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Public health and inequities

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https://www.readbyqxmd.com/read/28944245/the-socio-exposome-advancing-exposure-science-and-environmental-justice-in-a-post-genomic-era
#1
Laura Senier, Phil Brown, Sara Shostak, Bridget Hanna
We propose the socio-exposome as a conceptual framework for integrative environmental health research. Environmental scientists coined the term "exposome" with the goal of inventorying and quantifying environmental exposures as precisely as scientists measure genes and gene expression. To date, the exposome's proponents have not thoroughly engaged social scientific theoretical and methodological expertise, although the exclusion of sociological expertise risks molecularizing complex social phenomena and limiting the possibility of collective action to improve environmental conditions...
2017: Environmental sociology
https://www.readbyqxmd.com/read/28935158/socioeconomic-inequality-of-access-to-healthcare-does-choice-explain-the-gradient
#2
Giuseppe Moscelli, Luigi Siciliani, Nils Gutacker, Richard Cookson
Equity of access is a key policy objective in publicly-funded healthcare systems. However, observed inequalities of access by socioeconomic status may result from differences in patients' choices. Using data on non-emergency coronary revascularisation procedures in the English National Health Service, we found substantive differences in waiting times within public hospitals between patients with different socioeconomic status: up to 35% difference, or 43days, between the most and least deprived population quintile groups...
June 23, 2017: Journal of Health Economics
https://www.readbyqxmd.com/read/28931228/civil-registration-and-vital-statistics-emergencies-and-international-law-understanding-the-intersection
#3
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/28929725/-perceived-discrimination-at-work-for-being-an-immigrant-a-study-on-self-perceived-mental-health-status-among-immigrants-in-italy
#4
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/28929182/public-awareness-of-poverty-as-a-determinant-of-health-survey-results-from-23-countries
#5
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
#6
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/28926330/-diabetes-socioeconomic-inequalities-in-the-portuguese-population-in-2014
#7
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/28924272/achievements-of-healthcare-services-vis-a-vis-the-mdg-targets-evidence-from-pakistan
#8
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
https://www.readbyqxmd.com/read/28914185/power-potential-and-pitfalls-in-global-health-academic-partnerships-review-and-reflections-on-an-approach-in-nepal
#9
David Citrin, Stephen Mehanni, Bibhav Acharya, Lena Wong, Isha Nirola, Rekha Sherchan, Bikash Gauchan, Khem Bahadur Karki, Dipendra Raman Singh, Sriram Shamasunder, Phuoc Le, Dan Schwarz, Ryan Schwarz, Binod Dangal, Santosh Kumar Dhungana, Sheela Maru, Ramesh Mahar, Poshan Thapa, Anant Raut, Mukesh Adhikari, Indira Basnett, Shankar Prasad Kaluanee, Grace Deukmedjian, Scott Halliday, Duncan Maru
BACKGROUND: Global health academic partnerships are centered around a core tension: they often mirror or reproduce the very cross-national inequities they seek to alleviate. On the one hand, they risk worsening power dynamics that perpetuate health disparities; on the other, they form an essential response to the need for healthcare resources to reach marginalized populations across the globe. OBJECTIVES: This study characterizes the broader landscape of global health academic partnerships, including challenges to developing ethical, equitable, and sustainable models...
2017: Global Health Action
https://www.readbyqxmd.com/read/28914122/improving-health-in-prisons-from-evidence-to-policy-to-implementation-experiences-from-the-uk
#10
Jane Leaman, Anna Amelia Richards, Lynn Emslie, Eamonn Joseph O'Moore
Purpose The purpose of this paper is to understand the components of a high-quality prison healthcare system and the impact, ten-years on, of the transfer of accountability in England, from a justice ministry to a health ministry. Design/methodology/approach A rapid the evidence review was undertaken, which included a review of 82 papers and qualitative interviews with key informants. The concepts and themes identified were summarised and analysed through a framework analysis, designed to improve population outcomes and address health inequalities...
September 11, 2017: International Journal of Prisoner Health
https://www.readbyqxmd.com/read/28911327/negotiating-power-relations-gender-equality-and-collective-agency-are-village-health-committees-transformative-social-spaces-in-northern-india
#11
Kerry Scott, Asha S George, Steven A Harvey, Shinjini Mondal, Gupteswar Patel, Kabir Sheikh
BACKGROUND: Participatory health initiatives ideally support progressive social change and stronger collective agency for marginalized groups. However, this empowering potential is often limited by inequalities within communities and between communities and outside actors (i.e. government officials, policymakers). We examined how the participatory initiative of Village Health, Sanitation, and Nutrition Committees (VHSNCs) can enable and hinder the renegotiation of power in rural north India...
September 15, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28910254/organizational-level-indicators-to-address-health-equity-work-in-local-public-health-agencies-a-scoping-review
#12
Katherine Salter, Rosana Salvaterra, Deborah Antonello, Benita E Cohen, Anita Kothari, Marlene Janzen LeBer, Suzanne LeMieux, Kathy Moran, Katherine Rizzi, Jordan Robson, Caroline Wai
OBJECTIVE: To determine what organizational level indicators exist that could be used by local Ontario public health agencies to monitor and guide their progress in addressing health equity. METHOD: This scoping review employed Arksey and O'Malley's (2005) six-stage framework. Multiple online databases and grey literature sources were searched using a comprehensive strategy. Studies were included if they described or used indicators to assess an organization's health equity activity...
September 14, 2017: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/28910249/redirecting-public-oral-health-fluoride-varnish-intervention-to-low-socio-economic-status-children-in-alberta
#13
Cynthia Huber, Sylvia Baran, Cindi De Graaff, Marianne Howell, Steve Patterson, Rafael Figueiredo
SETTING: Dental decay is most prevalent among low socio-economic status (SES) groups where cost limits access to dental care. To address inequities in oral health outcomes, Alberta Health Services (AHS) Oral Health Action Plan encompasses a population health approach that redirects fluoride varnish (FV) applications to low SES children. Using low SES measures to establish the eligibility criteria is fundamental to the delivery of FV applications to the target population. INTERVENTION: A series of four FV applications over two years is directed to children age 12-35 months and two applications per year to children in Kindergarten and grades 1 and 2, using low SES measures for eligibility criteria...
September 14, 2017: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/28906569/prevalence-and-socio-demographic-predictors-of-food-insecurity-among-regional-and-remote-western-australian-children
#14
Stephanie Godrich, Johnny Lo, Christina Davies, Jill Darby, Amanda Devine
OBJECTIVE: Inequities can negatively impact the health outcomes of children. The aims of this study were to: i) ascertain the prevalence of food insecurity (FI) among regional and remote Western Australian (WA) children; and ii) determine which socio-demographic factors predicted child FI. METHODS: Caregiver-child dyads (n=219) completed cross-sectional surveys. Descriptive statistics and logistic regression analyses were conducted using IBM SPSS version 23. RESULTS: Overall, 20...
September 14, 2017: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/28901325/associations-between-socio-demographic-characteristics-and-chemical-concentrations-contributing-to-cumulative-exposures-in-the-united-states
#15
Hongtai Huang, Rogelio Tornero-Velez, Timothy M Barzyk
Association rule mining (ARM) has been widely used to identify associations between various entities in many fields. Although some studies have utilized it to analyze the relationship between chemicals and human health effects, fewer have used this technique to identify and quantify associations between environmental and social stressors. Socio-demographic variables were generated based on U.S. Census tract-level income, race/ethnicity population percentage, education level, and age information from the 2010-2014, 5-Year Summary files in the American Community Survey (ACS) database, and chemical variables were generated by utilizing the 2011 National-Scale Air Toxics Assessment (NATA) census tract-level air pollutant exposure concentration data...
September 13, 2017: Journal of Exposure Science & Environmental Epidemiology
https://www.readbyqxmd.com/read/28900893/associations-of-neighborhood-environmental-attributes-with-walking-in-japan-moderating-effects-of-area-level-socioeconomic-status
#16
Mohammad Javad Koohsari, Tomoya Hanibuchi, Tomoki Nakaya, Ai Shibata, Kaori Ishii, Yung Liao, Koichiro Oka, Takemi Sugiyama
Several studies have examined how the associations of built environment attributes with walking behaviors may be moderated by socioeconomic status (SES). Such understanding is important to address socioeconomic inequalities in health through urban design initiatives. However, to date, there is no study examining the moderation effects of SES in the relationships of environmental attributes and walking in non-Western countries. The current study aims to examine associations of environmental attributes with walking behaviors among Japanese adults, and to test whether these associations were moderated by area-level SES...
September 12, 2017: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/28899356/barriers-to-lifestyle-changes-for-prevention-of-cardiovascular-disease-a-survey-among-40-60-year-old-danes
#17
Jesper Bo Nielsen, Anja Leppin, Dort E Gyrd-Hansen, Dorte Ejg Jarbøl, Jens Søndergaard, Pia Veldt Larsen
BACKGROUND: Elimination of modifiable risk factors including unhealthy lifestyle has the potential for prevention of 80% of cardiovascular disease cases. The present study focuses on disclosing barriers for maintaining specific lifestyle changes by exploring associations between perceiving these barriers and various sociodemographic and health-related characteristics. METHODS: Data were collected through a web-based questionnaire survey and included 962 respondents who initially accepted treatment for a hypothetical cardiovascular risk, and who subsequently stated that they preferred lifestyle changes to medication...
September 12, 2017: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/28898490/inclusion-of-equity-in-economic-analyses-of-public-health-policies-systematic-review-and-future-directions
#18
Anita Lal, Marjory Moodie, Anna Peeters, Rob Carter
OBJECTIVES: To assess current approaches to inclusion of equity in economic analysis of public health interventions and to recommend best approaches and future directions. METHODS: We conducted a systematic review of studies that have used socioeconomic position (SEP) in cost-effectiveness analyses. Studies were identified using MedLine, EconLit and HEED and were evaluated based on their SEP specific inputs and methods of quantification of the health and financial inequalities...
September 12, 2017: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/28893214/a-mixed-methods-study-on-evaluating-the-performance-of-a-multi-strategy-national-health-program-to-reduce-maternal-and-child-health-disparities-in-haryana-india
#19
Madhu Gupta, Hans Bosma, Federica Angeli, Manmeet Kaur, Venkatesan Chakrapani, Monica Rana, Onno C P van Schayck
BACKGROUND: A multi pronged community based strategy, known as National Rural Health Mission (NRHM), was implemented from 2005-06 to 2012-13 in India to curtail maternal and child health (MCH) disparities between poor and rich, rural and urban areas, and boys and girls,. This study aimed to determine the degree to which MCH plans of NRHM implemented, and resulted in improving the MCH outcomes and reducing the inequalities. METHODS: An explanatory sequential mixed methods study was conducted, first to assess the degree of implementation of MCH plans by estimating the budget utilization rates of each MCH plan, and the effectiveness of these plans by comparing demographic health surveys data conducted post (2012-13), during (2007-08) and pre- (2002-04) NRHM implementation period, in the quantitative study...
September 11, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28891342/towards-a-critical-health-equity-research-stance-why-epistemology-and-methodology-matter-more-than-qualitative-methods
#20
Lisa Bowleg
Qualitative methods are not intrinsically progressive. Methods are simply tools to conduct research. Epistemology, the justification of knowledge, shapes methodology and methods, and thus is a vital starting point for a critical health equity research stance, regardless of whether the methods are qualitative, quantitative, or mixed. In line with this premise, I address four themes in this commentary. First, I criticize the ubiquitous and uncritical use of the term health disparities in U.S. public health. Next, I advocate for the increased use of qualitative methodologies-namely, photovoice and critical ethnography-that, pursuant to critical approaches, prioritize dismantling social-structural inequities as a prerequisite to health equity...
September 1, 2017: Health Education & Behavior: the Official Publication of the Society for Public Health Education
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