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https://www.readbyqxmd.com/read/29166489/prevalence-of-syphilis-and-hiv-infection-during-pregnancy-in-incarcerated-women-and-the-incidence-of-congenital-syphilis-in-births-in-prison-in-brazil
#1
Rosa Maria Soares Madeira Domingues, Maria do Carmo Leal, Ana Paula Esteves Pereira, Barbara Ayres, Alexandra Roma Sánchez, Bernard Larouzé
This study aimed to estimate the prevalence of syphilis and HIV infection during pregnancy, the mother to child transmission of syphilis and the incidence of congenital syphilis in incarcerated women in Brazil; to compare these rates to those observed in pregnant women outside of jail; and to verify the maternal factors associated with syphilis infection during pregnancy in free and incarcerated women. We used data from two nationwide studies conducted during the period 2011-2014. The Birth in Brazil study included 23,894 free women cared for in 266 hospitals...
November 21, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29166171/decomposition-of-economic-inequality-in-needle-and-syringe-programs-utilization-to-its-determinants-among-men-who-inject-drugs-in-tehran-using-blinder-oaxaca-decomposition-method
#2
Mehdi Noroozi, Ebrahim Rahimi, Hessam Ghisvand, Mostafa Qorbani, Hamid Sharifi, Alireza Noroozi, Ali Farhoudian, Brandon D L Marshall, Zahra Jorjoran Shoshtari, Salah Eddin Karimi, Omid Rezaei, Bahram Armoon
BACKGROUND: According to latest available data there are more of 300,000 people injects drug users (PWID) in Iran. OBJECTIVES: In this study, we used a Blinder-Oaxaca (BO) decomposition to explore the relative contributions of inequality in utilization of NSPs and to decompose it to its determinants in Teheran. METHODS: We used data from a cross-sectional survey using snowball sampling to recruit 500 PWID from June to July 2016 in Tehran. Participants were reported injecting drug use in the past month, were able to speak and comprehend Farsi enough to respond to survey questions, and were able to provide informed consent to complete the interview...
November 22, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/29165627/health-literacy-and-patient-outcomes-in-chronic-kidney-disease-a-systematic-review
#3
Dominic M Taylor, Simon Fraser, Chris Dudley, Gabriel C Oniscu, Charles Tomson, Rommel Ravanan, Paul Roderick
Background: Limited health literacy affects 25% of people with chronic kidney disease (CKD), and may reduce self-management skills resulting in poorer clinical outcomes. By disproportionately affecting people with low socio-economic status and non-white ethnicity, limited health literacy may promote health inequity. Methods: We performed a systematic review of quantitative studies of health literacy and clinical outcomes among adults with CKD. Results: A total of 29 studies (13 articles; 16 conference abstracts) were included...
November 20, 2017: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/29165512/-antiretroviral-treatment-adherence-for-hiv-aids-in-women-a-sociocultural-perspective
#4
Julieta Belmar, Valeria Stuardo
BACKGROUND: Adequate adherence to HAART has a high impact on survival of AIDA patients. There is little consensus on the causes of low adherence to treatment in women, who are in a situation of inequality in terms of prevention and related care. OBJECTIVES: To explore and describe the socio-cultural aspects related to the adherence of women to antiretroviral treatment for HIV / AIDS. MATERIAL AND METHODS: Qualitative, exploratory-descriptive study...
August 2017: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
https://www.readbyqxmd.com/read/29165367/urban-green-space-and-the-pursuit-of-health-equity-in-parts-of-the-united-states
#5
Viniece Jennings, April Karen Baptiste, Na'Taki Osborne Jelks, Renée Skeete
Research has demonstrated that inequitable access to green space can relate to health disparities or inequalities. This commentary aims to shift the dialogue to initiatives that have integrated green spaces in projects that may promote health equity in the United States. Specifically, we connect this topic to factors such as community revitalization, affordable housing, neighborhood walkability, food security, job creation, and youth engagement. We provide a synopsis of locations and initiatives in different phases of development along with characteristics to support effectiveness and strategies to overcome challenges...
November 22, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29164947/trading-equality-for-health-evaluating-the-trade-off-and-institutional-hypotheses-on-health-inequalities-in-the-global-south
#6
Benjamin Sosnaud, Jason Beckfield
It has been suggested that as medicine advances and mortality declines, socioeconomic disparities in health outcomes will grow. Yet, most research on this topic uses data from affluent Western democracies, where mortality is declining in small increments. We argue that the Global South represents the ideal setting to study this issue in a context of rapid mortality decline. We evaluate two competing hypotheses: (1) there is a trade-off between population health and health inequality such that reductions in under-five mortality are linked to higher levels of social inequality in health; and (2) institutional interventions that improve under-five mortality, like the expansion of educational systems and public health expenditure, are associated with reductions in inequalities...
September 2017: Journal of Health and Social Behavior
https://www.readbyqxmd.com/read/29164499/cognitive-disparities-the-impact-of-the-great-depression-and-cumulative-inequality-on-later-life-cognitive-function
#7
Jo Mhairi Hale
Population aging has driven a spate of recent research on later-life cognitive function. Greater longevity increases the lifetime risk of memory diseases that compromise the cognitive abilities vital to well-being. Alzheimer's disease, thought to be the most common underlying pathology for elders' cognitive dysfunction (Willis and Hakim 2013), is already the sixth leading cause of death in the United States (Alzheimer's Association 2016). Understanding social determinants of pathological cognitive decline is key to crafting interventions, but evidence is inconclusive for how social factors interact over the life course to affect cognitive function...
November 21, 2017: Demography
https://www.readbyqxmd.com/read/29164123/income-gradient-in-renal-disease-mortality-in-the-united-states
#8
Shervin Assari, Maryam Moghani Lankarani
Background: Non-communicable diseases and associated mortality follow a social gradient and chronic kidney disease is not an exception to this rule. Intermediate behavioral and medical factors that may explain such social gradients are, however, still unknown. Objectives: Using nationally representative data in the United States, this study was conducted to investigate the mediating effect of medical and behavioral risk factors on the association between socioeconomic status (SES) and renal disease mortality...
2017: Frontiers in Medicine
https://www.readbyqxmd.com/read/29163151/ongoing-initiatives-to-improve-the-quality-and-efficiency-of-medicine-use-within-the-public-healthcare-system-in-south-africa-a-preliminary-study
#9
Johanna C Meyer, Natalie Schellack, Jacobus Stokes, Ruth Lancaster, Helecine Zeeman, Douglas Defty, Brian Godman, Gavin Steel
Introduction: South Africa has an appreciable burden of both communicable and non-communicable diseases as well as high maternal, neonatal, and child morbidity. In recent years there have been significant strides with improving the public health system, and addressing current inequalities, with the right to health a constitutional provision in South Africa. Initiatives include the introduction of National Health Insurance, programmes to enhance access to medicines for patients with chronic diseases, as well as activities to improve care in hospitals, including improving pharmacovigilance...
2017: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/29162019/the-health-gap-doctors-and-the-social-determinants-of-health
#10
Michael Marmot
The social gradient in health has the clear implication that action to improve health and reduce inequalities has to take place at social level, not simply depending on individual changes. Individuals' ability to change is constrained by social circumstances. The evidence that the magnitude of the gradient varies between countries, and can change within a country over time, suggests that conscious strategies to change it can be successful. In my review of evidence in Britain, the Marmot Review, we made recommendations in six domains: give every child the best start in life; education and life-long learning; employment and working conditions; ensure that everyone has at least the minimum income necessary to lead a health life; healthy and sustainable places; taking a social determinants approach to prevention...
November 2017: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/29162014/technological-innovations-and-the-rise-of-social-inequalities-in-health
#11
Daniel Weiss, Terje Andreas Eikemo
Social inequalities in health have been categorised as a human-rights issue that requires action. Unfortunately, these inequalities are on the rise in many countries, including welfare states. Various theories have been offered to explain the persistence (and rise) of these inequalities over time, including the social determinants of health and fundamental cause theory. Interestingly, the rise of modern social inequalities in health has come at a time of great technological innovation. This article addresses whether these technological innovations are significantly influencing the persistence of modern social inequalities in health...
November 2017: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/29162013/closing-the-health-gap
#12
Michael Marmot
One way of characterising the good society is one that has achieved a high degree of health equity. For a low-income country, one route to this achievement is to increase national income. But other features of society come to the fore, for low, middle and high-income societies alike. In England, my review of health inequalities highlighted: good early child development, education and life long learning, employment and working conditions, having enough income to lead a healthy life, healthy and sustainable places to live and work, taking a social determinants approach to prevention...
November 2017: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/29161900/asthma-disparity-photovoice-the-discourses-of-black-adolescent-and-public-health-policymakers
#13
Robin Andrew Evans-Agnew
BACKGROUND: Policies in U.S. public schools that address asthma management for Black adolescents may not sufficiently transform sociocultural determinants of disparities. A critical analysis of public health policy maker and adolescent discourses on asthma management using an ecological framework could inform policy development. This study describes the discourses of asthma management disparities of school and other public health policymakers and Black adolescents with asthma during a statewide asthma planning activity...
February 1, 2017: Health Promotion Practice
https://www.readbyqxmd.com/read/29161074/challenging-and-preventing-policies-that-prohibit-local-civil-rights-protections-for-lesbian-gay-bisexual-transgender-and-queer-people
#14
Jennifer L Pomeranz
Discrimination causes health inequities for stigmatized groups. Lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals, in particular, are at significantly increased risk for disparate health outcomes when they reside in states that fail to extend equal protections to them or that actively deprive equal rights to them. Several states and the federal government have proposed or enacted laws that permit residents to discriminate against LGBTQ individuals. One such law, Arkansas's Intrastate Commerce Improvement Act of 2015, preempts or prohibits local governments from enacting civil rights protections for LGBTQ individuals that are also lacking at the state level...
November 21, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/29160452/technical-issues-and-conservation-conditions-of-medicines-in-the-primary-health-care-of-the-brazilian-unified-health-system
#15
Ediná Alves Costa, Patrícia Sodré Araújo, Marcelo Tavares Pereira, Ana Cristina Souto, Gisélia Santana Souza, Augusto Afonso Guerra, Francisco de Assis Acurcio, Ione Aquemi Guibu, Juliana Alvares, Karen Sarmento Costa, Margô Gomes de Oliveira Karnikowski, Orlando Mario Soeiro, Silvana Nair Leite
OBJECTIVE: To characterize the technical issues and conditions of medicines conservation in Primary Health Care of Brazilian regions, responsible for pharmacy/dispensing unit profile; environmental, storage, and dose fractioning conditions; inventory control and waste management; fire and electrical failure safety items; transportation problems; advertising regulation; and pharmacovigilance. METHODS: This article is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos - Serviços (National Survey on Access, Use and Promotion of Rational Use of Medicines - Services)-, a cross-sectional and exploratory study, of evaluative nature, consisting of an information survey within a representative sample of municipalities, stratified by Brazilian regions, which constitute the study domains, and a sample of Primary Health Care services...
November 13, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29159977/migrant-children-s-health-problems-care-needs-and-inequalities-european-primary-care-paediatricians-perspective
#16
A Carrasco-Sanz, I Leiva-Gea, L Martin-Alvarez, S Del Torso, D van Esso, A Hadjipanayis, A Kadir, J Ruiz-Canela, O Perez-Gonzalez, Z Grossman
No abstract text is available yet for this article.
November 21, 2017: Child: Care, Health and Development
https://www.readbyqxmd.com/read/29159544/-yeah-that-made-a-big-difference-the-importance-of-the-relationship-between-health-professionals-and-fathers-who-have-a-child-with-down-syndrome
#17
Freyja Docherty, Rebecca Dimond
Evidence suggests that medical services do not reflect the increased involvement of fathers in childcare, a discrepancy that can often lead to feelings of exclusion and inequality. Fathers who have a child with Down syndrome may encounter many different health professionals during their child's life, therefore it is important to consider this relationship, and investigate the factors that influence their experiences. This is particularly important because the limited research focusing on fathers suggest that those who have a child with Down syndrome can experience increased stress levels and lasting feelings of loss and grief...
November 20, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/29157764/perianesthesia-nurses-are-my-second-family-a-qualitative-descriptive-study
#18
Julanne Seefeldt, Stacey Wood, Pamela Bolton, Tara Fitzpatrick, Kristin Stegenga, Cristine Roberts
PURPOSE: Identify the perceptions of perianesthesia nurses regarding behaviors that promote or detract from sustaining a safe, efficient, and satisfying work environment. DESIGN: Two focus groups and seven individual interviews (n=14) were conducted exploring the perceptions regarding team behavior of registered nurses in one pediatric perianesthesia unit. METHODS: Qualitative descriptive data collection, inductive content analysis. FINDINGS: Nurses described a responsive, engaged health care team whose leadership is available and directive when needed, as creating an effective, satisfying work environment...
December 2017: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29157251/slender-women-and-overweight-men-gender-differences-in-the-educational-gradient-in-body-weight-in-south-korea
#19
Yeonjin Lee
BACKGROUND: Little is known about the gender-specific mechanisms through which education is associated with weight status in societies that have experienced a rapid rise in their obesity rates. This study extends previous literature by examining how the link between education and weight status operates within the structure of gender relations in South Korea where huge gender differences have been observed in the educational inequalities in weight status. METHODS: Using the Korean National Health Survey (N = 17,947) conducted in 2008-2012 conditional quantile regression models were estimated to assess the associations between education and body weight distribution...
November 21, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29151476/tobacco-control-measures-to-reduce-socioeconomic-inequality-in-smoking-the-necessity-time-course-perspective-and-future-implications
#20
Takahiro Tabuchi, Hiroyasu Iso, Eric Brunner
Previous systematic reviews of population-level tobacco control interventions and their effects on smoking inequality by socioeconomic factors concluded that tobacco taxation reduce smoking inequality by income (although this is not consistent for other socioeconomic factors, such as education). Inconsistent results have been reported for socioeconomic differences, especially for other tobacco control measures, such as smoke-free policies and anti-tobacco media campaigns. To understand smoking inequality itself and to develop strategies to reduce smoking inequality, knowledge of the underlying principles or mechanisms of the inequality over a long time-course may be important...
November 18, 2017: Journal of Epidemiology
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