Survivors
    Sunita K Patel, Beth Baumeister Peters, Terece Bell, Julie Verner, Ernest R Katz, Mary N Baron, J Galen Buckwalter
    J Behav Health. 2014; 3(1): 43-52
    » Abstract & References » doi: 10.5455/jbh.20131222084318
    Cited : 6 times [Click to see citing articles]

  • The effect of friendship groups on childrens physical activity: An experimental study.
    Gabriel J Sanders, Corey A Peacock, Megan Williamson, Kayla Wilson, Andrew Carnes, Jacob E Barkley
    J Behav Health. 2014; 3(2): 95-100
    » Abstract & References » doi: 10.5455/jbh.20140424022157
    Cited : 6 times [Click to see citing articles]

  • The Association of Changes in Sedentary Behavior on Changes in Depression Symptomology: Pilot Study
    Paul D. Loprinzi, Eveleen Sng
    J Behav Health. 2016; 5(3): 140-144
    » Abstract & References » doi: 10.5455/jbh.20160310105222
    Cited : 6 times [Click to see citing articles]

  • Does Perceived Social Support Play a Role in Body Image Satisfaction among College Students?
    Ashley Merianos, Keith King, Rebecca Vidourek
    J Behav Health. 2012; 1(3): 178-184
    » Abstract & References » doi: 10.5455/jbh.20120501101051
    Cited : 5 times [Click to see citing articles]

  • Self-Rated Health and Association with ACEs
    Roberta Waite, Maureen Davey, Laura Lynch
    J Behav Health. 2013; 2(3): 197-205
    » Abstract & References » doi: 10.5455/jbh.20130317033246
    Cited : 5 times [Click to see citing articles]