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Public health and inequities

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https://www.readbyqxmd.com/read/28645947/role-structure-and-effects-of-medical-tourism-in-africa-a-systematic-scoping-review-protocol
#1
John Jo Mogaka, Joyce M Tsoka-Gwegweni, Lucia M Mupara, Tivani Mashamba-Thompson
INTRODUCTION: Some patients travel out of, while others come into Africa for medical care through a growing global phenomenon referred to as medical tourism (MT): the travel in search of medical care that is either unavailable, unaffordable or proscribed at home healthcare systems. While some castigate MT as promoting healthcare inequity, others endorse it as a revenue generator, promising local healthcare system strengthening. Currently, however, the understanding of this component of healthcare in Africa is inadequate...
June 23, 2017: BMJ Open
https://www.readbyqxmd.com/read/28632781/climate-change-and-marine-fisheries-least-developed-countries-top-global-index-of-vulnerability
#2
Robert Blasiak, Jessica Spijkers, Kanae Tokunaga, Jeremy Pittman, Nobuyuki Yagi, Henrik Österblom
Future impacts of climate change on marine fisheries have the potential to negatively influence a wide range of socio-economic factors, including food security, livelihoods and public health, and even to reshape development trajectories and spark transboundary conflict. Yet there is considerable variability in the vulnerability of countries around the world to these effects. We calculate a vulnerability index of 147 countries by drawing on the most recent data related to the impacts of climate change on marine fisheries...
2017: PloS One
https://www.readbyqxmd.com/read/28625030/the-clinical-nutrition-research-agenda-in-indonesia-and-beyond-ecological-strategy-for-food-in-health-care-delivery
#3
Widjaja Lukito, Lindawati Wibowo, Mark L Wahlqvist
Despite progress with the food-associated health agenda in the public health and clinical domains, much remains to be done in Indonesia. There are reasons to be optimistic which include economic development, increasing literacy, progress towards universal health coverage and community organizational arrangements across the archipelago which focus on health through some 10,000 puskesmas. These community health centres are variably staffed with voluntary cadres from the community, bidans (nurses) and general medical practitioners...
June 2017: Asia Pacific Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/28615019/evaluation-of-community-provision-of-a-preventive-cardiovascular-programme-the-national-health-service-health-check-in-reaching-the-under-served-groups-by-primary-care-in-england-cross-sectional-observational-study
#4
Maria Woringer, Elizabeth Cecil, Hillary Watt, Kiara Chang, Fozia Hamid, Kamlesh Khunti, Elizabeth Dubois, Julie Evason, Azeem Majeed, Michael Soljak
BACKGROUND: Cardiovascular disease (CVD) is the leading cause of premature mortality and a major contributor of health inequalities in England. Compared to more affluent and white counterparts, deprived people and ethnic minorities tend to die younger due to preventable CVD associated with lifestyle. In addition, deprived, ethnic minorities and younger people are less likely to be served by CVD prevention services. This study assessed the effectiveness of community-based outreach providers in delivering England's National Health Services (NHS) Health Check programme, a CVD preventive programme to under-served groups...
June 14, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28609224/towards-a-poststructural-understanding-of-abortion-and-social-class-in-england
#5
Gillian Love
Despite previous research suggesting that social class influences experiences of and attitudes to abortion, there is a dearth of research which studies the intersection of abortion and social class in England. Across the UK, abortion rates and experiences differ by region and socio-economic status, reflecting broader health inequalities. Contemporary austerity in the UK creates an imperative for new research which contextualises the experience of abortion within this socio-historical moment, and the worsening inequalities which have accompanied it...
June 13, 2017: Global Public Health
https://www.readbyqxmd.com/read/28606147/the-variation-in-the-health-status-of-immigrants-and-italians-during-the-global-crisis-and-the-role-of-socioeconomic-factors
#6
Alessio Petrelli, Anteo Di Napoli, Alessandra Rossi, Gianfranco Costanzo, Concetta Mirisola, Lidia Gargiulo
BACKGROUND: The effects of the recent global economic and financial crisis especially affected the most vulnerable social groups. Objective of the study was to investigate variation of self-perceived health status in Italians and immigrants during the economic global crisis, focusing on demographic and socioeconomic factors. METHODS: Through a cross-sectional design we analyzed the national sample of multipurpose surveys "Health conditions and use of health services" (2005 and 2013) conducted by the Italian National Institute of Statistics (ISTAT)...
June 12, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28604178/determinants-of-inequality-in-the-up-to-date-fully-immunization-coverage-among-children-aged-24-35-months-evidence-from-zhejiang-province-east-china
#7
Yu Hu, Ying Wang, Yaping Chen, Qian Li
OBJECTIVE: This study aimed to determine the degree and determinants of inequality in up-to-date fully immunization (UTDFI) coverage among children of Zhejiang province, east China. METHOD: We used data from the Zhejiang provincial vaccination coverage survey of 2014 and the health outcome was the UTDFI status among children aged 24-35 months. The household income per month was used as an index of socio-economic status for the inequality analysis. The concentration index (CI) was used to quantify the degree of inequality and the decomposition approach was applied to quantify the contributions from demographic factors to inequality in UTDFI coverage...
June 12, 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/28588989/accelerating-progress-towards-universal-health-coverage-in-asia-and-pacific-improving-the-future-for-women-and-children
#8
Allison Beattie, Robert Yates, Douglas J Noble
Universal health coverage generates significant health and economic benefits and enables governments to reduce inequity. Where universal health coverage has been implemented well, it can contribute to nation-building. This analysis reviews evidence from Asia and Pacific drawing out determinants of successful systems and barriers to progress with a focus on women and children. Access to healthcare is important for women and children and contributes to early childhood development. Universal health coverage is a political process from the start, and public financing is critical and directly related to more equitable health systems...
November 2016: BMJ Global Health
https://www.readbyqxmd.com/read/28587654/determinants-of-self-perceived-health-for-canadians-aged-40-and-older-and-policy-implications
#9
William Ian Andrew Bonner, Robert Weiler, Rotimi Orisatoki, Xinya Lu, Mustafa Andkhoie, Dana Ramsay, Mohsen Yaghoubi, Megan Steeves, Michael Szafron, Marwa Farag
BACKGROUND: Perceived health status indicates people's overall perception of their health, including both physical and psychological dimensions. The aim of this study was to examine the determinants of self-perceived health for Canadians aged 40 and older using data from the Canadian Community Health Survey (2010). METHODS: Multiple logistic regression models were employed to identify factors associated with self-perceived health in two age groups: Adults aged 65+ and Adults aged 40-64...
June 6, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28587500/evaluation-of-health-equity-impact-of-structural-policies
#10
Anton E Kunst
This article briefly assesses the research methods that were applied in the SOPHIE project to evaluate the impact of structural policies on population health and health inequalities. The evaluation of structural policies is one of the key methodological challenges in today's public health. The experience in the SOPHIE project was that mixed methods are essential to identify, understand, and predict the health impact of structural policies. On the one hand, quantitative studies that included spatial comparisons or time trend analyses, preferably in a quasi-experimental design, showed that some structural policies were associated with improved population health and smaller health inequalities...
January 1, 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/28585156/sex-work-criminalization-is-barking-up-the-wrong-tree
#11
Ine Vanwesenbeeck
There is a notable shift toward more repression and criminalization in sex work policies, in Europe and elsewhere. So-called neo-abolitionism reduces sex work to trafficking, with increased policing and persecution as a result. Punitive "demand reduction" strategies are progressively more popular. These developments call for a review of what we know about the effects of punishing and repressive regimes vis-à-vis sex work. From the evidence presented, sex work repression and criminalization are branded as "waterbed politics" that push and shove sex workers around with an overload of controls and regulations that in the end only make things worse...
June 5, 2017: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/28584180/engaging-research-with-policy-and-action-what-are-the-challenges-of-responding-to-zoonotic-disease-in-africa
#12
REVIEW
Kevin Louis Bardosh, Jake Cornwall Scoones, Delia Grace, Gladys Kalema-Zikusoka, Kate E Jones, Katinka de Balogh, David Waltner-Toews, Bernard Bett, Susan C Welburn, Elizabeth Mumford, Vupenyu Dzingirai
Zoonotic diseases will maintain a high level of public policy attention in the coming decades. From the spectre of a global pandemic to anxieties over agricultural change, urbanization, social inequality and threats to natural ecosystems, effectively preparing and responding to endemic and emerging diseases will require technological, institutional and social innovation. Much current discussion emphasizes the need for a 'One Health' approach: bridging disciplines and sectors to tackle these complex dynamics...
July 19, 2017: Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences
https://www.readbyqxmd.com/read/28583970/the-role-of-nonprofit-hospitals-in-identifying-and-addressing-health-inequities-in-cities
#13
Amy Carroll-Scott, Rosie Mae Henson, Jennifer Kolker, Jonathan Purtle
For nonprofit hospitals to maintain their tax-exempt status, the Affordable Care Act requires them to conduct a community health needs assessment, in which they evaluate the health needs of the community they serve, and to create an implementation strategy, in which they propose ways to address these needs. We explored the extent to which nonprofit urban hospitals identified equity among the health needs of their communities and proposed health equity strategies to address this need. We conducted a content analysis of publicly available community health needs assessments and implementation strategies from 179 hospitals in twenty-eight US cities in the period August-December 2016...
June 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28583961/the-united-states-leads-other-nations-in-differences-by-income-in-perceptions-of-health-and-health-care
#14
Joachim O Hero, Alan M Zaslavsky, Robert J Blendon
We examined income gaps in the period 2011-13 in self-assessments of personal health and health care across thirty-two middle- and high-income countries. While high-income respondents were generally more positive about their health and health care in most countries, the gap between them and low-income respondents was much bigger in some than in others. The United States has among the largest income-related differences in each of the measures we studied, which assessed both respondents' past experiences and their confidence about accessing needed health care in the future...
June 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28583955/progress-in-achieving-health-equity-requires-attention-to-root-causes
#15
Steven H Woolf
Life expectancy and disease rates in the United States differ starkly among Americans depending on their demographic characteristics and where they live. Although health care systems are taking important steps to reduce inequities, meaningful progress requires interventions outside the clinic, in sectors such as employment, housing, transportation, and public safety. Inequities exist in each of these sectors, and barriers to educational attainment, higher-income jobs, and social mobility limit the opportunity of disadvantaged people to improve their circumstances...
June 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28580047/quantifying-the-spatial-inequality-and-temporal-trends-in-maternal-smoking-rates-in-glasgow
#16
Duncan Lee, Andrew Lawson
Maternal smoking is well known to adversely affect birth outcomes, and there is considerable spatial variation in the rates of maternal smoking in the city of Glasgow, Scotland. This spatial variation is a partial driver of health inequalities between rich and poor communities, and it is of interest to determine the extent to which these inequalities have changed over time. Therefore in this paper we develop a Bayesian hierarchical model for estimating the spatio-temporal pattern in smoking incidence across Glasgow between 2000 and 2013, which can identify the changing geographical extent of clusters of areas exhibiting elevated maternal smoking incidences that partially drive health inequalities...
September 28, 2016: Annals of Applied Statistics
https://www.readbyqxmd.com/read/28579331/temporary-removal-intersectionality-an-understudied-framework-for-addressing-weight-stigma
#17
(no author information available yet)
No abstract text is available yet for this article.
June 1, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28573836/improving-care-for-bariatric-dental-patients-in-north-wales
#18
P Dowey
This paper presents the experiences of Betsi Cadwaladr University Health Board, North Wales, UK in improving facilities, access and quality of care for bariatric dental patients. It includes the multi-stakeholder audit of existing practice which informed those improvements. Public health competencies illustrated: needs assessment; development and implementation of oral health strategies; oral health improvement; development of clinical pathways; improving patient safety; clinical and public engagement; addressing inequalities...
June 2017: Community Dental Health
https://www.readbyqxmd.com/read/28564674/association-of-a-policy-mandating-physician-patient-communication-with-racial-ethnic-disparities-in-postmastectomy-breast-reconstruction
#19
Elham Mahmoudi, Yiwen Lu, Allan K Metz, Adeyiza O Momoh, Kevin C Chung
Importance: With the stabilization of breast cancer incidence and substantial improvement in survival, more attention has focused on postmastectomy breast reconstruction (PBR). Despite its demonstrated benefits, wide disparities in the use of PBR remain. Physician-patient communication has an important role in disparities in health care, especially for elective surgical procedures. Recognizing this, the State of New York enacted Public Health Law (NY PBH Law) 2803-o in 2011 mandating that physicians communicate about reconstructive surgery with patients undergoing mastectomy...
May 31, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28562722/-social-health-insurance-in-china-principal-reforms-and-inequalities
#20
Fabianna Bacil Lourenço Ferreira
This article analyzes the social health insurance system in China, its reforms and the principal social inequalities uncovered. Based in the work of a number of authors of reference, it is possible to observe that rural and urban reforms follow the same pattern: large systems that were gradually reduced and then again expanded relatively quickly. Improvements notwithstanding, some of China's historical problems persist, especially the rural-urban gap and regional disparities. The lack of integration of workers that migrate from the country to the city is reproduced in the current Chinese public health system, constituting one of the primary challenges to be faced at present...
January 2017: Salud Colectiva
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