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https://www.readbyqxmd.com/read/28933772/horizontal-inequity-in-health-care-utilization-among-the-middle-aged-and-elderly-in-china
#1
Chaofan Li, Lei Dou, Haipeng Wang, Shanshan Jing, Aitian Yin
BACKGROUND: Equitable utilization of health care is a primary goal of the Chinese health system. This study aimed to examine horizontal inequity in health care utilization and identify the factors resulting in inequity among the middle-aged and elderly in China. METHODS: The data were obtained from the China Health and Retirement Longitudinal Study (CHARLS). We employed the concentration index (CI) and horizontal inequity (HI) to measure inequity in health care utilization...
July 26, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28933747/facilitators-of-physical-activity-voices-of-adolescents-in-a-disadvantaged-community
#2
Linus Jonsson, Christina Berg, Christel Larsson, Peter Korp, Eva-Carin Lindgren
Despite increasing socioeconomic inequalities in the health and well-being of adolescents, the voices of adolescents in disadvantaged communities regarding facilitators of physical activity (PA) have received relatively little attention. In response, the purpose of this study was to illuminate what adolescents in a multicultural community of low socioeconomic status (SES) in Sweden convey concerning facilitators of PA. Adolescents (n = 53, aged 12-13 years) were recruited from a school in a multicultural community of low SES in Sweden...
July 26, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28931416/social-disparities-in-food-preparation-behaviours-a-dedipac-study
#3
Caroline Méjean, Wendy Si Hassen, Séverine Gojard, Pauline Ducrot, Aurélie Lampuré, Hans Brug, Nanna Lien, Mary Nicolaou, Michelle Holdsworth, Laura Terragni, Serge Hercberg, Katia Castetbon
BACKGROUND: The specific role of major socio-economic indicators in influencing food preparation behaviours could reveal distinct socio-economic patterns, thus enabling mechanisms to be understood that contribute to social inequalities in health. This study investigated whether there was an independent association of each socio-economic indicator (education, occupation, income) with food preparation behaviours. METHODS: A total of 62,373 adults participating in the web-based NutriNet-Santé cohort study were included in our cross-sectional analyses...
September 20, 2017: Nutrition Journal
https://www.readbyqxmd.com/read/28931392/income-related-inequality-and-influencing-factors-a-study-for-the-incidence-of-catastrophic-health-expenditure-in-rural-china
#4
Hai Gu, Yun Kou, Zhiwen Yan, Yilei Ding, Jusheng Shieh, Jun Sun, Nan Cui, Qianjing Wang, Hua You
BACKGROUND: Catastrophic health expenditure (CHE) puts a heavy disease burden on patients' families, aggravating income-related inequality. In an attempt to reduce the financial risks of rural families incurring CHE, China began the New Rural Cooperative Medical System (NCMS) on a trial basis in 2003 and has raised the reimbursement rates continuously since then. Based on statistical data about rural families in sample area of Jiangsu province, this study measures the incidence of CHE, analyzes socioeconomic inequality related to CHE, and explores the influences of the NCMS on the incidence of CHE...
September 20, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28931385/internet-use-ehealth-literacy-and-attitudes-toward-computer-internet-among-people-with-schizophrenia-spectrum-disorders-a-cross-sectional-study-in-two-distant-european-regions
#5
Christina Athanasopoulou, Maritta Välimäki, Katerina Koutra, Eliisa Löttyniemi, Antonios Bertsias, Maria Basta, Alexandros N Vgontzas, Christos Lionis
BACKGROUND: Individuals with schizophrenia spectrum disorders use the Internet for general and health-related purposes. Their ability to find, understand, and apply the health information they acquire online in order to make appropriate health decisions - known as eHealth literacy - has never been investigated. The European agenda strives to limit health inequalities and enhance mental health literacy. Nevertheless, each European member state varies in levels of Internet use and online health information-seeking...
September 20, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28931349/human-rights-and-access-to-healthcare-services-for-indigenous-peoples-in-africa
#6
Ebenezer Durojaye
In September 2015, the United Nations adopted the sustainable development goals (SDGs) to address among others poverty and inequality within and among countries of the world. In particular, the SDGs aim at ameliorating the position of disadvantaged and vulnerable groups in societies. One of the over-arching goals of the SDGs is to ensure that no one is left behind in the realisation of their access to health care. African governments are obligated under international and regional human rights law to ensure access to healthcare services for everyone, including indigenous populations, on a non-discriminatory basis...
September 20, 2017: Global Public Health
https://www.readbyqxmd.com/read/28931228/civil-registration-and-vital-statistics-emergencies-and-international-law-understanding-the-intersection
#7
Claire E Brolan, Hebe Gouda
Civil registration and vital statistics (CRVS) systems are typically run by governments to record every birth, adoption, death, marriage, and divorce that occurs among a country's population. Registration of vital events provides individuals with a formal relationship with the State and each other, and is the foundation of a person's identity, nationality, and legal status. At a population level, vital statistics are essential for effective planning and implementation of policies and services. Globally, strong CRVS systems are increasingly recognised as a crucial backbone for redressing health inequities and as a priority in strengthening global health and development efforts...
May 1, 2017: Medical Law Review
https://www.readbyqxmd.com/read/28931117/migrant-tuberculosis-patient-needs-and-health-system-response-along-the-thailand-myanmar-border
#8
Naomi Tschirhart, Francois Nosten, Angel M Foster
This article aims to identify how the health system in Tak province, Thailand has responded to migrants' barriers to tuberculosis (TB) treatment. Our qualitatively driven multi-methods project utilized focus group discussions, key informant interviews, and a survey of community health volunteers to collect data in 2014 from multiple perspectives. Migrants identified legal status and transportation difficulties as the primary barriers to seeking TB treatment. Lack of financial resources and difficulties locating appropriate and affordable health services in other Thai provinces or across the border in Myanmar further contributed to migrants' challenges...
October 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28929818/improving-accountability-in-vaccine-decision-making
#9
James Kenneth Timmis, Steven Black, Rino Rappuoli
Introduction Healthcare decisions, in particular those affecting entire populations, should be evidence-based and taken by decision-makers sharing broad alignment with affected stakeholders. However, criteria, priorities and procedures for decision-making are sometimes non-transparent, frequently vary considerably across equivalent decision-bodies, do not always consider the broader benefits of new health-measures, and therefore do not necessarily adequately represent the relevant stakeholder-spectrum. Areas covered To address these issues in the context of the evaluation of new vaccines, we have proposed a first baseline set of core evaluation criteria, primarily selected by members of the vaccine research community, and suggested their implementation in vaccine evaluation procedures...
September 20, 2017: Expert Review of Vaccines
https://www.readbyqxmd.com/read/28929726/-factors-associated-to-medical-visits-comparison-among-italians-and-immigrants-resident-in-italy
#10
Anteo Di Napoli, Monica Perez, Alessandra Rossi, Daniele Spizzichino, Laura Iannucci, Lidia Gargiulo, Daniela Panaccione, Concetta Mirisola, Alessio Petrelli
OBJECTIVES: to evaluate the role of factors potentially associated with the use of medical visits by the immigrant population living in Italy, making a comparison with the Italian population. DESIGN: cross-sectional study based on the representative sample of the population residing in Italy considered in the Survey "Health and use of health services" conducted by the Italian National Institute of Statistics (Istat) in 2013. SETTING AND PARTICIPANTS: the study was conducted on a sample of citizens aged 18-64 years (72,476 individuals) representing a population of 37,290,440 residents in Italy (33...
May 2017: Epidemiologia e Prevenzione
https://www.readbyqxmd.com/read/28929725/-perceived-discrimination-at-work-for-being-an-immigrant-a-study-on-self-perceived-mental-health-status-among-immigrants-in-italy
#11
Anteo Di Napoli, Rosaria Gatta, Alessandra Rossi, Monica Perez, Gianfranco Costanzo, Concetta Mirisola, Alessio Petrelli
BACKGROUND: exposure to discrimination is widely understood as a social determinant of psychophysical health and a contributing factor to health inequities among social groups. Few studies exist, particularly in Italy, about the effects of discrimination among immigrants at workplace. OBJECTIVES: to analyse the association between perceived discrimination at work for being an immigrant and mental health status among immigrants in Italy. SETTING AND PARTICIPANTS: a sub-sample of 12,408 immigrants residing in Italy was analysed...
May 2017: Epidemiologia e Prevenzione
https://www.readbyqxmd.com/read/28929722/-self-perceived-health-status-among-immigrants-in-italy
#12
Alessio Petrelli, Anteo Di Napoli, Alessandra Rossi, Lidia Gargiulo, Concetta Mirisola, Gianfranco Costanzo
OBJECTIVES: to evaluate self-perceived health status of immigrants in Italy. DESIGN: cross-sectional study based on the representative national samples of the multipurpose surveys "Health conditions and use of health services" conducted in 2005 and 2013 by the Italian National Institute of Statistics (Istat). SETTING AND PARTICIPANTS: the study was conducted on the age group of 18-64: No. 80,661 in 2005, among which 3.2% were immigrants, and No...
May 2017: Epidemiologia e Prevenzione
https://www.readbyqxmd.com/read/28929301/urban-heart-detroit-a-tool-to-better-understand-and-address-health-equity-gaps-in-the-city
#13
R Mehdipanah, A J Schulz, B A Israel, C Gamboa, Z Rowe, M Khan, A Allen
The Urban Health Equity Assessment Response Tool (Urban HEART) combines statistical evidence and community knowledge to address urban health inequities. This paper describes the process of adopting and implementing this tool for Detroit, Michigan, the first city in the USA to use it. The six steps of Urban HEART were implemented by the Healthy Environments Partnership, a community-based participatory research partnership made up of community-based organizations, health service providers, and researchers based in academic institutions...
September 19, 2017: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/28929182/public-awareness-of-poverty-as-a-determinant-of-health-survey-results-from-23-countries
#14
Olaf von dem Knesebeck, Nico Vonneilich, Tae Jun Kim
OBJECTIVES: We aim to examine (1) variations in the public awareness of poverty as a determinant of health and (2) associations of individual and macro level factors with awareness. METHODS: Analyses are based on the International Social Survey Programme. Data stem from 23 countries (N = 37,228) that were assigned to six welfare states. Sociodemographic, socio-economic, and health-related factors were considered as individual level characteristics. Gross domestic product, relative poverty rate, Gini coefficient, and magnitude of health inequalities were additionally introduced as macro level factors...
September 19, 2017: International Journal of Public Health
https://www.readbyqxmd.com/read/28927575/inequity-in-healthcare-use-among-older-people-after-2008-the-case-of-southern-european-countries
#15
Lara Patrício Tavares, Francesca Zantomio
Despite the sizeable cuts in public healthcare spending, which were part of the austerity measures recently undertaken in Southern European countries, little attention has been devoted to monitoring its distributional consequences in terms of healthcare use. This study aims at measuring socioeconomic inequities in primary and secondary healthcare use experienced some time after the crisis onset in Italy, Spain and Portugal. The analysis, based on data drawn from the Survey of Health, Ageing and Retirement in Europe (SHARE), focuses on older people, who generally face significantly higher healthcare needs, and whose health appeared to have worsened in the aftermath of the crisis...
September 16, 2017: Health Policy
https://www.readbyqxmd.com/read/28927396/socioeconomic-disparities-in-orthodontic-treatment-outcomes-and-expenditure-on-orthodontics-in-england-s-state-funded-national-health-service-a-retrospective-observational-study
#16
Juliet Price, William Whittaker, Stephen Birch, Paul Brocklehurst, Martin Tickle
BACKGROUND: This study aimed to assess whether there are potential areas for efficiency improvements in the National Health Service (NHS) orthodontic service in North West England and to assess the socioeconomic status (SES)-related equity of the outcomes achieved by the NHS. METHODS: The study involved a retrospective analysis of 2008-2012 administrative data, and the study population comprised patients aged ≥10 who started NHS primary care orthodontic treatment in North West England in 2008...
September 19, 2017: BMC Oral Health
https://www.readbyqxmd.com/read/28926940/stress-exposure-and-physical-mental-and-behavioral-health-among-american-indian-adults-with-type-2-diabetes
#17
Melissa L Walls, Kelley J Sittner, Benjamin D Aronson, Angie K Forsberg, Les B Whitbeck, Mustafa al'Absi
American Indian (AI) communities experience disproportionate exposure to stressors and health inequities including type 2 diabetes. Yet, we know little about the role of psychosocial stressors for AI diabetes-related health outcomes. We investigated associations between a range of stressors and psychological, behavioral, and physical health for AIs with diabetes. This community-based participatory research with 5 AI tribes includes 192 AI adult type 2 diabetes patients recruited from clinical records at tribal clinics...
September 16, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28926330/-diabetes-socioeconomic-inequalities-in-the-portuguese-population-in-2014
#18
Joana Santos, Irina Kislaya, Liliana Antunes, Ana João Santos, Ana Paula Paula Rodrigues, Mariana Neto, Carlos Matias Dias
INTRODUCTION: Diabetes is a major public health problem and it is related to socioeconomic factors. The aim of this study is to describe socioeconomic inequalities in the distribution of diabetes in the population with 25 years or more, resident in Portugal in 2014. MATERIAL AND METHODS: Data from the Health National Survey 2014 was analysed, n = 16 786. We estimated the prevalence of diabetes in the population and stratified by socioeconomic variables namely educational level and income...
August 31, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28924399/changing-the-rules-of-the-game-how-do-we-measure-success-in-social-media
#19
REVIEW
Aisling M Hogan, Desmond C Winter
Ours will be the generation proud to say we shifted the sands of educational deserts by open access and proliferation, seeding of data sharing, and watering grassroots research in resource-compromised environments. Universal "social" media is defining features of modern professional life that provide powerful modes of knowledge acquisition/sharing to that end. Altmetric and other measurements stratify academic communications according to this alternate, online media presence (not academic penetrance). Are they meaningless, self-absorbed integers, or reliable yardsticks of scientific and educational prowess? Far beyond this trite, patronizing question from the minds of outdated, terrified technophobes, the real impact of "social" media is not narcissistic solipsism...
September 2017: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/28924272/achievements-of-healthcare-services-vis-a-vis-the-mdg-targets-evidence-from-pakistan
#20
Saeeda Batool, Ather Maqsood Ahmed
OBJECTIVE: To investigate the impact of public healthcare facilities and socio-economic circumstances on the status of child health. METHODS: The study was conducted at the School of Social Sciences and Humanities of the National University of Sciences and Technology, Islamabad, Pakistan. The human opportunity index framework was used to measure the trends in health inequalities and coverage using Pakistan Social and Living Standards Measurement dataset from year 2001-02 to 2012-13 at national and provincial levels...
September 2017: JPMA. the Journal of the Pakistan Medical Association
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