Read by QxMD icon Read

social inequities

Genevieve Kerkerian, Mary Kestler, Allison Carter, Lu Wang, Nadine Kronfli, Paul Sereda, Eric Roth, M-J Milloy, Neora Pick, Deborah Money, Kath Webster, Robert S Hogg, Alexandra de Pokomandy, Mona Loutfy, Angela Kaida
BACKGROUND: In North America, women have lower engagement across the HIV cascade of care compared with men. Among women living with HIV (WLWH) in Canada, we measured the prevalence and correlates of attrition across cascade stages overall, and by key sub-populations. METHODS: We analyzed baseline survey data regarding six nested stages of the HIV cascade among 1,424 WLWH enrolled in the Canadian HIV Sexual and Reproductive Health Cohort Study (CHIWOS), including: linked to care, retained in care, initiated antiretroviral therapy (ART), current ART use, ART adherence (≥90%), and viral suppression (<50 copies/mL)...
June 15, 2018: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Charkarra Anderson-Lewis, Gabrielle Darville, Rebeccah Eve Mercado, Savannah Howell, Samantha Di Maggio
BACKGROUND: The proportion of people in the United States who are members of at least two ethnic groups is projected to increase to 10% by the year 2050. This makes addressing health disparities and health inequities in minority populations increasingly more difficult. Minority populations, including those who classify themselves as African American and Hispanic, are using mobile phones to access health information via the internet more frequently than those who classify themselves as white, providing unique opportunities for those in public health and health education to reach these traditionally underserved populations using mobile health (mHealth) interventions...
June 18, 2018: JMIR MHealth and UHealth
Nicole Bergen, Abebe Mamo, Shifera Asfaw, Lakew Abebe, Jaameeta Kurji, Getachew Kiros, Muluemebet Abera, Gebeyehu Bulcha Duguma, Kunuz Haji Bedru, Manisha A Kulkarni, Ronald Labonté, Sudhakar Morankar
BACKGROUND: The Safe Motherhood Research Project studies the implementation and scale-up of maternal, newborn and child health (MNCH) initiatives in Jimma Zone, Ethiopia. This qualitative rapid assessment study was undertaken to explore community perceptions and experiences related to health, health inequality and other MNCH themes. METHODS: We conducted 12 focus group discussions and 24 in-depth interviews with community stakeholder groups (female and male community members, Health Extension Workers, members of the Women Development Army and Male Development Army, and religious leaders) across six rural sites in Jimma Zone...
June 18, 2018: International Journal for Equity in Health
Maria Jose Martinez-Harms, Brett A Bryan, Spencer A Wood, David M Fisher, Elizabeth Law, Jonathan R Rhodes, Cynnamon Dobbs, Duan Biggs, Kerrie A Wilson
Experiences with nature through visits to protected areas provide important cultural ecosystem services that have the potential to strengthen pro-environmental attitudes and behavior. Understanding accessibility to protected areas and likely preferences for enjoying the benefits of nature visits are key factors in identifying ways to reduce inequality in access and inform the planning and management for future protected areas. We develop, at a regional scale, a novel social media database of visits to public protected areas in part of the Chilean biodiversity hotspot using geotagged photographs and assess the inequality of access using the home locations of the visitors and socio-economic data...
September 15, 2018: Science of the Total Environment
Hannah S Bell, Funmi Odumosu, Anna C Martinez-Hume, Heather A Howard, Linda M Hunt
Racial/ethnic identity is contingent and arbitrary, yet it is commonly used to evaluate disease risk and treatment response. Drawing on open-ended interviews with patients and clinicians in two US clinics, we explore how racialized risk is conceptualized and how it impacts patient care and experience. We found that racial/ethnic risk was a common but poorly defined construct for both patients and clinicians, who intermingled concepts of genetics, biology, behavior, and culture, while disregarding historical or structural context...
June 18, 2018: Medical Anthropology
Jean-Michel Lafleur, Maria Vivas Romero
Immigrants and family members in the home and host societies experience inequalities in access to social protection. Focusing on healthcare, we demonstrate that immigrant families today respond to healthcare needs of family members here and there through four cross-border strategies. We show that immigrants select and articulate these different strategies to assemble transnational health care arrangements. Using an intersectional approach, we argue that heterogeneity markers such as gender, race, class, and levels of transnational engagement determine the choice between different types of arrangements...
2018: Comparative Migration Studies
Rémy De Mil, Elodie Guillaume, Lydia Guittet, Olivier Dejardin, Véronique Bouvier, Carole Pornet, Véronique Christophe, Annick Notari, Hélène Delattre-Massy, Chantal De Seze, Jérôme Peng, Guy Launoy, Célia Berchi
BACKGROUND: Patient navigation programs to increase colorectal cancer (CRC) screening adherence have become widespread in recent years, especially among deprived populations. OBJECTIVES: To evaluate the cost-effectiveness of the first patient navigation program in France. METHODS: A total of 16,250 participants were randomized to either the usual screening group (n = 8145) or the navigation group (n = 8105). Navigation consisted of personalized support provided by social workers...
June 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Ines M Aguerre, Amy R Riley-Powell, Caroline T Weldon, Monica J Pajuelo, Rosa A Celis Nacimento, Anité Puente-Arnao, Lilia Cabrera, Richard A Oberhelman, Valerie A Paz-Soldan
BACKGROUND: More than one billion people worldwide live with a disability. Despite advances in recognising inequalities experienced by people with disabilities, barriers to services and stigmatisation still exist. The aims of this study were to explore: (1) perceptions and experiences of services specifically available to people with disabilities and their caregivers and (2) the perception of disability. METHODS: In-depth interviews were conducted with 20 caregivers of persons with a disability and 14 key informants in two cities in Peru; Lima and Iquitos...
June 17, 2018: Disability and Rehabilitation
Cristina Giménez-García, Estefanía Ruiz-Palomino, María Dolores Gil-Llario, Rafael Ballester-Arnal, Claudia Castañeiras
Young Hispanic women have been particularly affected by HIV. For this reason, we analyzed the influence of cognitive factors, dispositional variables, and gender culture on the HIV risks of two groups of Hispanic women. Young Argentinian and Spanish women (N = 342) completed the AIDS Prevention Questionnaire, the Spanish version of the Sexual Compulsivity Scale, and the Spanish version of the Sexual Sensation Seeking Scale in order to evaluate knowledge of HIV transmission, HIV, and condom use; self-efficacy; safe-sex intention and safe sex; as well as Sexual Sensation Seeking and Sexual Compulsivity traits...
June 4, 2018: Journal of the Association of Nurses in AIDS Care: JANAC
Min Su, Yafei Si, Zhongliang Zhou, Chi Shen, Wanyue Dong, Xiaojing Fan, Xiao Wang, Xiaolin Wei
BACKGROUND: Hypertension has become a global health challenge given its high prevalence and but low awareness and detection. Whether the actual prevalence of hypertension has been estimated is important, especially for the poor. This study aimed to measure tested prevalence and self-reported prevalence of hypertension and compare the inequity between them in China. METHODS: Data were derived from China Health and Nutrition Survey (CHNS) conducted in 2011. By using the multistage, stratified, random sampling method, 12,168 respondents aged 18 or older were identified for analysis...
June 15, 2018: International Journal for Equity in Health
Holly Sullivan-Toole, Ekaterina Dobryakova, Samantha DePasque, Elizabeth Tricomi
Research at the intersection of social neuroscience and cognitive effort is an interesting new area for exploration. There is great potential to broaden our understanding of how social context and cognitive effort processes, currently addressed in disparate literatures, interact with one another. In this paper, we briefly review the literature on cognitive effort, focusing on effort-linked valuation and the gap in the literature regarding cognitive effort in the social domain. Next, we present a study designed to explore valuation processes linked to cognitive effort within the social context of an inequality manipulation...
June 12, 2018: Neuropsychologia
Sumadi Lukman Anwar, Guritno Adistyawan, Wahyu Wulaningsih, Christoph Gutenbrunner, Boya Nugraha
Cancer diagnosis often substantially affects patient's physical, psychological, and emotional status. The majority of cancer patients experience declining of energy, activity levels, social-cultural participation and relationships. In addition, cancer progression and side effects of aggressive cancer treatment often cause debilitating pain, fatigue, weakness, joint stiffness, depression, emotional instability, limited mobility, poor nutritional status, skin breakdown, bowel dysfunction, swallowing difficulty, and lymphedema leading into functional impairment and disability that can be addressed through rehabilitation care...
June 13, 2018: American Journal of Physical Medicine & Rehabilitation
Céline Ledoux, Eva Pilot, Esperanza Diaz, Thomas Krafft
BACKGROUND: The current migration flow into Europe is leading to a growing ethnically diverse population in many European countries. Now more than ever, those populations have different healthcare needs, languages, traditions, and previous level of care. This higher level of diversity is likely to increase health inequalities that might challenge healthcare systems if not addressed. In this context, this study aims at reviewing the policy framework for migrants' access to healthcare in Spain, Portugal and Ireland, countries with a long history of immigration, to identify lessons to be learned for policies on migrants' health...
June 15, 2018: Globalization and Health
Judith Osok, Pius Kigamwa, Keng-Yen Huang, Nancy Grote, Manasi Kumar
BACKGROUND: Adolescent pregnancies present a great public health burden in Kenya and Sub-Saharan Africa (UNFPA, Motherhood in Childhood: Facing the challenge of Adolescent Pregnancy, 2013). The disenfranchisement from public institutions and services is further compounded by cultural stigma and gender inequality creating emotional, psychosocial, health, and educational problems in the lives of vulnerable pregnant adolescents (Int J Adolesc Med Health 15(4):321-9, 2003; BMC Public Health 8:83, 2008)...
June 15, 2018: BMC Women's Health
Christine Walker, Chris L Peterson
Work on resilience in health and illness has been approached from a number of perspectives. These are the biological and psychosocial with a focus on the individual's responses to cope and adapt to changing circumstances wrought by changing physical health states. This we argue has a place but is far too narrow emphasizing the neoliberal view that the sick or imperfect individual is ultimately responsible for their own health outcomes. In this perspective, the individual's failure to cope or adapt may be seen as a personal failure to interact with the health system on offer...
June 14, 2018: Journal of Evaluation in Clinical Practice
Raquel Garcia, Rosa Abellana, Jordi Real, José-Luis Del Val, Jose Maria Verdú-Rotellar, Miguel-Angel Muñoz
BACKGROUND: Information regarding the effect of social determinants of health on heart failure (HF) community-dwelling patients is scarce. We aimed to analyse the presence of socioeconomic inequalities, and their impact on hospitalisations and mortality, in patients with HF attended in a universal healthcare coverage system. METHODS: A retrospective cohort study carried out in patients with HF aged >40 and attended at the 53 primary healthcare centres of the Institut Català de la Salut in Barcelona (Spain)...
June 13, 2018: Journal of Epidemiology and Community Health
Yang Hu, Lisheng He, Lei Zhang, Thorben Wölk, Jean-Claude Dreher, Bernd Weber
People tend to pay the generosity they receive from a person forward to someone else even if they have no chance to reciprocate directly. This phenomenon, known as paying-it-forward (PIF) reciprocity, crucially contributes to the maintenance of a cooperative human society by passing kindness among strangers and has been widely studied in evolutionary biology. To further examine its neural implementation and underlying computations, we used functional magnetic resonance imaging (fMRI) together with computational modeling...
June 7, 2018: Social Cognitive and Affective Neuroscience
Davide Malmusi, Carles Muntaner, Carme Borrell
Since 2011, the SOPHIE project has accumulated evidence regarding the influence of social and economic policies on population health levels, as well as on health inequalities according to socioeconomic position, gender, and immigrant status. Through comparative analyses and evaluation case studies across Europe, SOPHIE has shown how these health inequalities vary according to contexts in macroeconomics, social protection, labor market, built environment, housing, gender equity, and immigrant integration and may be reduced by equity-oriented policies in these fields...
January 1, 2018: International Journal of Health Services: Planning, Administration, Evaluation
Kira E Riehm, Eric Latimer, Amélie Quesnel-Vallée, Gonneke W J M Stevens, Geneviève Gariépy, Frank J Elgar
Background: Scant evidence exists on the relation between the availability of health professionals and adolescent health, and whether the size of the health workforce equally benefits adolescents across socioeconomic strata. Methods: We conducted a cross-sectional analysis of adolescent health in 38 countries. Data from 218 790 adolescents were drawn from the 2013/2014 Health Behavior in School-aged Children survey. We used multilevel regression analyses to examine the association between the density of the health workforce and psychosomatic and mental health symptoms with differences in country wealth and income inequality controlled...
June 11, 2018: Journal of Public Health
Nicola Heslehurst, Heather Brown, Augustina Pemu, Hayley Coleman, Judith Rankin
BACKGROUND: Global migration is at an all-time high with implications for perinatal health. Migrant women, especially asylum seekers and refugees, represent a particularly vulnerable group. Understanding the impact on the perinatal health of women and offspring is an important prerequisite to improving care and outcomes. The aim of this systematic review was to summarise the current evidence base on perinatal health outcomes and care among women with asylum seeker or refugee status. METHODS: Twelve electronic database, reference list and citation searches (1 January 2007-July 2017) were carried out between June and July 2017...
June 12, 2018: BMC Medicine
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"