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International Journal for Equity in Health

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https://www.readbyqxmd.com/read/28431502/inequalities-in-health-care-utilization-for-common-childhood-illnesses-in-ethiopia-evidence-from-the-2011-ethiopian-demographic-and-health-survey
#1
Asmamaw Atnafu Ayalneh, Dagnachew Muluye Fetene, Tae Jin Lee
BACKGROUND: Globally, 5.9 million children under the age of five died in 2015. More than half and almost one-third of those deaths occurred in sub-Saharan Africa and South Asia, respectively. Diarrhea and Pneumonia, which were the major causes of the problem, accounted for more than two million deaths of the world's youngest children every year. Like other developing countries, child health services utilization is low in Ethiopia. The aim of this study was to identify the determinant factors for the inequalities in medical treatment seeking behavior for common childhood illnesses in Ethiopia...
April 21, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28427479/mainstreaming-gender-and-promoting-intersectionality-in-papua-new-guinea-s-health-policy-a-triangulated-analysis-applying-data-mining-and-content-analytic-techniques
#2
G Lamprell, J Braithwaite
BACKGROUND: Gender mainstreaming is an approach to policy and planning that emphasizes equality between the sexes. It is the stated policy for gender equity in Papua New Guinea's (PNG) health sector, as well as all other sectors, and is enshrined in the policies of its biggest aid givers. However, there is criticism that gender mainstreaming's application has too often been technocratic and lacking in conceptual clarity not only in PNG but elsewhere. In the health sector this is further exacerbated by a traditional bio-medical approach, which is often paternalistic and insufficiently patient- and family-centered...
April 20, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28427423/analysis-of-inequality-in-maternal-and-child-health-outcomes-and-mortality-from-2000-to-2013-in-china
#3
Yanting Li, Yimin Zhang, Shuai Fang, Shanshan Liu, Xinyu Liu, Ming Li, Hong Liang, Hua Fu
BACKGROUND: Inequality in maternal and child health seriously hinders the overall improvement of health, which is a concern in both the United Nations Sustainable Development Goals (SDGs) and Healthy China 2030. However, research on the equality of maternal and child health is scarce. This study longitudinally assessed the equality trends in China's maternal and child health outcomes from 2000 to 2013 based on place of residence and gender to improve the fairness of domestic maternal and child health...
April 20, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28420396/determinants-of-village-doctors-job-satisfaction-under-china-s-health-sector-reform-a-cross-sectional-mixed-methods-study
#4
Tongtong Li, Trudy Lei, Fiona Sun, Zheng Xie
BACKGROUND: To strengthen rural health workforce, the Chinese government has launched a series of policies to promote the job satisfaction of village doctors since the health sector reform. The purpose of this mixed-method study is to describe village doctors' job satisfaction under the context of health sector reform and investigate the associated factors. METHODS: Data was obtained from a survey of village doctors across three Chinese provinces in 2014. Using a multistage sampling process, quantitative data was collected from village doctors through the self-administered questionnaire and analyzed by multilevel logistic regression models...
April 18, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28420394/influence-maternal-background-has-on-children-s-mental-health
#5
Elena Arroyo-Borrell, Gemma Renart, Carme Saurina, Marc Saez
BACKGROUND: In this paper, we aim to discern how a mother's health and her socioeconomic determinants may influence her children's mental health. In addition to this, we also evaluate the influence of other household characteristics and whether or not the economic downturn has heightened the effect a parent's social gradient has on their children's mental health. METHODS: We use samples comprised of 4-14-year-old minors from the 2006 Spanish National Health Survey (SNHS), undertaken prior to the crisis, and the 2011 SNHS, carried out during the crisis...
April 18, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28388911/the-impact-of-multi-morbidity-on-disability-among-older-adults-in-south-africa-do-hypertension-and-socio-demographic-characteristics-matter
#6
Philippa Waterhouse, Nele van der Wielen, Pamela Chirwa Banda, Andrew Amos Channon
BACKGROUND: Alongside the global population ageing phenomenon, there has been a rise in the number of individuals who suffer from multiple chronic conditions. Taking the case of South Africa, this study aims, first, to investigate the association between multi-morbidity and disability among older adults; and second, to examine whether hypertension (both diagnosed and undiagnosed) mediates this relationship. Lastly, we consider whether the impact of the multi-morbidity on disability varies by socio-demographic characteristics...
April 8, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28381297/the-association-of-early-life-socioeconomic-conditions-with-prediabetes-and-type-2-diabetes-results-from-the-maastricht-study
#7
Ivonne P M Derks, Annemarie Koster, Miranda T Schram, Coen D A Stehouwer, Pieter C Dagnelie, Danielle A I Groffen, Hans Bosma
BACKGROUND: Using cross-sectional data from The Maastricht Study, we examined the association of socioeconomic conditions in early life with prediabetes and T2DM in adulthood. We also examined potential mediating pathways via both adulthood socioeconomic conditions and adult BMI and health behaviours. METHODS: Of the 3263 participants (aged 40-75 years), 493 had prediabetes and 906 were diagnosed with T2DM. By using logistic regression analyses, the associations and possible mediating pathways were examined...
April 5, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28381227/social-determinants-of-breast-cancer-in-the-caribbean-a-systematic-review
#8
REVIEW
Catherine R Brown, Ian R Hambleton, Shawn M Hercules, Miriam Alvarado, Nigel Unwin, Madhuvanti M Murphy, E Nigel Harris, Rainford Wilks, Marlene MacLeish, Louis Sullivan, Natasha Sobers-Grannum
BACKGROUND: Breast cancer is the leading cause of cancer deaths among women in the Caribbean and accounts for >1 million disability adjusted life years. Little is known about the social inequalities of this disease in the Caribbean. In support of the Rio Political Declaration on addressing health inequities, this article presents a systematic review of evidence on the distribution, by social determinants, of breast cancer risk factors, frequency, and adverse outcomes in Caribbean women...
April 5, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28376808/inequalities-in-financial-risk-protection-in-bangladesh-an-assessment-of-universal-health-coverage
#9
Md Rashedul Islam, Md Shafiur Rahman, Zobida Islam, Cherri Zhang B Nurs, Papia Sultana, Md Mizanur Rahman
BACKGROUND: Financial risk protection and equity are major components of universal health coverage (UHC), which is defined as ensuring access to health services for all citizens without any undue financial burden. We investigated progress towards UHC financial risk indicators and assessed variability of inequalities in financial risk protection indicators by wealth quintile. We further examined the determinants of different financial hardship indicators related to healthcare costs. METHODS: A cross-sectional, three-stage probability survey was conducted in Bangladesh, which collected information from 1600 households from August to November 2011...
April 4, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28372545/social-sciences-vital-to-improving-our-understanding-of-health-equity-policy-and-systems
#10
EDITORIAL
Karen Daniels, Johanna Hanefeld, Bruno Marchal
No abstract text is available yet for this article.
April 3, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28359262/increased-breast-cancer-mortality-only-in-the-lower-education-group-age-period-cohort-effect-in-breast-cancer-mortality-by-educational-level-in-south-korea-1983-2012
#11
Jinwook Bahk, Sung-Mi Jang, Kyunghee Jung-Choi
BACKGROUND: A steadily increasing pattern of breast cancer mortality has been reported in South Korea since the late 1980s. This paper explored the trends of educational inequalities of female breast cancer mortality between 1983 and 2012 in Korea, and conducted age-period-cohort (APC) analysis by educational level. METHODS: Age-standardized mortality rates of breast cancer per 100,000 person-years were calculated. Relative index of inequality (RII) for breast cancer mortality was used as an inequality measure...
March 31, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28340592/the-impact-of-the-share-35-policy-on-racial-and-ethnic-disparities-in-access-to-liver-transplantation-for-patients-with-end-stage-liver-disease-in-the-united-states-an-analysis-from-unos-database
#12
Yefei Zhang
BACKGROUND: The Share 35 policy was instituted in June 2013 by the United Network for Organ Sharing (UNOS) in order to reduce death on liver transplant waiting list. The effect of this policy on racial and ethnic disparities in access to liver transplantation has not been examined. METHODS: A total of 14,585 adult patients registered for liver transplantation between 2012 and 2015 were identified from UNOS database. Logistic and proportional hazards models were used to model the effects of race and ethnicity on access to liver transplantation...
March 24, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28340589/critical-race-theory-as-a-tool-for-understanding-poor-engagement-along-the-hiv-care-continuum-among-african-american-black-and-hispanic-persons-living-with-hiv-in-the-united-states-a-qualitative-exploration
#13
Robert Freeman, Marya Viorst Gwadz, Elizabeth Silverman, Alexandra Kutnick, Noelle R Leonard, Amanda S Ritchie, Jennifer Reed, Belkis Y Martinez
BACKGROUND: African American/Black and Hispanic persons living with HIV (AABH-PLWH) in the U.S. evidence insufficient engagement in HIV care and low uptake of HIV antiretroviral therapy, leading to suboptimal clinical outcomes. The present qualitative study used critical race theory, and incorporated intersectionality theory, to understand AABH-PLWH's perspectives on the mechanisms by which structural racism; that is, the macro-level systems that reinforce inequities among racial/ethnic groups, influence health decisions and behaviors...
March 24, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28327143/the-imperative-for-systems-thinking-to-promote-access-to-medicines-efficient-delivery-and-cost-effectiveness-when-implementing-health-financing-reforms-a-qualitative-study
#14
Tom Achoki, Abaleng Lesego
BACKGROUND: Health systems across Africa are faced with a multitude of competing priorities amidst pressing resource constraints. Expansion of health insurance coverage offers promise in the quest for sustainable healthcare financing for many of the health systems in the region. However, the broader policy implications of expanding health insurance coverage have not been fully investigated and contextualized to many African health systems. METHODS: We interviewed 37 key informants drawn from public, private and civil society organizations involved in health service delivery in Botswana...
March 21, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28327137/does-indigenous-health-research-have-impact-a-systematic-review-of-reviews
#15
REVIEW
Irina Kinchin, Janya Mccalman, Roxanne Bainbridge, Komla Tsey, Felecia Watkin Lui
BACKGROUND: Aboriginal and Torres Strait Islander Australians (hereafter respectfully Indigenous Australians) claim that they have been over-researched without corresponding research benefit. This claim raises two questions. The first, which has been covered to some extent in the literature, is about what type(s) of research are likely to achieve benefits for Indigenous people. The second is how researchers report the impact of their research for Indigenous people. This systematic review of Indigenous health reviews addresses the second enquiry...
March 21, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28288635/urban-rural-disparities-in-hypertension-prevalence-detection-and-medication-use-among-chinese-adults-from-1993-to-2011
#16
Jiajia Li, Leiyu Shi, Shixue Li, Lingzhong Xu, Wen Qin, Heng Wang
BACKGROUND: China has experienced a rapid increase in hypertension over the past decade, especially in rural. Therefore, the aim of this research is to examine the dynamic trends in urban-rural disparities in hypertension prevalence, detection, and medication use among Chinese adults from 1993 to 2011. METHODS: Data were extracted from the seven latest waves of the China Health and Nutrition Survey (CHNS). We used the hukou system to distinguish between urban and rural residents...
March 14, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28288633/expectations-of-health-care-quality-among-rural-maya-villagers-in-solol%C3%A3-department-guatemala-a-qualitative-analysis
#17
Matthew Ippolito, Anita Chary, Michael Daniel, Joaquin Barnoya, Anne Monroe, Michelle Eakin
BACKGROUND: Indigenous populations in Latin America have worse health outcomes than their nonindigenous counterparts. Differences in access to and use of biomedical resources may explain some of the observed disparities. Efforts to address these differences could be aided in part by better understanding the socio-medical contexts in which they occur. METHODS: We performed a qualitative analysis of field notes collected during a 2008 program evaluation of a health post in a rural Maya village in Sololá Department, Guatemala...
March 14, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28283045/how-equitable-is-the-uptake-of-conditional-cash-transfers-for-maternity-care-in-india-evidence-from-the-janani-suraksha-yojana-scheme-in-odisha-and-jharkhand
#18
Nattawut Thongkong, Ellen van de Poel, Swati Sarbani Roy, Shibanand Rath, Tanja A J Houweling
BACKGROUND: In 2005, the Indian Government introduced the Janani Suraksha Yojana (JSY) scheme - a conditional cash transfer program that incentivizes women to deliver in a health facility - in order to reduce maternal and neonatal mortality. Our study aimed to measure and explain socioeconomic inequality in the receipt of JSY benefits. METHODS: We used prospectively collected data on 3,682 births (in 2009-2010) from a demographic surveillance system in five districts in Jharkhand and Odisha state, India...
March 10, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28279211/the-role-of-parental-health-care-utilization-in-children-s-unnecessary-utilization-in-china-evidence-from-shaanxi-province
#19
Yi Zhang, Zhongliang Zhou, Yafei Si
BACKGROUND: China has a large population of children under 18 years of age, whose health is of great concern to the Chinese health care system. However, few studies have been conducted to analyze the factors associated with children's unnecessary health care utilization in China. The objective of this study is to provide some empirical evidence on this issue by investigating the role of parental health care utilization in children's unnecessary health care use. METHODS: The data were obtained from the fifth Health Service Survey of Shaanxi province in 2013...
March 9, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28270151/differential-effects-of-community-health-worker-visits-across-social-and-economic-groups-in-uttar-pradesh-india-a-link-between-social-inequities-and-health-disparities
#20
Aparna Seth, Shweta Tomar, Kultar Singh, Dharmendra Chandurkar, Amit Chakraverty, Arnab Dey, Arup K Das, Katherine Hay, Niranjan Saggurti, Sabrina Boyce, Anita Raj, Jay G Silverman
BACKGROUND: Uttar Pradesh (UP) accounts for the largest number of neonatal deaths in India. This study explores potential socio-economic inequities in household-level contacts by community health workers (CHWs) and whether the effects of such household-level contacts on receipt of health services differ across populations in this state. METHODS: A multistage sampling design identified live births in the last 12 months across the 25 highest-risk districts of UP (N = 4912)...
March 7, 2017: International Journal for Equity in Health
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