Health Expenditures and the Elderly: A Survey of Issues in Forecasting, Methods Used, and Relevance for Developing Countries doc

... adopted an accounting approach whereby the authors explained the change in per capita health spending as the sum of the effects of the change in age distribution, income, moral hazard, and the ... HIV/AIDS (Ainsworth and Dayton 2001; Barnett and Blaikie 1992; Vanlandingham et al. 2000, WHO (World Health Organization) 2001). In a study of Tanzania, Ainsworth and Dayton (2001) found a short-term ... variations across developing patterns in the pattern of ageing, dependency ratios and disease patterns. In Africa, for example, the AIDS epidemic will impact directly in increasing the health and...

... ...

... non-transparent central bank focuses on the role of private information. The central bank’s welfare is increasing in unexpected inflation (because it increases output) and decreasing in actual inflation. ... targets facilitate accountability, enabling the performance of the central bank to be assessed against its mandated yardstick (Jakob De Haan and Sylvester Eijffinger, 2000). Second, a quantitative ... uncertainty). There are two main strands in the literature. The first line of research focuses on the impacts of central bank communications on financial markets. The basic idea is that, if...

... young Marshall was thrown into occasional contact, and that was his father's patron and patron saint, Washington. The appeal made to the lad's imagination by the great Virginian, was ... Senate. A week later the Senate ratified the nomination, and on the 4th of February Marshall accepted the appointment. The task despaired of by Jay and abandoned by Ellsworth was at last in capable ... abolition of the chair of divinity at the college and the introduction of a course in law and another in medicine. Whether the future Chief Justice was prepared to take full advantage of the opportunity...

... and the São Paulo State Secretary of Health for financing the fieldwork; to the Secretary of Health Sur-veillance of the Brazilian Ministry of Health for financial support in the data analysis ... performed the lite-rature review, data analysis and drafting of the manus-cript. M. B. A. Barros acted as adviser for the article pro-posal, data analysis and drafting the manuscript. M. B. A. Barros, ... Subjective health indicators can be obtained through health surveys that counterbal-ance the lack of traditional information systems and are valuable when it comes to the formula-tion and assessment...

... subjective ratings, and positive and negative self-evaluations of health status. a The SF-36 was trans-lated and validated in several languages and cultures including Brazilian Portuguese.8 The ... data from the Multi-Center Health Survey in the State of São Paulo (ISA-SP), 2001–2002 in four areas of the state of São Paulo, southeastern Brazil: the cities of Botucatu and Campinas; an ... good health and well-being are able to adopt and maintain healthy behaviors. There is a need for further investiga-tion to better assess these associations. Another limita-tion of the present...

... 111Uptofourracialgroupscouldbechosen.Respondentswhoidentifiedthemselveswithmorethanoneracialgroupwereaskedtoselectonegroupthat‘‘bestdescribes’’them,andtheRACErecodereflectedthisresponse.Becauseoflimitedsamplesize,Asian,PacificIslander,Alaskannative ,and AmericanIndianwomenwerecombinedandpresentedinthisreportas‘‘Non-Hispanicother’’races.+Comparisonwithbirthcertificatedata—Thedataintable6ofthisreportshowthatfortheyears1991–94,theNSFGestimatesofthenumberofbirthsareveryclosetothebirthcertificatetotals,bothoverall,forindividualyears ,and forbirthstowhitewomen .The NSFGestimatesaresomewhatlowerforblackwomenandsomewhathigherforwomenof‘‘other’’racesthanthebirthcertificatedata.Thesedifferenceslargely(withinsamplingerror)canceleachotherout.Butthedataintable6suggestthatsomewomenwhoreportthattheyareof‘‘other’’races(AsianorPacificIslander,orAmericanIndianorAlaskannative)inasurveyliketheNSFGmaybeclassifiedaswhiteorblackbyathirdpartyfillingoutabirthcertificate .In addition,somewomenwhoidentifywithmorethanoneracialgroupmayidentifythemselvesprimarilywithaparticulargroup,butathirdpartymaynotchoosethatracialgroupifaskedtoclassifythembyrace.Theseissuesdonotappeartoaffectthecomparabilityofthetotalnumberofbirthsbyyearorothercharacteristics,whichshowverygoodagreementbetweentheNSFGandtheregisteredbirths.+InterpretationofdatabyraceandHispanicorigin—DataareshownbyraceandHispanicorigininthetablesbecauseNCHSisfrequentlyaskedtoprovidedataseparatelyforwhite,black,andHispanicwomen.Raceisassociatedwithanumberofindicatorsofsocialandeconomicstatus.Measuresofsocioeconomicstatus(forexample,educationandincome)arenotalwaysavailableforthepointintimewhentheeventbeingstudiedoccurred.Whilecharacteristicssuchaseducationandincomecanchangeovertime,raceandethnicitydonotchangesotheycanbeusedatallpointsintimeasproxiesforsocioeconomicstatus.Differencesamongwhite,black,andHispanicwomeninthephenomenapresentedinthetablesprimarilyreflectthelowerincomeandeducationallevelsofblackandHispanicwomen,theirmorelimitedaccesstohealthcareandhealthinsurance,thecommunitiesinwhichtheylive,andotherfactors(seereference14,tables49,53,81,173).Forsomerecentanalysesofdifferencesinbirthratesbyraceandorigin,seereferences1,15,40 ,and4 1.ReasonsforHIVtest—Allrespondentswhoreportedthattheyhadeverhadtheirbloodtestedforhumanimmunodeficiencyvirus(HIV),thevirusthatcausesAIDS,wereaskedthereasonsfortheirmostrecenttest.Theresponselistwasasfollows:+forahospitalizationorsurgicalprocedure+toapplyforhealthorlifeinsurance+becauseyouwerepregnantorbecauseitwaspartofprenatalcare+justtofindoutifyouwereinfected+becauseofareferralbyadoctor+otherreason(specify)Table86showsthepercentscitingspecificreasons,withthepercentsaddingtomorethan100becausesomewomengavemorethanonereasonfortheirHIVtest.Reasonsforsterilizingoperations—Table54showsreasonsreportedfortuballigations,hysterectomies ,and vasectomies.Foreachofhersterilizingoperations,therespondentwasasked:‘‘NowpleaselookatCardD-3whichlistssomereasonsthatwomensometimesgiveforhavingsterilizingoperations.Whichreasonorreasonsdoyoubelieveareclosesttoyourown?’’Womencouldchoosealloftheapplicableresponsesfromthefollowinglist:+Youhadallthechildrenyouwanted+Yourhusbandorpartneratthetimedidnotwantanymorechildren+Financialreasons,thatis,youcouldnotaffordanotherbaby+Medicalreasons+Reasonsrelatedtobirthcontrol+SomeotherreasonsforsterilizationThosementioning‘‘medicalreasons’’wereasked:‘‘PleaselookatCardD-4.Whichofthesemedicalreasonsdidyouhave?’’Theresponselist,againpermittingallapplicablereasonstobecoded,readasfollows:+Medicalproblemswithyourfemaleorgans+Pregnancywouldbedangeroustoyourhealth+Youwouldprobablyloseapregnancy+Youwouldprobablyhaveanunhealthychild+Someothermedicalreason(specify)Thosementioning‘‘reasonsrelatedtobirthcontrol’’intheoriginalquestionwereasked:‘‘Wasyourmethodofbirthcontroldangeroustoyourhealthordidyounotlikeyourmethodofbirthcontrolforotherreasons?’’Womenreportingmorethanonereasonfortheirsterilizingoperationwereaskedtoidentifytheirmainreason.Reasonsforvasectomies—Womenwereonlyaskedaboutreasonsforvasectomyifhercurrenthusbandorcohabitingpartnerhadhisvasectomyduringtheirrelationship .The questionsaskedaboutreasonsforvasectomyweregenerallysimilartothoseaskedforfemalesterilizationoperations.Theexceptionwasthatintheresponselistformedicalreasons,‘‘medicalproblemswithyourfemaleorgans’’wasreplacedwith‘‘HEhadahealthproblemthatrequiredtheoperation.’’Regionofresidence(atinterview) The REGIONrecodeclassifiesregionofresidenceattimeofinterviewintothefourmajorcensusregions:Northeast,Midwest,South,andWest.ThesePage112[Series23,No.19 ... 111Uptofourracialgroupscouldbechosen.Respondentswhoidentifiedthemselveswithmorethanoneracialgroupwereaskedtoselectonegroupthat‘‘bestdescribes’’them,andtheRACErecodereflectedthisresponse.Becauseoflimitedsamplesize,Asian,PacificIslander,Alaskannative ,and AmericanIndianwomenwerecombinedandpresentedinthisreportas‘‘Non-Hispanicother’’races.+Comparisonwithbirthcertificatedata—Thedataintable6ofthisreportshowthatfortheyears1991–94,theNSFGestimatesofthenumberofbirthsareveryclosetothebirthcertificatetotals,bothoverall,forindividualyears ,and forbirthstowhitewomen .The NSFGestimatesaresomewhatlowerforblackwomenandsomewhathigherforwomenof‘‘other’’racesthanthebirthcertificatedata.Thesedifferenceslargely(withinsamplingerror)canceleachotherout.Butthedataintable6suggestthatsomewomenwhoreportthattheyareof‘‘other’’races(AsianorPacificIslander,orAmericanIndianorAlaskannative)inasurveyliketheNSFGmaybeclassifiedaswhiteorblackbyathirdpartyfillingoutabirthcertificate .In addition,somewomenwhoidentifywithmorethanoneracialgroupmayidentifythemselvesprimarilywithaparticulargroup,butathirdpartymaynotchoosethatracialgroupifaskedtoclassifythembyrace.Theseissuesdonotappeartoaffectthecomparabilityofthetotalnumberofbirthsbyyearorothercharacteristics,whichshowverygoodagreementbetweentheNSFGandtheregisteredbirths.+InterpretationofdatabyraceandHispanicorigin—DataareshownbyraceandHispanicorigininthetablesbecauseNCHSisfrequentlyaskedtoprovidedataseparatelyforwhite,black,andHispanicwomen.Raceisassociatedwithanumberofindicatorsofsocialandeconomicstatus.Measuresofsocioeconomicstatus(forexample,educationandincome)arenotalwaysavailableforthepointintimewhentheeventbeingstudiedoccurred.Whilecharacteristicssuchaseducationandincomecanchangeovertime,raceandethnicitydonotchangesotheycanbeusedatallpointsintimeasproxiesforsocioeconomicstatus.Differencesamongwhite,black,andHispanicwomeninthephenomenapresentedinthetablesprimarilyreflectthelowerincomeandeducationallevelsofblackandHispanicwomen,theirmorelimitedaccesstohealthcareandhealthinsurance,thecommunitiesinwhichtheylive,andotherfactors(seereference14,tables49,53,81,173).Forsomerecentanalysesofdifferencesinbirthratesbyraceandorigin,seereferences1,15,40 ,and4 1.ReasonsforHIVtest—Allrespondentswhoreportedthattheyhadeverhadtheirbloodtestedforhumanimmunodeficiencyvirus(HIV),thevirusthatcausesAIDS,wereaskedthereasonsfortheirmostrecenttest.Theresponselistwasasfollows:+forahospitalizationorsurgicalprocedure+toapplyforhealthorlifeinsurance+becauseyouwerepregnantorbecauseitwaspartofprenatalcare+justtofindoutifyouwereinfected+becauseofareferralbyadoctor+otherreason(specify)Table86showsthepercentscitingspecificreasons,withthepercentsaddingtomorethan100becausesomewomengavemorethanonereasonfortheirHIVtest.Reasonsforsterilizingoperations—Table54showsreasonsreportedfortuballigations,hysterectomies ,and vasectomies.Foreachofhersterilizingoperations,therespondentwasasked:‘‘NowpleaselookatCardD-3whichlistssomereasonsthatwomensometimesgiveforhavingsterilizingoperations.Whichreasonorreasonsdoyoubelieveareclosesttoyourown?’’Womencouldchoosealloftheapplicableresponsesfromthefollowinglist:+Youhadallthechildrenyouwanted+Yourhusbandorpartneratthetimedidnotwantanymorechildren+Financialreasons,thatis,youcouldnotaffordanotherbaby+Medicalreasons+Reasonsrelatedtobirthcontrol+SomeotherreasonsforsterilizationThosementioning‘‘medicalreasons’’wereasked:‘‘PleaselookatCardD-4.Whichofthesemedicalreasonsdidyouhave?’’Theresponselist,againpermittingallapplicablereasonstobecoded,readasfollows:+Medicalproblemswithyourfemaleorgans+Pregnancywouldbedangeroustoyourhealth+Youwouldprobablyloseapregnancy+Youwouldprobablyhaveanunhealthychild+Someothermedicalreason(specify)Thosementioning‘‘reasonsrelatedtobirthcontrol’’intheoriginalquestionwereasked:‘‘Wasyourmethodofbirthcontroldangeroustoyourhealthordidyounotlikeyourmethodofbirthcontrolforotherreasons?’’Womenreportingmorethanonereasonfortheirsterilizingoperationwereaskedtoidentifytheirmainreason.Reasonsforvasectomies—Womenwereonlyaskedaboutreasonsforvasectomyifhercurrenthusbandorcohabitingpartnerhadhisvasectomyduringtheirrelationship .The questionsaskedaboutreasonsforvasectomyweregenerallysimilartothoseaskedforfemalesterilizationoperations.Theexceptionwasthatintheresponselistformedicalreasons,‘‘medicalproblemswithyourfemaleorgans’’wasreplacedwith‘‘HEhadahealthproblemthatrequiredtheoperation.’’Regionofresidence(atinterview) The REGIONrecodeclassifiesregionofresidenceattimeofinterviewintothefourmajorcensusregions:Northeast,Midwest,South,andWest.ThesePage112[Series23,No.19 ... 111Uptofourracialgroupscouldbechosen.Respondentswhoidentifiedthemselveswithmorethanoneracialgroupwereaskedtoselectonegroupthat‘‘bestdescribes’’them,andtheRACErecodereflectedthisresponse.Becauseoflimitedsamplesize,Asian,PacificIslander,Alaskannative ,and AmericanIndianwomenwerecombinedandpresentedinthisreportas‘‘Non-Hispanicother’’races.+Comparisonwithbirthcertificatedata—Thedataintable6ofthisreportshowthatfortheyears1991–94,theNSFGestimatesofthenumberofbirthsareveryclosetothebirthcertificatetotals,bothoverall,forindividualyears ,and forbirthstowhitewomen .The NSFGestimatesaresomewhatlowerforblackwomenandsomewhathigherforwomenof‘‘other’’racesthanthebirthcertificatedata.Thesedifferenceslargely(withinsamplingerror)canceleachotherout.Butthedataintable6suggestthatsomewomenwhoreportthattheyareof‘‘other’’races(AsianorPacificIslander,orAmericanIndianorAlaskannative)inasurveyliketheNSFGmaybeclassifiedaswhiteorblackbyathirdpartyfillingoutabirthcertificate .In addition,somewomenwhoidentifywithmorethanoneracialgroupmayidentifythemselvesprimarilywithaparticulargroup,butathirdpartymaynotchoosethatracialgroupifaskedtoclassifythembyrace.Theseissuesdonotappeartoaffectthecomparabilityofthetotalnumberofbirthsbyyearorothercharacteristics,whichshowverygoodagreementbetweentheNSFGandtheregisteredbirths.+InterpretationofdatabyraceandHispanicorigin—DataareshownbyraceandHispanicorigininthetablesbecauseNCHSisfrequentlyaskedtoprovidedataseparatelyforwhite,black,andHispanicwomen.Raceisassociatedwithanumberofindicatorsofsocialandeconomicstatus.Measuresofsocioeconomicstatus(forexample,educationandincome)arenotalwaysavailableforthepointintimewhentheeventbeingstudiedoccurred.Whilecharacteristicssuchaseducationandincomecanchangeovertime,raceandethnicitydonotchangesotheycanbeusedatallpointsintimeasproxiesforsocioeconomicstatus.Differencesamongwhite,black,andHispanicwomeninthephenomenapresentedinthetablesprimarilyreflectthelowerincomeandeducationallevelsofblackandHispanicwomen,theirmorelimitedaccesstohealthcareandhealthinsurance,thecommunitiesinwhichtheylive,andotherfactors(seereference14,tables49,53,81,173).Forsomerecentanalysesofdifferencesinbirthratesbyraceandorigin,seereferences1,15,40 ,and4 1.ReasonsforHIVtest—Allrespondentswhoreportedthattheyhadeverhadtheirbloodtestedforhumanimmunodeficiencyvirus(HIV),thevirusthatcausesAIDS,wereaskedthereasonsfortheirmostrecenttest.Theresponselistwasasfollows:+forahospitalizationorsurgicalprocedure+toapplyforhealthorlifeinsurance+becauseyouwerepregnantorbecauseitwaspartofprenatalcare+justtofindoutifyouwereinfected+becauseofareferralbyadoctor+otherreason(specify)Table86showsthepercentscitingspecificreasons,withthepercentsaddingtomorethan100becausesomewomengavemorethanonereasonfortheirHIVtest.Reasonsforsterilizingoperations—Table54showsreasonsreportedfortuballigations,hysterectomies ,and vasectomies.Foreachofhersterilizingoperations,therespondentwasasked:‘‘NowpleaselookatCardD-3whichlistssomereasonsthatwomensometimesgiveforhavingsterilizingoperations.Whichreasonorreasonsdoyoubelieveareclosesttoyourown?’’Womencouldchoosealloftheapplicableresponsesfromthefollowinglist:+Youhadallthechildrenyouwanted+Yourhusbandorpartneratthetimedidnotwantanymorechildren+Financialreasons,thatis,youcouldnotaffordanotherbaby+Medicalreasons+Reasonsrelatedtobirthcontrol+SomeotherreasonsforsterilizationThosementioning‘‘medicalreasons’’wereasked:‘‘PleaselookatCardD-4.Whichofthesemedicalreasonsdidyouhave?’’Theresponselist,againpermittingallapplicablereasonstobecoded,readasfollows:+Medicalproblemswithyourfemaleorgans+Pregnancywouldbedangeroustoyourhealth+Youwouldprobablyloseapregnancy+Youwouldprobablyhaveanunhealthychild+Someothermedicalreason(specify)Thosementioning‘‘reasonsrelatedtobirthcontrol’’intheoriginalquestionwereasked:‘‘Wasyourmethodofbirthcontroldangeroustoyourhealthordidyounotlikeyourmethodofbirthcontrolforotherreasons?’’Womenreportingmorethanonereasonfortheirsterilizingoperationwereaskedtoidentifytheirmainreason.Reasonsforvasectomies—Womenwereonlyaskedaboutreasonsforvasectomyifhercurrenthusbandorcohabitingpartnerhadhisvasectomyduringtheirrelationship .The questionsaskedaboutreasonsforvasectomyweregenerallysimilartothoseaskedforfemalesterilizationoperations.Theexceptionwasthatintheresponselistformedicalreasons,‘‘medicalproblemswithyourfemaleorgans’’wasreplacedwith‘‘HEhadahealthproblemthatrequiredtheoperation.’’Regionofresidence(atinterview) The REGIONrecodeclassifiesregionofresidenceattimeofinterviewintothefourmajorcensusregions:Northeast,Midwest,South,andWest.ThesePage112[Series23,No.19...

... 6.4 Hispanic origin and race and parental living arrangement at age 14 years Hispanic or Latina Both biological or adoptive parents Other Not Hispanic or Latina: White,singlerace Both ... years of age and percent distribution by current contraceptive status and method, according to marital status and Hispanic origin and race: United States, 2002 Marital or cohabitation status ... pill and condom by Hispanic origin and race: United States, 2002 Hispanic or Latina Not Hispanic or Latina Black or African Method White, single race American, single race Depo-Reason...

... under-standing, preventing, and treating disease. Examples of integrative ap-proaches to understanding and eliminating disease can be found in the development of prevention and treatment strategies for ... and behavior. When the brain perceives an experience as stressful, physiologic and behavioral responses are initiated, leading to allostasis and adaptation. Over time, allostatic load can accumulate, ... environments affect more proximal causes of disease and health, such as health behavior, access to health care, and exposure to toxins and pathogens, as well as to social threats that generate stress...