| The impact of 'social determinants of health' on epilepsy prevalence and reported medication use. | |
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MedLine Citation:
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PMID: 19233619 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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There is a limited understanding of the complex relationship between poverty and epilepsy. To address the complex interaction of environmental and psychosocial factors in epilepsy a 'social determinants of health' model is presented where individual factors are influenced through three pathways (social environment, work and material factors). In the 2005 California Health Interview Survey, 246 of 604 (41%) persons with a history of epilepsy were in poverty, defined as <200% Federal Poverty Level (FPL). Multivariable logistic regression analyses revealed persons in poverty are not more likely to report a history of epilepsy compared to those not in poverty. However, persons with a history of epilepsy in poverty were significantly less likely than those not in poverty to report taking medication for epilepsy (OR 0.5) once material factors (annual income and living situation) and healthcare access were controlled for in the final sequential model. Healthcare practitioners must continue to recognize that connection to social services and the cost of medications are significant barriers to optimal care in persons with epilepsy. Improved connection to patient advocacy organizations and medication assistance programs may help close these gaps. |
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Authors:
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John O Elliott; Bo Lu; Bassel F Shneker; J Layne Moore; James W McAuley |
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Publication Detail:
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Type: Journal Article Date: 2009-02-23 |
Journal Detail:
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Title: Epilepsy research Volume: 84 ISSN: 1872-6844 ISO Abbreviation: Epilepsy Res. Publication Date: 2009 Apr |
Date Detail:
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Created Date: 2009-04-20 Completed Date: 2009-07-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8703089 Medline TA: Epilepsy Res Country: Netherlands |
Other Details:
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Languages: eng Pagination: 135-45 Citation Subset: IM |
Affiliation:
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The Ohio State University, Department of Neurology, 395 W 12th Avenue 7th Floor, Columbus, OH 43210, United States. john.elliott@osumc.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Anticonvulsants / therapeutic use* Employment / statistics & numerical data Epilepsy / drug therapy*, economics, epidemiology* Female Health Surveys Humans Male Middle Aged Multivariate Analysis Odds Ratio Poverty / economics* Prevalence Prospective Studies Questionnaires Young Adult |
| Chemical | |
Reg. No./Substance:
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0/Anticonvulsants |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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