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Public health and inequities

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https://www.readbyqxmd.com/read/27919238/an-equity-analysis-of-utilization-of-health-services-in-afghanistan-using-a-national-household-survey
#1
Christine Kim, Khwaja Mir Ahad Saeed, Ahmad Shah Salehi, Wu Zeng
BACKGROUND: Afghanistan has made great strides in the coverage of health services across the country but coverage of key indicators remains low nationally and whether the poorest households are accessing these services is not well understood. METHODS: We analyzed the Afghanistan Mortality Survey 2010 on utilization of inpatient and outpatient care, institutional delivery and antenatal care by wealth quintiles. Concentration indexes (CIs) were generated to measure the inequality of using the four services...
December 5, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27918457/air-quality-strategies-on-public-health-and-health-equity-in-europe-a-systematic-review
#2
REVIEW
Li Wang, Buqing Zhong, Sotiris Vardoulakis, Fengying Zhang, Eva Pilot, Yonghua Li, Linsheng Yang, Wuyi Wang, Thomas Krafft
Air pollution is an important public health problem in Europe and there is evidence that it exacerbates health inequities. This calls for effective strategies and targeted interventions. In this study, we conducted a systematic review to evaluate the effectiveness of strategies relating to air pollution control on public health and health equity in Europe. Three databases, Web of Science, PubMed, and Trials Register of Promoting Health Interventions (TRoPHI), were searched for scientific publications investigating the effectiveness of strategies on outdoor air pollution control, public health and health equity in Europe from 1995 to 2015...
December 2, 2016: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/27916004/sugars-and-health-a-review-of-current-evidence-and-future-policy
#3
Charlotte Elizabeth Louise Evans
The automation of the process of extracting sugars in the 1900s reduced cost and increased availability of sugars leading to a dramatic rise in consumption, which reached a peak in the 1970s. There are different definitions for sugars not naturally available in foods, and free sugars is the term used by WHO. The epidemiological evidence of the associations between sugars and obesity and type 2 diabetes mellitus is fairly strong and consistent, particularly for sugar sweetened drinks in adults. The Department of Health in the UK and many other countries have recently updated their recommendations for free sugars as a result of this scientific evidence...
December 5, 2016: Proceedings of the Nutrition Society
https://www.readbyqxmd.com/read/27915256/the-nihr-public-health-research-programme-intervention-approaches-to-tackle-health-inequalities
#4
H Dorling, L Ollerhead, C Kidgell
BACKGROUND: The National Institute for Health Research (NIHR) Public Health Research (PHR) Programme evaluates interventions intended to improve the health of the public and reduce inequalities in health in the UK. The aim of the research was to establish how projects funded by the PHR Programme between 2009 and 2014 addressed health inequalities. METHODS: A health inequalities intervention framework developed by Bambra et al. was used to map PHR funded studies to a typology...
December 2, 2016: Journal of Public Health
https://www.readbyqxmd.com/read/27912783/exploring-levers-and-barriers-to-accessing-primary-care-for-marginalised-groups-and-identifying-their-priorities-for-primary-care-provision-a-participatory-learning-and-action-research-study
#5
Patrick O'Donnell, Edel Tierney, Austin O'Carroll, Diane Nurse, Anne MacFarlane
BACKGROUND: The involvement of patients and the public in healthcare has grown significantly in recent decades and is documented in health policy documents internationally. Many benefits of involving these groups in primary care planning have been reported. However, these benefits are rarely felt by those considered marginalised in society and they are often excluded from participating in the process of planning primary care. It has been recommended to employ suitable approaches, such as co-operative and participatory initiatives, to enable marginalised groups to highlight their priorities for care...
December 3, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27905951/expansion-or-compression-of-long-term-care-in-germany-between-2001-and-2009-a-small-area-decomposition-study-based-on-administrative-health-data
#6
Daniel Kreft, Gabriele Doblhammer
BACKGROUND: Studies state profound cross-country differences in healthy life years and its time trends, suggesting either the health scenario of expansion or compression of morbidity. A much-discussed question in public health research is whether the health scenarios are heterogeneous or homogeneous on the subnational level as well. Furthermore, the question arises whether the morbidity trends or the mortality trends are the decisive drivers of the care need-free life years (CFLY), the life years with care need (CLY), and, ultimately, the health scenarios...
July 13, 2016: Population Health Metrics
https://www.readbyqxmd.com/read/27903309/the-rise-and-fall-of-hospitalizations-for-skin-infections-in-new-zealand-2004-2014-trends-by-ethnicity-and-socioeconomic-deprivation
#7
A Lim, J Rumball-Smith, R Jones, I Kawachi
Since the 1990s, New Zealand (NZ) has seen an increasing incidence of paediatric skin infections leading to hospitalization. We sought to describe the epidemiology of these infections over time. Hospital discharge data were analysed for all children admitted to any NZ public hospital from 2004 to 2014. We found the age-standardized incidence of hospitalizations due to skin infections increased during this period from 522/100 000 in 2004 to a peak of 644/100 000 in 2011, after which it declined to 524/100 000 in 2014...
December 1, 2016: Epidemiology and Infection
https://www.readbyqxmd.com/read/27903062/geographically-weighted-regression-for-modelling-the-accessibility-to-the-public-hospital-network-in-concepci%C3%A3-n-metropolitan-area-chile
#8
Marcela Martínez Bascuñán, Carolina Rojas Quezada
Accessibility models in transport geography based on geographic information systems have proven to be an effective method in determining spatial inequalities associated with public health. This work aims to model the spatial accessibility from populated areas within the Concepción metropolitan area (CMA), the second largest city in Chile. The city's public hospital network is taken into consideration with special reference to socio-regional inequalities. The use of geographically weighted regression (GWR) and ordinary least squares (OLS) for modelling accessibility with socioeconomic and transport variables is proposed...
November 22, 2016: Geospatial Health
https://www.readbyqxmd.com/read/27902760/socio-economic-inequality-of-chronic-non-communicable-diseases-in-bangladesh
#9
Tuhin Biswas, Md Saimul Islam, Natalie Linton, Lal B Rawal
INTRODUCTION: Chronic non-communicable diseases (NCDs) are a major public health challenge, and undermine social and economic development in much of the developing world, including Bangladesh. Epidemiologic evidence on the socioeconomic status (SES)-related pattern of NCDs remains limited in Bangladesh. This study assessed the relationship between three chronic NCDs and SES among the Bangladeshi population, paying particular attention to the differences between urban and rural areas. MATERIALS AND METHOD: Data from the 2011 Bangladesh Demographic and Health Survey were used for this study...
2016: PloS One
https://www.readbyqxmd.com/read/27902562/enhancing-themes-and-strengths-assessment-leveraging-academic-led-qualitative-inquiry-in-community-health-assessment-to-uncover-roots-of-community-health-inequities
#10
Jennifer Hebert-Beirne, Jennifer K Felner, Yvette Castañeda, Sheri Cohen
CONTEXT: Rigorous qualitative research can enhance local health departments' efforts to gain a deeper insight into residents' perceived community health inequities necessary for productive community health assessments (CHAs) and community health improvement plans (CHIPs). OBJECTIVE: The Chicago Department of Public Health and the Partnership for Healthy Chicago used the National Association of County & City Health Officials' Mobilizing for Action through Planning and Partnerships (MAPP) model to conduct its CHA/CHIP, Healthy Chicago 2...
November 28, 2016: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/27886098/is-green-exercise-for-all-a-descriptive-study-of-green-exercise-habits-and-promoting-factors-in-adult-norwegians
#11
Giovanna Calogiuri, Grete G Patil, Geir Aamodt
Background: Physical activity (PA) in natural environments, known as green exercise (GE), can provide health benefits above and beyond PA in other environments, but little is known about the extent to which GE is an accessible form of weekly PA across different social groups. This study aims to examine the "GE phenomenon" in Norway, and evaluate possible differences in GE habits and perceived factors that promote GE across sub-groups of this population. Methods: 2168 adults from all over Norway reported weekly GE and other forms of PA, specific forms of GE, and perceived factors that promote GE...
November 23, 2016: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/27885169/children-s-exposure-to-secondhand-smoke-at-home-before-and-after-smoke-free-legislation-in-taiwan
#12
Ying-Ting Wang, Yi-Wen Tsai, Tzu-I Tsai, Po-Yin Chang
INTRODUCTION: In January 2009, Taiwan broadened smoke-free legislation, requiring mass transportation systems, indoor public areas and indoor workplaces with 3 or more people, to become smoke-free. We investigated the secondhand smoke (SHS) exposure at home for children aged 3-11 years in Taiwan before and after the implantation of the legislation. METHODS: We studied 7911 children from the 2005, 2009 and 2013 National Health Interview Surveys (cross-sectional, nationally representative household surveys)...
November 24, 2016: Tobacco Control
https://www.readbyqxmd.com/read/27885048/trends-in-educational-inequalities-in-premature-mortality-in-belgium-between-the-1990s-and-the-2000s-the-contribution-of-specific-causes-of-deaths
#13
Françoise Renard, Sylvie Gadeyne, Brecht Devleesschauwer, Jean Tafforeau, Patrick Deboosere
BACKGROUND: Reducing socioeconomic inequalities in mortality, a key public health objective may be supported by a careful monitoring and assessment of the contributions of specific causes of death to the global inequality. METHODS: The 1991 and 2001 Belgian censuses were linked with cause-of-death data, each yielding a study population of over 5 million individuals aged 25-64, followed up for 5 years. Age-standardised mortality rates (ASMR) were computed by educational level (EL) and cause...
November 24, 2016: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/27882861/status-report-public-health-2016-time-for-a-cultural-shift-in-the-field-of-public-health
#14
E Rm Mallach, T Ferrao, R MacLean, S Fl Kirk
Public Health 2016, the Canadian Public Health Association's annual conference, was held from June 13 to 16, 2016, in Toronto, Canada, and showcased a wide variety of public health issues that fostered considerable discussion at the conference and on social media. The four plenary sessions, while on seemingly disparate topics including technology, violence prevention, racism and harm reduction, all revealed the need for a cultural shift in the field of public health that acknowledges and addresses the broader inequities that influence the health and well-being of populations...
November 2016: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/27875643/crowdfunding-for-medical-care-ethical-issues-in-an-emerging-health-care-funding-practice
#15
Jeremy Snyder
Crowdfunding websites allow users to post a public appeal for funding for a range of activities, including adoption, travel, research, participation in sports, and many others. One common form of crowdfunding is for expenses related to medical care. Medical crowdfunding appeals serve as a means of addressing gaps in medical and employment insurance, both in countries without universal health insurance, like the United States, and countries with universal coverage limited to essential medical needs, like Canada...
November 2016: Hastings Center Report
https://www.readbyqxmd.com/read/27871276/the-future-of-global-health-education-training-for-equity-in-global-health
#16
EDITORIAL
Lisa V Adams, Claire M Wagner, Cameron T Nutt, Agnes Binagwaho
BACKGROUND: Among academic institutions in the United States, interest in global health has grown substantially: by the number of students seeking global health opportunities at all stages of training, and by the increase in institutional partnerships and newly established centers, institutes, and initiatives to house global health programs at undergraduate, public health and medical schools. Witnessing this remarkable growth should compel health educators to question whether the training and guidance that we provide to students today is appropriate, and whether it will be applicable in the next decade and beyond...
November 21, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27870795/achieving-equity-in-physical-activity-participation-acsm-experience-and-next-steps
#17
Rebecca E Hasson, David R Brown, Joan Dorn, Lisa Barkley, Carol Torgan, Melicia Whitt-Glover, Barbara Ainsworth, NiCole Keith
There is clear and consistent evidence that regular physical activity is an important component of healthy lifestyles, and fundamental to promoting health and preventing disease. Despite the known benefits of physical activity participation, many people in the United States (US) remain inactive. More specifically, physical activity behavior is socially patterned with lower participation rates among women, racial/ethnic minorities, sexual minority youth, individuals with less education, persons with physical, mental and cognitive disabilities, individuals > 65 years of age, and those living in the southeast region of the US...
November 19, 2016: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/27868298/changes-to-smoking-habits-and-addiction-following-tobacco-excise-tax-increases-a-comparison-of-m%C3%A4-ori-pacific-and-new-zealand-european-smokers
#18
Megan R Tucker, Bronwyn M Kivell, Murray Laugesen, Randolph C Grace
OBJECTIVE: To compare changes in smoking habit and psychological addiction in Māori/Pacific and NZ European smokers in response to two annual excise tax increases from 2012 to 2014. METHODS: Smokers from New Zealand cities completed questionnaires at three time points before and after two excise tax increases. RESULTS: There were no significant differences in cigarettes per day or psychological addiction at baseline, but a linear decline in both measures was observed in Māori/Pacific and NZ European smokers...
November 20, 2016: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/27866387/school-context-matters-the-impacts-of-concentrated-poverty-and-racial-segregation-on-childhood-obesity
#19
Joy Rayanne Piontak, Michael D Schulman
BACKGROUND: Schools are important sites for interventions to prevent childhood obesity. This study examines how variables measuring the socioeconomic and racial composition of schools and counties affect the likelihood of obesity among third to fifth grade children. METHODS: Body mass index data were collected from third to fifth grade public school students by teachers from 317 urban and rural North Carolina schools in 38 counties. Multilevel models are used to examine county-, school-, and individual-level effects...
December 2016: Journal of School Health
https://www.readbyqxmd.com/read/27864323/what-is-policy-and-where-do-we-look-for-it-when-we-want-to-research-it
#20
Brad Crammond, Gemma Carey
Public health researchers are increasingly concerned with achieving 'upstream' change to achieve reductions in the global burden of disease and health inequalities. Consequently, understanding policy and how to change it has become a central goal of public health. Yet conceptualisation of what constitutes policy and where it can be found is very limited within this field. Our glossary demonstrates that policy is many headed. It is located in a vast array of documents, discussions dialogues and actions which can be captured variously by formal and informal forms of documentation and observation...
November 18, 2016: Journal of Epidemiology and Community Health
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