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Public health and inequities

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https://www.readbyqxmd.com/read/29328880/relative-roles-of-race-versus-socioeconomic-position-in-studies-of-health-inequalities-a-matter-of-interpretation
#1
Amani M Nuru-Jeter, Elizabeth K Michaels, Marilyn D Thomas, Alexis N Reeves, Roland J Thorpe, Thomas A LaVeist
An abundance of research has documented health inequalities by race and socioeconomic position (SEP) in the United States. However, conceptual and methodological challenges complicate the interpretation of study findings, thereby limiting progress in understanding health inequalities and in achieving health equity. Fundamental to these challenges is a lack of clarity about what race is and the implications of that ambiguity for scientific inquiry. Additionally, there is wide variability in how SEP is conceptualized and measured, resulting in a lack of comparability across studies and significant misclassification of risk...
January 12, 2018: Annual Review of Public Health
https://www.readbyqxmd.com/read/29328865/the-relationship-between-education-and-health-reducing-disparities-through-a-contextual-approach
#2
Anna Zajacova, Elizabeth M Lawrence
Adults with higher educational attainment live healthier and longer lives compared with their less educated peers. The disparities are large and widening. We posit that understanding the educational and macrolevel contexts in which this association occurs is key to reducing health disparities and improving population health. In this article, we briefly review and critically assess the current state of research on the relationship between education and health in the United States. We then outline three directions for further research: We extend the conceptualization of education beyond attainment and demonstrate the centrality of the schooling process to health; we highlight the dual role of education as a driver of opportunity but also as a reproducer of inequality; and we explain the central role of specific historical sociopolitical contexts in which the education-health association is embedded...
January 12, 2018: Annual Review of Public Health
https://www.readbyqxmd.com/read/29325516/brucellosis-remains-a-neglected-disease-in-the-developing-world-a-call-for-interdisciplinary-action
#3
K A Franc, R C Krecek, B N Häsler, A M Arenas-Gamboa
BACKGROUND: Brucellosis is an endemic zoonotic disease in most of the developing world that causes devastating losses to the livestock industry and small-scale livestock holders. Infected animals exhibit clinical signs that are of economic significance to stakeholders and include reduced fertility, abortion, poor weight gain, lost draught power, and a substantial decline in milk production. In humans, brucellosis typically manifests as a variety of non-specific clinical signs. Chronicity and recurring febrile conditions, as well as devastating complications in pregnant women are common sequelae...
January 11, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29325507/research-collaboration-in-a-communication-rights-campaign-lessons-learned
#4
Charlotte Ryan
In building public support for social change, activists in communities of color routinely approach broader audiences via news media. Communities of color, however, routinely face disparities that limit their access to media including local news media outlets. This lack of access mirrors inequalities in political, social, and economic arenas and can slow public awareness campaigns to address disparities in health, environmental, and other quality-of-life issues. I describe two community-based collaborative action research studies that documented and challenged how local television newscasts underrepresented and misrepresented three communities of color in Boston...
January 1, 2018: New Solutions: a Journal of Environmental and Occupational Health Policy: NS
https://www.readbyqxmd.com/read/29325398/health-priorities-in-french-speaking-swiss-cantons
#5
Philippe Chastonay, Jean Simos, Nicolas Cantoreggi, Rudolf Zurkinden, Thomas Mattig
In Switzerland, the federal authorities, the cantons, and the communes share the responsibility of healthcare, disease prevention and health promotion policies. Yet, the cantons are in most health matters independent in their decisions, thus defining as a matter of fact their own health priorities. We examined and analysed the content of the disease prevention and health promotion plans elaborated during the last decade in six French-speaking cantons with different political contexts and resources, but quite similar population health data, in order to identify the set health priorities...
July 31, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/29324717/residual-inequity-assessing-the-unintended-consequences-of-new-york-city-s-clean-heat-transition
#6
Daniel Carrión, W Victoria Lee, Diana Hernández
Energy policies and public health are intimately intertwined. In New York City, a series of policies, known as the Clean Heat Program (CHP), were designed to reduce air pollution by banning residual diesel fuel oils, #6 in 2015 and #4 by 2030. This measure is expected to yield environmental and public health benefits over time. While there is near-universal compliance with the #6 ban, a substantial number of buildings still use #4. In this paper, geographic analysis and qualitative interviews with stakeholders were used to interrogate the CHP's policy implementation in Northern Manhattan and the Bronx...
January 11, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29314746/integrative-review-of-the-intersection-of-green-space-and-neighborhood-violence
#7
Gibran C Mancus, Jacquelyn Campbell
PURPOSE: To systematically analyze evidence about the impact of green space on the perception and actual safety of residents of urban neighborhoods. DESIGN AND ORGANIZING CONSTRUCT: Systematic review of green space and violence based on Broome review criteria. METHODS: One landmark study prompted the initial hand search and identification of search terms. Twenty-three quantitative, five qualitative, and two mixed-methods studies were found in the urban planning, public health, medical, and psychological literature that met the following criteria: analyzed green space and violence as factors in the perception of safety as an outcome measure, including action taken by being outside for recreation, exercise, or self-report in the survey...
January 4, 2018: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/29302179/where-public-health-meets-human-rights-integrating-human-rights-into-the-validation-of-the-elimination-of-mother-to-child-transmission-of-hiv-and-syphilis
#8
Eszter Kismödi, Karusa Kiragu, Olga Sawicki, Sally Smith, Sophie Brion, Aditi Sharma, Lilian Mworeko, Alexandrina Iovita
In 2014, the World Health Organization (WHO) initiated a process for validation of the elimination of mother-to-child transmission (EMTCT) of HIV and syphilis by countries. For the first time in such a process for the validation of disease elimination, WHO introduced norms and approaches that are grounded in human rights, gender equality, and community engagement. This human rights-based validation process can serve as a key opportunity to enhance accountability for human rights protection by evaluating EMTCT programs against human rights norms and standards, including in relation to gender equality and by ensuring the provision of discrimination-free quality services...
December 2017: Health and Human Rights
https://www.readbyqxmd.com/read/29302165/dedicated-caravan-sites-for-french-gens-du-voyage-public-health-policy-or-construction-of-health-and-environmental-inequalities
#9
Lise Foisneau
In France, gens du voyage ("people who travel" or "travellers") is a term used by the government to categorize various itinerant populations, the majority of which are diverse Romani groups. People categorized as gens du voyage are legally required to reside in particular locations called "dedicated caravan sites." Parliamentary debates about these dedicated caravan sites have clarified that one of the objectives of such sites is to help fulfill the gens du voyage's right to health. However, there is a significant gap between the officially stated goals of such sites and the reality of life within them...
December 2017: Health and Human Rights
https://www.readbyqxmd.com/read/29301537/social-health-insurance-contributes-to-universal-coverage-in-south-africa-but-generates-inequities-survey-among-members-of-a-government-employee-insurance-scheme
#10
Jane Goudge, Olufunke A Alaba, Veloshnee Govender, Bronwyn Harris, Nonhlanhla Nxumalo, Matthew F Chersich
BACKGROUND: Many low- and middle-income countries are reforming their health financing mechanisms as part of broader strategies to achieve universal health coverage (UHC). Voluntary social health insurance, despite evidence of resulting inequities, is attractive to policy makers as it generates additional funds for health, and provides access to a greater range of benefits for the formally employed. The South African government introduced a voluntary health insurance scheme (GEMS) for government employees in 2005 with the aim of improving access to care and extending health coverage...
January 4, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29300982/gender-and-schooling-inequalities-in-risk-and-protective-factors-for-chronic-diseases-among-brazilian-adults
#11
Carla C Enes, Luciana B Nucci
Background: There is consistent evidence showing that low socioeconomic level, both at the individual and contextual levels, is an important predictor of morbidity and mortality due to noncommunicable diseases. Objective: To identify gender and schooling inequalities in the distribution of risk and protective factors for chronic diseases among Brazilian adults. Methods: This study included data from 97 468 individuals interviewed in 2012 and 2013 from the Surveillance System of Risk and Protective Factors for Chronic Diseases (VIGITEL)...
December 29, 2017: Journal of Public Health
https://www.readbyqxmd.com/read/29297930/analysis-of-human-resources-for-oral-health-globally-inequitable-distribution
#12
Jennifer E Gallagher, Lynn Hutchinson
BACKGROUND: Oral diseases affect most of the global population. The aim of this paper was to provide a contemporary analysis of 'human resources for oral health' (HROH) by examining the size and distribution of the dental workforce according to World Health Organization (WHO) region and in the most populous countries. METHOD: Publically available data on HROH and population size were sourced from the WHO, Central Intelligence Agency, United Nations, World Bank and the UK registration body...
January 3, 2018: International Dental Journal
https://www.readbyqxmd.com/read/29295758/-social-inequalities-in-health-in-the-older-population-an-insight-into-the-debate-on-delayed-retirement-age-in-spain-from-a-public-health-perspective
#13
Unai Martín, Antía Domínguez-Rodríguez, Amaia Bacigalupe
OBJECTIVE: To analyse the inequalities in life expectancy in the Spanish population over the age of 65 according to educational level. METHOD: Cross sectional study on the Spanish population aged 65 years and over. Life expectancy and healthy life expectancy were calculated combining mortality, health and population data. RESULTS: People aged 65 and over with a lower educational level had shorter lives, with fewer years of good health and more years of poor health...
December 30, 2017: Gaceta Sanitaria
https://www.readbyqxmd.com/read/29289843/the-relationship-between-urban-forests-and-race-a-meta-analysis
#14
Shannon Lea Watkins, Ed Gerrish
There is ample evidence that urban trees benefit the physical, mental, and social health of urban residents. The environmental justice hypothesis posits that environmental amenities are inequitably low in poor and minority communities, and predicts these communities experience fewer urban environmental benefits. Some previous research has found that urban forest cover is inequitably distributed by race, though other studies have found no relationship or negative inequity. These conflicting results and the single-city nature of the current literature suggest a need for a research synthesis...
December 28, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/29288780/making-the-most-of-natural-experiments-what-can-studies-of-the-withdrawal-of-public-health-interventions-offer
#15
REVIEW
Peter Craig, Marcia Gibson, Mhairi Campbell, Frank Popham, Srinivasa Vittal Katikireddi
Many interventions that may have large impacts on health and health inequalities, such as social and public health policies and health system reforms, are not amenable to evaluation using randomised controlled trials. The United Kingdom Medical Research Council's guidance on the evaluation of natural experiments draws attention to the need for ingenuity to identify interventions which can be robustly studied as they occur, and without experimental manipulation. Studies of intervention withdrawal may usefully widen the range of interventions that can be evaluated, allowing some interventions and policies, such as those that have developed piecemeal over a long period, to be evaluated for the first time...
December 27, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/29284242/lay-beliefs-on-polish-oncology-in-the-evaluation-of-healthy-individuals
#16
Małgorzata Synowiec-Piłat
INTRODUCTION: Poland is among the countries which reported the highest rates of mortality from cancer. The health behaviours of people are influenced, among other things, by their beliefs about cancer, but their evaluation of oncological institutions and specialists seems also to be of great importance. Objectives. 1. How the respondents evaluate Polish oncology: a) the conditions of treatment in oncology hospitals, b) access to oncological medical services, c) the competence of oncologists...
December 23, 2017: Annals of Agricultural and Environmental Medicine: AAEM
https://www.readbyqxmd.com/read/29283867/the-impact-of-public-health-awareness-campaigns-on-the-awareness-and-quality-of-palliative-care
#17
Jane Seymour
OBJECTIVE: The right to health includes a right of access to good quality palliative care, but inequalities persist. Raising awareness is a key plank of the public health approach to palliative care, but involves consideration of subjects most of us prefer not to address. This review addresses the question: "do public health awareness campaigns effectively improve the awareness and quality of palliative care"? BACKGROUND: The evidence shows that public awareness campaigns can improve awareness of palliative care and probably improve quality of care, but there is a lack of evidence about the latter...
January 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29282722/estimating-the-cost-of-providing-foundational-public-health-services
#18
Cezar Brian C Mamaril, Glen P Mays, Douglas Keith Branham, Betty Bekemeier, Justin Marlowe, Lava Timsina
OBJECTIVE: To estimate the cost of resources required to implement a set of Foundational Public Health Services (FPHS) as recommended by the Institute of Medicine. STUDY DESIGN: A stochastic simulation model was used to generate probability distributions of input and output costs across 11 FPHS domains. We used an implementation attainment scale to estimate costs of fully implementing FPHS. DATA COLLECTION/EXTRACTION METHODS: We use data collected from a diverse cohort of 19 public health agencies located in three states that implemented the FPHS cost estimation methodology in their agencies during 2014-2015...
December 28, 2017: Health Services Research
https://www.readbyqxmd.com/read/29281603/shedding-light-on-governance-for-roma-health-inequities
#19
Marta Escobar-Ballesta, Manuel García-Ramírez, Daniela Miranda, Roumyana Petrova-Benedict
The health inequities suffered by the Roma population in Europe represent an alarming and unacceptable source of injustice. As the main ethnic minority in Europe, the gap between the health conditions of the Roma and the rest of the population poses a challenge to human rights and public health. Many political efforts have been deployed in Europe to tackle these inequities. However, they have fallen short, even causing paradoxical consequences. In this paper, we argue that previous political efforts have failed because they were developed from a neoliberal perspective, which perceives Roma health inequities as isolated ethnic problems for which there is no political accountability...
January 2018: Journal of Prevention & Intervention in the Community
https://www.readbyqxmd.com/read/29281166/a-potential-human-rights-act-in-queensland-and-inclusion-of-the-right-to-health
#20
Claire E Brolan, Lisa Herron, Anna Carney, Eva M Fritz, Judy James, Miranda Margetts
OBJECTIVE: To identify the level of public support for a Human Rights Act for Queensland (HRAQ) and for inclusion of the right to health by participants in a public inquiry process. METHODS: We reviewed the 492 written submissions to the Legal Affairs and Community Safety Committee's Inquiry into a potential HRAQ and the transcripts documenting the public hearings held by the Committee in 2016. RESULTS: A total of 465 written submissions were analysed; 419 (90%) were for a HRAQ...
December 27, 2017: Australian and New Zealand Journal of Public Health
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