PandemieGrippaleV1, Main, Merge, bibRecord, 002612

Existing health inequalities in India: informing preparedness planning for an influenza pandemic

Identifieur interne : 002612 ( Main/Merge ); précédent : 002611; suivant : 002613

Existing health inequalities in India: informing preparedness planning for an influenza pandemic

Auteurs : Supriya Kumar [États-Unis] ; Sandra C. Quinn [États-Unis]

Source :

Health Policy and Planning [ 0268-1080 ] ; 2011.

RBID : PMC:3529628

Descripteurs français

KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Disparités de l'état de santé, Enfant, Enfant d'âge préscolaire, Femelle, Grippe humaine (épidémiologie), Humains, Inde (épidémiologie), Jeune adulte, Mâle, Pandémies, Planification régionale de la santé, Sous-type H1N1 du virus de la grippe A.
MESH :
- épidémiologie : Grippe humaine, Inde.
- Adolescent, Adulte, Adulte d'âge moyen, Disparités de l'état de santé, Enfant, Enfant d'âge préscolaire, Femelle, Humains, Jeune adulte, Mâle, Pandémies, Planification régionale de la santé, Sous-type H1N1 du virus de la grippe A.
Wicri :
- geographic : Inde.

English descriptors

KwdEn :
- Adolescent, Adult, Child, Child, Preschool, Female, Health Status Disparities, Humans, India (epidemiology), Influenza A Virus, H1N1 Subtype, Influenza, Human (epidemiology), Male, Middle Aged, Pandemics, Regional Health Planning, Young Adult.
MESH :
- geographic , epidemiology : India.
- epidemiology : Influenza, Human.
- Adolescent, Adult, Child, Child, Preschool, Female, Health Status Disparities, Humans, Influenza A Virus, H1N1 Subtype, Male, Middle Aged, Pandemics, Regional Health Planning, Young Adult.

Abstract

On 11 June 2009, the World Health Organization (WHO) declared that the world was in phase 6 of an influenza pandemic. In India, the first case of 2009 H1N1 influenza was reported on 16 May 2009 and by August 2010 (when the pandemic was declared over), 38 730 cases of 2009 H1N1 had been confirmed of which there were 2024 deaths. Here, we propose a conceptual model of the sources of health disparities in an influenza pandemic in India. Guided by a published model of the plausible sources of such disparities in the United States, we reviewed the literature for the determinants of the plausible sources of health disparities during a pandemic in India. We find that factors at multiple social levels could determine inequalities in the risk of exposure and susceptibility to influenza, as well as access to treatment once infected: (1) religion, caste and indigenous identity, as well as education and gender at the individual level; (2) wealth at the household level; and (3) the type of location, ratio of health care practitioners to population served, access to transportation and public spending on health care in the geographic area of residence. Such inequalities could lead to unequal levels of disease and death. Whereas causal factors can only be determined by testing the model when incidence and mortality data, collected in conjunction with socio-economic and geographic factors, become available, we put forth recommendations that policy makers can undertake to ensure that the pandemic preparedness plan includes a focus on social inequalities in India in order to prevent their exacerbation in a pandemic.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3529628

DOI: 10.1093/heapol/czr075
PubMed: 22131367
PubMed Central: 3529628

Links to Exploration step

PMC:3529628

Le document en format XML

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<front><div type="abstract" xml:lang="en"><p>On 11 June 2009, the World Health Organization (WHO) declared that the world was in phase 6 of an influenza pandemic. In India, the first case of 2009 H1N1 influenza was reported on 16 May 2009 and by August 2010 (when the pandemic was declared over), 38 730 cases of 2009 H1N1 had been confirmed of which there were 2024 deaths. Here, we propose a conceptual model of the sources of health disparities in an influenza pandemic in India. Guided by a published model of the plausible sources of such disparities in the United States, we reviewed the literature for the determinants of the plausible sources of health disparities during a pandemic in India. We find that factors at multiple social levels could determine inequalities in the risk of exposure and susceptibility to influenza, as well as access to treatment once infected: (1) religion, caste and indigenous identity, as well as education and gender at the individual level; (2) wealth at the household level; and (3) the type of location, ratio of health care practitioners to population served, access to transportation and public spending on health care in the geographic area of residence. Such inequalities could lead to unequal levels of disease and death. Whereas causal factors can only be determined by testing the model when incidence and mortality data, collected in conjunction with socio-economic and geographic factors, become available, we put forth recommendations that policy makers can undertake to ensure that the pandemic preparedness plan includes a focus on social inequalities in India in order to prevent their exacerbation in a pandemic.</p>
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Serveur d'exploration sur les pandémies grippales

Existing health inequalities in India: informing preparedness planning for an influenza pandemic

Existing health inequalities in India: informing preparedness planning for an influenza pandemic

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

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