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Meningitis and unpaved roads



Meningitis and unpaved roads



Social Science & Medicine 24(2): 109-116



Access to health care may be influenced by a variety of factors including ones attributable to the indiviudal as well as ones attributable to the health care system. One category frequently referred to is 'geographic' factor of distance and travel time. In the present study, a previously undescribed geographic factor.sbd.unpaved roads.sbd.is shown to be a clinically important barrier to access. Using a case-control format, children admitted with bacterial meningitis are shown to have traveled farther over unpaved roads to get to a clinic than matched controls seen at the same time. With control groups matched for age and similar pre-existing illness, the implication is that unpaved roads resulted in increased morbidity by reducing access.

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Accession: 005877292

Download citation: RISBibTeXText

PMID: 3563554

DOI: 10.1016/0277-9536(87)90243-7


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