OBJECTIVES: To determine the priorities of low-income urban residents for interventions that address the socio-economic determinants of health. METHODS: We selected and estimated the cost of 16 interventions related to education, housing, nutrition, employment, health care, healthy behavior, neighborhood improvement, and transportation. Low-income residents of Washington, D.C. (N=431) participated in decision exercises to prioritize these interventions. RESULTS: Given a budget valued at approximately twice an estimated cost of medical and dental care ($885), the interventions ultimately prioritized by the greatest percentage of individuals were: health insurance (95%), housing vouchers (82%) dental care (82%), job training (72%), adult education (63%), counseling (68%), healthy behavior incentives (68%), and job placement (67%). The percentages of respondents who received support for housing, adult education, and job training and placement were far less than the percentage who prioritized these interventions. CONCLUSIONS: Poor and low-income residents' priorities may usefully inform allocation of social services that affect health.
OBJECTIVES: To determine the priorities of low-income urban residents for interventions that address the socio-economic determinants of health. METHODS: We selected and estimated the cost of 16 interventions related to education, housing, nutrition, employment, health care, healthy behavior, neighborhood improvement, and transportation. Low-income residents of Washington, D.C. (N=431) participated in decision exercises to prioritize these interventions. RESULTS: Given a budget valued at approximately twice an estimated cost of medical and dental care ($885), the interventions ultimately prioritized by the greatest percentage of individuals were: health insurance (95%), housing vouchers (82%) dental care (82%), job training (72%), adult education (63%), counseling (68%), healthy behavior incentives (68%), and job placement (67%). The percentages of respondents who received support for housing, adult education, and job training and placement were far less than the percentage who prioritized these interventions. CONCLUSIONS: Poor and low-income residents' priorities may usefully inform allocation of social services that affect health.
Authors: James Krieger; Carol Allen; Allen Cheadle; Sandra Ciske; James K Schier; Kirsten Senturia; Marianne Sullivan Journal: Health Educ Behav Date: 2002-06
Authors: Mark A Veazie; James M Galloway; Dyann Matson-Koffman; Darwin R LaBarthe; J Nell Brownstein; Marian Emr; Eric Bolton; Eugene Freund; Robinson Fulwood; Jeanette Guyton-Krishnan; Yuling Hong; Michael Lebowitz; Emmeline Ochiai; Mark Schoeberl; Rose Marie Robertson Journal: Circulation Date: 2005-10-18 Impact factor: 29.690
Authors: Deborah A Frank; Nicole B Neault; Anne Skalicky; John T Cook; Jacqueline D Wilson; Suzette Levenson; Alan F Meyers; Timothy Heeren; Diana B Cutts; Patrick H Casey; Maureen M Black; Carol Berkowitz Journal: Pediatrics Date: 2006-11 Impact factor: 7.124