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“Just One Thing after Another”: Recursive Cascades and Chronic Conditions
Author(s) -
Manderson Lenore,
Warren Narelle
Publication year - 2016
Publication title -
medical anthropology quarterly
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.855
H-Index - 55
eISSN - 1548-1387
pISSN - 0745-5194
DOI - 10.1111/maq.12277
Subject(s) - circumstantial evidence , chronic poverty , poverty , chronic disease , chronic condition , health care , social determinants of health , psychology , resource (disambiguation) , medicine , gerontology , environmental health , economic growth , political science , disease , economics , intensive care medicine , computer science , pathology , poverty reduction , law , computer network
Chronic conditions and their resultant difficulties in daily living frequently occur with other health problems, sometimes due to interactions or complications at a biological level, or as a result of common pathogens or risk factors. On other occasions, they develop independently. Drawing on research conducted with Australian women that began in the mid‐2000s and is still ongoing, we highlight how chronic structural factors shape the risk factors of “chronic” conditions, influencing health seeking, continuity of care, and health outcomes. Institutional, economic, and other circumstantial factors pertain and impact health trajectories as much in highly industrialized as in resource poor settings. In illustrating how poverty and social exclusion create the preconditions of multiple chronic health problems, and how chronic health problems increase such disadvantages for individuals and their households, we introduce the idea of “recursive cascades” to capture the often inevitable trajectory of increasing ill health and growing empoverishment.