Page 117 - 5th APA Conference Program Book Final

Institute for Population and Social research Mahidol University, Nakhon Pathom, Thailand

Categories

4. Mortality, Morbidity, Epidemiology and Causes of Death

Abstract

This study aimed to explore the situation of impulsive suicide attempts and its related factors among secondary
school students. The quantitative analysis was employed using the data from the Thailand Global School-Based
Student Health Survey 2015 conducted by the Ministry of Public Health with the support of the World Health
Organization and the United States Centers for Diseases Control and Prevention. The 1,222 samples having suicidal
thoughts or attempts were included. Binary logistic regression was used to investigate the relationship between
impulsive suicide attempts and demo-socioeconomic, feelings, and social capital factors.

It was found that 19% of the studied samples had an impulsive suicide attempt. A significant protective factor was
time spent during a typical day sitting and watching television, playing computer games, talking with friends, or
doing other sitting activities. Students who spent 7 hours or more a day were 60% less likely to have an impulsive
suicide attempt comparing with those who spent less than 2 hours a day. This finding reflected the importance of
social supports which were consistent with students’ lifestyle and should not be overlooked.

Keywords: suicide, impulsive suicide attempt, secondary school student, adolescent

1344 An Analysis of Inequities in Curative Health-Care Utilisation among the Adult
Population in India

Shreya Banerjee

Jawaharlal Nehru University, New Delhi, India

Categories

4. Mortality, Morbidity, Epidemiology and Causes of Death

Abstract

Healthy adulthood arguably forms the bedrock of a country’s human capital. Majority of the Indian work-force is
consumed in the unorganised sector, characterised by unregulated and unsafe working conditions, and
experiences a heightened-level of vulnerability to falling ill. The diseases that are causing widespread deaths
among the adults are curable (SRS,2010-13). However, due to inequitable access to health-care, the disadvantaged
groups often succumb to easily curable diseases. In this light, the present study aims at quantifying the magnitude
of inequity in health-care utilisation among the Indian adult population (20-59 years) and delineating the prominent
st
contributory factors of the same using data collected through National Sample Survey,71 -round-2014. The
quantification was done by computing Wagstaff's Concentration Indices (CIs) followed by decomposition of the
CIs. The positive estimates of CIs suggested considerable socioeconomic inequality wherein the distribution of
health-care utilisation is pro-rich. The relative contribution to inequalities in health-care utilisation by predictors like
low-income, illiteracy, rural-residence and SC/ST social-group accounted for almost two-third of the total inequality.
Thus, to address this inequality arising due to difference in socioeconomic-gradient, policies should focus on
redistribution of income and improvement in equitable access to education in addition to improving the outreach
of healthcare services.

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