You are not logged in.

The DALY, context and the determinants of the severity of disease: an exploratory comparison of paraplegia in Australia and Cameroon

Allotey, Pascale, Reidpath, Daniel, Kouame, Aka and Cummins, Robert 2003, The DALY, context and the determinants of the severity of disease: an exploratory comparison of paraplegia in Australia and Cameroon, Social science & medicine, vol. 57, no. 5, pp. 949-958, doi: 10.1016/S0277-9536(02)00463-X.

Attached Files
Name Description MIMEType Size Downloads

Title The DALY, context and the determinants of the severity of disease: an exploratory comparison of paraplegia in Australia and Cameroon
Author(s) Allotey, Pascale
Reidpath, Daniel
Kouame, Aka
Cummins, RobertORCID iD for Cummins, Robert orcid.org/0000-0001-9014-7193
Journal name Social science & medicine
Volume number 57
Issue number 5
Start page 949
End page 958
Publisher Pergamon
Place of publication Oxford, England
Publication date 2003-09
ISSN 0277-9536
1873-5347
Keyword(s) Disability adjusted life year (DALY)
Quality of life
Paraplegia
Global severity weight
Australia
Cameroon
Summary This paper summarises the findings of an empirical investigation of some of the technical and social assumptions on which the disability adjusted life year (DALY) is based. The objectives of the study were to examine the notion that the burden of disease is broadly similar without regard to country, environment, gender or socio-economic status and to develop detailed descriptions of the experiences of the burden of disease as they related to these contextual factors. The study was a multi-factorial exploratory study employing qualitative and quantitative techniques to obtain data on the effects of country (development), environment (urban versus rural), gender and socio-economic status on people with paraplegia. The data provided an extensive and detailed compilation of context rich descriptions of living with paraplegia. Striking features of the data were the differences between countries with respect to the impact of the health conditions on functioning and highlight a context in which paraplegia of like clinical severity can be fatal in one environment and not in another. While there has been some focus on the control of social determinants of disease, there has been little work on the social determinants of the severity of disease. The underlying assumptions of the DALY, which ignore context in the assessment of the burden of disease, risk exacerbating inequalities by undervaluing the burden of disease in less-developed countries. There is a need to continue to subject the development of indicators to rigorous debate to determine a balance between the assumption of a global “average social milieu” and the treatment of each individual as belonging to their own context in the assessment of population health in order for indicators to be meaningful cross-culturally.
Language eng
DOI 10.1016/S0277-9536(02)00463-X
Field of Research 170113 Social and Community Psychology
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2003, Elsevier Science Ltd
Persistent URL http://hdl.handle.net/10536/DRO/DU:30008621

Document type: Journal Article
Collection: School of Psychology
Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 43 times in TR Web of Science
Scopus Citation Count Cited 54 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 640 Abstract Views, 0 File Downloads  -  Detailed Statistics
Created: Mon, 13 Oct 2008, 15:37:15 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.