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International Journal for Equity in Health

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https://www.readbyqxmd.com/read/27931255/wealth-and-cardiovascular-health-a-cross-sectional-study-of-wealth-related-inequalities-in-the-awareness-treatment-and-control-of-hypertension-in-high-middle-and-low-income-countries
#1
Benjamin Palafox, Martin McKee, Dina Balabanova, Khalid F AlHabib, Alvaro Jr Avezum, Ahmad Bahonar, Noorhassim Ismail, Jephat Chifamba, Clara K Chow, Daniel J Corsi, Gilles R Dagenais, Rafael Diaz, Rajeev Gupta, Romaina Iqbal, Manmeet Kaur, Rasha Khatib, Annamarie Kruger, Iolanthe Marike Kruger, Fernando Lanas, Patricio Lopez-Jaramillo, Fu Minfan, Viswanathan Mohan, Prem K Mony, Aytekin Oguz, Lia M Palileo-Villanueva, Pablo Perel, Paul Poirier, Sumathy Rangarajan, Lei Rensheng, Annika Rosengren, Biju Soman, David Stuckler, S V Subramanian, Koon Teo, Lungiswa P Tsolekile, Andreas Wielgosz, Peng Yaguang, Karen Yeates, Mo Yongzhen, Khalid Yusoff, Rita Yusuf, Afzalhussein Yusufali, Katarzyna Zatońska, Salim Yusuf
BACKGROUND: Effective policies to control hypertension require an understanding of its distribution in the population and the barriers people face along the pathway from detection through to treatment and control. One key factor is household wealth, which may enable or limit a household's ability to access health care services and adequately control such a chronic condition. This study aims to describe the scale and patterns of wealth-related inequalities in the awareness, treatment and control of hypertension in 21 countries using baseline data from the Prospective Urban and Rural Epidemiology study...
December 8, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27931236/trends-in-self-rated-health-and-association-with-socioeconomic-position-in-estonia-data-from-cross-sectional-studies-in-1996-2014
#2
Mariliis Põld, Kersti Pärna, Inge Ringmets
BACKGROUND: Self-rated health (SRH) and socioeconomic position (SEP) as important determinants of health differences are associated with health and economic changes in society. The objectives of this paper were (1) to describe trends in SRH and (2) to analyze associations between SRH and SEP among adults in Estonia in 1996-2014. METHODS: The study was based on a 25-64-year-old subsample (n = 18757) of postal cross-sectional surveys conducted every second year in Estonia during 1990-2014...
December 8, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27912783/exploring-levers-and-barriers-to-accessing-primary-care-for-marginalised-groups-and-identifying-their-priorities-for-primary-care-provision-a-participatory-learning-and-action-research-study
#3
Patrick O'Donnell, Edel Tierney, Austin O'Carroll, Diane Nurse, Anne MacFarlane
BACKGROUND: The involvement of patients and the public in healthcare has grown significantly in recent decades and is documented in health policy documents internationally. Many benefits of involving these groups in primary care planning have been reported. However, these benefits are rarely felt by those considered marginalised in society and they are often excluded from participating in the process of planning primary care. It has been recommended to employ suitable approaches, such as co-operative and participatory initiatives, to enable marginalised groups to highlight their priorities for care...
December 3, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27912766/non-random-distribution-of-child-undernutrition-in-ethiopia-spatial-analysis-from-the-2011-ethiopia-demographic-and-health-survey
#4
Zewdie Aderaw Alemu, Ahmed Ali Ahmed, Alemayehu Worku Yalew, Belay Simanie Birhanu
BACKGROUND: Child undernutrition showed geographical inequalities due to variations in contextual determinants from area to area which indicates that location is an important factor in child undernutrition. However, there are limited studies on spatial epidemiology of child undernutrition in Ethiopia. This study was aimed to identify the SaTScan spatial clusters of child undernutrition in Ethiopia. METHODS: Nutritional indices of children (0-59 months) with Global Positioning System (GPS) location data were accessed from the 2011 Ethiopia Demographic and Health Survey (EDHS) after getting permission from the MEASURES Demographic and Health Survey (DHS) Program...
December 3, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27905949/burden-of-cumulative-risk-factors-associated-with-non-communicable-diseases-among-adults-in-uganda-evidence-from-a-national-baseline-survey
#5
Ronald Wesonga, David Guwatudde, Silver K Bahendeka, Gerald Mutungi, Fabian Nabugoomu, James Muwonge
BACKGROUND: Modification of known risk factors has been the most tested strategy for dealing with non-communicable diseases (NCDs). The cumulative number of NCD risk factors exhibited by an individual depicts a disease burden. However, understanding the risk factors associated with increased NCD burden has been constrained by scarcity of nationally representative data, especially in the developing countries and not well explored in the developed countries as well. METHODS: Assessment of key risk factors for NCDs using population data drawn from 3987 participants in a nationally representative baseline survey in Uganda was made...
December 1, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27905941/financing-strategies-to-improve-essential-public-health-equalization-and-its-effects-in-china
#6
Li Yang, Li Sun, Liankui Wen, Huyang Zhang, Chenyang Li, Kara Hanson, Hai Fang
BACKGROUND: In 2009, China launched a health reform to promote the equalization of national essential public health services package (NEPHSP). The present study aimed to describe the financing strategies and mechanisms to improve access to public health for all, identify the strengths and weaknesses of the different approaches, and showed evidence on equity improvement among different regions. METHODS: We reviewed the relevant literatures and identified 208 articles after screening and quality assessment and conducted six key informants' interviews...
December 1, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27905938/the-impact-of-epidemics-on-labor-market-identifying-victims-of-the-middle-east-respiratory-syndrome-in-the-korean-labor-market
#7
Ayoung Lee, Joonmo Cho
BACKGROUND: The vulnerability approach suggests that disasters such as epidemics have different effects according not only to physical vulnerability but also to economic class (status). This paper examines the effect of the Middle East Respiratory Syndrome epidemic on the labor market to investigate whether vulnerable groups become more vulnerable due to an interaction between the socio-economic structure and physical risk. METHODS: This paper examines the effect of the Middle East Respiratory Syndrome epidemic on the labor market by considering unemployment status, job status, working hours, reason for unemployment and underemployment status...
December 1, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27899153/can-integrated-health-services-delivery-have-an-impact-on-hypertension-management-a-cross-sectional-study-in-two-cities-of-china
#8
Haitao Li, Ying Sun, Dongfu Qian
BACKGROUND: Policy makers require information regarding performance of different primary care delivery models in managing hypertension, which can be helpful for better hypertension management. This study aims to compare continuity of care among hypertensive patients between Direct Management (DM) Model of community health centers (CHCs) in Wuhan and Loose Collaboration (LC) Model in Nanjing. METHODS: A cross-sectional questionnaire survey was conducted. Four CHCs in each city were randomly selected as study settings...
November 30, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27894308/capacity-evaluation-for-general-practitioners-in-pudong-new-area-of-shanghai-an-empirical-study
#9
Ming Li, Zhiqun Shu, Xuan Huang, Zhaohui Du, Jun Wu, Qingshi Xia, Kun Liu, Jiquan Lou, Limei Jing
BACKGROUND: Building highly qualified General Practitioners (GPs) is key to the development of primary health care. It's therefore urgent to ensure the GPs' quality service under the background of the new round of health care system reforms in China. A new model of GP qualification examination was originally implemented in Pudong New Area of Shanghai, China, which aimed to empirically evaluate the GPs' capability in terms of clinical performance and social recognition. In the current study, an analysis was made of the first two years (2014-2015) of such theoretical and practical examinations on the GPs there with a view to getting a deep insight into the GP community so as to identify the barriers to such a form of GP qualification examination...
November 28, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27881131/an-evaluation-of-equity-and-equality-in-physical-activity-policies-in-four-european-countries
#10
Riitta-Maija Hämäläinen, Petru Sandu, Ahmed M Syed, Mette W Jakobsen
BACKGROUND: There is strong research evidence on the importance of health equity and equality for wellbeing in societies. As chronic non-communicable diseases are widespread, the positive impact of physical activity (PA) on health has gained importance. However, PA at the population level is far from optimal. PA depends not only on individual factors, but also on policies for PA in sport, health, transport, education and other sectors, on social and cultural factors, and on the environment...
November 24, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27876056/post-universal-health-coverage-trend-and-geographical-inequalities-of-mortality-in-thailand
#11
Suchunya Aungkulanon, Viroj Tangcharoensathien, Kenji Shibuya, Kanitta Bundhamcharoen, Virasakdi Chongsuvivatwong
BACKGROUND: Thailand has achieved remarkable improvement in health status since the achievement of universal health coverage in 2002. Health equity has improved significantly. However, challenges on health inequity still remain.This study aimed to determine the trends of geographical inequalities in disease specific mortality in Thailand after the country achieved universal health coverage. METHODS: National vital registration data from 2001 to 2014 were used to calculate age-adjusted mortality rate and standardized mortality ratio (SMR)...
November 22, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27871298/socioeconomic-variation-in-incidence-of-primary-and-secondary-major-cardiovascular-disease-events-an-australian-population-based-prospective-cohort-study
#12
Rosemary J Korda, Kay Soga, Grace Joshy, Bianca Calabria, John Attia, Deborah Wong, Emily Banks
BACKGROUND: Cardiovascular disease (CVD) disproportionately affects disadvantaged people, but reliable quantitative evidence on socioeconomic variation in CVD incidence in Australia is lacking. This study aimed to quantify socioeconomic variation in rates of primary and secondary CVD events in mid-age and older Australians. METHODS: Baseline data (2006-2009) from the 45 and Up Study, an Australian cohort involving 267,153 men and women aged ≥ 45, were linked to hospital and death data (to December 2013)...
November 21, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27855703/working-at-the-interface-in-aboriginal-and-torres-strait-islander-health-focussing-on-the-individual-health-professional-and-their-organisation-as-a-means-to-address-health-equity
#13
Annabelle M Wilson, Janet Kelly, Anthea Magarey, Michelle Jones, Tamara Mackean
BACKGROUND: Aboriginal and Torres Strait Islander people experience inequity in health outcomes in Australia. Health care interactions are an important starting place to seek to address this inequity. The majority of health professionals in Australia do not identify as Aboriginal and/or Torres Strait Islander people and the health care interaction therefore becomes an example of working in an intercultural space (or interface). It is therefore critical to consider how health professionals may maximise the positive impact within the health care interaction by skilfully working at the interface...
November 17, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27855697/regional-health-care-inequity-in-children-s-survival-in-zhejiang-province-china
#14
Weifang Zhang, Dingwan Chen, Huan Zhou, Yanhua Xu, Zhuopu Xu, Ying Ying, Zhengyan Zhao
BACKGROUND: China is now under a period of social transition, and inequity is evident in the field of health care. We aimed to investigate regional health-care inequalities in children's survival in Zhejiang Province, China. METHODS: In our study, monitoring data of Zhejiang Province from 2005 to 2014 was collected. The flow of data collection of community-district-city for urban areas or village-township-county rural areas was followed. The factors affecting equity was analyzed including regional economical level and household registry...
November 17, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27852329/time-trends-in-adult-chronic-disease-inequalities-by-education-in-brazil-1998-2013
#15
Hiram Beltrán-Sánchez, Flavia C D Andrade
BACKGROUND: Socioeconomic differences in health in Brazil are largely driven by differences in educational attainment. In this paper, we assess whether educational gradients in chronic disease prevalence have narrowed in Brazil from 1998 to 2013, a period of a booming economy accompanied by major investments in public health in the country. METHODS: Individual-level data came from the 1998, 2003 and 2008 Brazilian National Household Survey and the 2013 National Health Survey...
November 17, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27852317/the-relationship-between-the-maria-da-penha-law-and-intimate-partner-violence-in-two-brazilian-states
#16
Mariana V Gattegno, Jasmine D Wilkins, Dabney P Evans
BACKGROUND: Globally, inequality between men and women manifests in a variety of ways. In particular, gender inequality increases the risk of perpetration of violence against women (VAW), especially intimate partner violence (IPV), by males. The World Health Organization (WHO) estimates that 35 % of women have experienced physical, psychological and/or sexual IPV at least once in their lives, making IPV unacceptably common. In 2006, the Maria da Penha Law on Domestic and Family Violence, became the first federal law to regulate VAW and punish perpetrators in Brazil...
November 17, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27852315/socioeconomic-inequalities-in-health-reflections-on-the-academic-production-from-brazil
#17
EDITORIAL
Cesar Victora
No abstract text is available yet for this article.
November 17, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27852313/regional-and-social-inequalities-in-the-performance-of-pap-test-and-screening-mammography-and-their-correlation-with-lifestyle-brazilian-national-health-survey-2013
#18
Mariza Miranda Theme Filha, Maria do Carmo Leal, Elaine Fernandes Viellas de Oliveira, Ana Paula Esteves-Pereira, Silvana Granado Nogueira da Gama
BACKGROUND: Mass population screening for the early detection of cervical and breast cancer has been shown to be a safe and effective strategy worldwide and has reduced the incidence and mortality rates of these diseases. The aim of this study is to analyse the reach of screening tests for cervical and breast cancer according to sociodemographic variables and to analyse their correlation with a healthy lifestyle. METHODS: We have analysed data collected from 31...
November 17, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27852310/brazil-rapid-progress-and-the-challenge-of-inequality
#19
EDITORIAL
Michael Marmot
No abstract text is available yet for this article.
November 17, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27852309/changes-in-health-care-inequity-in-brazil-between-2008-and-2013
#20
Pricila Mullachery, Diana Silver, James Macinko
BACKGROUND: Brazil has made progress towards a more equitable distribution of health care, but gains may be threatened by economic instability resulting from the 2008 global financial crisis. This study measured predictors of health care utilization and changes in horizontal inequity between 2008 and 2013. METHOD: Data were from two nationally representative surveys that measured a variety of sociodemographic, health behaviors and health care indicators. We used Poisson regression models to estimate adjusted prevalence ratios and the Horizontal Equity Index (HEI) standardized by health needs to measure inequity in the utilization of doctor and dentist visits, hospitalizations and reporting of a usual source of care (USC) for those 18 and older...
November 17, 2016: International Journal for Equity in Health
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