Socioeconomic problems of pyretic patient in Karachi
Introduction:
Socio-economic issues also known as social economics is the social science that studies how economic activity effects and is shaped by social processes
Pakistan is a developing county and faces a host of socio-economic problems that developing countries face including political instability that aggregates the problem further, currently, one of the substantial chunks of our population lives below poverty line, the second problem which Pakistan is facing is the dragon of over-population. Socioeconomic issues are factors that have a negative influence on an individuals’ economic activity including lack of education, cultural and religious discrimination, unemployment
Socio-economic status has remained an important factor in the maintenance of general health outcomes especially mental health in human beings. Socioeconomic status is the social standing or class of an individual or group. Socioeconomic status is often seen as an integration of education, income and occupation. Inquisition of socioeconomic status often reveals discrimination in access to resources, plus issues related to privilege, power and control. Little is known about how socio economic status is associated with the treatment compliance of people with psychiatric illness. (3). the role of social condition like status in the etiology of serious mental illness and treatment compliance has given a diminished place in biological psychiatry. Studies have shown varied findings that socioeconomic disadvantages such as education, income and assets does not attribute to the frequency of receivable of any treatment (4). However, among the other factors mental health and socioeconomic status plays important in the wellness of an individual. Poor health outcomes would reduce earning ability. The dimensions of wellness has shown causal link in both directions such as poor health and earning abilities in five developing countries in a study by Das et al (2007).
The use of medicine therapy is to achieve the better outcome in the concerned patients. However, despite all best effort of the healthcare professionals, those might not be achievable if the patients are non-complaint (7).
The therapeutic relationship in term of compliance not only includes medication but also includes diet, exercise, or life style changes. The number of studies have been conducted in developed countries regarding therapeutic non-compliance (7). The estimated rate of long-term medication therapies complains was between 40% and 50% (8). ). It is estimated that 50% of chronic psychiatric patients are not taking medication as prescribed after six months (9).
Different factors for medicine non-adherence may be related to disease severity, treatment characteristics or even external environmental factors such as therapeutic support(10).But in Psychiatric illnesses other factors may also be contribute of non-adherence such as if someone has physical or mental symptoms of a disease especially psychotic symptoms, if there is co-occurring disorders , understanding capacity or insight, the patient's family or sociocultural background, and his or her beliefs regarding the usefulness of the treatments(1).
