LBJ School of Public Affairs, The University of Texas at Austin, Austin, Texas, USA
LBJ School of Public Affairs, The University of Texas at Austin, Austin, Texas, USA.
Occup Environ Med. 2024 Jun 3;81(5):258-261. doi: 10.1136/oemed-2023-109163.
Our purpose with this study is to examine the socioeconomic outcomes associated with chronic kidney disease not related to well-known risk factors (CKDnt) in four communities in Chichigalpa, Nicaragua that are home to a substantial number of sugarcane workers.
We employed a cluster-based systematic sampling design to identify differences in outcomes between those households affected directly by CKDnt and those that are not.
Overall, we find that approximately one-third of households surveyed had a household member diagnosed with CKDnt. 86% of CKDnt households reported that the head of the household had been without work for the last 6 months or more, compared with 53% of non-CKDnt households. Non-CKDnt households took in more than double the earnings income on average than CKDnt households ($C52 835 and $C3120, respectively). Nonetheless, on average, CKDnt households' total income exceeded that of non-CKDnt households due to Nicaragua's national Instituto Nicaraguense de Seguridad Social Social Security payments to CKDnt households, suggestive of a substantial economic burden on the state resulting from the disease. Households headed by widows or widowers who are widowed as a result of CKDnt demonstrate distinct deficits in total income when compared with either non-widowed households or to households widowed by causes other than CKDnt.
Despite strong similarities in terms of demographic characteristics and despite residing in the same communities with similar access to the available resources, households experiencing CKDnt exhibit distinct and statistically significant differences in important socioeconomic outcomes when compared to non-CKDnt households.
本研究旨在探讨尼加拉瓜希希加尔帕四个社区中与知名风险因素无关的慢性肾脏病（CKDnt）患者的社会经济结局，这些社区中有大量的甘蔗工人。
我们采用基于聚类的系统抽样设计，来识别受 CKDnt 直接影响的家庭和不受影响的家庭之间的结局差异。
总体而言，我们发现大约三分之一接受调查的家庭中有一名成员被诊断为 CKDnt。86%的 CKDnt 家庭报告说，家庭的户主在过去 6 个月或更长时间内没有工作，而非 CKDnt 家庭的这一比例为 53%。非 CKDnt 家庭的平均收入比 CKDnt 家庭高出一倍以上，分别为$C52835 和$C3120。尽管如此，由于尼加拉瓜国家社会保障研究所向 CKDnt 家庭支付的款项，CKDnt 家庭的总收入平均高于非 CKDnt 家庭，这表明该疾病给国家带来了巨大的经济负担。由 CKDnt 导致丧偶的寡妇或鳏夫领导的家庭，其总收入明显低于非丧偶家庭或因 CKDnt 以外原因丧偶的家庭。
尽管在人口统计学特征方面有很强的相似性，并且尽管居住在相同的社区，享有类似的可利用资源，但与非 CKDnt 家庭相比，患有 CKDnt 的家庭在重要的社会经济结局方面表现出明显且具有统计学意义的差异。
