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Disease relevance of Poverty

  • This study focused on the use of 14 evidence-based preventive services for the low-income population over age 50: colorectal, breast and cervical cancer screening, cholesterol screening, counseling around diet, exercise, tobacco, alcohol and illicit drugs, and immunizations for influenza, tetanus and pneumonia [1].

Psychiatry related information on Poverty

  • In a study of the prevalence of low literacy in an indigent psychiatric population, 45 patients seeking mental health services at a shelter-based clinic for the homeless were given the Rapid Estimate of Adult Literacy in Medicine screening test [2].
  • An extensive battery of instruments was administered to 110 women entering treatment in an intensive outpatient substance abuse treatment program in Philadelphia, serving women who are primarily indigent, African-American, and whose primary substance of abuse is crack cocaine [3].
  • We measured demographics, reading ability and self-described health behaviors of 646 parents at two private, two university, two indigent and six public child-related clinics in a midwestern city using a bilingual oral interview and the Wide Range Achievement Test. RESULTS [4].

High impact information on Poverty

  • Report of the Task Force on the Availability of Cardiovascular Drugs to the Medically Indigent [5].
  • METHODS: Consecutive new patients (N = 188) at a clinic for the indigent were confidentially surveyed about their use of six preventive health measures: blood pressure screening, cholesterol level, diphtheria-tetanus immunization, mammography, cervical Papanicolaou smear, and physical examination [6].
  • BACKGROUND: A high rate of maternal depression and associated disturbance in the mother-infant relationship has been found in an indigent peri-urban South African community, Khayelitsha [7].
  • In specialty referral clinics for epilepsy, particularly those serving indigent populations, the prevalence is 25% to 50% [8].
  • Local research and legal advocacy for the medically indigent in Orange County, California [9].

Biological context of Poverty


Anatomical context of Poverty

  • STUDY DESIGN: Serial ultrasonographic examinations were performed on 1205 fetuses of indigent multiparous women who ultimately gave birth at term [11].

Associations of Poverty with chemical compounds

  • Benefits of continued cyclosporine through an indigent drug program [12].
  • CONCLUSIONS: Although the provision of timely addiction treatment appears to have increased throughout the 1990s, accessibility problems persist in programs that care for indigent patients and in methadone maintenance programs [13].
  • SETTING: Kalafong and Pretoria Academic hospitals, catering for the delivery of indigent women in the Pretoria Health Region [14].
  • This report is based on a seven-year retrospective analysis of computerized data available from the Chicago Board of Health's Cancer Control Section and its Cytology Laboratory. All patients included were medically indigent [15].
  • CONCLUSIONS: Based on these assumptions, fluoride varnish use in the medical setting is effective in reducing early childhood caries in low-income populations but is not cost saving in the first 42 months of life [16].

Gene context of Poverty

  • Complex psychotropic medication and comorbid psychiatric disorder patterns were evident for this low-income population of children with ADHD [17].
  • STUDY DESIGN: Perinatal outcomes of 72 patients from a clinic for indigent patients with unexplained elevated maternal serum alpha-fetoprotein levels were compared with those of matched controls from the same population with normal maternal serum alpha-fetoprotein levels [18].
  • CONCLUSIONS: Urine samples positive for illicit drugs were significantly more common in women delivering in an urban center serving the indigent population than in those delivering in private hospitals [19].
  • Methods. Women 50 to 70 years old with and without screening mammograms 10 to 14 months prior were identified from fiscal, clinic, and radiology records at a military care system (MCS) and a county-funded system (CFS) for indigents [20].
  • CONCLUSION: Simple, low cost incentives can be used to improve adherence to TB preventive therapy in indigent adults [21].

Analytical, diagnostic and therapeutic context of Poverty


  1. Delivery of preventive services for low-income persons over age 50: a comparison of community health clinics to private doctors' offices. O'Malley, A.S., Mandelblatt, J. Journal of community health. (2003) [Pubmed]
  2. The prevalence of low literacy in an indigent psychiatric population. Christensen, R.C., Grace, G.D. Psychiatric services (Washington, D.C.) (1999) [Pubmed]
  3. An exploratory attempt to distinguish subgroups among crack-abusing African-American women. Cohen, E.D. Journal of addictive diseases : the official journal of the ASAM, American Society of Addiction Medicine. (1999) [Pubmed]
  4. Reading grade levels and health behaviors of parents at child clinics. Fredrickson, D.D., Washington, R.L., Pham, N., Jackson, T., Wiltshire, J., Jecha, L.D. Kansas medicine : the journal of the Kansas Medical Society. (1995) [Pubmed]
  5. Report of the Task Force on the Availability of Cardiovascular Drugs to the Medically Indigent. Dustan, H.P., Caplan, L.R., Curry, C.L., De Leon, A.C., Douglas, F.L., Frishman, W., Hill, M.N., Washington, R.L., Steigerwalt, S., Shulman, N.B. Circulation (1992) [Pubmed]
  6. Patient-perceived barriers to preventive health care among indigent, rural Appalachian patients. Elnicki, D.M., Morris, D.K., Shockcor, W.T. Arch. Intern. Med. (1995) [Pubmed]
  7. Impact of a mother-infant intervention in an indigent peri-urban South African context: pilot study. Cooper, P.J., Landman, M., Tomlinson, M., Molteno, C., Swartz, L., Murray, L. The British journal of psychiatry : the journal of mental science. (2002) [Pubmed]
  8. Psychiatric aspects of epilepsy. Stevens, J.R. The Journal of clinical psychiatry. (1988) [Pubmed]
  9. Local research and legal advocacy for the medically indigent in Orange County, California. Rimsha, N., Waitzkin, H., Peña, I., Meeker, J., Eastman, S., Wylie, S. American journal of public health. (1996) [Pubmed]
  10. Outpatient parenteral antibiotic therapy. Management of serious infections. Part II: Amenable infections and models for delivery. Public health, indigent care, and prisons. Rosenzweig, H. Hosp. Pract. (Off. Ed.) (1993) [Pubmed]
  11. Maternal risk factors and their influence on fetal anthropometric measurements. Goldenberg, R.L., Davis, R.O., Cliver, S.P., Cutter, G.R., Hoffman, H.J., Dubard, M.B., Copper, R.L. Am. J. Obstet. Gynecol. (1993) [Pubmed]
  12. Benefits of continued cyclosporine through an indigent drug program. Sanders, C.E., Julian, B.A., Gaston, R.S., Deierhoi, M.H., Diethelm, A.G., Curtis, J.J. Am. J. Kidney Dis. (1996) [Pubmed]
  13. Accessibility of addiction treatment: results from a national survey of outpatient substance abuse treatment organizations. Friedmann, P.D., Lemon, S.C., Stein, M.D., D'Aunno, T.A. Health services research. (2003) [Pubmed]
  14. Severe acute maternal morbidity: a pilot study of a definition for a near-miss. Mantel, G.D., Buchmann, E., Rees, H., Pattinson, R.C. British journal of obstetrics and gynaecology. (1998) [Pubmed]
  15. Experience in mass Papanicolaou screening and cytologic observations of teen-age girls. Fields, C., Restivo, R.M., Brown, M.C. Am. J. Obstet. Gynecol. (1976) [Pubmed]
  16. Simulating cost-effectiveness of fluoride varnish during well-child visits for Medicaid-enrolled children. Quiñonez, R.B., Stearns, S.C., Talekar, B.S., Rozier, R.G., Downs, S.M. Archives of pediatrics & adolescent medicine. (2006) [Pubmed]
  17. Medication patterns for attention-deficit/hyperactivity disorder and comorbid psychiatric conditions in a low-income population. Radigan, M., Lannon, P., Roohan, P., Gesten, F. Journal of child and adolescent psychopharmacology. (2005) [Pubmed]
  18. Unexplained elevated maternal serum alpha-fetoprotein is not predictive of adverse perinatal outcome in an indigent urban population. Phillips, O.P., Simpson, J.L., Morgan, C.D., Andersen, R.N., Shulman, L.P., Meyers, C.M., Sibai, B., Shaver, D.C., Tolley, E.A., Elias, S. Am. J. Obstet. Gynecol. (1992) [Pubmed]
  19. Community-wide estimation of illicit drug use in delivering women: prevalence, demographics, and associated risk factors. Vaughn, A.J., Carzoli, R.P., Sanchez-Ramos, L., Murphy, S., Khan, N., Chiu, T. Obstetrics and gynecology. (1993) [Pubmed]
  20. Systematic differences in validity of self-reported mammography behavior: A problem for intergroup comparisons? Lawrence, V.A., De Moor, C., Glenn, M.E. Preventive medicine. (1999) [Pubmed]
  21. Can the poor adhere? Incentives for adherence to TB prevention in homeless adults. Tulsky, J.P., Hahn, J.A., Long, H.L., Chambers, D.B., Robertson, M.J., Chesney, M.A., Moss, A.R. The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease. (2004) [Pubmed]
  22. Voluntary active euthanasia: the next frontier. Impact on the indigent. Risley, R.L. Issues in law & medicine. (1992) [Pubmed]
  23. Assuring access to dental care for low-income families in North Carolina. The NC Institute of Medicine Task Force Study. Silberman, P., Wicker, D.A., Smith, S.H., DeFriese, G.H. North Carolina medical journal. (2000) [Pubmed]
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