{"id":4129,"date":"2020-05-28T21:13:21","date_gmt":"2020-05-28T18:13:21","guid":{"rendered":"http:\/\/journal-ene.gr\/?p=4129"},"modified":"2020-05-28T21:13:21","modified_gmt":"2020-05-28T18:13:21","slug":"uninsured-citizens-in-the-period-of-the-greek-economic-crisis-health-income-housing-the-case-of-an-attica-region-municipality","status":"publish","type":"post","link":"https:\/\/periodiko.yaba.gr\/en\/uninsured-citizens-in-the-period-of-the-greek-economic-crisis-health-income-housing-the-case-of-an-attica-region-municipality\/","title":{"rendered":"Uninsured citizens in the period of the Greek economic crisis: Health, income, housing. The case of an Attica Region Municipality."},"content":{"rendered":"<p style=\"text-align: justify;\"><strong>ABSTRACT<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Introduction:<\/strong> In Greece, the implementation of the Fiscal Adjustment Programs was combined with policies of economic austerity resulting in high levels of unemployment and exclusion from health insurance for a large proportion of the population.<\/p>\n<p style=\"text-align: justify;\"><strong>Aim:<\/strong> This study explores the demographic and socio-economic characteristics and the health status of the uninsured citizens in one of the biggest Municipalities in Attica region. The study covers the period 2012-2016, during the economic crisis in Greece.<\/p>\n<p style=\"text-align: justify;\"><strong>Methods:<\/strong> Data stemming from official documents, from individual files of 1,738 uninsured citizens were processed. Possible associations between population characteristics and chronic disease categories were examined, using the chi-square test and univariable\/multivariable analysis for chronic disease as an outcome.<\/p>\n<p style=\"text-align: justify;\"><strong>Results:<\/strong> Almost forty-two percent (41.7%) of the study population suffered from a chronic disease; with the 48% of those patients having zero real annual income and 60.4% being hosted by a relative or an acquaintance. Of the sample diagnosed with a mental illness 71% lived as guests to friends or relatives. Diagnosis with cancer appeared to be more related to zero income, compared to other chronic disease categories (72.7%, p &lt;0.001). In the multivariable model, male gender (OR=1.70 95% CI: 1.35-2.13), age (OR=1.03 95% CI: 1.02-1.04) and guest status (OR=1.57 95% CI: 1.24-2.00) were associated with a chronic disease.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusions:<\/strong> In Greece, in the midst of the economic crisis, uninsured citizens with chronic illness are called upon to manage their health problem with zero income and housing problems. A key strategy to address such a prospect of further health degradation of the particular population group can only be the strengthening and reorganization of the provision of social protection and health services around a primary care model developed and functioning at community level, with as its basic principle, universal and equal access to it, for all citizens.<\/p>\n<p style=\"text-align: justify;\"><strong>Key-words:<\/strong> chronic disease, financial crisis, housing, income, uninsured citizens<\/p>\n<p style=\"text-align: right;\"><a href=\"https:\/\/periodiko.yaba.gr\/wp-content\/uploads\/2020\/05\/12-4-arthro4.pdf\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Full Article (Download PDF)<\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>ABSTRACT Introduction: In Greece, the implementation of the Fiscal Adjustment Programs was combined with policies of economic austerity resulting in high levels of unemployment and exclusion<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1146],"tags":[682,1158,1159,1157],"eidos-arthrou":[],"keyword":[],"language":[],"class_list":["post-4129","post","type-post","status-publish","format-standard","hentry","category-iss_4_12","tag-george-koulierakis","tag-irini-zografaki","tag-kalliopi-orfanaki","tag-spiros-koutavas"],"acf":[],"_links":{"self":[{"href":"https:\/\/periodiko.yaba.gr\/en\/wp-json\/wp\/v2\/posts\/4129","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/periodiko.yaba.gr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/periodiko.yaba.gr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/periodiko.yaba.gr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/periodiko.yaba.gr\/en\/wp-json\/wp\/v2\/comments?post=4129"}],"version-history":[{"count":1,"href":"https:\/\/periodiko.yaba.gr\/en\/wp-json\/wp\/v2\/posts\/4129\/revisions"}],"predecessor-version":[{"id":4132,"href":"https:\/\/periodiko.yaba.gr\/en\/wp-json\/wp\/v2\/posts\/4129\/revisions\/4132"}],"wp:attachment":[{"href":"https:\/\/periodiko.yaba.gr\/en\/wp-json\/wp\/v2\/media?parent=4129"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/periodiko.yaba.gr\/en\/wp-json\/wp\/v2\/categories?post=4129"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/periodiko.yaba.gr\/en\/wp-json\/wp\/v2\/tags?post=4129"},{"taxonomy":"eidos-arthrou","embeddable":true,"href":"https:\/\/periodiko.yaba.gr\/en\/wp-json\/wp\/v2\/eidos-arthrou?post=4129"},{"taxonomy":"keyword","embeddable":true,"href":"https:\/\/periodiko.yaba.gr\/en\/wp-json\/wp\/v2\/keyword?post=4129"},{"taxonomy":"language","embeddable":true,"href":"https:\/\/periodiko.yaba.gr\/en\/wp-json\/wp\/v2\/language?post=4129"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}