Associations between income level and health outcomes in people with cystic fibrosis in Turkey.

Autor: Metin Cakar N; Division of Pediatric Pulmonology, Marmara University Faculty of Medicine, Türkiye., Karabulut S; Division of Pediatric Pulmonology, Marmara University Faculty of Medicine, Türkiye. Electronic address: seyda.karabulut@marmara.edu.tr., Yuksel Kalyoncu M; Division of Pediatric Pulmonology, Marmara University Faculty of Medicine, Türkiye., Selcuk Balcı M; Division of Pediatric Pulmonology, Marmara University Faculty of Medicine, Türkiye., Yıldız CA; Division of Pediatric Pulmonology, Marmara University Faculty of Medicine, Türkiye., Kocaman D; Division of Nutrition and Dietetics, Marmara University Faculty of Medicine, Türkiye., Uzunoglu B; Selim Çöremen Cystic Fibrosis Center, Marmara University Faculty of Medicine, Türkiye., Tastan G; Selim Çöremen Cystic Fibrosis Center, Marmara University Faculty of Medicine, Türkiye., Ergenekon AP; Division of Pediatric Pulmonology, Marmara University Faculty of Medicine, Türkiye., Erdem Eralp E; Division of Pediatric Pulmonology, Marmara University Faculty of Medicine, Türkiye., Gokdemir Y; Division of Pediatric Pulmonology, Marmara University Faculty of Medicine, Türkiye., Karakoc F; Division of Pediatric Pulmonology, Marmara University Faculty of Medicine, Türkiye., Karadag B; Division of Pediatric Pulmonology, Marmara University Faculty of Medicine, Türkiye.
Jazyk: angličtina
Zdroj: Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society [J Cyst Fibros] 2024 Nov 07. Date of Electronic Publication: 2024 Nov 07.
DOI: 10.1016/j.jcf.2024.10.010
Abstrakt: Background: Our study aimed to identify the social domains that pose the greatest barriers to managing and supporting pwCF, particularly in relation to income levels.
Methods: To identify associations between income and health outcomes in pwCF in our center the shorter form of the survey "Your Current Life Situation" (YCLS) was used in face-to-face interviews. Participants were also asked to complete the validated Turkish versions of the 9-item Patient Health Questionnaire (PHQ-9) and the 7-item Generalized Anxiety Disorder scale (GAD-7) to assess depression and anxiety, respectively.
Results: In total, 282 pwCF were included in this study. 51.1 % were female (n = 144), mean (±SD) age was 13.8 (±8.7) years and 75 % (n = 211) were <18 years old. The median (IQR) values of pwCF; FEV 1pp (percent predictive) 83 % (41-97), BMI (body mass index) 17 kg/m 2 (15∼20), BMI z-score -0.1 (-1∼0.3). Of the pwCF in the study 89 % (n = 251) had an income below the poverty threshold and 21 % (n = 60) of them had an income below the hunger threshold. The results of YCLS survey showed that the highest level of insecurity was in the social domain (68.5 %, n = 193); this was followed by health and clinical care (62.1 %, n = 173), financial (37.9 %, n = 106), and food insecurity (37.2 %, n = 103). All individuals experiencing housing insecurity stated that they had requested help from local organisations.
Conclusion: The study highlights the substantial socioeconomic challenges faced by pwCF, a significant majority live below the poverty threshold and experience high levels of social and health insecurity, underscoring the need for comprehensive support systems to address these issues.
Competing Interests: Declaration of competing interest The authors declare no conflict of interest.
(Copyright © 2024. Published by Elsevier B.V.)
Databáze: MEDLINE
Externí odkaz: