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https://www.readbyqxmd.com/read/28532407/socioeconomic-inequalities-in-the-uptake-of-maternal-healthcare-services-in-ethiopia
#1
Markos Mezmur, Kannan Navaneetham, Gobopamang Letamo, Hadgu Bariagaber
BACKGROUND: The progress in coverage of maternal health services in Ethiopia has been rather slow over the past decade and consequently the maternal mortality ratio was very high (673 per 100,000 live births) among the countries in Sub-Saharan Africa and remained constant during 2005-11 period. Earlier studies have mostly focused on determinants of maternal health seeking behavior in Ethiopia. However, little is known about the inequality aspects. This study intends to examine socioeconomic inequalities in the uptake of maternal health services and to identify factors that contribute to such inequalities...
May 22, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28521648/an-exploratory-study-of-the-experience-of-fibromyalgia-diagnosis-in-south-africa
#2
Silvie Cooper, Leah Gilbert
Within the conceptual framework of 'medically-ill-defined' conditions, this article focuses on the experiences of 'diagnosis' through a narrative analysis of fibromyalgia (a chronic musculoskeletal pain disorder) in South Africa. In-depth interviews were used to collect narratives from 15 participants. The findings show how the contested and confusing experience of fibromyalgia diagnosis can be understood, by viewing the interactions that patients have with their practitioners, families, peers and colleagues...
May 2017: Health (London)
https://www.readbyqxmd.com/read/28520949/socio-economic-inequalities-in-access-to-maternal-and-child-healthcare-in-nigeria-changes-over-time-and-decomposition-analysis
#3
Oludamilola Adeyanju, Sandy Tubeuf, Tim Ensor
This article examines socioeconomic inequalities in maternal and child health care in Nigeria over an 18-year period. Studies demonstrate that maternal and child mortality is much higher amongst the poor in low-income countries, with access to health care concentrated among the wealthiest. Evidence suggests that in Nigeria inequalities in access to quality services continue to persist. We use data from two rounds of the Nigerian Demographic and Heath Survey (NDHS) conducted in 1990 and 2008 and measure inequalities in maternal and child health care variables across socioeconomic status using concentration curves and indices...
May 17, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28520880/children-s-health-in-europe-challenges-for-the-next-decades
#4
Lennart Köhler
These reflections from a Child Public Health perspective underline the dramatic changes in children's conditions in Europe over this last century, including a considerable improvement in health. However, we still face problems, disturbing facts and alarming signs. There are important gaps in our knowledge about essential areas of children's health panorama and about particularly vulnerable sub-groups of children, which are less healthy, less well cared for and not enjoying the good conditions of life. We also see an evident lack of the child's perspective, implying acknowledgement and action on the views of the children themselves...
May 18, 2017: Health Promotion International
https://www.readbyqxmd.com/read/28516263/-social-inequalities-in-the-prevalence-of-chronic-back-pain-among-adults-in-germany
#5
Benjamin Kuntz, Jens Hoebel, Judith Fuchs, Hanne Neuhauser, Thomas Lampert
BACKGROUND: Back pain is a common cause for health care utilization and inability to work and associated with corresponding costs. The aim of the study was to investigate socioeconomic inequalities in chronic back pain in the adult general population. METHODS: The analyses were based on pooled data of three waves (2009, 2010, 2012) of the nationwide German Health Update (GEDA) study carried out by the Robert Koch Institute (n = 62,606 aged 18 years and older)...
May 17, 2017: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/28515272/racial-disparities-in-neurologic-health-care-access-and-utilization-in-the-united-states
#6
Altaf Saadi, David U Himmelstein, Steffie Woolhandler, Nicte I Mejia
OBJECTIVE: To evaluate racial and ethnic differences in the utilization of neurologic care across a wide range of neurologic conditions in the United States. METHODS: We analyzed nationally representative data from the 2006-2013 Medical Expenditure Panel Survey (MEPS), including information on demographics, patient-reported health conditions, neurology visit rates, and costs. Using diagnostic codes, we identified persons with any self-identified neurologic disorder except back pain, as well as 5 subgroups (Parkinson disease, multiple sclerosis, headache, cerebrovascular disease, and epilepsy)...
May 17, 2017: Neurology
https://www.readbyqxmd.com/read/28513761/socioeconomic-determinants-of-access-to-health-services-among-older-adults-a-systematic-review
#7
Ana Paula Santana Coelho Almeida, Bruno Pereira Nunes, Suele Manjourany Silva Duro, Luiz Augusto Facchini
OBJECTIVE: The objective of this study was to analyze the association between the socioeconomic characteristics and the access to or use of health services among older adults. METHODS: This is a systematic review of the literature. The search has been carried out in the databases PubMed, LILACS and Web of Science, without restriction of dates and languages; however we have included only articles published in Portuguese, English, and Spanish. The inclusion criteria were: observational design, socioeconomic factors as variables of interest in the analysis of the access to or use of health services among older adults, representative sample of the target population, adjustment for confounding factors, and no selection bias...
May 15, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28512502/health-inequalities-associated-with-post-stroke-visual-impairment-in-the-united-kingdom-and-ireland-a-systematic-review
#8
REVIEW
K L Hanna, F J Rowe
The aim of this study was to report on the health inequalities facing stroke survivors with visual impairments as described in the current literature. A systemic review of the literature was conducted to investigate the potential health inequalities facing stroke survivors with subsequent visual impairments. A quality-of-evidence and risk-of-bias assessment was conducted for each of the included articles using the appropriate tool dependent on the type of article. Only four articles discussed health inequalities affecting stroke survivors with visual impairment specifically...
June 2017: Neuro-ophthalmology
https://www.readbyqxmd.com/read/28509513/challenges-identified-in-a-pilot-outreach-dental-service-for-traveller-children-in-hackney-east-london
#9
J Doughty, D Simons, N Pearson, P Evans, D Wright
Impetus for action: Inequity of dental health and dental service use for Travellers in the UK. National guidance on improving community oral health, stresses an imperative to involve and engage with "those whose economic, social and environmental circumstances or lifestyle place them at high risk of poor oral health or make it difficult for them to access dental services". Solution: Oral health promotion and simple treatments were provided on two Traveller sites from a mobile dental unit (MDU) over a 5-day period and patients with extensive oral disease were referred to a fixed-site clinic for continued care...
September 2016: Community Dental Health
https://www.readbyqxmd.com/read/28508422/age-related-inequalities-in-health-and-healthcare-the-life-stages-approach
#10
Nancy S Jecker
How should healthcare systems prepare to care for growing numbers and proportions of older people? Older people generally suffer worse health than younger people do. Should societies take steps to reduce age-related health inequalities? Some express concern that doing so would increase age-related inequalities in healthcare. This paper addresses this debate by (1) presenting an argument in support of three principles for distributing scarce resources between age groups; (2) framing these principles of age group justice in terms of life stages; and (3) indicating policy implications that merit further attention in light of rapidly aging societies...
May 16, 2017: Developing World Bioethics
https://www.readbyqxmd.com/read/28507999/risk-factors-of-road-traffic-accidents-associated-mortality-in-northern-iran-a-single-center-experience-utilizing-oaxaca-blinder-decomposition
#11
Faranak Sherafati, Enayatollah Homaie-Rad, Abolhassan Afkar, Ramin Gholampoor-Sigaroodi, Soheil Sirusbakht
OBJECTIVES: To investigate the differences in death after receiving emergency services in traffic accidents between urban and rural regions, and decompose factors of the gap in Langerood, Northern Iran. METHODS: This cross-sectional study was conducted in Langrood, Northern Iran during a 1-year period from 2013 to 2014. The hospital data of traffic crashes were used. Data contained those patients who survived at the scene of accident. Injury severity score, time to admission, age, gender, season of crash and type of collision were variables used in this study...
April 2017: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/28502310/variations-in-out-of-pocket-costs-for-primary-care-services-across-australia-a-regional-analysis
#12
Emily Callander, Sarah Larkins, Lisa Corscadden
The aim of this study is to describe average out-of-pocket costs across different regions of Australia, as defined by Primary Health Network (PHN) boundaries, and assess the association between population characteristics and out-of-pocket costs for selected primary care services. A combination of descriptive and regression analysis was undertaken using administrative data from the Australian Department of Human Services reporting on the health services used across PHNs in Australia. Those in regional areas paid significantly more for Allied Health services than those in capital cities (A$5...
May 15, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28502218/recommendations-to-reduce-inequalities-for-lgbt-people-facing-advanced-illness-accesscare-national-qualitative-interview-study
#13
Katherine Bristowe, Matthew Hodson, Bee Wee, Kathryn Almack, Katherine Johnson, Barbara A Daveson, Jonathan Koffman, Linda McEnhill, Richard Harding
BACKGROUND: Lesbian, gay, bisexual and/or trans (LGBT) people have higher risk of certain life-limiting illnesses and unmet needs in advanced illness and bereavement. ACCESSCare is the first national study to examine in depth the experiences of LGBT people facing advanced illness. AIM: To explore health-care experiences of LGBT people facing advanced illness to elicit views regarding sharing identity (sexual orientation/gender history), accessing services, discrimination/exclusion and best-practice examples...
April 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/28501223/health-care-barriers-racism-and-intersectionality-in-australia
#14
João L Bastos, Catherine E Harnois, Yin C Paradies
While racism has been shown to negatively affect health care quality, little is known about the extent to which racial discrimination works with and through gender, class, and sexuality to predict barriers to health care (e.g., perceived difficulty accessing health services). Additionally, most existing studies focus on racial disparities in the U.S. context, with few examining marginalized groups in other countries. To address these knowledge gaps, we analyze data from the 2014 Australian General Social Survey, a nationally representative survey of individuals aged 15 and older living in 12,932 private dwellings...
May 4, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28498342/income-related-inequalities-in-access-to-dental-care-services-in-japan
#15
Akemi Nishide, Misuzu Fujita, Yasunori Sato, Kengo Nagashima, Sho Takahashi, Akira Hata
Background: This study aimed to evaluate whether income-related inequalities in access to dental care services exist in Japan. Methods: The subjects included beneficiaries of the National Health Insurance (NHI) in Chiba City, Japan, who had been enrolled from 1 April 2014 to 31 March 2015. The presence or absence of dental visits and number of days spent on dental care services during the year were calculated using insurance claims submitted. Equivalent household income was calculated using individual income data from 1 January to 31 December 2013, declared for taxation...
May 12, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28497868/person-centred-care-dialectics-inquired-in-the-context-of-palliative-care
#16
Joakim Öhlén, Sheryl Reimer-Kirkham, Barbara Astle, Cecilia Håkanson, Joyce Lee, Marjukka Eriksson, Richard Sawatzky
Although a widely used concept in health care, person-centred care remains somewhat ambiguous. In the field of palliative care, person-centred care is considered a historically distinct ideal and yet there continues to be a dearth of conceptual clarity. Person-centred care is also challenged by the pull of standardization that characterizes much of health service delivery. The conceptual ambiguity becomes especially problematic in contemporary pluralistic societies, particularly in the light of continued inequities in healthcare access and disparities in health outcomes...
May 12, 2017: Nursing Philosophy: An International Journal for Healthcare Professionals
https://www.readbyqxmd.com/read/28497357/socioeconomic-inequalities-in-treatment-of-individuals-with-common-mental-disorders-regarding-subsequent-development-of-mental-illness
#17
Thomas E Dorner, Ellenor Mittendorfer-Rutz
PURPOSE: Socioeconomic differences appear to be reflected in both, the development and the treatment of common mental disorders (CMDs, i.e. depressive, anxiety and stress-related disorders). Underlying mechanisms of these inequalities are to date not fully understood. This study aimed to investigate if (1) there are socioeconomic differences with regard to type of treatment and (2) if the socioeconomic status modifies the association between treatment and subsequent inpatient care or suicide attempt, respectively, in individuals with CMDs...
May 11, 2017: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/28495977/modelling-the-implications-of-reducing-smoking-prevalence-the-public-health-and-economic-benefits-of-achieving-a-tobacco-free-uk
#18
Daniel Hunt, André Knuchel-Takano, Abbygail Jaccard, Arti Bhimjiyani, Lise Retat, Chit Selvarajah, Katrina Brown, Laura L Webber, Martin Brown
INTRODUCTION: Smoking is still the most preventable cause of cancer, and a leading cause of premature mortality and health inequalities in the UK. This study modelled the health and economic impacts of achieving a 'tobacco-free' ambition (TFA) where, by 2035, less than 5% of the population smoke tobacco across all socioeconomic groups. METHODS: A non-linear multivariate regression model was fitted to cross-sectional smoking data to create projections to 2035. These projections were used to predict the future incidence and costs of 17 smoking-related diseases using a microsimulation approach...
May 11, 2017: Tobacco Control
https://www.readbyqxmd.com/read/28495250/austerity-and-its-implications-for-immigrant-health-in-france
#19
Carolyn Sargent, Laurence Kotobi
The ongoing economic crisis in France increasingly has affected immigrant rights, including access to health care. Consistent with a 2014 League Against Cancer survey, we identify the ways in which sickness produces a "double penalty" for immigrants with serious illness. Immigrants with chronic illnesses such as cancer, diabetes, and other debilitating conditions divert vital funds from daily needs to deal with sickness and loss of work while at the same time national austerity measures shred the state's traditional safety net of social services and support...
May 4, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28495112/inequalities-in-non-communicable-diseases-between-the-major-population-groups-in-israel-achievements-and-challenges
#20
REVIEW
Khitam Muhsen, Manfred S Green, Varda Soskolne, Yehuda Neumark
Israel is a high-income country with an advanced health system and universal health-care insurance. Overall, the health status has improved steadily over recent decades. We examined differences in morbidity, mortality, and risk factors for selected non-communicable diseases (NCDs) between subpopulation groups. Between 1975 and 2014, life expectancy in Israel steadily increased and is currently above the average life expectancy for the Organisation for Economic Co-operation and Development countries. Nevertheless, life expectancy has remained lower among Israeli Arabs than Israeli Jews, and this gap has recently widened...
May 5, 2017: Lancet
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