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Health equity

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https://www.readbyqxmd.com/read/28110510/access-equity-and-costs-of-induced-abortion-services-in-australia-a-cross-sectional-study
#1
Mridula Shankar, Kirsten I Black, Philip Goldstone, Safeera Hussainy, Danielle Mazza, Kerry Petersen, Jayne Lucke, Angela Taft
OBJECTIVES: To examine access and equity to induced abortion services in Australia, including factors associated with presenting beyond nine weeks gestation. METHODS: Cross-sectional survey of 2,326 women aged 16+ years attending for an abortion at 14 Dr Marie clinics. Associations with later presentation assessed using multivariate logistic regression. RESULTS: Over a third of eligible women opted for a medical abortion. More than one in 10 (11...
January 22, 2017: Australian and New Zealand Journal of Public 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
#2
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
#3
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/28107704/the-threat-of-home-eviction-and-its-effects-on-health-through-the-equity-lens-a-systematic-review
#4
REVIEW
Hugo Vásquez-Vera, Laia Palència, Ingrid Magna, Carlos Mena, Jaime Neira, Carme Borrell
The aims of this review are to gather and systematize the currently available evidence on the effect of the threat of eviction on health and its eventual spillover effects, to assess the quality of the selected studies, and to describe how these findings vary with respect to dimensions of social inequity. We conducted a literature search in March 2016, which yielded 2208 unduplicated articles. The title, abstract and full text of these articles were reviewed by three independent pairs of researchers. We performed a quality assessment of each article, and evaluated whether health inequities had been considered...
January 9, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28107532/social-determinants-of-hiv-disparities-in-the-southern-united-states-and-in-counties-with-historically-black-colleges-and-universities-hbcus-2013-2014
#5
Madeline Y Sutton, Simone C Gray, Kim Elmore, Zaneta Gaul
HIV infection disproportionately affects Blacks in the southern United States (U.S.), a region where legal policies that may unintentionally impede earlier HIV detection and treatment are prevalent. Historically Black Colleges and Universities (HBCUs) have historically facilitated social change in communities of color and have been underexplored as partners for HIV prevention. We describe geographic and social determinants of health (SDH) in the southern U.S. to inform potential HBCU-public health partnerships that might improve HIV health equity...
2017: PloS One
https://www.readbyqxmd.com/read/28107151/saving-the-starfish-physicians-roles-in-responding-to-human-rights-abuses-in-global-health-practice
#6
Monir Moniruzzaman
This paper examines how an overseas medical student can improve the life of a kamlari, an indentured servant girl in Nepal. I argue that physicians and students should not only provide care for the health and well-being of patients but also act to ameliorate the suffering of their patients, particularly when patients' social, cultural, economic, and political vulnerabilities overshadow their immediate clinical needs. I also address the point that medical schools need to offer courses on health advocacy and activism in order to promote health equity and social justice for all...
January 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28104303/addressing-health-inequalities-by-using-structural-funds-a-question-of-opportunities
#7
Oana Maria Neagu, Kai Michelsen, Jonathan Watson, Barrie Dowdeswell, Helmut Brand
Making up a third of the EU budget, Structural and Investment Funds can provide important opportunities for investing in policies that tackle inequalities in health. This article looks back and forward at the 2007-2013 and 2014-2020 financial periods in an attempt to inform the development of health equity as a strand of policy intervention under regional development. It combines evidence from health projects funded through Structural Funds and a document analyses that locates interventions for health equity under the new regulations...
January 7, 2017: Health Policy
https://www.readbyqxmd.com/read/28103891/a-mixed-methods-assessment-of-barriers-to-maternal-newborn-and-child-health-in-gogrial-west-south-sudan
#8
Lynn Lawry, Covadonga Canteli, Tahina Rabenzanahary, Wartini Pramana
BACKGROUND: Health conditions for mothers, newborns, and children in South Sudan are among the worst worldwide. South Sudan has the highest rate of maternal mortality in the world and despite alarming statistics, few women and children in South Sudan have access to needed healthcare, especially in rural areas. The purpose of this study was to understand the barriers to maternal, newborn and child health in Gogrial West, Warrap State, South Sudan, one of the most underdeveloped states...
January 19, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28101824/empirically-derived-weights-for-gms-capitation-payments-to-general-practitioners
#9
B McElroy
AIM: Unlike other weighted capitation schemes used in Irish health service financing and in health systems internationally, the GMS capitation payments scheme for General Practitioners lacks transparency in both the data used and the model employed. In this study, evidence-based weights were generated and compared to current payment weights. METHODS: Four datasets on GP utilisation were interrogated. RESULTS: Evidence-based weights indicated that over 70s had higher payments per consultation than other groups...
January 18, 2017: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/28100232/equitable-health-services-for-the-young-a-decomposition-of-income-related-inequalities-in-young-adults-utilization-of-health-care-in-northern-sweden
#10
Paola A Mosquera, Anna-Karin Waenerlund, Isabel Goicolea, Per E Gustafsson
BACKGROUND: Despite the goal of the Swedish health system to offer health care according to the principle of horizontal equity, little is known about the equality in access to health care use among young people. To explore this issue, the present study aimed i) to assess horizontal inequity in health care utilization among young people in Northern Sweden; and ii) to explore the contribution of different factors to explain the observed inequalities. METHODS: Participants (N = 3016 youths aged 16-25 years) came from the "Health on Equal terms" survey conducted in 2014 in the four northernmost counties in Sweden...
January 18, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28099073/cdc-s-delta-focus-program-identifying-promising-primary-prevention-strategies-for-intimate-partner-violence
#11
Theresa L Armstead, Kirsten Rambo, Megan Kearns, Kathryn M Jones, Jenny Dills, Pamela Brown
According to 2011 data, nearly one in four women and one in seven men in the United States experience severe physical violence by an intimate partner, creating a public health burden requiring population-level solutions. To prevent intimate partner violence (IPV) before it occurs, the CDC developed Domestic Violence Prevention Enhancements and Leadership Through Alliances, Focusing on Outcomes for Communities United with States to identify promising community- and societal-level prevention strategies to prevent IPV...
January 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28097326/population-health-equity-rate-and-burden-race-and-class
#12
David Kindig
No abstract text is available yet for this article.
January 9, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28093045/exploring-urban-health-in-cape-town-south-africa-an-interdisciplinary-analysis-of-secondary-data
#13
Rebekka Mumm, Sonia Diaz-Monsalve, Eva Hänselmann, Johanna Freund, Michael Wirsching, Jan Gärtner, Richard Gminski, Katrin Vögtlin, Mirjam Körner, Lena Zirn, Ursula Wittwer-Backofen, Tolu Oni, Axel Kroeger
BACKGROUND: With modern information technology, an overwhelming amount of data is available on different aspects of societies. Our research investigated the feasibility of using secondary data sources to get an overview of determinants of health and health outcomes in different population strata of Cape Town, a large city of South Africa. METHODS: The methodological approach of secondary-data analysis was similar in the different disciplines: Biological Anthropology, Public Health, Environmental Health, Mental Health, Palliative Care, Medical Psychology and Sociology at the University of Freiburg and Public Health at the University of Cape Town...
January 17, 2017: Pathogens and Global Health
https://www.readbyqxmd.com/read/28092473/changing-the-culture-of-academic-medicine-critical-mass-or-critical-actors
#14
Deborah L Helitzer, Sharon L Newbill, Gina Cardinali, Page S Morahan, Shine Chang, Diane Magrane
PURPOSE: By 2006, women constituted 34% of academic medical faculty, reaching a critical mass. Theoretically, with critical mass, culture and policy supportive of gender equity should be evident. We explore whether having a critical mass of women transforms institutional culture and organizational change. METHODS: Career development program participants were interviewed to elucidate their experiences in academic health centers (AHCs). Focus group discussions were held with institutional leaders to explore their perceptions about contemporary challenges related to gender and leadership...
January 16, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28088236/economic-burden-of-family-caregiving-for-elderly-population-in-southern-ghana-the-case-of-a-peri-urban-district
#15
Stephen Tettey Nortey, Genevieve Cecilia Aryeetey, Moses Aikins, Djesika Amendah, Justice Nonvignon
BACKGROUND: Health systems in low and lower-middle income countries, particularly in sub-Sahara Africa, often lack the specialized personnel and infrastructure to provide comprehensive care for elderly/ageing populations. Close-to-client community-based approaches are a low-cost way of providing basic care and social support for elderly populations in such resource-constrained settings and family caregivers play a crucial role in that regard. However, family caregiving duties are often unremunerated and their care-related economic burden is often overlooked though this knowledge is important in designing or scaling up effective interventions...
January 14, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28088198/does-equity-in-healthcare-spending-exist-among-indian-states-explaining-regional-variations-from-national-sample-survey-data
#16
Rinshu Dwivedi, Jalandhar Pradhan
BACKGROUND: Equity and justice in healthcare payment form an integral part of health policy and planning. In the majority of low and middle-income countries (LMICs), healthcare inequalities are further aggravated by Out of Pocket Expenditure (OOPE). This paper examines the pattern of health equity and regional disparities in healthcare spending among Indian states by applying Andersen's behavioural model of healthcare utilization. METHODS: The present study uses data from the 66(th) quinquennial round of Consumer Expenditure Survey, of the National Sample Survey Organization (NSSO), conducted in 2009-10 by Ministry of Statistics and Programme Implementation (MoSPI), Government of India (GoI)...
January 14, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28087797/the-cascading-effects-of-marginalization-and-pathways-of-resilience-in-attaining-good-health-among-lgbt-older-adults
#17
Karen I Fredriksen-Goldsen, Hyun-Jun Kim, Amanda E B Bryan, Chengshi Shiu, Charles A Emlet
PURPOSE OF THE STUDY: Lesbian, gay, bisexual, and transgender (LGBT) older adults comprise a diverse and growing health disparate population. In the present study, using the Health Equity Promotion Model, we investigated pathways by which LGBT older adults experience resilience, risk, and marginalization and their relationship to attaining positive health outcomes. DESIGN AND METHODS: Aging with Pride: National Health, Aging, and Sexuality/Gender Study (NHAS) is the first longitudinal research project designed to examine the health, aging, and well-being of LGBT adults aged 50 and older...
February 2017: Gerontologist
https://www.readbyqxmd.com/read/28087793/race-ethnicity-and-health-related-quality-of-life-among-lgbt-older-adults
#18
Hyun-Jun Kim, Sarah Jen, Karen I Fredriksen-Goldsen
PURPOSE OF THE STUDY: Few existing studies have addressed racial/ethnic differences in the health and quality of life of lesbian, gay, bisexual, and transgender (LGBT) older adults. Guided by the Health Equity Promotion Model, this study examines health-promoting and health risk factors that contribute to racial/ethnic health disparities among LGBT adults aged 50 and older. DESIGN AND METHODS: We utilized weighted survey data from Aging with Pride: National Health, Aging, and Sexuality/Gender Study...
February 2017: Gerontologist
https://www.readbyqxmd.com/read/28087792/the-unfolding-of-lgbt-lives-key-events-associated-with-health-and-well-being-in-later-life
#19
Karen I Fredriksen-Goldsen, Amanda E B Bryan, Sarah Jen, Jayn Goldsen, Hyun-Jun Kim, Anna Muraco
PURPOSE OF THE STUDY: Life events are associated with the health and well-being of older adults. Using the Health Equity Promotion Model, this article explores historical and environmental context as it frames life experiences and adaptation of lesbian, gay, bisexual, and transgender (LGBT) older adults. DESIGN AND METHODS: This was the largest study to date of LGBT older adults to identify life events related to identity development, work, and kin relationships and their associations with health and quality of life (QOL)...
February 2017: Gerontologist
https://www.readbyqxmd.com/read/28087465/are-cardiovascular-disease-risk-assessment-and-management-programmes-cost-effective-a-systematic-review-of-the-evidence
#20
REVIEW
John Tayu Lee, Kenny D Lawson, Yizhou Wan, Azeem Majeed, Stephen Morris, Michael Soljak, Christopher Millett
The World Health Organization recommends that countries implement population-wide cardiovascular disease (CVD) risk assessment and management programmes. The aim of this study was to conduct a systematic review to evaluate whether this recommendation is supported by cost-effectiveness evidence. Published economic evaluations were identified via electronic medical and social science databases (including Medline, Web of Science, and the NHS Economic Evaluation Database) from inception to March 2016. Study quality was evaluated using a modified version of the Consolidated Health Economic Evaluation Reporting Standards...
January 10, 2017: Preventive Medicine
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