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https://www.readbyqxmd.com/read/29352706/environmental-conditions-in-health-care-facilities-in-low-and-middle-income-countries-coverage-and-inequalities
#1
Ryan Cronk, Jamie Bartram
Safe environmental conditions and the availability of standard precaution items are important to prevent and treat infection in health care facilities (HCFs) and to achieve Sustainable Development Goal (SDG) targets for health and water, sanitation, and hygiene. Baseline coverage estimates for HCFs have yet to be formed for the SDGs; and there is little evidence describing inequalities in coverage. To address this, we produced the first coverage estimates of environmental conditions and standard precaution items in HCFs in low- and middle-income countries (LMICs); and explored factors associated with low coverage...
January 11, 2018: International Journal of Hygiene and Environmental Health
https://www.readbyqxmd.com/read/29352539/income-inequality-and-depression-a-systematic-review-and-meta-analysis-of-the-association-and-a-scoping-review-of-mechanisms
#2
Vikram Patel, Jonathan K Burns, Monisha Dhingra, Leslie Tarver, Brandon A Kohrt, Crick Lund
Most countries have witnessed a dramatic increase of income inequality in the past three decades. This paper addresses the question of whether income inequality is associated with the population prevalence of depression and, if so, the potential mechanisms and pathways which may explain this association. Our systematic review included 26 studies, mostly from high-income countries. Nearly two-thirds of all studies and five out of six longitudinal studies reported a statistically significant positive relationship between income inequality and risk of depression; only one study reported a statistically significant negative relationship...
February 2018: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
https://www.readbyqxmd.com/read/29351609/inequity-in-contraceptive-care-between-refugees-and-other-migrant-women-a-retrospective-study-in-dutch-general-practice
#3
Liselotte A D Raben, Maria E T C van den Muijsenbergh
Background: Female refugees are at high risk of reproductive health problems including unmet contraceptive needs. In the Netherlands, the general practitioner (GP) is the main entrance to the healthcare system and plays a vital role in the prescription of contraceptives. Little is known about contraceptive care in female refugees in primary care. Objective: To get insight into GP care related to contraception in refugees and other migrants compared with native Dutch women...
January 17, 2018: Family Practice
https://www.readbyqxmd.com/read/29351607/sector-wide-or-disease-specific-implications-of-trends-in-development-assistance-for-health-for-the-sdg-era
#4
Anne L Buffardi
The record of the Millennium Development Goals broadly reflects the trade-offs of disease-specific financing: substantial progress in particular areas, facilitated by time-bound targets that are easy to measure and communicate, which shifted attention and resources away from other areas, masked inequalities and exacerbated fragmentation. In many ways, the Sustainable Development Goals reflect a profound shift towards a more holistic, system-wide approach. To inform responses to this shift, this article builds upon existing work on aggregate trends in donor financing, bringing together what have largely been disparate analyses of sector-wide and disease-specific financing approaches...
January 16, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29349939/comparison-of-district-level-smoking-prevalence-and-their-income-gaps-from-two-national-databases-the-national-health-screening-database-and-the-community-health-survey-in-korea-2009-2014
#5
Ikhan Kim, Jinwook Bahk, Yeon Yong Kim, Jeehye Lee, Hee Yeon Kang, Juyeon Lee, Sung Cheol Yun, Jong Heon Park, Soon Ae Shin, Young Ho Khang
BACKGROUND: We compared age-standardized prevalence of cigarette smoking and their income gaps at the district-level in Korea using the National Health Screening Database (NHSD) and the Community Health Survey (CHS). METHODS: Between 2009 and 2014, 39,049,485 subjects participating in the NHSD and 989,292 participants in the CHS were analyzed. The age-standardized prevalence of smoking and their interquintile income differences were calculated for 245 districts of Korea...
February 5, 2018: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/29349882/short-communication-persistent-socio-economic-inequality-in-frequent-headache-among-danish-adolescents-from-1991-to-2014
#6
B E Holstein, A Andersen, A M Denbaek, A Johansen, S I Michelsen, P Due
BACKGROUND: The association between socio-economic status (SES) and headache among adolescents is an understudied issue, and no study has examined whether such an association changes over time. The aim was to examine trends in socio-economic inequality in frequent headache among 11- to 15-year-olds in Denmark from 1991 to 2014, using occupational social class (OSC) as indicator of SES. METHODS: The study applies data from the Danish part of the international Health Behaviour in School-aged Children (HBSC) study...
January 19, 2018: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/29349235/social-pathways-to-health-on-the-mediating-role-of-the-social-network-in-the-relation-between-socio-economic-position-and-health
#7
Marja Aartsen, Marijke Veenstra, Thomas Hansen
Good health is one of the key qualities of life, but opportunities to be and remain healthy are unequally distributed across socio-economic groups. The beneficial health effects of the social network are well known. However, research on the social network as potential mediator in the pathway from socio-economic position (SEP) to health is scarce, while there are good reasons to expect a socio-economical patterning of networks. We aim to contribute to our understanding of socio-economic inequalities in health by examining the mediating role of structural and functional characteristics of the social network in the SEP-health relationship...
December 2017: SSM—Population Health
https://www.readbyqxmd.com/read/29349229/does-gender-inequity-increase-men-s-mortality-risk-in-the-united-states-a-multilevel-analysis-of-data-from-the-national-longitudinal-mortality-study
#8
Shane A Kavanagh, Julia M Shelley, Christopher Stevenson
A number of theoretical approaches suggest that gender inequity may give rise to health risks for men. This study undertook a multilevel analysis to ascertain if state-level measures of gender inequity are predictors of men's mortality in the United States. Data for the analysis were taken primarily from the National Longitudinal Mortality Study, which is based on a random sample of the non-institutionalised population. The full data set included 174,703 individuals nested within 50 states and had a six-year follow-up for mortality...
December 2017: SSM—Population Health
https://www.readbyqxmd.com/read/29349220/adult-mortality-in-sub-saharan-africa-zambia-where-do-adults-die
#9
Vesper H Chisumpa, Clifford O Odimegwu, Nicole De Wet
Place of death remains an issue of growing interest and debate among scholars as an indicator of quality of end-of-life care in developed countries. In sub-Saharan Africa, however, variations in place of death may suggest inequalities in access to and the utilization of health care services that should be addressed by public health interventions. Limited research exists on factors associated with place of death in sub-Saharan Africa. The study examines factors associated with the place of death among Zambian adults aged 15-59 years using the 2010-2012 sample vital registration with verbal autopsy survey (SAVVY) data, descriptive statistics and multivariate logistic regression analysis...
December 2017: SSM—Population Health
https://www.readbyqxmd.com/read/29349216/family-of-origin-and-educational-inequalities-in-mortality-results-from-1-7-million-swedish-siblings
#10
Laust H Mortensen, Jenny Torssander
Circumstances in the family of origin have short- and long-term consequences for people's health. Family background also influences educational achievements - achievements that are clearly linked to various health outcomes. Utilizing population register data, we compared Swedish siblings with different levels of education (1,732,119 individuals within 662,095 sibships) born between 1934 and 1959 and followed their death records until the end of 2012 (167,932 deaths). The educational gradient in all-cause mortality was lower within sibships than in the population as a whole, an attenuation that was strongest at younger ages (< 50 years of age) and for those with a working class or farmer background...
December 2017: SSM—Population Health
https://www.readbyqxmd.com/read/29349213/socioeconomic-inequality-in-morbid-obesity-with-body-mass-index-more-than-40%C3%A2-kg-m2-in-the-united-states-and-england
#11
Helen P Booth, Judith Charlton, Martin C Gulliford
Introduction: This study evaluated socioeconomic inequality in morbid obesity (body mass index, BMI ≥40 kg/m2) through an analysis of population health survey data in the United States (US) and England (UK). Methods: We analysed data for the National Health and Nutrition Examination Survey and the Health Survey for England for 2011 to 2014. Age-adjusted odds ratios (AOR) were used to evaluate income- and education-inequality. Results: There were 26,898 eligible UK and 10,628 US participants...
December 2017: SSM—Population Health
https://www.readbyqxmd.com/read/29349212/place-health-and-community-attachment-is-community-capacity-associated-with-self-rated-health-at-the-individual-level
#12
Sarah A Lovell, Andrew R Gray, Sara E Boucher
Community-level interventions dominate contemporary public health responses to health inequalities as a lack of political will has discouraged action at a structural level. Health promoters commonly leverage community capacity to achieve programme goals, yet the health implications of low community capacity are unknown. In this study, we analyse perceptions of community capacity at the individual-level to explore how place-based understandings of identity and connectedness are associated with self-rated health...
December 2017: SSM—Population Health
https://www.readbyqxmd.com/read/29349206/dark-shadow-of-the-long-white-cloud-neighborhood-safety-is-associated-with-self-rated-health-and-cortisol-during-pregnancy-in-auckland-aotearoa-new-zealand
#13
Zaneta M Thayer
Auckland, Aotearoa/New Zealand is a culturally and ethnically diverse city. Despite popular global conceptions regarding its utopian nature, the lived experience for many individuals in Auckland attests to the substantial social, economic, and health inequalities that exist there. In particular, rapidly rising home prices constrain housing decisions and force individuals to live in less desirable neighborhoods, with potential impacts on individual health. One of the pathways through which adverse neighborhood conditions could impact health is through alterations in the functioning of the hypothalamic pituitary adrenal (HPA)-axis, which regulates the physiological stress response...
December 2017: SSM—Population Health
https://www.readbyqxmd.com/read/29349199/efficiency-or-equity-simulating-the-impact-of-high-risk-and-population-intervention-strategies-for-the-prevention-of-disease
#14
Jonathan M Platt, Katherine M Keyes, Sandro Galea
Maximizing both efficiency and equity are core considerations for population health. These considerations can result in tension in population health science as we seek to improve overall population health while achieving equitable health distributions within populations. Limited work has explored empirically the consequences of different population health intervention strategies on the burden of disease and on within- and between-group differences in disease. To address this gap, we compared the impact of four simulated interventions using data from the National Health and Nutrition Examination Survey...
December 2017: SSM—Population Health
https://www.readbyqxmd.com/read/29348995/mental-health-assessment-in-health-checks-of-participants-aged-30-49%C3%A2-years-a-large-scale-cohort-study
#15
Christine Geyti, Helle Terkildsen Maindal, Else-Marie Dalsgaard, Kaj Sparle Christensen, Annelli Sandbæk
Mental distress is an independent risk factor for illness related impairment. Awareness of mental health (MH) allows prevention, but early detection is not routinely performed in primary care. This cohort study incorporated MH assessment in a health promoting programme. We described the level of poor MH among health check participants, explored the potential for early intervention, and the potential for reducing social inequality in MH. The study was based on 9767 randomly selected citizens aged 30-49 years invited to a health check in Denmark in 2012-14...
March 2018: Preventive Medicine Reports
https://www.readbyqxmd.com/read/29346662/shifting-determinants-of-health-inequalities-in-unstable-times-portugal-as-a-case-study
#16
Inês Campos-Matos, Giuliano Russo, Luzia Gonçalves
Background: We explore how health inequalities (HI) changed in Portugal over the last decade, considering it is one of the most unequal European countries and has gone through major economic changes. We describe how inequalities in limitations changed considering different socioeconomic determinants, in order to understand what drove changes in HI. Methods: We used cross-sectional waves from the European Survey on Income and Living Conditions database to determine how inequalities in health limitations changed between 2004 and 2014 in Portugal in residents aged 16 years and over...
February 1, 2018: European Journal of Public Health
https://www.readbyqxmd.com/read/29346375/how-do-we-reach-the-girls-and-women-who-are-the-hardest-to-reach-inequitable-opportunities-in-reproductive-and-maternal-health-care-services-in-armed-conflict-and-forced-displacement-settings-in-colombia
#17
Juan Carlos Rivillas, Raul Devia Rodriguez, Gloria Song, Andréanne Martel
OBJECTIVES: This paper assesses inequalities in access to reproductive and maternal health services among females affected by forced displacement and sexual and gender-based violence in conflict settings in Colombia. This was accomplished through the following approaches: first, we assessed the gaps and gradients in three selected reproductive and maternal health care services. Second, we analyzed the patterns of inequalities in reproductive and maternal health care services and changes over time...
2018: PloS One
https://www.readbyqxmd.com/read/29345995/the-effects-of-household-medical-expenditures-on-income-inequality-in-the-united-states
#18
Andrea S Christopher, David U Himmelstein, Steffie Woolhandler, Danny McCormick
OBJECTIVES: To assess the effect of households' outlays for medical expenditures on income inequality and changes since the implementation of the Affordable Care Act (ACA). METHODS: We analyzed data from the US Current Population Surveys for calendar years 2010 through 2014. We calculated the Gini index of income inequality before and after subtracting households' medical outlays (including insurance premiums and out-of-pocket costs) from income, the financial burden of medical outlays for each income decile, and the number of individuals pushed below poverty by medical outlays...
January 18, 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29345994/work-as-an-inclusive-part-of-population-health-inequities-research-and-prevention
#19
Emily Quinn Ahonen, Kaori Fujishiro, Thomas Cunningham, Michael Flynn
Despite its inclusion in models of social and ecological determinants of health, work has not been explored in most health inequity research in the United States. Leaving work out of public health inequities research creates a blind spot in our understanding of how inequities are created and impedes our progress toward health equity. We first describe why work is vital to our understanding of observed societal-level health inequities. Next, we outline challenges to incorporating work in the study of health inequities, including (1) the complexity of work as a concept; (2) work's overlap with socioeconomic position, race, ethnicity, and gender; (3) the development of a parallel line of inquiry into occupational health inequities; and (4) the dearth of precise data with which to explore the relationships between work and health status...
January 18, 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29344977/there-is-no-place-like-home-imitation-and-the-politics-of-recognition-in-bolivian-obstetric-care
#20
Gabriela Elisa Morales
This article examines how efforts to "culturally adapt" birthing spaces in a rural Bolivian hospital are generating debates among doctors about what constitutes proper obstetric care. Working at the intersection of national and transnational projects, NGOs in Bolivia have remade the birthing rooms of some public health institutions to look more like a home, with the goal of making indigenous women feel more comfortable and encouraging them to come to the clinic to give birth. Yet narratives of transformation also obscure ongoing conditions of racial and gendered inequality in health services...
January 17, 2018: Medical Anthropology Quarterly
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