The poorest of the poor: a poverty appraisal of households affected by visceral leishmaniasis in Bihar, India
The poorest of the poor: a poverty appraisal of households affected by visceral leishmaniasis in Bihar, India
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DOI：
10.1111/j.1365-3156.2009.02279.x
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发表时间：
2009-06-01
影响因子：
3.3
通讯作者：
Sundar, S.
中科院分区：
文献类型：
--
作者：
Boelaert, M.;Meheus, F.;Sundar, S.
目的提供内脏利什曼病（VL）受影响的社区相比，比哈尔邦，印度的一般人群的财富分布的数据。方法经过广泛的疾病风险映射，16个集群高VL传输选择在比哈尔邦。对群组中的所有住户进行了详尽的普查，并通过问卷调查记录了住户的社会经济特征。一般比哈尔邦人口的数据取自印度全国家庭健康调查进行比较。资产指数的基础上开发的主成分分析和分配的VL社区的资产指数进行了比较与一般人口的比哈尔邦。结果83%的家庭在社区高VL攻击率属于两个最低的五分之一的比哈尔邦财富分布。所有的社会经济指标显示，显着较低的财富为这些households.CONCLUSION内脏利什曼病显然影响了印度穷人中最贫穷的。他们是最脆弱的，因为这种病媒传播的疾病与恶劣的住房和不健康的栖息地有关。这种疾病导致受影响的家庭更加贫困，因为它影响到家庭收入和财富。支持目前消除病毒性肝炎的举措对于消除贫困至关重要。
OBJECTIVE To provide data about wealth distribution in visceral leishmanisis (VL)-affected communities compared to that of the general population of Bihar State, India.METHODS After extensive disease risk mapping, 16 clusters with high VL transmission were selected in Bihar. An exhaustive census of all households in the clusters was conducted and socio-economic household characteristics were documented by questionnaire. Data on the general Bihar population taken from the National Family Health Survey of India were used for comparison. An asset index was developed based on Principal Components Analysis and the distribution of this asset index for the VL communities was compared with that of the general population of Bihar.RESULTS 83% of households in communities with high VL attack rates belonged to the two lowest quintiles of the Bihar wealth distribution. All socio-economic indicators showed significantly lower wealth for those households.CONCLUSION Visceral leishmanisis clearly affects the poorest of the poor in India. They are most vulnerable, as this vector-born disease is linked to poor housing and unhealthy habitats. The disease leads the affected households to more destitution because of its impact on household income and wealth. Support for the present VL elimination initiative is important in the fight against poverty.