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At least 19 recordsLinked to original sources
PubMed2005

Ill health and its potential influence on household consumptions in rural China.

Ill health is very expensive and could have significant impact on household consumptions. The purpose of this study is to examine the differences in household consumption patterns among households with or without ill health family member(s) in rural China. We also examine the opportunity cost of ill health by estimating the marginal effects of medical spending on consumption patterns. The data used in this study are from the baseline survey of a community-based rural health insurance study in a poor rural area of China conducted in 2002. The unit of analysis in this study is the household; 4553 households are included in this survey. Fractional Logit model is used as our prediction model. Ill health is measured by the presence of hospitalization and presence of diagnosed chronic disease(s) in a household. Findings from this study reveal that ill health and medical expenditure reduces household investment in human capital, physical capital for farm production, and other consumptions that are critical to human well-being. Subgroup analysis displayed that the impacts of medical expenditure on household consumption patterns described above are more significant in low-income households than in high-income households. In addition, the decline of the percentages of other consumptions is much larger for households with hospitalization than for households with chronic diseases.

China↗
PubMed1989

Drinking in France 1965-1979. An analysis of household consumption data.

Alcohol consumption has diminished in France for three decades. In this France is an exception to other industrialized countries. However, in one respect France conforms to a regularity found in longitudinal time-series studies comparing different countries: traditional beverages, in this case wine, have given place to new drinks--beer and imported spirits. In this sense, drinking patterns have become modernized and now resemble those found in other Western industrialized countries. The article, based on a series of household consumption surveys that include purchases of alcoholic beverages by households, studies in what way this modernization is taking place. A break-down of the data by socio-demographic groups shows that saturation as such does not explain the change. The groups that already have been at the lowest level of consumption--the middle classes--have diminished their consumption further and the other groups--the peasantry and the working class--have followed them. The same is true as regards drinking styles, as much as they are revealed by the beverage types. The already modern middle classes have continued to decrease their consumption of wine and the other groups have done likewise but later. In contrast, the rural-urban dimension is and has been weakly related to alcohol use. The development has been parallel both in big cities and rural areas. The analysis by region reveals that in France the use of alcohol and especially wine is no longer related to alcohol production, the way it is in international comparisons--producing countries being also the heaviest consumers. On the other hand, consumption patterns, as reflected in the beverage composition, have not levelled out between regions. One conclusion of the study is that the culturally dominating social dimension in France is that of class. In so far as the lower social groups continue to follow the dominating ones, the development can be expected to continue still for a long time.

Alcohol Drinking↗
PubMed2005

The impact of tobacco expenditure on household consumption patterns in rural China.

Smoking is not only unhealthy, it is also expensive. Spending on tobacco could drive out other critical expenditures, including basic needs. This crowd out effect would be greatest in low-income countries, affecting not only the smoker but the rest of the family as well. The aim of this study is to examine the impact of tobacco spending on household expenditure patterns in rural China. China is a low-income country with a high prevalence of smoking, especially among men. The data, a sample of 4538 households, are from a household survey conducted in six townships in two provinces in rural China. Fractional Logit (Flogit) model is used as the estimation method. We estimate the relationship between tobacco spending and spending on 17 other categories, controlling for socio-economic and demographic characteristics of the household. The results indicate that spending on tobacco affects human capital investment (e.g. education and health), future farming productivity (e.g. farming equipment and seeds), and financial security (e.g. saving and insurance). Smokers also tend to spend more on alcohol, thus exacerbating the impact of addictive substances on spending on basic needs. Smoking expenses can harm other family members by reducing expenditures on basic needs such as foods, utilities, and durable goods consumption. Thus smoking can have important intra-family distributional impacts.

Agriculture↗
PubMed2001

The Household Food Consumption and Anthropometric Survey in Poland.

OBJECTIVE: To provide an overview of the Household Food Consumption and Anthropometric Survey, undertaken in Poland from September to November 2000. DESIGN: A sub-sample of households participating in the countrywide, representative household budget survey (HBS) was selected to participate in the Household Food Consumption and Anthropometric Survey. Four thousand two hundred (4200) individuals provided 24-hour recalls that were subsequently evaluated. Body weight and height together with the mid-arm, waist and hip circumferences were measured. Laboratory analyses of contaminants that may be present in selected individual diets will be undertaken. SETTING: Poland, 2000. SUBJECTS: Four thousand two hundred individuals from 1362 households participating in the Polish HBS. RESULTS: Preliminary analyses of height and weight, as well as energy and nutrient intakes, were undertaken in a sub-sample of 484 boys and girls aged 10-15 years. Energy intakes were generally in line with or above the Polish Recommendations. CONCLUSIONS: Apart from serving as an important information source on individual food consumption and anthropometric status of the Polish population, the data collected through the Household Food Consumption and Anthropometric Survey will allow direct comparisons of food intake estimates, based on 24-hour recalls, with the results of the household budget survey. Such comparisons are expected to improve and refine interpretation of the data derived from both the individual nutrition survey and the household budget survey, and particularly to provide information on the importance of eating out, which is not covered in the Polish HBS.

Adolescent↗
PubMed2004

Child health in rural Colombia: determinants and policy interventions.

We study the determinants of child anthropometrics on a sample of poor Colombian children living in small municipalities. We focus on the influence of household consumption, and public infrastructure, taking into account the endogeneity of household consumption using two different sets of instruments: household assets and municipality average wage. We find that both household consumption and public infrastructure are important determinants of child health. We have also found that the coverage of the piped water network positively influenced child health if the parents have some education.

Anthropometry↗
PubMed2001

The importance of goods and services consumption in household greenhouse gas calculators.

Despite the fact that lifestyles, in particular goods and services consumption, play a key role for global inequity and unsustainability of greenhouse gas emissions, these issues are often inadequately addressed in information and education materials such as household greenhouse gas calculators. Often, only limited individual responsibility for climate change can be concluded, and this is restricted to the reader's immediate surroundings such as the household and the private car, while goods and services consumption are almost always ignored. As a consequence, recommendations for reducing personal emissions concentrate on the relatively minor aspect of electricity and fuel use, while missing the more important issue of reducing goods and services consumption as an efficient way to abate climate change. These shortcomings are illustrated using the example of a recently published household greenhouse gas emissions questionnaire. An example for a comprehensive greenhouse gas calculator is also presented.

Air Pollution↗
PubMed1996

Willingness to pay for child survival: results of a national survey in Central African Republic.

Many policy-makers and health economists are interested in designing and implementing user fee/quality improvement programs in public facilities in Sub-Saharan Africa on a national scale. This research addresses two design issues for a national program: (1) to what extent would user fees finance the costs of quality improvements, and (2) whether a uniform program could be implemented throughout the country or the user fees should differ between urban and rural areas or across health regions. A national survey was conducted to determine the population's willingness and ability to pay for seven quality improvements: (1) facility maintenance, (2) supervision of personnel, and drugs to treat (3) diarrheal diseases, (4) acute respiratory infections (ARI), (5) malaria, (6) intestinal parasites, and (7) sexually transmitted diseases (STDs). Willingness to pay for quality improvements was measured by contingent valuation techniques in which subjects were asked about expenditures for care at government facilities under a hypothetical user fee/quality improvement program. Ability to pay was measured by monthly expenditures for health care as a percentage of monthly household consumption. The majority of the population was willing to pay the cost of the quality improvements, which ranged from U.S. $0.40 to U.S. $4.00. Estimates of the percentage of the population that was willing to pay the cost of the quality improvements ranged from 81% for facility maintenance (an improvement with the lowest cost) to 64% for drugs to treat ARI (the improvement with the highest cost). The median willingness to pay ranged from U.S. $7.98 for drugs to treat malaria to U.S. $16.61 for drugs to treat diarrheal diseases. Willingness to pay was greater in rural areas than in urban areas. It was also greater in Health Region I than in Health Regions IV and V. The population was able to pay the estimated cost of all seven quality improvements. Median monthly health care expenditures per episode of illness was 2.6% of median monthly household consumption. In comparison, the estimated cost of the quality improvements ranged from 0.2 to 2.4% median monthly household consumption. The national user fee/quality improvement program has good prospects for financing the quality improvements because the majority of the population is willing to pay the estimated costs of the quality improvements and more than half of the population is willing to pay substantially more than the costs. It also appears that the user fees should differ between urban and rural areas and across some health regions.

Adult↗
PubMed2002

Investigation of the relation between self-reported food consumption and household chemical exposures with urinary levels of selected nonpersistent pesticides.

Concerns about pesticide exposure through food consumption have increased during the past several years. The main objective of our study was to determine whether we could use data from the Third National Health and Nutrition Examination Survey (NHANES III) to detect a relation between self-reported food consumption--particularly consumption of fruits, vegetables, and bread products--and urinary levels of pesticides or their metabolites in a population of 978 adults living in the US. A secondary objective was to investigate whether these urine levels differed for people who reported exposure to selected common household chemicals including bug or insect spray, weed killer, and mothballs or crystals. We used monthly food frequency data from the NHANES III, 1988-1994. Urinary pesticide/metabolite levels and information about chemical exposures were taken from the Priority Toxicant Reference Range Study (a component of the NHANES III). Six pesticides or their metabolites were detected in at least 50% of the sample, three of which--1-naphthol (86.4%), pentachlorophenol (62.5%), and 3,5,6-trichloro-2-pyridinol (82.0%)--were possibly related to food consumption. We were unable to detect a relation between self-reported food consumption and their urinary levels. This may be due more to the limitations of the datasets than to a lack of a relation between food consumption and urine pesticide/metabolite levels. We did find that people who reported recently using selected common chemicals had higher geometric mean urine pesticide/metabolite levels than did people who reported not recently using these chemicals.

Adult↗
PubMed1982

Sugar availability, sugar consumption and dental caries.

This study was conducted to update our knowledge about the relation between sugar consumption and dental caries in nations throughout the world. Data on the prevalence of dental caries for 6- and 12-year-old children in, respectively, 23 and 47 nations were obtained from the World Health Organization's Global Oral Epidemiology Bank. Information on sugar supplies was obtained from Food Balance Sheet data prepared by the Food and Agriculture Organization of the United Nations. The study indicates that for the 12-, but not for the 6-, year-old-children there is a significant positive correlation between the per capita availability of sugar and dental caries. The data also suggest that the availability, and presumably the ingestion, of 50 g of sugar per day may represent an outer limit of "safe" or "acceptable" sugar consumption. Furthermore, a comparison of data obtained from Food Balance Sheets for the per capita daily "consumption" of sugar with data for consumption obtained from Household Consumption Surveys in six countries, shows that these data collection methods frequently do not give comparable results. Accurate, total, age-specific consumption figures with information on frequency and the manner of use are needed if the relationship between oral disease and dietary sugar is to be clarified.

Child↗
PubMed2004

Under-reporting of alcohol consumption in household surveys: a comparison of quantity-frequency, graduated-frequency and recent recall.

AIM: To compare alternative survey methods for estimating (a) levels of at risk alcohol consumption and (b) total volume of alcohol consumed per capita in comparison with estimates from sales data and to investigate reasons for under-reporting. SETTING: The homes of respondents who were eligible and willing to participate. PARTICIPANTS: A total of 21,674 Australians aged 14 years and older. DESIGN: A 2001 national household survey of drug use, experiences and attitudes with weights applied for age, sex, geographic location and day of week of interview. MEASURES: Self-completion questionnaire using quantity-frequency (QF) and graduated-frequency (GF) methods plus two questions about consumption 'yesterday': one in standard drinks, another with empirically based estimates of drink size and strength. RESULTS: The highest estimate of age 14 + per capita consumption of 7.00 l of alcohol derived from recall of consumption 'yesterday' or 76.8% of the official estimate. The lowest was QF with 49.8%. When amount consumed 'yesterday' was recalled in standard drinks this estimate was 5.27 l. GF questions yielded higher estimates than did QF questions both for total volume (5.25 versus 4.54 l) and also for the proportion of the population at risk of long-term alcohol-related harm (10.6%versus 8.1%). With the detailed 'yesterday' method 61% of all consumption was on high risk drinking days. CONCLUSIONS: Questions about typical quantities of alcohol consumed can lead to underestimates, as do questions about drinking 'standard drinks' of alcohol. Recent recall methods encourage fuller reporting of volumes plus more accurate estimates of unrecorded consumption and the proportion of total alcohol consumption that places drinkers at risk of harm. However, they do not capture longer-term drinking patterns. It is recommended that both recent recall and measures of longer-term drinking patterns are included in national surveys.

Adolescent↗
PubMed2006

Economic transition and household food consumption: a study of Bulgaria from 1985 to 2002.

Major economic transitions typically entail changes in the availability of and purchasing power for different types of foods leading to long-term changes in the composition of the diet. Bulgaria, a former Eastern Bloc country, underwent a difficult and protracted transition from a centralized to market economy with acute economic crises and a much slower recovery of income levels than in Poland, the Czech Republic, and Hungary. Using annual data from the Bulgarian National Household Survey, we study changes in the reported consumption of major foods (excluding alcoholic drinks) and their constituent macronutrients from 1985 to 2002, examining also the differences in dietary patterns between the period prior to and following the transition. The consumption of most major food items decreased, resulting in a fall in per capita energy consumption of 429 kcal/day (1.80 MJ/d), following the economic transition of 1991. As expected, the consumption of foods that were more expensive per unit of energy decreased greater than cheaper foods, -34% for animal products and -19% for visible fats, but only -10% for carbohydrates. These changes are related to the changes in income and market prices as well as the general negative trend in economic growth and hyperinflation in the mid-1990s. Thus, Bulgaria experienced a decrease in food consumption without significant changes in the dietary pattern following the economic transition of 1991. The fact that part of this decline may be attributed to continued economic challenges suggests that future transitions in the diet may be expected as economic development proceeds.

Agriculture↗
PubMed2006

Are services better for climate change?

Embodied greenhouse gas (GHG) emissions and their structure of inducement by the supply-chain networks of 480 goods and services in the United States are analyzed for 44 GHGs. Producing a dollar of a product or service generates an average of 0.36 kg of CO2 equivalent GHGs onsite, increasing to 0.83 kg when supply-chain-induced emissions are taken into account. Services produce less than 5% of total U.S. GHG emissions directly, and their direct GHG emission intensities per dollar output are much less (0.04 kg C02 equiv/dollars) than those of physical products, even when supply-chain-induced emissions are included (0.47 kg C02 equiv/dollars). When both supply-chain effects and the volume of household expenditures are taken into account, however, household consumption of services excluding electric utilities and transportation services proves to be responsible for 37.6% of total industrial GHG emissions in the United States, almost twice the amount due to household consumption of electric utility and transportation services. Given the current structure of GHG emissions, a shift to a service-oriented economy is shown to entail a decrease in GHG emission intensity per unit GDP but an increase, by necessity, in overall GHG emissions in absolute terms. The results are discussed in the context of U.S. climate change policy.

Air Pollution↗
PubMed2004

Hair mercury levels versus freshwater fish consumption in household members of Swedish angling societies.

Hair mercury levels were determined in 143 individuals from households of members in angling societies in an area of Sweden with many lakes that have freshwater fish with relatively high mercury levels. Thus, the individuals had a potentially high intake of methyl mercury. The mean mercury concentration of pike and perch was approximately 0.7 microg/g. One-third of the subjects consumed these freshwater fish at least once a week. As could be expected, there was a clear increase in hair Hg with reported freshwater fish consumption (P < 0.001). The median mercury level in hair was 0.9 microg Hg/g for the whole group, and for those who reported consumption of freshwater fish at least once a week it was 1.8 microg/g. The highest hair mercury level was 18.5 microg/g, in a man who consumed pike and perch several times per week. Men had higher hair Hg than women, also when stratified for fish consumption. This was verified in 32 couples, of which the man and woman consumed the same fish and reported the same consumption. The median hair mercury level in these 32 couples was 1.3 microg/g for men and 0.8 microg/g for women (P = 0.002). About half of the subjects had hair mercury exceeding 1 microg/g, corresponding to the reference dose (RfD) of 0.1 microg of mercury per kilogram body weight set by the US Environmental Protection Agency. Although the RfD applies to all populations, the most at-risk group at these levels is pregnant women. There were only 2 women (of 12) of fertile age with hair mercury above 1 microg/g. In Sweden pregnant women are advised not to eat perch and pike at all during pregnancy. Since fish is rich in many important nutrients, it is unsatisfactory that fish consumption must be restricted, and thus there is a need to reduce mercury levels in fish.

Adult↗
PubMed1995

User fees and patient behaviour: evidence from Niamey National Hospital.

Evidence is presented on the effects of price changes on the delay before seeking care and on referral status in a sample of hospital patients in Niger. Price changes are measured as differences across patients at one hospital in whether or not they pay for care, rather than as differences in prices across several hospitals. User fees are charged, but the fee system allows exemptions for some payor categories such as government employees, students, and indigent patients. Evidence is also presented on the effect of income on the delay before seeking care and referral status. The analysis demonstrates a technical point on whether household consumption or current income is a more appropriate measure of income. The analysis shows that user fees affect patient behaviour, but the effects are not the same for outpatients and inpatients. Outpatients who pay for care wait longer before seeking care, but inpatients do not. Inpatients who pay for care are more likely to be referred, but outpatients are not. Patients with more income wait less time to seek care and are less likely to be referred than other patients. Further, household consumption explains patient behaviour better than current income.

Data Collection↗