Document Detail

Economic consequences of injury and resulting family coping strategies in Ghana.
MedLine Citation:
PMID:  12479899     Owner:  NLM     Status:  MEDLINE    
The toll of human suffering from illness and injury is usually measured by mortality and disability rates. Economic consequences, such as treatment costs and lost productivity, are often considered as well. Lately, increasing attention has been paid to the economic effects of illness on a household level. In this study, we sought to assess the economic consequences of injuries in Ghana by looking at the effects on households and the coping mechanisms these households employed. Using cluster sampling and household interviews, we surveyed 21,105 persons living in 431 urban and rural sites. We sought information on any injury that occurred to a household member during the prior year and that resulted in one or more days of disability time.A total of 1609 injuries were reported for the prior year. Treatment costs and disability days were higher in the urban area than in the rural. Coping strategies were different between the two areas. Rural households were more likely to utilize intra-family labor reallocation (90%) than were urban households (75%). Rural households were also more likely to borrow money (24%) than were urban (19%). Households in both areas were equally likely to sell belongings, although the nature of the belongings sold were different. Although injuries in the urban area had more severe primary effects (treatment cost and disability time), the ultimate effect on rural households appeared more severe. A greater percentage of rural households (28%) reported a decline in food consumption than did urban households (19%). These findings result in several policy implications, including measures that could be used to assist family coping strategies and measures directed toward injuries themselves.
Charles N Mock; Stephen Gloyd; Samuel Adjei; Frederick Acheampong; Oscar Gish
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Accident; analysis and prevention     Volume:  35     ISSN:  0001-4575     ISO Abbreviation:  Accid Anal Prev     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2002-12-13     Completed Date:  2003-04-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  1254476     Medline TA:  Accid Anal Prev     Country:  England    
Other Details:
Languages:  eng     Pagination:  81-90     Citation Subset:  IM    
Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
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MeSH Terms
Adaptation, Psychological*
Cost of Illness*
Family Characteristics
Family Health*
Financing, Personal*
Ghana / epidemiology
Rural Population
Urban Population
Wounds and Injuries / economics*,  mortality

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