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International Journal for Equity in Health

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https://www.readbyqxmd.com/read/28228140/should-co-payments-for-financially-deprived-patients-be-lowered-primary-care-physicians-perspectives-using-a-mixed-methods-approach-in-a-survey-study-in-tokyo
#1
Machiko Inoue, Yuko Kachi
BACKGROUND: Japan's stagnant economy has produced increasing income disparities, and the effect of poverty on health and health-care utilization is a significant issue. Co-payments could be a trade-off for patients when seeking medical care and limit health-care utilization. We sought primary care physicians' experiences in dealing with financially deprived patients and their perspectives about reducing co-payments by low-income patients. METHODS: We used a convergent mixed-methods approach in a mail survey; it was distributed to 1989 primary care physicians practicing in areas with the highest proportions of socially disadvantaged individuals in Tokyo...
February 22, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28222728/looking-forward-to-the-next-15-years-innovation-and-new-pathways-for-research-in-health-equity
#2
EDITORIAL
Ana Lorena Ruano, Efrat Shadmi, John Furler, Krishna Rao, Miguel San Sebastián, Manuela Villar Uribe, Leiyu Shi
Since our launch in 2002, the International Journal for Equity in Health (IJEqH) has furthered our collective understanding of equity in health and health services by providing a platform on which academics and practitioners can share their work. Today, we celebrate our fifteenth anniversary with an article collection that presents a call for new and novel research in equity in health and we invite our authors to use new approaches and methods, and to focus on emerging areas of research related to health equity in order to set the stage for the next fifteen years of health equity research...
February 21, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28219436/from-local-adaptation-to-activism-and-global-solidarity-framing-a-research-and-innovation-agenda-towards-true-health-equity
#3
EDITORIAL
Eric A Friedman, Lawrence O Gostin
The proposal for a global health treaty aimed at health equity, the Framework Convention on Global Health, raises the fundamental question of whether we can achieve true health equity, globally and domestically, and if not, how close we can come. Considerable knowledge currently exists about the measures required to, at the least, greatly improve health equity. Why, then, do immense inequities remain? Building on this basic question, we propose four areas that could help drive the health equity research and innovation agenda over the coming years...
February 21, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28219429/engaging-with-complexity-to-improve-the-health-of-indigenous-people-a-call-for-the-use-of-systems-thinking-to-tackle-health-inequity
#4
EDITORIAL
Alison Hernández, Ana Lorena Ruano, Bruno Marchal, Miguel San Sebastián, Walter Flores
The 400 million indigenous people worldwide represent a wealth of linguistic and cultural diversity, as well as traditional knowledge and sustainable practices that are invaluable resources for human development. However, indigenous people remain on the margins of society in high, middle and low-income countries, and they bear a disproportionate burden of poverty, disease, and mortality compared to the general population. These inequalities have persisted, and in some countries have even worsened, despite the overall improvements in health indicators in relation to the 15-year push to meet the Millennium Development Goals...
February 21, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28219386/advancing-system-and-policy-changes-for-social-and-racial-justice-comparing-a-rural-and-urban-community-based-participatory-research-partnership-in-the-u-s
#5
Carlos Devia, Elizabeth A Baker, Shannon Sanchez-Youngman, Ellen Barnidge, Maxine Golub, Freda Motton, Michael Muhammad, Charmaine Ruddock, Belinda Vicuña, Nina Wallerstein
BACKGROUND: The paper examines the role of community-based participatory research (CBPR) within the context of social justice literature and practice. METHODS: Two CBPR case studies addressing health inequities related to Type 2 Diabetes and Cardiovascular disease were selected from a national cross-site study assessing effective academic-community research partnerships. One CBPR partnership works with African Americans in rural Pemiscot County, Missouri and the other CBPR partnership works with African American and Latinos in urban South Bronx, New York City...
February 21, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28219376/cooperate-a-paradigm-shift-for-health-equity
#6
REVIEW
Wei-Ching Chang, Joy H Fraser
The role of competition and cooperation in relation to the goal of health equity is examined in this paper. The authors explain why the win-lose mentality associated with avoidable competition is ethically questionable and less effective than cooperation in achieving positive outcomes, particularly as it relates to health and health equity. Competition, which differentiates winners from losers, often with the winner-takes-all reward system, inevitably leads to a few winners and many losers, resulting in social inequality, which, in turn, engenders and perpetuates health inequity...
February 21, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28219374/the-right-to-health-of-non-nationals-and-displaced-persons-in-the-sustainable-development-goals-era-challenges-for-equity-in-universal-health-care
#7
EDITORIAL
Claire E Brolan, Lisa Forman, Stéphanie Dagron, Rachel Hammonds, Attiya Waris, Lyla Latif, Ana Lorena Ruano
INTRODUCTION: Under the Millennium Development Goals (MDGs), United Nations (UN) Member States reported progress on the targets toward their general citizenry. This focus repeatedly excluded marginalized ethnic and linguistic minorities, including people of refugee backgrounds and other vulnerable non-nationals that resided within a States' borders. The Sustainable Development Goals (SDGs) aim to be truly transformative by being made operational in all countries, and applied to all, nationals and non-nationals alike...
February 21, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28222730/trends-of-relative-and-absolute-socioeconomic-equity-in-access-to-coronary-revascularisations-in-1995-2010-in-finland-a-register-study
#8
Sonja Lumme, Kristiina Manderbacka, Ilmo Keskimäki
BACKGROUND: Resources for coronary revascularisations have increased substantially since the early 1990s in Finland. At the same time, ischaemic heart disease (IHD) mortality has decreased markedly. This study aims to examine how these changes have influenced trends in absolute and relative differences between socioeconomic groups in revascularisations and age group differences in them using IHD mortality as a proxy for need. METHODS: Hospital Discharge Register data on revascularisations among Finns aged 45-84 in 1995-2010 were individually linked to population registers to obtain socio-demographic data...
February 20, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28222806/internalized-homophobia-mental-health-sexual-behaviors-and-outness-of-gay-bisexual-men-from-southwest-china
#9
Wenjian Xu, Lijun Zheng, Yin Xu, Yong Zheng
BACKGROUND: Social attitudes toward male homosexuality in China so far are still not optimistic. Sexual minorities in China have reported high levels of internalized homophobia. METHODS: This Internet-based study examined the associations among internalized homophobia, mental health, sexual behaviors, and outness among 435 gay/bisexual men in Southwest China from 2014 to 2015. Latent profile analysis, confirmatory factor analysis, univariate logistic regression, and separate multivariate logistic regression analyses were conducted...
February 17, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28222729/socioeconomic-inequalities-in-dental-health-among-middle-aged-adults-and-the-role-of-behavioral-and-psychosocial-factors-evidence-from-the-spanish-national-health-survey
#10
Diego Alberto Capurro, Michael Davidsen
BACKGROUND: The goal of this analysis was to describe socioeconomic inequalities in dental health among Spanish middle-aged adults, and the role of behavioral and psychosocial factors in explaining these inequalities. METHODS: This cross-sectional study used survey data from the 2006 Spanish National Health Survey and focused on adults ages 30 - 64. The outcome was dental health status based on the presence of self-reported dental problems. We used education, income, and occupational class as indicators of socioeconomic position and applied logistic regression analysis to estimate associations...
February 16, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28222733/educational-health-disparities-in-hypertension-and-diabetes-mellitus-among-african-descent-populations-in-the-caribbean-and-the-usa-a-comparative-analysis-from-the-spanish-town-cohort-jamaica-and-the-jackson-heart-study-usa
#11
Aurelian Bidulescu, Trevor S Ferguson, Ian Hambleton, Novie Younger-Coleman, Damian Francis, Nadia Bennett, Michael Griswold, Ervin Fox, Marlene MacLeish, Rainford Wilks, E Nigel Harris, Louis W Sullivan
BACKGROUND: Studies have suggested that social inequalities in chronic disease outcomes differ between industrialized and developing countries, but few have directly compared these effects. We explored inequalities in hypertension and diabetes prevalence between African-descent populations with different levels of educational attainment in Jamaica and in the United States of America (USA), comparing disparities within each location, and between countries. METHODS: We analyzed baseline data from the Jackson Heart Study (JHS) in the USA and Spanish Town Cohort (STC) in Jamaica...
February 14, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28222736/implementing-guidelines-and-training-initiatives-to-improve-cross-cultural-communication-in-primary-care-consultations-a-qualitative-participatory-european-study
#12
E Teunissen, K Gravenhorst, C Dowrick, E Van Weel-Baumgarten, F Van den Driessen Mareeuw, T de Brún, N Burns, C Lionis, F S Mair, C O'Donnell, M O'Reilly-de Brún, M Papadakaki, A Saridaki, W Spiegel, C Van Weel, M Van den Muijsenbergh, A MacFarlane
BACKGROUND: Cross-cultural communication in primary care is often difficult, leading to unsatisfactory, substandard care. Supportive evidence-based guidelines and training initiatives (G/TIs) exist to enhance cross cultural communication but their use in practice is sporadic. The objective of this paper is to elucidate how migrants and other stakeholders can adapt, introduce and evaluate such G/TIs in daily clinical practice. METHODS: We undertook linked qualitative case studies to implement G/TIs focused on enhancing cross cultural communication in primary care, in five European countries...
February 10, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28166779/assessing-the-impoverishing-effects-and-factors-associated-with-the-incidence-of-catastrophic-health-care-payments-in-kenya
#13
Edwine W Barasa, Thomas Maina, Nirmala Ravishankar
BACKGROUND: Monitoring the incidence and intensity of catastrophic health expenditure, as well as the impoverishing effects of out of pocket costs to access healthcare, is a key part of benchmarking Kenya's progress towards reducing the financial burden that households experience when accessing healthcare. METHODS: The study relies on data from the nationally-representative Kenya Household Expenditure and Utilization Survey conducted in 2013 (n =33,675). We undertook health equity analysis to estimate the incidence and intensity of catastrophic expenditure...
February 6, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28148264/what-limits-the-utilization-of-health-services-among-china-labor-force-analysis-of-inequalities-in-demographic-socio-economic-and-health-status
#14
Liming Lu, Jingchun Zeng, Zhi Zeng
BACKGROUND: Inequalities in demographic, socio-economic and health status for China labor force place them at greater health risks, and marginalized them in the utilization of healthcare services. This paper identifies the inequalities which limit the utilization of health services among China labor force, and provides a reference point for health policy. METHODS: Data were collected from 23,505 participants aged 15 to 65, from the 2014 China Labor Force Dynamic Survey (a nationwide cross-sectional survey covering 29 provinces with a multi-stage cluster, and stratified, probability sampling strategy) conducted by Sun Yat-sen University...
February 2, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28129771/equity-aspects-of-the-primary-health-care-choice-reform-in-sweden-a-scoping-review
#15
Bo Burström, Kristina Burström, Gunnar Nilsson, Göran Tomson, Margaret Whitehead, Ulrika Winblad
BACKGROUND: Good health and equal health care are the cornerstones of the Swedish Health and Medical Service Act. Recent studies show that the average level of health, measured as longevity, improves in Sweden, however, social inequalities in health remain a major issue. An important issue is how health care services can contribute to reducing inequalities in health, and the impact of a recent Primary Health Care (PHC) Choice Reform in this respect. This paper presents the findings of a review of the existing evidence on impacts of these reforms...
January 28, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28122573/risk-factors-of-bicycle-traffic-injury-among-middle-school-students-in-chaoshan-rural-areas-of-china
#16
Zhen-Bin Lin, Yan-Hu Ji, Qing-Yu Xiao, Li-Bo Luo, Li-Ping Li, Bernard Choi
BACKGROUND: Bicycle injuries are a leading cause of accidental death among children in the world, and bicycle-related injuries are also very common in China, thus to find out bicycle injury risk factors is imperative. This study aims to identify the cyclist-, bicycle- and road-related risk factors of bicycle injury, to develop health education programs as an intervention and to provide a scientific basis for establishing policies against bicycle injury. METHODS: We selected two middle schools randomly among seven schools in Chaoshan rural areas,where the main means of transportation for students from home to school was bicycle...
January 26, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28109196/embodying-pervasive-discrimination-a-decomposition-of-sexual-orientation-inequalities-in-health-in-a-population-based-cross-sectional-study-in-northern-sweden
#17
Per E Gustafsson, Ida Linander, Paola A Mosquera
BACKGROUND: Studies from Sweden and abroad have established health inequalities between heterosexual and non-heterosexual people. Few studies have examined the underpinnings of such sexual orientation inequalities in health. To expand this literature, the present study aimed to employ decomposition analysis to explain health inequalities between people with heterosexual and non-heterosexual orientation in Sweden, a country with an international reputation for heeding the human rights of non-heterosexual people...
January 21, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28109194/family-health-strategy-and-equity-in-prenatal-care-a-population-based-cross-sectional-study-in-minas-gerais-brazil
#18
Mônica Viegas Andrade, Kenya Valéria Micaela de Souza Noronha, Allan Claudius Queiroz Barbosa, Michelle Nepomuceno Souza, Júlia Almeida Calazans, Lucas Resende de Carvalho, Thiago Augusto Hernandes Rocha, Núbia Cristina Silva
BACKGROUND: Prenatal care coverage is still not universal or adequately provided in many low and middle income countries. One of the main barriers regards the presence of socioeconomic inequalities in prenatal care utilization. In Brazil, prenatal care is supplied for the entire population at the community level as part of the Family Health Strategy (FHS), which is the main source of primary care provided by the public health system. Brazil has some of the greatest income inequalities in the world, and little research has been conducted to investigate prenatal care utilization of FHS across socioeconomic groups...
January 21, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28109188/impoverishing-effects-of-catastrophic-health-expenditures-in-malawi
#19
Martina Mchenga, Gowokani Chijere Chirwa, Levison S Chiwaula
BACKGROUND: Out of pocket (OOP) health spending can potentially expose households to risk of incurring large medical bills, and this may impact on their welfare. This work investigates the effect of catastrophic OOP on the incidence and depth of poverty in Malawi. METHODS: The paper is based on data that was collected from 12,271 households that were interviewed during the third Malawi integrated household survey (IHS-3). The paper considered a household to have incurred a catastrophic health expenditure if the share of health expenditure in the household's non-food expenditure was greater than a given threshold ranging between 10 and 40%...
January 21, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28107814/socioeconomic-inequalities-in-self-perceived-oral-health-among-adults-in-chile
#20
Francisco Gallego, Cristián Larroulet, Leonor Palomer, Andrea Repetto, Diego Verdugo
BACKGROUND: This paper studies the socioeconomic disparities in self-perceived oral health among Chilean adults and in the perceived physical, functional, psychological and social consequences of oral health. METHODS: In February 2011, 1,413 residents of Metropolitan Area of Santiago, Chile, were interviewed using a standardized questionnaire and examined by dentists for dental status and oral health conditions. Only adults 18 to 60 years old affiliated with the public healthcare system were eligible to participate...
January 21, 2017: International Journal for Equity in Health
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