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https://www.readbyqxmd.com/read/28212638/commissioning-for-health-improvement-following-the-2012-health-and-social-care-reforms-in-england-what-has-changed
#1
E W Gadsby, S Peckham, A Coleman, D Bramwell, N Perkins, L M Jenkins
BACKGROUND: The wide-ranging program of reforms brought about by the Health and Social Care Act (2012) in England fundamentally changed the operation of the public health system, moving responsibility for the commissioning and delivery of services from the National Health Service to locally elected councils and a new national public health agency. This paper explores the ways in which the reforms have altered public health commissioning. METHODS: We conducted multi-methods research over 33 months, incorporating national surveys of Directors of Public Health and local council elected members at two time-points, and in-depth case studies in five purposively selected geographical areas...
February 17, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28212600/persistence-of-social-inequalities-in-modern-welfare-states-explanation-of-a-paradox
#2
Johan P Mackenbach
AIMS: Social-epidemiological explanations of health inequalities usually take the existence of social inequality as a given and ignore the fundamental questions of why social inequality exists in the first place and why it is so persistent. I review here theories of the explanation of social inequality to identify the processes and/or structures responsible for its persistence. METHODS: This paper is a review of the relevant sociological literature. RESULTS: The sociological literature suggests that what persists over long periods of time is not a specific manifestation of social inequality but a 'meta-phenomenon': the fact that there are different social positions, that these social positions give access to different levels of resources in some graded way and that the distribution of individuals over social positions follows rules that create inequalities in the opportunities for achieving a more advantaged social position...
March 2017: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/28212440/emergent-inequality-and-self-organized-social-classes-in-a-network-of-power-and-frustration
#3
Benoit Mahault, Avadh Saxena, Cristiano Nisoli
We propose a simple agent-based model on a network to conceptualize the allocation of limited wealth among more abundant expectations at the interplay of power, frustration, and initiative. Concepts imported from the statistical physics of frustrated systems in and out of equilibrium allow us to compare subjective measures of frustration and satisfaction to collective measures of fairness in wealth distribution, such as the Lorenz curve and the Gini index. We find that a completely libertarian, law-of-the-jungle setting, where every agent can acquire wealth from or lose wealth to anybody else invariably leads to a complete polarization of the distribution of wealth vs...
2017: PloS One
https://www.readbyqxmd.com/read/28209201/understanding-the-performance-of-community-health-volunteers-involved-in-the-delivery-of-health-programmes-in-underserved-areas-a-realist-synthesis
#4
REVIEW
Gaëlle Vareilles, Jeanine Pommier, Bruno Marchal, Sumit Kane
BACKGROUND: The recruitment of community health volunteers (CHVs) to support the delivery of health programmes is an established approach in underserved areas and in particular where there are health inequalities due to the scarcity of trained human resources. However, there is a dearth of evidence about what works to improve CHVs' performance. This review aimed to synthesise existing literature to explain why, how and under which circumstances intervention approaches to improve the performance of CHVs are more likely to be successful...
February 16, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28207634/ethnic-background-is-a-potential-barrier-to-living-donor-kidney-transplantation-in-canada-a-single-center-retrospective-cohort-study
#5
Istvan Mucsi, Aarushi Bansal, Olusegun Famure, Yanhong Li, Margot Mitchell, Amy D Waterman, Marta Novak, S Joseph Kim
BACKGROUND: We examined if African or Asian ethnicity was associated with lower access to kidney transplantation (KT) in a Canadian setting. METHODS: Patients referred for KT to the Toronto General Hospital from January 1, 2003 to December 31, 2012, who completed social work assessment, were included (n=1769). The association between ethnicity and the time from referral to completion of KT evaluation or receipt of a KT were examined using Cox proportional hazards models...
February 15, 2017: Transplantation
https://www.readbyqxmd.com/read/28202142/from-institutional-segmentation-to-market-fragmentation-institutional-transformation-and-the-shifting-stratification-order-in-urban-china
#6
Wei Zhao, Xueguang Zhou
Focusing on the changing roles of organizations, this study develops an institutional framework to examine the shifting stratification order since the mid-1990s in urban China. We argue that, after the mid-1990s, the Chinese state led a dual process of institutional transformation. On the one hand, the state dismantled the socialist redistributive system and broke down institutional segmentation based on organizational ownership and bureaucratic rank. On the other hand, the state developed different markets with various paces and strategies, resulting in fragmented market environments...
March 2017: Social Science Research
https://www.readbyqxmd.com/read/28202141/non-intact-families-and-diverging-educational-destinies-a-decomposition-analysis-for-germany-italy-the-united-kingdom-and-the-united-states
#7
Fabrizio Bernardi, Diederik Boertien
We examine whether the presence of non-intact families in society is related to increased inequality in educational attainment according to social background, as suggested by the 'diverging destinies' thesis. We analyze four countries, Germany, Italy, the United Kingdom, and the United States, that differ in the prevalence of non-intact families and in the strength of the negative association between growing up in a non-intact family and children's educational attainment. We use a Blinder-Oaxaca decomposition approach to calculate a 'counterfactual' estimate of differences in educational attainment between socioeconomically advantaged and disadvantaged children in the hypothetical absence of non-intact families...
March 2017: Social Science Research
https://www.readbyqxmd.com/read/28199042/global-effects-of-income-and-income-inequality-on-adult-height-and-sexual-dimorphism-in-height
#8
Barry Bogin, Christiane Scheffler, Michael Hermanussen
OBJECTIVES: Average adult height of a population is considered a biomarker of the quality of the health environment and economic conditions. The causal relationships between height and income inequality are not well understood. We analyze data from 169 countries for national average heights of men and women and national-level economic factors to test two hypotheses: (1) income inequality has a greater association with average adult height than does absolute income; and (2) neither income nor income inequality has an effect on sexual dimorphism in height...
February 15, 2017: American Journal of Human Biology: the Official Journal of the Human Biology Council
https://www.readbyqxmd.com/read/28196951/understanding-repeated-non-attendance-in-health-services-a-pilot-analysis-of-administrative-data-and-full-study-protocol-for-a-national-retrospective-cohort
#9
Andrea E Williamson, David A Ellis, Philip Wilson, Ross McQueenie, Alex McConnachie
INTRODUCTION: Understanding the causes of low engagement in healthcare is a pre-requisite for improving health services' contribution to tackling health inequalities. Low engagement includes missing healthcare appointments. Serially (having a pattern of) missing general practice (GP) appointments may provide a risk marker for vulnerability and poorer health outcomes. METHODS AND ANALYSIS: A proof of concept pilot using GP appointment data and a focus group with GPs informed the development of missed appointment categories: patients can be classified based on the number of appointments missed each year...
February 14, 2017: BMJ Open
https://www.readbyqxmd.com/read/28196512/a-core-outcome-set-for-evaluating-self-management-interventions-in-people-with-comorbid-diabetes-and-severe-mental-illness-study-protocol-for-a-modified-delphi-study-and-systematic-review
#10
Johanna Taylor, Jan R Böhnke, Judy Wright, Ian Kellar, Sarah L Alderson, Tom Hughes, Richard I G Holt, Najma Siddiqi
BACKGROUND: People with diabetes and comorbid severe mental illness (SMI) form a growing population at risk of increased mortality and morbidity compared to those with diabetes or SMI alone. There is increasing interest in interventions that target diabetes in SMI in order to help to improve physical health and reduce the associated health inequalities. However, there is a lack of consensus about which outcomes are important for this comorbid population, with trials differing in their focus on physical and mental health...
February 14, 2017: Trials
https://www.readbyqxmd.com/read/28194503/inequalities-by-immigrant-status-in-depressive-symptoms-in-europe-the-role-of-integration-policy-regimes
#11
Davide Malmusi, Laia Palència, Umar Z Ikram, Anton E Kunst, Carme Borrell
PURPOSE: We aimed to study whether country integration policy models were related to inequalities by immigrant status in depressive symptoms in Europe. METHODS: This is a cross-sectional study using data from 17 countries in the sixth wave of the European Social Survey (2012), comparing subjects born either in the country of residence (non-immigrants, N = 28,333) or in a country not classified as "advanced economy" by the IMF (immigrants, N = 2041). Depressive symptoms were assessed with the eight-item version of the Center for Epidemiologic Studies Depression scale...
February 14, 2017: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/28193187/effect-modification-of-social-context-changes-on-mental-disability-in-china-from-1987-to-2006-a-multi-level-study-of-1-9-million-people
#12
Zhenjie Wang, Lihua Pang, Ning Li, Chao Guo, Gong Chen, Xiaoying Zheng
BACKGROUND: Very little literature has explored how mental disability in China is connected with inequalities in social and environmental contexts. In the study described herein, we determine whether social-context inequalities were associated with mental disability in China from 1987 to 2006. METHODS: Data were derived from national representative population-based data from the 1987 and 2006 China National Sample Survey on Disability. Both surveys used multistage, stratified random cluster sampling, with a probability proportionate to size, to derive nationally representative samples...
February 13, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28192712/personal-and-political-histories-in-the-designing-of-health-reform-policy-in-bolivia
#13
Alissa Bernstein
While health policies are a major focus in disciplines such as public health and public policy, there is a dearth of work on the histories, social contexts, and personalities behind the development of these policies. This article takes an anthropological approach to the study of a health policy's origins, based on ethnographic research conducted in Bolivia between 2010 and 2012. Bolivia began a process of health care reform in 2006, following the election of Evo Morales Ayma, the country's first indigenous president, and leader of the Movement Toward Socialism (Movimiento al Socialism)...
January 21, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28192033/seven-foundational-principles-of-population-health-policy
#14
Dru Bhattacharya, Jay Bhatt
In 2016, Keyes and Galea issued 9 foundational principles of population health science and invited further deliberations by specialists to advance the field. This article presents 7 foundational principles of population health policy whose intersection with health care, public health, preventive medicine, and now population health, presents unique challenges. These principles are in response to a number of overarching questions that have arisen in over a decade of the authors' collective practice in the public and private sectors, and having taught policy within programs of medicine, law, nursing, and public health at the graduate and executive levels...
February 13, 2017: Population Health Management
https://www.readbyqxmd.com/read/28191650/theorizing-critical-placemaking-as-a-tool-for-reclaiming-public-space
#15
Erin E Toolis
As economic inequality and segregation continue to grow in the U.S., psychology has an important role to play in exploring and promoting processes that can disrupt social injustice. This paper identifies the privatization of public space as a social problem that contributes to the entrenchment of social, economic, and racial inequality, and advances "critical placemaking" as a tool for reclaiming public space for public use. Drawing from key concepts in environmental psychology, narrative psychology, and community psychology, the proposed framework seeks to theorize the processes by which placemaking may contribute to transforming community narratives and building more inclusive, participatory, and democratic communities...
February 13, 2017: American Journal of Community Psychology
https://www.readbyqxmd.com/read/28191364/how-well-can-we-predict-educational-outcomes-examining-the-roles-of-cognitive-ability-and-social-position-in-educational-attainment
#16
Tim Morris, Danny Dorling, George Davey Smith
Social inequalities in UK educational outcomes continue to persist despite improvements in recent years. However, studies that examine these inequalities fail to account for differences in prior cognitive ability. We seek to determine the influence of cognitive ability on educational outcomes and the extent of socio-economic disparities in education across a wide range of indicators while accounting for cognitive ability. Social inequalities exist whereby children from disadvantaged backgrounds systematically underperform compared to their advantaged peers regardless of cognitive ability; high ability children from disadvantaged backgrounds are disproportionately less likely to attain good grades compared to children from advantaged backgrounds...
July 2, 2016: Contemp Soc Sci
https://www.readbyqxmd.com/read/28188604/-contextualizing-context-reconciling-environmental-exposures-social-networks-and-location-preferences-in-health-research
#17
REVIEW
Yan Kestens, Rania Wasfi, Alexandre Naud, Basile Chaix
PURPOSE OF REVIEW: The aim of this paper is to review the recent advances in health and place research and discuss concepts useful to explore how context affects health. More specifically, it reviews measures and tools used to account for place; concepts relating to daily mobility and multiple exposure to places, and further points to the intertwining between social and spatial networks to help further our understanding of how context translates into health profiles. RECENT FINDINGS: Significant advances in environmental or neighborhood effects have been made in the last decades...
February 10, 2017: Current Environmental Health Reports
https://www.readbyqxmd.com/read/28187766/impact-of-universal-interventions-on-social-inequalities-in-physical-activity-among-older-adults-an-equity-focused-systematic-review
#18
REVIEW
Gesa Lehne, Gabriele Bolte
BACKGROUND: Physical activity is one of the most important contributors to healthy aging. Public health strategies aiming to promote physical activity among older adults are increasingly being implemented. However, little is known about their impact on social inequalities. Purpose of the study was to analyze whether and how studies of interventions consider effects on social inequalities in physical activity among older adults. METHODS: Nine electronic databases were searched to identify quantitative studies evaluating the effects of interventions on self-reported or objectively measured physical activity among the general population of older adults (≥50 years)...
February 10, 2017: International Journal of Behavioral Nutrition and Physical Activity
https://www.readbyqxmd.com/read/28186936/narrowing-mortality-gap-between-men-and-women-over-two-decades-a-registry-based-study-in-ontario-canada
#19
Laura C Rosella, Andrew Calzavara, John W Frank, Tiffany Fitzpatrick, Peter D Donnelly, David Henry
BACKGROUND: Historically, women have lower all-cause mortality than men. It is less understood that sex differences have been converging, particularly among certain subgroups and causes. This has implications for public health and health system planning. Our objective was to analyse contemporary sex differences over a 20-year period. METHODS: We analysed data from a population-based death registry, the Ontario Registrar's General Death file, which includes all deaths recorded in Canada's most populous province, from 1992 to 2012 (N=1 710 080 deaths)...
November 14, 2016: BMJ Open
https://www.readbyqxmd.com/read/28185590/how-can-health-systems-research-reach-the-worst-off-a-conceptual-exploration
#20
REVIEW
Bridget Pratt, Adnan A Hyder
BACKGROUND: Health systems research is increasingly being conducted in low and middle-income countries (LMICs). Such research should aim to reduce health disparities between and within countries as a matter of global justice. For such research to do so, ethical guidance that is consistent with egalitarian theories of social justice proposes it ought to (amongst other things) focus on worst-off countries and research populations. Yet who constitutes the worst-off is not well-defined. METHODS AND RESULTS: By applying existing work on disadvantage from political philosophy, the paper demonstrates that (at least) two options exist for how to define the worst-off upon whom equity-oriented health systems research should focus: those who are worst-off in terms of health or those who are systematically disadvantaged...
November 15, 2016: BMC Health Services Research
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