keyword
https://read.qxmd.com/read/38491911/reporting-of-equity-in-observational-epidemiology-a-methodological-review
#21
JOURNAL ARTICLE
Omar Dewidar, Ali Al-Zubaidi, Mostafa Bondok, Leenah Abdelrazeq, Jimmy Huang, Alyssa Jearvis, Lucy C Barker, Nour Elmestekawy, Elizabeth Goghomu, Tamara Rader, Janice Tufte, Regina Greer-Smith, Hugh S Waddington, Stuart G Nicholls, Julian Little, Billie-Jo Hardy, Tanya Horsley, Taryn Young, Luis Gabriel Cuervo, Melissa K Sharp, Catherine Chamberlain, Beverley Shea, Peter Craig, Daeria O Lawson, Anita Rizvi, Charles S Wiysonge, Tamara Kredo, Damian Francis, Elizabeth Kristjansson, Zulfiqar Bhutta, Alba Antequera, G J Melendez-Torres, Tomas Pantoja, Xiaoqin Wang, Janet Jull, Janet Hatcher Roberts, Sarah Funnell, Howard White, Alison Krentel, Michael Johnson Mahande, Jacqueline Ramke, George Wells, Jennifer Petkovic, Kevin Pottie, Loveline Niba, Cindy Feng, Miriam N Nguliefem, Peter Tugwell, Lawrence Mbuagbaw, Vivian Welch
BACKGROUND: Observational studies can inform how we understand and address persisting health inequities through the collection, reporting and analysis of health equity factors. However, the extent to which the analysis and reporting of equity-relevant aspects in observational research are generally unknown. Thus, we aimed to systematically evaluate how equity-relevant observational studies reported equity considerations in the study design and analyses. METHODS: We searched MEDLINE for health equity-relevant observational studies from January 2020 to March 2022, resulting in 16 828 articles...
March 1, 2024: Journal of Global Health
https://read.qxmd.com/read/38491893/increasing-access-to-healthcare-in-the-eastern-mediterranean-region
#22
EDITORIAL
Hanan Balkhy
Lessons learnt from the COVID-19 pandemic have provided an opportunity to intensify efforts towards the health-related Sustainable Development Goals (SDGs). Innovations in digital health and advances in science witnessed during the pandemic can be harnessed to improve equitable access to healthcare and build resilient health systems. We also have stark reminders that without addressing the needs of the most vulnerable groups and societies, a simple expansion of service delivery efforts may even exacerbate existing inequities in healthcare...
February 25, 2024: Eastern Mediterranean Health Journal
https://read.qxmd.com/read/38491866/socioeconomic-status-based-disrespect-discrimination-exclusion-and-shaming-a-potential-source-of-health-inequalities
#23
JOURNAL ARTICLE
Bruce G Link, San Juanita García, Rengin Firat, Shayna La Scalla, Jo C Phelan
Observing an association between socioeconomic status (SES) and health reliably leads to the question, "What are the pathways involved?" Despite enormous investment in research on the characteristics, behaviors, and traits of people disadvantaged with respect to health inequalities, the issue remains unresolved. We turn our attention to actions of more advantaged groups by asking people to self-report their exposure to disrespect, discrimination, exclusion, and shaming (DDES) from people above them in the SES hierarchy...
March 16, 2024: Journal of Health and Social Behavior
https://read.qxmd.com/read/38491481/equity-and-unmet-need-of-non-communicable-diseases-services-in-saudi-arabia-using-a-national-household-survey-2019
#24
JOURNAL ARTICLE
Maha Alattas, Sarah Gordon, Lora L Sabin, Fadi El-Jardali, Veronika J Wirtz
BACKGROUND: Saudi Arabia is implementing a comprehensive health system transformation in health services provision, governance, and financing. Given the high burden of non-communicable diseases (NCD), a key objective of the transformation is to integrate NCD prevention and treatment into primary care. The study objectives were to assess primary care service use for treatment of NCDs, to quantify existing inequities in preventive services utilization, and to identify regional and sociodemographic factors associated with these inequities...
March 16, 2024: BMC Health Services Research
https://read.qxmd.com/read/38491478/the-impact-of-multimorbidity-among-adults-with-cardiovascular-diseases-on-healthcare-costs-in-indonesia-a-multilevel-analysis
#25
JOURNAL ARTICLE
Royasia Viki Ramadani, Mikael Svensson, Sven Hassler, Budi Hidayat, Nawi Ng
BACKGROUND: Cardiovascular diseases (CVDs) are the leading cause of death in Indonesia, accounting for 38% of the total mortality in 2019. Moreover, healthcare spending on CVDs has been at the top of the spending under the National Health Insurance (NHI) implementation. This study analyzed the association between the presence of CVDs with or without other chronic disease comorbidities and healthcare costs among adults (> 30 years old) and if the association differed between NHI members in the subsidized group (poorer) and non-subsidized households group (better-off) in Indonesia...
March 15, 2024: BMC Public Health
https://read.qxmd.com/read/38491445/equity-in-the-recovery-of-elective-and-oncological-surgery-volumes-after-the-covid-19-lockdown-a-multicentre-cohort-study-in-italy
#26
JOURNAL ARTICLE
Chiara Di Girolamo, Roberta Onorati, Tania Landriscina, Roberto Gnavi, Giulia Cesaroni, Enrico Calandrini, Lucia Bisceglia, Caterina Fanizza, Teresa Spadea
BACKGROUND: The COVID-19 pandemic has had, and still has, a profound impact on national health systems, altering trajectories of care and exacerbating existing inequalities in health. Postponement of surgeries and cancellation of elective surgical procedures have been reported worldwide. In Italy, the lock-down measures following the COVID-19 pandemic caused cancellations of surgical procedures and important backlogs; little is known about potential social inequalities in the recovery process that occurred during the post-lockdown period...
March 15, 2024: International Journal for Equity in Health
https://read.qxmd.com/read/38491442/cost-and-economic-evidence-for-asset-based-approaches-to-health-improvement-and-their-evaluation-methods-a-systematic-review
#27
JOURNAL ARTICLE
Alice Wreford, Linda Birt, Jennifer A Whitty, Sarah Hanson, Susan Conquer, Adam P Wagner
BACKGROUND: Asset-based approaches (ABAs) tackle health inequalities by empowering people in more disadvantaged communities, or targeted populations, to better utilise pre-existing local community-based resources. Using existing resources supports individuals to better manage their own health and its determinants, potentially at low cost. Targeting individuals disengaged with traditional service delivery methods offers further potential for meaningful cost-savings, since these people often require costly care...
March 15, 2024: BMC Public Health
https://read.qxmd.com/read/38491419/young-people-s-experiences-of-physical-activity-insecurity-a-qualitative-study-highlighting-intersectional-disadvantage-in-the-uk
#28
JOURNAL ARTICLE
Caroline Dodd-Reynolds, Naomi Griffin, Phillippa Kyle, Steph Scott, Hannah Fairbrother, Eleanor Holding, Mary Crowder, Nicholas Woodrow, Carolyn Summerbell
BACKGROUND: Intersecting socioeconomic and demographic reasons for physical activity (PA) inequalities are not well understood for young people at risk of experiencing marginalisation and living with disadvantage. This study explored young people's experiences of PA in their local area, and the associated impacts on opportunities for good physical and emotional health and wellbeing. METHODS: Seven local youth groups were purposefully sampled from disadvantaged areas across urban, rural and coastal areas of England, including two that were specifically for LGBTQ + young people...
March 15, 2024: BMC Public Health
https://read.qxmd.com/read/38491376/assessing-the-implementation-of-a-multi-component-hypertension-program-in-a-guatemalan-under-resourced-dynamic-context-an-application-of-the-re-aim-prism-extension-for-sustainability-and-health-equity
#29
JOURNAL ARTICLE
Alejandra Paniagua-Avila, Rachel C Shelton, Juan Carlos Figueroa, Ana Lissette Guzman, Laura Gutierrez, Diego Rolando Hernandez-Galdamez, Juan Manuel Ramirez, Javier Rodriguez, Vilma Irazola, Manuel Ramirez-Zea, Meredith P Fort
BACKGROUND: The COVID-19 pandemic necessitated rapid changes in healthcare delivery in Guatemala's public primary care settings. A new hypertension program, implemented as part of a type 2 hybrid trial since 2019, exemplifies an implementation effort amidst a changing context in an under-resourced setting. We assessed the implementation of an evidence-based intervention (EBI; protocol-based hypertension treatment) and one of its main implementation strategies (team-based collaborative care), raising implications for health equity and sustainability...
March 15, 2024: Implementation science communications
https://read.qxmd.com/read/38491222/drug-stewardship-in-chronic-kidney-disease-to-achieve-effective-and-safe-medication-use
#30
REVIEW
Rasheeda K Hall, Rümeyza Kazancıoğlu, Teerawat Thanachayanont, Germaine Wong, Dharshana Sabanayagam, Marisa Battistella, Sofia B Ahmed, Lesley A Inker, Erin F Barreto, Edouard L Fu, Catherine M Clase, Juan J Carrero
People living with chronic kidney disease (CKD) often experience multimorbidity and require polypharmacy. Kidney dysfunction can also alter the pharmacokinetics and pharmacodynamics of medications, which can modify their risks and benefits; the extent of these changes is not well understood for all situations or medications. The principle of drug stewardship is aimed at maximizing medication safety and effectiveness in a population of patients through a variety of processes including medication reconciliation, medication selection, dose adjustment, monitoring for effectiveness and safety, and discontinuation (deprescribing) when no longer necessary...
March 15, 2024: Nature Reviews. Nephrology
https://read.qxmd.com/read/38489500/per-and-polyfluoroalkyl-substance-exposure-risks-in-us-carceral-facilities-2022
#31
JOURNAL ARTICLE
Lindsay Poirier, Derrick Salvatore, Phil Brown, Alissa Cordner, Kira Mok, Nicholas Shapiro
Objectives. To assess the US incarcerated population's risk of exposure to per- and polyfluoroalkyl substances (PFASs). Methods. We assessed how many of the 6118 US carceral facilities were located in the same hydrologic unit code watershed boundaries as known or likely locations of PFAS contamination. We conducted geospatial analyses on data aggregated from Environmental Protection Agency databases and a PFAS site tracker in 2022 to model the hydrologically feasible known and presumptive PFAS contamination sites for nearly 2 million incarcerated people...
March 15, 2024: American Journal of Public Health
https://read.qxmd.com/read/38489477/promotion-and-tenure-policies-and-practices-at-u-s-medical-schools-is-tenure-irrelevant-or-more-relevant-than-ever
#32
JOURNAL ARTICLE
William T Mallon, Natalya Cox
Promotion and tenure (P&T) have been common mechanisms to support and nurture faculty at higher education institutions and, therefore, have been of continual interest to medical school faculty and administrators. In the last decade, significant changes in the academic medicine sector have occurred, including new medical schools, mergers and acquisitions of academic hospitals and health systems, and institutional and societal efforts to address systemic racism and inequality. In addition, societal controversies have revived long-dormant concerns about academic freedom for medical school faculty, a bedrock principle of U...
March 14, 2024: Academic Medicine
https://read.qxmd.com/read/38489321/walkability-and-socio-economic-status-in-relation-to-walking-playing-and-sports-practice-in-a-representative-spanish-sample-of-youth-the-pasos-study
#33
JOURNAL ARTICLE
Susana Aznar, Fabio Jimenez-Zazo, Cristina Romero-Blanco, Santiago F Gómez, Clara Homs, Julia Wärnberg, Maria Medrano, Narcís Gusi, Marcela Gonzalez-Gross, Elena Marín-Cascales, Miguel Ángel González-Valeiro, Lluis Serra-Majem, Nicolás Terrados, Josep A Tur, Marta Segu, Camille Lassale, Antoni Colom-Fernández, Idoia Labayen, Jesús Sánchez-Gómez, Pedro Emilio Alcaraz, Marta Sevilla-Sanchez, Augusto G Zapico, Estefanía Herrera-Ramos, Susana Pulgar, Maria Del Mar Bibilonii, Clara Sistac, Helmut Schröder, Javier Molina-García
PURPOSE: Physical activity (PA) provides multiple health-related benefits in children and adolescents, however, at present, the majority of young people are insufficiently physically active. The aim of this study was to evaluate if neighborhood walkability and/or socio-economic status (SES) could affect the practice of walking, play outdoors and sports practice in a representative sample of Spanish children and adolescents. METHODS: A sample of 4092 youth (aged 8-16 years old) from 245 primary and secondary schools in 121 localities from each of the 17 Spanish autonomous communities participated in the study...
2024: PloS One
https://read.qxmd.com/read/38489311/testing-a-faith-placed-education-intervention-for-bowel-cancer-screening-in-muslim-communities-using-a-two-group-non-randomised-mixed-methods-approach-feasibility-study-protocol
#34
JOURNAL ARTICLE
Marimba Carr, Claire Thompson, Tara Berger-Gillam, Joanne Freedman, Nigel Smeeton, Salman Waqar, Daksha Trivedi
BACKGROUND: Inequalities exist in uptake of bowel cancer screening in England with low uptake in areas with high deprivation and amongst certain ethnic and religious groups. Individuals from these groups are more likely to receive a late diagnosis of bowel cancer. Uptake in Muslim communities, for example, has been shown to be lower than in the general population. Culturally adapted interventions are needed to address these inequalities. This feasibility study aims to assess the acceptability and accessibility of an educational faith-placed bowel cancer screening intervention in the East of England, alongside its impact on bowel screening uptake...
2024: PloS One
https://read.qxmd.com/read/38488740/impact-of-the-covid-19-pandemic-on-latino-families-with-alzheimer-disease-and-related-dementias-qualitative-interviews-with-family-caregivers-and-primary-care-providers
#35
JOURNAL ARTICLE
Jaime Perales-Puchalt, Jill Peltzer, Monica Fracachan-Cabrera, G Adriana Perez, Mariana Ramírez, K Allen Greiner, Jeffrey Murray Burns
BACKGROUND: Latino individuals experience disparities in the care of Alzheimer disease and related dementias (ADRD) and have disproportionately high COVID-19 infection and death outcomes. OBJECTIVE: We aimed to gain an in-depth understanding of the impact of the COVID-19 pandemic among Latino families with ADRD in the United States. METHODS: This was a qualitative study of 21 informal caregivers of Latino individuals with ADRD and 23 primary care providers who serve Latino patients...
March 8, 2024: JMIRx med
https://read.qxmd.com/read/38488390/health-information-sources-and-health-seeking-behaviours-of-filipinos-living-in-medically-underserved-communities-empirical-quantitative-research
#36
JOURNAL ARTICLE
Jennifer Kawi, Miguel Fudolig, Reimund Serafica, Andrew T Reyes, Francisco Sy, Erwin William A Leyva, Lorraine S Evangelista
AIMS: To describe sources of health information and health-seeking behaviours of adults (aged ≥18) living in medically underserved communities in the Philippines. DESIGN: This is a secondary, quantitative analysis from a cross-sectional parent study. Participants completed a 10-item, self-report survey on their sources of health information, healthcare providers sought for health and wellness and health-seeking behaviours when ill. Responses were evaluated across two age groups (<60 vs...
March 2024: Nursing Open
https://read.qxmd.com/read/38488382/treating-hypertension-important-for-heart-health-fundamental-for-brain-health
#37
JOURNAL ARTICLE
Sanjula D Singh, Jasper R Senff, Cornelia M van Duijn, Jonathan Rosand
The Brain Health crisis stands as one of humankind's most pressing threats, with age-related noncommunicable brain diseases, particularly stroke, and dementia, affecting hundreds of millions annually and jeopardizing the economic well-being of populations worldwide. Epidemiological studies indicate that ≈40% of dementia and 60% of stroke cases are attributable to modifiable risk factors. In this Comments and Opinions article, we underscore the pivotal role of blood pressure (BP) control in reducing suffering, enhancing economic well-being, and promoting healthy longevity for populations worldwide...
March 15, 2024: Stroke; a Journal of Cerebral Circulation
https://read.qxmd.com/read/38488379/health-inequity-and-time-from-pediatric-stroke-onset-to-arrival
#38
JOURNAL ARTICLE
Akshat M Pai, Teresa To, Gabrielle A deVeber, Daniel Nichol, Andrea Kassner, Birgit Ertl-Wagner, Mubeen F Rafay, Nomazulu Dlamini
BACKGROUND: Time from stroke onset to hospital arrival determines treatment and impacts outcome. Structural, socioeconomic, and environmental factors are associated with health inequity and onset-to-arrival in adult stroke. We aimed to assess the association between health inequity and onset-to-arrival in a pediatric comprehensive stroke center. METHODS: A retrospective observational study was conducted on a consecutive cohort of children (>28 days-18 years) diagnosed with acute arterial ischemic stroke (AIS) between 2004 and 2019...
March 15, 2024: Stroke; a Journal of Cerebral Circulation
https://read.qxmd.com/read/38488199/socioeconomic-disparities-in-neurodegenerative-disease-mortality-a-population-based-study-among-belgian-men-and-women-aged-65-or-older
#39
JOURNAL ARTICLE
Janna Dinneweth, Sylvie Gadeyne
This study investigates the association between socioeconomic position (SEP) - in terms of income and education - and mortality from neurodegenerative diseases, that is, dementia, parkinsonism, and motor neuron diseases (MNDs). We calculated age-standardized mortality rates and mortality rate ratios using log linear Poisson regression for different SEP groups, stratified by gender, age-group, and care home residency, utilizing the 2011 Belgian census linked to register data on cause-specific mortality for 2011 to 2016...
2024: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://read.qxmd.com/read/38488093/mental-health-in-paediatric-and-adult-myositis-related-diseases-current-state-of-research-interventions-and-future-steps-from-the-mihra-psychological-impact-scientific-working-group
#40
REVIEW
Aviya Lanis, Helene Alexanderson, Kaveh Ardalan, Suzanne Edison, Christopher D Graham, Ingrid de Groot, Latika Gupta, Susan Kim, Andrea M Knight, Linda Kobert, Polly Livermore, Christian Lood, Clarissa Pilkington, Malin Regardt, Tamar B Rubinstein, Susan Shenoi, Luke Turnier, Nicole B M Voet, Dawn M Wahezi, Lesley Ann Saketkoo
Psychological and emotional well-being are critical aspects of overall health for individuals with chronic rheumatologic conditions. Mental health-related literature, however, predominantly focuses on systemic lupus erythematosus or rheumatoid arthritis, with limited emphasis on idiopathic inflammatory myopathies (IIMs). High proportions of those with juvenile myositis report psychological distress at levels warranting mental health referral. Adults with dermatomyositis diagnosed with depression or anxiety do not receive adequate mental health care...
February 2024: Clinical and Experimental Rheumatology
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