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    Socio-economic status and malaria-related outcomes in Mvomero District, Tanzania.

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    Date
    2012
    Authors
    Dickinson, KL
    Kramer, Randall A
    Randell, HF
    Shayo, EH
    Repository Usage Stats
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    Abstract
    While policies often target malaria prevention and treatment - proximal causes of malaria and related health outcomes - too little attention has been given to the role of household- and individual-level socio-economic status (SES) as a fundamental cause of disease risk in developing countries. This paper presents a conceptual model outlining ways in which SES may influence malaria-related outcomes. Building on this conceptual model, we use household data from rural Mvomero, Tanzania, to examine empirical relationships among multiple measures of household and individual SES and demographics, on the one hand, and malaria prevention, illness, and diagnosis and treatment behaviours, on the other. We find that access to prevention and treatment is significantly associated with indicators of households' wealth; education-based disparities do not emerge in this context. Meanwhile, reported malaria illness shows a stronger association with demographic variables than with SES (controlling for prevention). Greater understanding of the mechanisms through which SES and malaria policies interact to influence disease risk can help to reduce health disparities and reduce the malaria burden in an equitable manner.
    Type
    Journal article
    Subject
    Adolescent
    Adult
    Aged
    Aged, 80 and over
    Antimalarials
    Female
    Health Services Accessibility
    Healthcare Disparities
    Humans
    Malaria
    Male
    Middle Aged
    Mosquito Nets
    Poverty
    Risk Factors
    Rural Health
    Rural Population
    Social Class
    Socioeconomic Factors
    Tanzania
    Young Adult
    Permalink
    https://hdl.handle.net/10161/6498
    Published Version (Please cite this version)
    10.1080/17441692.2010.539573
    Publication Info
    Dickinson, KL; Kramer, Randall A; Randell, HF; & Shayo, EH (2012). Socio-economic status and malaria-related outcomes in Mvomero District, Tanzania. Glob Public Health, 7(4). pp. 384-399. 10.1080/17441692.2010.539573. Retrieved from https://hdl.handle.net/10161/6498.
    This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
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    Scholars@Duke

    Kramer

    Randall Kramer

    Juli Plant Grainger Professor of Global Environmental Health
    Randall Kramer is the Juli Plant Grainger Professor of Global Environmental Health in the Nicholas School of the Environment and the Duke Global Health Institute. Before coming to Duke in 1988, he was on the faculty at Virginia Polytechnic Institute and State University. He has held visiting positions at IUCN--The World Conservation Union, the Economic Growth Center at Yale University, and the Indonesian Ministry of Forestry. He has served as a consultant to the World Bank, World Heal
    Open Access

    Articles written by Duke faculty are made available through the campus open access policy. For more information see: Duke Open Access Policy

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