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https://www.readbyqxmd.com/read/28742870/factors-contributing-to-food-insecurity-among-women-living-with-hiv-in-the-dominican-republic-a-qualitative-study
#1
Kathryn P Derose, Denise D Payán, María Altagracia Fulcar, Sergio Terrero, Ramón Acevedo, Hugo Farías, Kartika Palar
BACKGROUND: Food insecurity contributes to poor health outcomes among people living with HIV. In Latin America and the Caribbean, structural factors such as poverty, stigma, and inequality disproportionately affect women and may fuel both the HIV epidemic and food insecurity. METHODS: We examined factors contributing to food insecurity among women living with HIV (WLHIV) in the Dominican Republic (DR). Data collection included in-depth, semi-structured interviews in 2013 with 30 WLHIV with indications of food insecurity who resided in urban or peri-urban areas and were recruited from local HIV clinics...
2017: PloS One
https://www.readbyqxmd.com/read/28742825/impact-of-maternal-and-neonatal-health-initiatives-on-inequity-in-maternal-health-care-utilization-in-bangladesh
#2
Mohammad Rifat Haider, Mohammad Masudur Rahman, Md Moinuddin, Ahmed Ehsanur Rahman, Shakil Ahmed, M Mahmud Khan
BACKGROUND: Despite remarkable progress in maternal and child health, inequity persists in maternal care utilization in Bangladesh. Government of Bangladesh (GOB) with technical assistance from United Nation Population Fund (UNFPA), United Nation Children's Fund (UNICEF) and World Health Organization (WHO) started implementing Maternal and Neonatal Health Initiatives in selected districts of Bangladesh (MNHIB) in 2007 with an aim to reduce inequity in healthcare utilization. This study examines the effect of MNHIB on inequity in maternal care utilization...
2017: PloS One
https://www.readbyqxmd.com/read/28742101/urban-rural-differences-in-disability-free-life-expectancy-in-bangladesh-using-the-2010-hies-data
#3
Md Shariful Islam, Md Ismail Tareque, Md Nazrul Islam Mondal, Ahbab Mohammad Fazle Rabbi, Hafiz T A Khan, Sharifa Begum
BACKGROUND: Research on health expectancy has been carried out in Bangladesh but none of it has examined the differences in Disability-Free Life Expectancy (DFLE) between urban and rural setting in context of rapid urbanization of Bangladesh in past decades. OBJECTIVES: The present study aims to estimate DFLE for people of all ages living in urban and rural areas in Bangladesh, and to examine the differences in DFLE between these two areas. METHODS: Data from the Sample Vital Registration System 2010 and the Bangladesh Household Income and Expenditure Survey (HIES) 2010 were used in this study...
2017: PloS One
https://www.readbyqxmd.com/read/28740618/ethical-issues-associated-with-medical-tourism-in-africa
#4
REVIEW
John J O Mogaka, Lucia Mupara, Joyce M Tsoka-Gwegweni
Global disparities in medical technologies, laws, economic inequities, and social-cultural differences drive medical tourism (MT), the practice of travelling to consume healthcare that is either too delayed, unavailable, unaffordable or legally proscribed at home. Africa is simultaneously a source and destination for MT. MT however, presents a new and challenging health ethics frontier, being largely unregulated and characterized by policy contradictions, minority discrimination and conflict of interest among role-players...
2017: Journal of Market Access & Health Policy
https://www.readbyqxmd.com/read/28739609/a-national-quitline-service-and-its-promotion-in-the-mass-media-modelling-the-health-gain-health-equity-and-cost-utility
#5
Nhung Nghiem, Christine L Cleghorn, William Leung, Nisha Nair, Frederieke S van der Deen, Tony Blakely, Nick Wilson
BACKGROUND: Mass media campaigns and quitlines are both important distinct components of tobacco control programmes around the world. But when used as an integrated package, the effectiveness and cost-effectiveness are not well described. We therefore aimed to estimate the health gain, health equity impacts and cost-utility of the package of a national quitline service and its promotion in the mass media. METHODS: We adapted an established Markov and multistate life-table macro-simulation model...
July 24, 2017: Tobacco Control
https://www.readbyqxmd.com/read/28739534/insurance-coverage-and-well-child-visits-improved-for-youth-under-the-affordable-care-act-but-latino-youth-still-lag-behind
#6
Alexander N Ortega, Ryan M McKenna, Jie Chen, Héctor E Alcalá, Brent A Langellier, Dylan H Roby
OBJECTIVE: To examine whether there have been changes in insurance coverage and health care utilization for youth before and after the national implementation of the Patient Protection and Affordable Care Act (ACA) and to assess whether racial and ethnic inequities have improved. METHODS: Data are from 64,565 youth (ages 0-17) participants in the 2011-2015 National Health Interview Survey (NHIS). We conducted multivariate logistic regression analyses to determine how the period after national implementation of the ACA (years 2011-2013 versus years 2014-2015) was associated with health insurance coverage and utilization of health care services (well-child visits, having visited an emergency department, and having visited a physician, all in the past 12 months), and whether changes over the pre- and post-ACA periods varied by race and Latino ethnicity...
July 21, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28738872/a-population-based-study-of-homicide-deaths-in-ontario-canada-using-linked-death-records
#7
James Lachaud, Peter D Donnelly, David Henry, Kathy Kornas, Andrew Calzavara, Catherine Bornbaum, Laura Rosella
BACKGROUND: Homicide - a lethal expression of violence - has garnered little attention from public health researchers and health policy makers, despite the fact that homicides are a cause of preventable and premature death. Identifying populations at risk and the upstream determinants of homicide are important for addressing inequalities that hinder population health. This population-based study investigates the public health significance of homicides in Ontario, Canada, over the period of 1999-2012...
July 24, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28738806/financial-crisis-and-income-related-inequalities-in-the-universal-provision-of-a-public-service-the-case-of-healthcare-in-spain
#8
Ignacio Abásolo, Marc Saez, Guillem López-Casasnovas
BACKGROUND: The objective of this paper is to analyse whether the recent recession has altered health care utilisation patterns of different income groups in Spain. METHODS: Based on information concerning individuals 'income and health care use, along with health need indicators and demographic characteristics (provided by the Spanish National Health Surveys from 2006/07 and 2011/12), econometric models are estimated in two parts (mixed logistic regressions and truncated negative binominal regressions) for each of the public health services studied (family doctor appointments, appointments with specialists, hospitalisations, emergencies and prescription drug use)...
July 24, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28738213/determinants-of-the-magnitude-of-socioeconomic-inequalities-in-mortality-a-study-of-17-european-countries
#9
Johan P Mackenbach, Matthias Bopp, Patrick Deboosere, Katalin Kovacs, Mall Leinsalu, Pekka Martikainen, Gwenn Menvielle, Enrique Regidor, Rianne de Gelder
The magnitude of socioeconomic inequalities in mortality differs importantly between countries, but these variations have not been satisfactorily explained. We explored the role of behavioral and structural determinants of these variations, by using a dataset covering 17 European countries in the period 1970-2010, and by conducting multilevel multivariate regression analyses. Our results suggest that between-country variations in inequalities in current mortality can partly be understood from variations in inequalities in smoking, excessive alcohol consumption, and poverty...
July 21, 2017: Health & Place
https://www.readbyqxmd.com/read/28737355/-the-silent-disappearance-of-padhue-doctors-the-end-of-a-state-injustice-or-a-new-form-of-exclusion
#10
Alice Desclaux
Up until recently in France, physicians who obtained their degrees outside the European Union had a specifically disadvantaged status, that was supposed to be eliminated by the end of 2016. Until that date, a selective qualification process authorized foreign physicians to “full practice”. The deadline has been postponed to 2017 to resolve the complicated situations of certain doctors and to avoid tensions in hospital wards. These developments raise questions about the working conditions and motivations for migration of foreign medical doctors, particularly African doctors, who participate in the French healthcare system, and the obstacles to their integration...
July 10, 2017: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/28736871/inequitable-health-service-use-in-a-canadian-paediatric-population-a-cross-sectional-study-of-individual-and-contextual-level-factors
#11
C Holtz, J Gilliland, A Thind, P Wilk, M K Campbell
BACKGROUND: Health service use may be influenced by multilevel predisposing, enabling, and need factors but is equitable when driven by need. The study's objectives were as follows: (a) to investigate residential context's effect on child health service use and (b) to examine inequity of child health service use by testing for effect measure modification of need factors. METHODS: The sample of 1,451 children was from a prenatal cohort recruited from London, Ontario, between 2002 and 2004, with follow-up until children were toddler/preschooler-aged...
July 23, 2017: Child: Care, Health and Development
https://www.readbyqxmd.com/read/28735455/examining-the-role-of-income-inequality-and-neighborhood-walkability-on-obesity-and-physical-activity-among-low-income-hispanic-adults
#12
Samuel D Towne, Michael L Lopez, Yajuan Li, Matthew Lee Smith, Judith L Warren, Alexandra E Evans, Marcia G Ory
Obesity is a major public health issue affecting rising medical costs and contributing to morbidity and premature mortality. We aimed to identify factors that may play a role in obesity and physical activity at the individual and environmental/neighborhood levels. We analyzed data from an adult sample who were parents of students enrolled in a school-based health and wellness program. The sample was restricted to those who were Hispanic and whose children were on free/reduced lunch (n = 377). Dependent variables: body mass index (BMI); neighborhood walkability...
July 22, 2017: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/28735453/comparing-oral-health-services-use-in-the-spanish-and-immigrant-working-population
#13
Natalia Muñoz-Pino, Carmen Vives-Cases, Andrés A Agudelo-Suárez, Elena Ronda-Pérez
We aim to analyze oral health services use and related factors in the immigrant working population compared to the Spanish counterparts. Cross-sectional study of working population (n = 8591) that responded Spanish National Health Survey (SNHS), 2011-2012. The association between oral health services use and migration status was estimated using logistic regression. Immigrant men presented a greater probability of oral health service use a year or more prior (aOR 1.63; 95% CI 1.26-2.02), independently of oral health, sociodemographic and socioeconomic characteristics...
July 22, 2017: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/28734964/removing-user-fees-for-health-services-a-multi-epistemological-perspective-on-access-inequities-in-senegal
#14
Philipa Mladovsky, Maymouna Ba
Plan Sésame (PS) is a user fee exemption policy launched in 2006 to provide free access to health services to Senegalese citizens aged 60 and over. Analysis of a large household survey evaluating PS echoes findings of other studies showing that user fee removal can be highly inequitable. 34 semi-structured interviews and 19 focus group discussions with people aged 60 and over were conducted in four regions in Senegal (Dakar, Diourbel, Matam and Tambacounda) over a period of six months during 2012. They were analysed to identify underlying causes of exclusion from/inclusion in PS and triangulated with the household survey...
July 6, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28734671/health-inequality-across-prefectures-in-japan
#15
Churnrurtai Kanchanachitra, Viroj Tangcharoensathien
No abstract text is available yet for this article.
July 19, 2017: Lancet
https://www.readbyqxmd.com/read/28733466/the-reliability-of-the-american-community-survey-for-injury-surveillance
#16
Nathaniel Bell, Bo Cai
BACKGROUND: To evaluate the reliability and predictability of 49 socioeconomic indicators constructed from the annual and multiyear American Community Survey (ACS) data cycles for monitoring injury inequalities across the USA. METHODS: Cross-sectional analysis of the 2006-2013 annual and multiyear county-level ACS data cycles. Indicator reliability was assessed using the margin of error and coefficient of variation (CV). Overlapping multiyear data cycles were assessed for statistical dependence in the estimates...
August 2017: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/28733459/advice-given-by-nhs-direct-in-wales-do-deprived-patients-get-more-urgent-decisions-study-of-routine-data
#17
Julie Peconi, Steven Macey, Sarah Rodgers, Ian Russell, Helen Snooks, Alan Watkins
BACKGROUND: In the UK, National Health Service Direct Wales (NHSDW) uses computerised decision support software to advise patients on appropriate care. However, the effect of deprivation on the advice given is not known. We aimed to estimate the effect of deprivation on advice given by nurses in NHSDW adjusting for confounding variables. METHODS: We included 400 000 calls to NHSDW between January 2002 and June 2004. We used logistic regression to model the effect of deprivation on advice given by nurses in response to calls seeking advice or information...
July 21, 2017: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/28733304/how-do-trends-in-mortality-inequalities-by-deprivation-and-education-in-scotland-and-england-wales-compare-a-repeat-cross-sectional-study
#18
Gerry McCartney, Frank Popham, Srinivasa Vittal Katikireddi, David Walsh, Lauren Schofield
OBJECTIVE: To compare the trends in mortality inequalities by educational attainment with trends using area deprivation. SETTING: Scotland and England & Wales (E&W). PARTICIPANTS: All people resident in Scotland and E&W between 1981 and 2011 aged 35-79 years. PRIMARY OUTCOME MEASURES: Absolute inequalities (measured using the Slope Index of Inequality (SII)) and relative inequalities (measured using the Relative Index of Inequality (RII)) in all-cause mortality...
July 21, 2017: BMJ Open
https://www.readbyqxmd.com/read/28733107/mortality-trends-for-tuberculosis-in-european-union-countries-2000-2010
#19
Moad J Al-Rahamneh, Anas Al-Rahamneh, Francisco Guillén-Grima, Alberto Arnedo-Pena, Inés Aguinaga-Ontoso
BACKGROUND: The objective of this study was to update and analyze tuberculosis (TB) mortality data in the European Union between 2000 and 2010 separately for men and women and try to detect if there have been any changes in trends in each country and the association with the economic situation and inequalities. METHODS: Data were extracted for tuberculosis deaths in 2000-2010 for 29 European Union countries and for Switzerland, via the World Health Organization (WHO) European detailed mortality database (DMDB), using the Mortality tabulation list 1 (MTL1) codes for men and women separately for one age group (20-85+)...
July 18, 2017: Enfermedades Infecciosas y Microbiología Clínica
https://www.readbyqxmd.com/read/28731036/stroke-in-women-from-evidence-to-inequalities
#20
REVIEW
Charlotte Cordonnier, Nikola Sprigg, Else Charlotte Sandset, Aleksandra Pavlovic, Katharina S Sunnerhagen, Valeria Caso, Hanne Christensen
Stroke is the second largest cause of disability-adjusted life-years lost worldwide. The prevalence of stroke in women is predicted to rise rapidly, owing to the increasing average age of the global female population. Vascular risk factors differ between women and men in terms of prevalence, and evidence increasingly supports the clinical importance of sex differences in stroke. The influence of some risk factors for stroke - including diabetes mellitus and atrial fibrillation - are stronger in women, and hypertensive disorders of pregnancy also affect the risk of stroke decades after pregnancy...
July 21, 2017: Nature Reviews. Neurology
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