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https://www.readbyqxmd.com/read/29772397/grandmother-and-health-care-professional-breastfeeding-perspectives-provide-opportunities-for-health-promotion-in-an-american-indian-community
#1
Bailey Houghtaling, Carmen Byker Shanks, Selena Ahmed, Elizabeth Rink
RATIONALE: While breastfeeding is well recognized as beneficial, rates of breastfeeding among American Indian women are below average and contribute to health inequities. Culturally specific approaches to breastfeeding research are called for to inform appropriate interventions in American Indian communities. Specifically, a grandmother's role in breastfeeding promotion is of great import particularly in American Indian (AI) groups, although is an understudied topic to date. OBJECTIVE: This research seeks to fill a prominent literature gap by utilizing a grounded theory and community-based research approach to inform breastfeeding practices from the voices of grandmothers and health care professionals in a rural AI community in the United States...
May 8, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29771897/is-general-practice-identification-of-prior-cardiovascular-disease-at-the-time-of-cvd-risk-assessment-accurate-and-does-it-matter
#2
Sue Wells, Katrina Poppe, Vanessa Selak, Andrew Kerr, Romana Pylypchuk, Billy Wu, Wing Cheuk Chan, Corina Grey, Suneela Mehta, Dudley Gr Gentles, Rod Jackson
AIMS: To determine the accuracy of general practice recording of prior cardiovascular disease (CVD) at the time of CVD risk assessment and whether recording impacts on CVD management. METHODS: Prior CVD status entered at the time of a first CVD risk assessment from 2002-2015 was compared to prior ischaemic CVD hospitalisations from national datasets using anonymous linkage with an encrypted National Health Index identifier. Clinical factors associated with inaccurate recording of prior events were identified using multivariable logistic regression...
May 18, 2018: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29768587/-access-to-prenatal-care-and-quality-of-care-in-the-family-health-strategy-infrastructure-care-and-management
#3
Wilderi Sidney Gonçalves Guimarães, Rosana Cristina Pereira Parente, Thayanne Louzada Ferreira Guimarães, Luiza Garnelo
This study focuses on access to prenatal care and quality of care in the Family Health Strategy in Brazil as a whole and in the North region, through evaluation of infrastructure characteristics in the health units, management, and supply of care provided by the teams, from the perspective of regional and state inequalities. A cross-sectional evaluative and normative study was performed, drawing on the external evaluation component of the second round of the Program for Improvement of Access and Quality of Primary Care, in 2013-2014...
May 10, 2018: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29764354/impact-of-ethnicity-on-the-natural-history-of-parkinson-disease
#4
Anna Sauerbier, Azman Aris, Ee Wei Lim, Kalyan Bhattacharya, K Ray Chaudhuri
Parkinson disease (PD) affects people of all races and ethnicity worldwide. PD is a multineurotransmitter and multisystem disorder and our current concept of the natural history of PD has changed considerably over the past decades. Many aspects of this heterogeneous condition still remain unexplained; one aspect that is poorly studied is the role of ethnicity and manifest motor and non-motor PD. Some preliminary data suggest that the prodromal risk of developing PD, clinical symptom expression and the experience of living with the condition may vary between different ethnic groups...
May 21, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/29763786/born-equal-the-distribution-of-government-medicare-spending-for-children
#5
Kim M Dalziel, Li Huang, Harriet Hiscock, Philip M Clarke
Providing equitable care is an objective of many national healthcare systems. Using the birth cohort of the nationally representative Longitudinal Study of Australian Children linked with the Medicare Benefits Scheme billing data who were recruited in 2004 at ages 0-1 years and assessed biennially for six waves, we assessed the distribution of out-of-hospital government Medicare spending by household income. 4853 children followed over 11 years were included in the study. Distributions of major spending components including general practitioner and specialist care were assessed using concentration indices...
April 25, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29762795/addressing-racism-in-medical-education-an-interactive-training-module
#6
Tanya White-Davis, Jennifer Edgoose, Joedrecka S Brown Speights, Kathryn Fraser, Jeffrey M Ring, Jessica Guh, George W Saba
BACKGROUND AND OBJECTIVES: Education of health care clinicians on racial and ethnic disparities has primarily focused on emphasizing statistics and cultural competency, with minimal attention to racism. Learning about racism and unconscious processes provides skills that reduce bias when interacting with minority patients. This paper describes the responses to a relationship-based workshop and toolkit highlighting issues that medical educators should address when teaching about racism in the context of pernicious health disparities...
May 2018: Family Medicine
https://www.readbyqxmd.com/read/29757075/unpacking-racial-ethnic-disparities-in-prenatal-care-use-the-role-of-individual-household-and-area-level-characteristics
#7
Tiffany L Green
OBJECTIVE: To identify the contributions of individual-, household-, and area-level characteristics to disparities in the use of prenatal care (PNC). METHODS: This study used individual-level data from the 2001 Early Childhood Longitudinal Study-Birth Cohort linked to county-level U.S. Census data (N ≈ 5,200). I used nonlinear regression decomposition to quantify the contributions of several groups of factors-maternal health and pregnancy characteristics, preconception health behaviors, insurance coverage, PNC location, socioeconomic status (SES), and the social/economic and healthcare environments-to PNC disparities...
May 14, 2018: Journal of Women's Health
https://www.readbyqxmd.com/read/29751973/advancing-indigenous-primary-health-care-policy-in-alberta-canada
#8
Rita Henderson, Stephanie Montesanti, Lindsay Crowshoe, Charles Leduc
For Indigenous people worldwide, accessing Primary Health Care (PHC) services responsive to socio-cultural realities is challenging, with institutional inequities in healthcare and jurisdictional barriers encumbering patients, providers, and decision-makers. In the Canadian province of Alberta, appropriate Indigenous health promotion, disease prevention, and primary care health services are needed, though policy reform is hindered by complex networks and competing interests between: federal/provincial funders; reserve/urban contexts; medical/allied health professional priorities; and three Treaty territories each structuring fiduciary responsibilities of the Canadian government...
May 7, 2018: Health Policy
https://www.readbyqxmd.com/read/29751836/inequities-and-their-determinants-in-coverage-of-maternal-health-services-in-burkina-faso
#9
Takondwa Mwase, Stephan Brenner, Jacob Mazalale, Julia Lohmann, Saidou Hamadou, Serge M A Somda, Valery Ridde, Manuela De Allegri
BACKGROUND: Poor and marginalized segments of society often display the worst health status due to limited access to health enhancing interventions. It follows that in order to enhance the health status of entire populations, inequities in access to health care services need to be addressed as an inherent element of any effort targeting Universal Health Coverage. In line with this observation and the need to generate evidence on the equity status quo in sub-Saharan Africa, we assessed the magnitude of the inequities and their determinants in coverage of maternal health services in Burkina Faso...
May 11, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29749290/neither-medicine-nor-health-care-staff-members-are-violent-by-nature-obstetric-violence-from-an-interactionist-perspective
#10
Ximena Briceño Morales, Laura Victoria Enciso Chaves, Carlos Enrique Yepes Delgado
This study sought to understand the meaning that women place on the health care practices carried out during labor. We used techniques from Grounded Theory such as coding, categorization, and constant comparison. A total of 18 interviews were conducted with 16 women who had given birth at least once in Colombia. Based on our results, we argue that obstetric violence is an expression of violence during the provision of health care, which occurs in a social environment favoring the development of power relationships between patients and health care staff...
May 1, 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29747643/decomposing-health-inequality-with-population-based-surveys-a-case-study-in-rwanda
#11
Kai Liu, Chunling Lu
BACKGROUND: Ensuring equal access to care and providing financial risk protection are at the center of the global health agenda. While Rwanda has made impressive progress in improving health outcomes, inequalities in medical care utilization and household catastrophic health spending (HCHS) between the impoverished and non-impoverished populations persist. Decomposing inequalities will help us understand the factors contributing to inequalities and design effective policy instruments in reducing inequalities...
May 10, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29743230/proactive-strategies-to-address-health-equity-and-disparities-recommendations-from-a-bi-national-symposium
#12
Jeannie Haggerty, Marshall H Chin, Alan Katz, Kue Young, Jonathan Foley, Antoine Groulx, Eliseo J Pérez-Stable, Jeff Turnbull, Jennifer E DeVoe, Uche Uchendo
INTRODUCTION: Health inequities persist in Canada and the United States. Both countries show differential health status and health care quality by social characteristics, making zip or postal code a greater predictor of health than genetics. Many social determinants of health overlap in the same individuals or communities, exacerbating their vulnerability. Many of the contributing factors and problems are structural and evade simple solutions. METHODS: In March 2017 a binational Canada-US symposium was held in Washington DC involving 150 primary care thought leaders, including clinicians, researchers, patients, and policy makers to address transformation in integrated primary care...
May 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29743084/assessing-reported-cases-of-sexual-and-gender-based-violence-causes-and-preventive-strategies-in-european-asylum-reception-facilities
#13
Charlotte Oliveira, Ines Keygnaert, Maria do Rosário Oliveira Martins, Sónia Dias
BACKGROUND: Sexual and gender-based violence (SGBV) is a widespread public health problem and a violation of human rights rooted in gender and power inequities. Refugees, asylum-seekers and migrants living in European asylum reception facilities (EARF) are especially vulnerable to SGBV. To contribute to closing the gap on systematic and accurate evidence on SGBV, we aim to explore reported cases of SGBV, causes and preventable measures described by residents and professionals from EARF...
May 9, 2018: Globalization and Health
https://www.readbyqxmd.com/read/29736617/insiders-insight-discrimination-against-indigenous-peoples-through-the-eyes-of-health-care-professionals
#14
Lloy Wylie, Stephanie McConkey
Discrimination in the health care system has a direct negative impact on health and wellbeing. Experiences of discrimination are considered a root cause for the health inequalities that exist among Indigenous peoples. Experiences of discrimination are commonplace, with patients noting abusive treatment, stereotyping, and a lack of quality in the care provided, which discourage Indigenous people from accessing care. This research project examined the perspectives of health care providers and decision-makers to identify what challenges they see facing Indigenous patients and families when accessing health services in a large city in southern Ontario...
May 7, 2018: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/29734692/the-inverse-response-law-theory-and-relevance-to-the-aftermath-of-disasters
#15
Suzanne Phibbs, Christine Kenney, Graciela Rivera-Munoz, Thomas J Huggins, Christina Severinsen, Bruce Curtis
The Inverse Care Law is principally concerned with the effect of market forces on health care which create inequities in access to health services through privileging individuals who possess the forms of social capital that are valued within health care settings. The fields of disaster risk reduction need to consider the ways in which inequities, driven by economic and social policy as well as institutional decision-making, create vulnerabilities prior to a disaster, which are then magnified post disaster through entrenched structural differences in access to resources...
May 4, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29733064/apoyo-social-y-marginaci%C3%A3-n-como-determinantes-de-la-atenci%C3%A3-n-prenatal-en-mujeres-con-seguridad-social-en-m%C3%A3-xico
#16
Maritza Maldonado-Cisneros, Oswaldo Sinoe Medina-Gómez
Introducción: La atención prenatal garantiza resultados favorables para la salud materno-fetal, para ello es necesario que se realice de forma precoz, periódica, completa y con alta cobertura. Objetivo: Conocer los determinantes sociales para la atención prenatal en mujeres derechohabientes del Instituto Mexicano del Seguro Social durante 2014. Método: Estudio transversal en el que se analizó la asociación de condiciones sociales, apoyo social y funcionalidad familiar con atención prenatal inadecuada...
2018: Gaceta Médica de México
https://www.readbyqxmd.com/read/29730549/can-conditional-health-policies-be-justified-a-policy-analysis-of-the-new-nhs-dental-contract-reforms
#17
Louise Laverty, Rebecca Harris
Conditional policies, which emphasise personal responsibility, are becoming increasingly common in healthcare. Although used widely internationally, they are relatively new within the UK health system where there have been concerns about whether they can be justified. New NHS dental contracts include the introduction of a conditional component that restricts certain patients from accessing a full range of treatment until they have complied with preventative action. A policy analysis of published documents on the NHS dental contract reforms from 2009 to 2016 was conducted to consider how conditionality is justified and whether its execution is likely to cause distributional effects...
April 26, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29729490/health-literacy-and-health-rethinking-the-strategies-for-universal-health-coverage-in-ghana
#18
Padmore Adusei Amoah, David R Phillips
OBJECTIVES: Health literacy (HL) is generally thought to be associated with positive health behaviour, appropriate health service utilisation and acceptance of interventions to maximise health outcomes. It is, therefore, increasingly suggested that evidence-based research should investigate how HL may operate in the context of universal health coverage (UHC). However, the role of HL in the relationships between elements of UHC such as access to health care and health insurance has not been widely explored...
May 2, 2018: Public Health
https://www.readbyqxmd.com/read/29726042/socioeconomic-inequalities-in-the-use-of-dental-care-services-during-early-childhood-an-epidemiological-survey
#19
João Gabriel Silva Souza, Aline Araújo Sampaio, Bárbara Emanoelle Costa Oliveira, Kimberly Marie Jones, Andréa Maria Eleutério De Barros Lima Martins
BACKGROUND: The use of dental care services contributes to the improvement of children's healthy behaviors, reducing the prevalence of future dental problems. In this way, the purpose of this study was to describe the use of dental care service during early childhood and the possible socioeconomic inequalities in this use. DESIGN: Data from the Brazilian Oral Health Survey (SB Brasil, 2010) were used. Interviews with the children's parents and clinical examinations with the children were conducted in a 5-year-old representative sample...
May 3, 2018: International Journal of Paediatric Dentistry
https://www.readbyqxmd.com/read/29722555/exploring-health-services-accessibility-by-indigenous-women-in-asia-and-identifying-actions-to-improve-it-a-scoping-review
#20
Onouma Thummapol, Tanya Park, Sylvia Barton
OBJECTIVES: The aim of this scoping review was to uncover and summarize what is known in the literature about the experiences of Indigenous women in Asia regarding access to health services. DESIGN: The study was informed by the scoping review methodology proposed by Arksey and O'Malley [2005. "Scoping Studies: Towards a Methodological Framework." International Journal of Social Research Methodology 8 (1): 19-32. doi: 10.1080/1364557032000119616 ]. A comprehensive search of the databases for peer-reviewed studies and grey literature was conducted between January 2000 and December 2016...
May 3, 2018: Ethnicity & Health
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