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https://www.readbyqxmd.com/read/29786515/research-brief-persistent-social-inequality-in-medicine-use-for-headache-among-adolescents-in-denmark-1991-2014
#1
Bjørn Evald Holstein, Anne Maj Denbæk, Anette Andersen, Pernille Due
BACKGROUND: Socioeconomic variation in adolescents' medicine use behaviour is an understudied issue. OBJECTIVES: To examine the association between socioeconomic background and medicine use for headache among adolescents, and how this association changes over time. METHODS: Data stem from the Danish part of the international Health Behaviour in School-aged Children (HBSC) study 1991-2014 with data about parents' occupational social class (OSC) and self-reported medicine use for headache, n = 26,685...
May 18, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29786494/failure-to-tackle-suicide-inequalities-across-europe
#2
Jayati Das-Munshi, Graham Thornicroft
SummaryIn this issue, Lorant et al. confirm a social gradient in risk of suicide, across 15 European countries, over a period of marked social change. Understanding contextual and life-course factors, and acknowledging under-funding for mental health and failures to implement national mental health policies, may provide the reasons for these disparities.Declaration of interestNone.
June 2018: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/29786492/socioeconomic-inequalities-in-suicide-in-europe-the-widening-gap
#3
Vincent Lorant, Rianne de Gelder, Dharmi Kapadia, Carme Borrell, Ramune Kalediene, Katalin Kovács, Mall Leinsalu, Pekka Martikainen, Gwenn Menvielle, Enrique Regidor, Maica Rodríguez-Sanz, Bogdan Wojtyniak, Bjørn Heine Strand, Matthias Bopp, Johan P Mackenbach
BACKGROUND: Suicide has been decreasing over the past decade. However, we do not know whether socioeconomic inequality in suicide has been decreasing as well.AimsWe assessed recent trends in socioeconomic inequalities in suicide in 15 European populations. METHOD: The DEMETRIQ study collected and harmonised register-based data on suicide mortality follow-up of population censuses, from 1991 and 2001, in European populations aged 35-79. Absolute and relative inequalities of suicide according to education were computed on more than 300 million person-years...
June 2018: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/29784896/measuring-and-explaining-socioeconomic-inequalities-in-public-healthcare-utilization-in-western-iran-evidence-from-a-cross-sectional-survey
#4
Shahab Rezaeian, Mohammad Hajizadeh, Satar Rezaei, Sina Ahmadi, Ali Kazemi Karyani, Yahya Salimi
BACKGROUND: Equity in healthcare utilization is a major health policy goal in all healthcare systems. This study aimed to examine socioeconomic inequalities in public healthcare utilization in Kermanshah City, western Iran. STUDY DESIGN: A cross-sectional study. METHODS: Using convenience sampling method, 2040 adult aged 18-65 yr were enrolled from Kermanshah City in 2017. A self-administrated questionnaire was used to collect data on socio-demographic characteristics, socioeconomic status, behavioral factors, and utilization of public healthcare services (inpatient and outpatient care) over the period between from May to Aug 2017...
May 14, 2018: Journal of Research in Health Sciences
https://www.readbyqxmd.com/read/29784607/telestroke-adoption-among-community-hospitals-in-north-carolina-a-cross-sectional-study
#5
Christopher M Shea, Amir Alishahi Tabriz, Kea Turner, Steve North, Kristin L Reiter
OBJECTIVE: This study identifies community and hospital characteristics associated with adoption of telestroke among acute care hospitals in North Carolina (NC). METHODS: Our sample included 107 hospitals located in NC. Our analytic dataset included variables from the American Hospital Association (AHA) annual survey, AHA Health IT supplement, Healthcare Cost Report Information System, and Centers for Disease Control and Prevention's WONDER online database. We supplemented our secondary sources with data on telestroke adoption and market-level variables developed for NC...
May 18, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/29783963/he-tamariki-kokoti-tau-tackling-preterm-a-data-linkage-methodology-to-explore-the-clinical-care-pathway-in-preterm-deliveries
#6
Sara Filoche, Fiona Cram, Angela Beard, Dalice Sim, Stacie Geller, Liza Edmonds, Bridget Robson, Beverley Lawton
BACKGROUND: Significant health inequities exist around maternal and infant health for Māori, the indigenous people of Aotearoa New Zealand - and in particular around a premature (preterm) delivery. Māori babies are more likely to be born preterm (8.1%, compared to an overall rate of 7.4%) and they are more likely to have a preterm death. An essential part of redressing these disparities is to examine the clinical care pathway and outcomes associated with preterm deliveries. This paper describes a protocol utilising national and local health collections to enable such a study...
May 21, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29781915/childhood-asthma-disparities-in-chicago-developing-approaches-to-health-inequities
#7
Molly A Martin, Melissa Gutierrez Kapheim, Kim Erwin, Stacy Ignoffo, Kate McMahon, Amy OʼRourke, Lynn B Gerald, Meredith Barrett, Valerie G Press, Houshang Darabi, Jerry A Krishnan
We conducted a needs assessment to develop an evidence-based, locally tailored asthma care implementation plan for high-risk children with asthma in Chicago. Our team of health policy experts, clinicians, researchers, and designers included extensive stakeholder engagement (N = 162) in a mixed-methods community needs assessment. Results showed the lines of communication and collaboration across sectors were weak; caregivers were the only consistent force and could not always manage this burden. A series of recommendations for interventions and how to implement and measure them were generated...
July 2018: Family & Community Health
https://www.readbyqxmd.com/read/29781398/group-medical-visits-as-participatory-care-in-community-health-centers
#8
Ariana Thompson-Lastad
In this article, I examine group medical visits, a clinic-based intervention that aims to improve patient health by combining clinical care, health education and peer support. Research shows that health care inequalities are reproduced through the interplay of interpersonal, institutional, and structural factors. I examine changing social relations made possible by group visits, including peer support and an expanded role for patient knowledge. The qualitative data presented here are part of a mixed-methods study of how group medical visits and integrative medicine are combined and implemented for low-income people with chronic conditions...
June 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29781216/measuring-inequalities-in-the-demographical-and-geographical-distribution-of-physicians-in-china-generalist-versus-specialist
#9
Jingxian Wu
OBJECTIVE: The equitable distribution of both generalist and specialist physicians is vital in establishing a fair and efficient health care system. The presents study aims at comparatively measuring the demographical and geographical distribution of generalist and specialist physicians in China from 2012 to 2016. METHODS: The data were obtained from China Health and Family Planning Statistics and China Statistical Yearbooks 2013 to 2017. Descriptive statistical methods were used to address the quantity and density of physicians, and Gini coefficient was adopted as inequality indicator to trace their distribution inequalities...
May 20, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29781042/inequities-in-genetic-testing-for-hereditary-breast-cancer-implications-for-public-health-practice
#10
REVIEW
Ambreen Sayani
The Ontario Breast Screening Program for women with a genetic predisposition to breast cancer is one of the first international models of a government-funded public health service that offers systematic genetic screening to women at a high risk of breast cancer. However, since the implementation of the program in 2011, enrolment rates have been lower than anticipated. Whilst there may be several reasons for this to happen, it does call into consideration the 'inverse equity law', whereby the more advantaged in society are the first to participate and benefit from universal health services...
May 20, 2018: Journal of Community Genetics
https://www.readbyqxmd.com/read/29779450/access-for-all-assessing-vertical-and-horizontal-inequities-in-healthcare-utilization-among-young-people-in-northern-sweden
#11
Cecilia M Wagenius, Miguel San Sebastián, Per E Gustafsson, Isabel Goicolea
BACKGROUND: Previous studies in Sweden have detected socioeconomic inequities in access to healthcare services. However, there is limited information regarding access in younger populations. The aim of this study was to explore vertical and horizontal inequities in access to healthcare services in young adults in the north of Sweden. METHODS: The study used data from the Health on Equal Terms survey (age group 16-24 years, n = 2726) for the health and healthcare variables and from national registers for the sociodemographic characteristics...
May 1, 2018: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/29779203/subjective-social-status-and-mortality-the-english-longitudinal-study-of-ageing
#12
Panayotes Demakakos, Jane P Biddulph, Cesar de Oliveira, Georgios Tsakos, Michael G Marmot
Self-perceptions of own social position are potentially a key aspect of socioeconomic inequalities in health, but their association with mortality remains poorly understood. We examined whether subjective social status (SSS), a measure of the self-perceived element of social position, was associated with mortality and its role in the associations between objective socioeconomic position (SEP) measures and mortality. We used Cox regression to model the associations between SSS, objective SEP measures and mortality in a sample of 9972 people aged ≥ 50 years from the English Longitudinal Study of Ageing over a 10-year follow-up (2002-2013)...
May 19, 2018: European Journal of Epidemiology
https://www.readbyqxmd.com/read/29778934/spatial-accessibility-of-primary-health-care-in-china-a-case-study-in-sichuan-province
#13
Xiuli Wang, Huazhen Yang, Zhanqi Duan, Jay Pan
Access to primary health care is considered a fundamental right and an important facilitator of overall population health. Township health centers (THCs) and Community health centers (CHCs) serve as central hubs of China's primary health care system and have been emphasized during recent health care reforms. Accessibility of these hubs is poorly understood and a better understanding of the current situation is essential for proper decision making. This study assesses spatial access to health care provided by primary health care institutions (THCs/CHCs) in Sichuan Province as a microcosm in China...
May 10, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29777979/a-qualitative-study-of-disengagement-in-disadvantaged-areas-of-the-uk-you-come-through-your-door-and-you-lock-that-door
#14
M Romeo-Velilla, N Ellis, G Hurst, S Grogan, C Gidlow
Health inequalities are a major concern in the UK. Power imbalances are associated with health inequalities and should be challenged through health promotion and empowering strategies, enabling individuals who feel powerless to take control over their own life and act on the determinants of health (Green and Tones, 2010). This study aimed to explore resident expectations of a community engagement programme that intended to empower communities to take action on pre-identified priorities. The programme targeted communities in deprived areas of a mid-sized city in the UK...
May 16, 2018: Health & Place
https://www.readbyqxmd.com/read/29777956/how-do-gender-relations-affect-the-working-lives-of-close-to-community-health-service-providers-empirical-research-a-review-and-conceptual-framework
#15
Rosalind Steege, Miriam Taegtmeyer, Rosalind McCollum, Kate Hawkins, Hermen Ormel, Maryse Kok, Sabina Rashid, Lilian Otiso, Mohsin Sidat, Kingsley Chikaphupha, Daniel Gemechu Datiko, Rukhsana Ahmed, Rachel Tolhurst, Woedem Gomez, Sally Theobald
Close-to-community (CTC) providers have been identified as a key cadre to progress universal health coverage and address inequities in health service provision due to their embedded position within communities. CTC providers both work within, and are subject to, the gender norms at community level but may also have the potential to alter them. This paper synthesises current evidence on gender and CTC providers and the services they deliver. This study uses a two-stage exploratory approach drawing upon qualitative research from the six countries (Bangladesh, Indonesia, Ethiopia, Kenya, Malawi, Mozambique) that were part of the REACHOUT consortium...
May 5, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29777100/uncovering-the-hidden-impacts-of-inequality-on-mental-health-a-global-study
#16
Shoukai Yu
Women are nearly twice as likely as men to suffer from mental illness. This gender disparity in depressive disorders may relate to social inequalities and living standards across nations. Currently, these disparities were not reflected at the level of health policies. This study utilized global data for depressive disorders and socioeconomic data from the United Nations' World Bank databases and Global Burden of Disease database to demonstrate the correlation between social inequality and gender disparities in mental health...
May 18, 2018: Translational Psychiatry
https://www.readbyqxmd.com/read/29776897/reach-and-acceptability-of-a-mobile-reminder-strategy-and-facebook-group-intervention-for-weight-management-in-less-advantaged-adolescents-insights-from-the-pralimap-in%C3%A3-s-trial
#17
Laura Saez, Johanne Langlois, Karine Legrand, Marie-Hélène Quinet, Edith Lecomte, Abdou Y Omorou, Serge Briançon
BACKGROUND: Although information and communication technology interventions appear to be a promising means of reducing the health inequality gap in overweight and obesity prevention, research on information and communication technology interventions is lacking outside the Anglo-Saxon world. OBJECTIVE: The aim of this study was to assess the reach and acceptability of 2 information and communication technology interventions delivered as part of a French nutritional program: an SMS text messaging (short message service, SMS) attendance-reminder for collective sessions strategy and a Facebook challenge group...
May 18, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29772607/mechanisms-and-drivers-of-social-inequality-in-phase-ii-cardiac-rehabilitation-attendance-a-convergent-mixed-methods-study
#18
Maria Pedersen, Dorthe Overgaard, Ingelise Andersen, Marie Baastrup, Ingrid Egerod
AIM: To explore the extent to which the qualitative and quantitative data converge and explain mechanisms and drivers of social inequality in cardiac rehabilitation attendance. BACKGROUND: Social inequality in cardiac rehabilitation attendance has been a recognized problem for many years. However, to date the mechanisms driving these inequalities are still not fully understood. DESIGN: The study was designed as a convergent mixed methods study...
May 17, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29772397/grandmother-and-health-care-professional-breastfeeding-perspectives-provide-opportunities-for-health-promotion-in-an-american-indian-community
#19
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
#20
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
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