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Public health and inequities

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https://www.readbyqxmd.com/read/28523939/prevalence-of-psychological-distress-how-do-australia-and-canada-compare
#1
Joanne C Enticott, Elizabeth Lin, Frances Shawyer, Grant Russell, Brett Inder, Scott Patten, Graham Meadows
OBJECTIVE: To compare equivalent population-level mental health indicators in Canada and Australia, and articulate recommendations to support equitable mental health services. These are two somewhat similar resource-rich countries characterized by extensive non-metropolitan and rural regions as well as significant areas of socioeconomic deprivation. METHODS: A cross-national epidemiology and equity study: primary outcome was Kessler Psychological Distress Scale (K10) in recent national surveys...
May 1, 2017: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/28520880/children-s-health-in-europe-challenges-for-the-next-decades
#2
Lennart Köhler
These reflections from a Child Public Health perspective underline the dramatic changes in children's conditions in Europe over this last century, including a considerable improvement in health. However, we still face problems, disturbing facts and alarming signs. There are important gaps in our knowledge about essential areas of children's health panorama and about particularly vulnerable sub-groups of children, which are less healthy, less well cared for and not enjoying the good conditions of life. We also see an evident lack of the child's perspective, implying acknowledgement and action on the views of the children themselves...
May 18, 2017: Health Promotion International
https://www.readbyqxmd.com/read/28515188/trends-in-socioeconomic-inequalities-in-five-major-risk-factors-for-cardiovascular-disease-in-the-korean-population-a-cross-sectional-study-using-data-from-the-korea-national-health-and-nutrition-examination-survey-2001-2014
#3
Yoon Jung Kim, Ji Sung Lee, Juri Park, Dong Seop Choi, Doo Man Kim, Kee-Hyoung Lee, Ho Yeon Kim, Sin Gon Kim, Juneyoung Lee
OBJECTIVES: To examine trends in socioeconomic inequalities in major cardiovascular disease (CVD) risk factors among the Korean population. DESIGN: Cross-sectional study. SETTING: A nationally representative population survey database. PARTICIPANTS: A total of 42 725 Koreans, aged 25-64 years, who participated in the Korean National Health and Nutrition Examination Survey (KNHANES) II (2001) to VI (2013-2014). MAIN OUTCOME MEASURES: Trends in socioeconomic inequalities in five major CVD risk factors (smoking, obesity, diabetes, hypertension and hypercholesterolaemia)...
May 17, 2017: BMJ Open
https://www.readbyqxmd.com/read/28513762/water-fluoridation-in-brazilian-cities-at-the-first-decade-of-the-21st-century
#4
Paulo Frazão, Paulo Capel Narvai
OBJECTIVE: To assess the coverage of the fluoridation of the public water supply in Brazilian municipalities at the first decade of the 21st century, according to population size and municipal human development index (MHDI). METHODS: We have used data produced by national information agencies and the United Nations Development Programme. Population size was separated into < 10,000, 10,000-50,000, and > 50,000 inhabitants. The MHDI was classified into < 0...
May 15, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28511682/inequities-in-coverage-of-smokefree-space-policies-within-the-united-states
#5
Christopher Lowrie, Amber L Pearson, George Thomson
BACKGROUND: Previous studies have found extensive geographic and demographic differences in tobacco use. These differences have been found to be reduced by effective public policies, including banning smoking in public spaces. Smokefree indoor and outdoor spaces reduce secondhand smoke exposure and denormalize smoking. METHODS: We evaluated regional and demographic differences in the proportion of the population covered by smokefree policies enacted in the United States prior to 2014, for both adults and children...
May 16, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28508541/opt-in-or-opt-out-to-increase-organ-donation-in-south-africa-appraising-proposed-strategies-using-an-empirical-ethics-analysis
#6
Harriet Etheredge, Claire Penn, Jennifer Watermeyer
Utilising empirical ethics analysis, we evaluate the merits of systems proposed to increase deceased organ donation in South Africa (SA). We conclude that SA should maintain its soft opt-in policy, and enhance it with 'required transplant referral' in order to maximise donor numbers within an ethically and legally acceptable framework. In SA, as is the case worldwide, the demand for donor organs far exceeds the supply thereof. Currently utilising a soft opt-in system, SA faces the challenge of how to increase donor numbers in a context which is imbued with inequalities in access to healthcare, multiplicitous personal beliefs and practices, distrust of organ transplant and varying levels of education and health literacy...
May 16, 2017: Developing World Bioethics
https://www.readbyqxmd.com/read/28501033/the-portuguese-version-of-the-european-deprivation-index-an-instrument-to-study-health-inequalities
#7
Ana Isabel Ribeiro, Alexandra Mayer, Ana Miranda, Maria Fátima Pina
INTRODUCTION: Tackling socioeconomic health inequalities is a big public health challenge and ecological deprivation indexes are essential instruments to monitor and understand them. In Portugal, no standard ecological deprivation index exists, contrasting with other countries. We aimed to describe the construction of the Portuguese version of a transnational deprivation index, European Deprivation Index. MATERIAL AND METHODS: The European Deprivation Index was developed under the Townsend theorization of deprivation...
January 31, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28499436/inequality-in-healthcare-costs-between-residing-and-non-residing-patients-evidence-from-vietnam
#8
Hieu M Nguyen
BACKGROUND: Place of residence has been shown to impact health. To date, however, previous studies have only focused on the variability in health outcomes and healthcare costs between urban and rural patients. This study takes a different approach and investigates cost inequality facing non-residing patients - patients who do not reside in the regions in which the hospitals are located. Understanding the sources for this inequality is important, as they are directly related to healthcare accessibility in developing countries...
May 12, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28497581/what-could-cognitive-capital-mean-for-china-s-children
#9
Douglas J Noble, Kathryn Martin, Lisa Qin, Pia Britto, Margo O'sullivan, Jillian Popkins, Ron Pouwels, Robert W Scherpbier, Rana Flowers
Cognitive capital is an emerging paradigm that captures the criticality of investing in children whilst neural proliferation and development of brain architecture are at their peak. Distinct from financial capital, cognitive capital represents investment in future human potential from interventions in nutrition, health, education, child protection, and social welfare systems that optimize brain development. The return on investment is significant given the plasticity of the developing brain in response to positive stimuli...
May 12, 2017: PsyCh Journal
https://www.readbyqxmd.com/read/28495977/modelling-the-implications-of-reducing-smoking-prevalence-the-public-health-and-economic-benefits-of-achieving-a-tobacco-free-uk
#10
Daniel Hunt, André Knuchel-Takano, Abbygail Jaccard, Arti Bhimjiyani, Lise Retat, Chit Selvarajah, Katrina Brown, Laura L Webber, Martin Brown
INTRODUCTION: Smoking is still the most preventable cause of cancer, and a leading cause of premature mortality and health inequalities in the UK. This study modelled the health and economic impacts of achieving a 'tobacco-free' ambition (TFA) where, by 2035, less than 5% of the population smoke tobacco across all socioeconomic groups. METHODS: A non-linear multivariate regression model was fitted to cross-sectional smoking data to create projections to 2035. These projections were used to predict the future incidence and costs of 17 smoking-related diseases using a microsimulation approach...
May 11, 2017: Tobacco Control
https://www.readbyqxmd.com/read/28495106/israel-health-and-beyond
#11
REVIEW
Karl Skorecki, Richard Horton
The principle that global human identity and dignity supersede other values is a broadly accepted conviction that guides practice and policies in the realm of human health in most of the world. An assessment of the level of success that Israel has achieved in health, in the face of formidable challenges, including rapid population growth, diverse and often divided ethnic affiliations, and existential security threats, leads us to propose that extension of this principle of global human identity and dignity, together with the objective of a decent society, as overriding values beyond health to other domains of human endeavour within Israel and in its relations with neighbouring peoples, represents an entirely achievable imperative...
May 5, 2017: Lancet
https://www.readbyqxmd.com/read/28493934/taking-stock-of-the-social-determinants-of-health-a-scoping-review
#12
Kelsey Lucyk, Lindsay McLaren
BACKGROUND: In recent decades, the social determinants of health (SDOH) has gained increasing prominence as a foundational concept for population and public health in academic literature and policy documents, internationally. However, alongside its widespread dissemination, and in light of multiple conceptual models, lists, and frameworks, some dilution and confusion is apparent. This scoping review represents an attempt to take stock of SDOH literature in the context of contemporary population and public health...
2017: PloS One
https://www.readbyqxmd.com/read/28492215/public-health-achievements-and-challenges-symposium-of-the-university-of-mostar-faculty-of-health-studies
#13
Jelena Ravlija, Ivan Vasilj, Dragan Babic, Inga Marijanovic
Public health is an important area of health care that reflects the readiness of the state and society to provide the welfare of all citizens through the promotion of health and the preservation of a healthy environment - factors that directly affect the health of the population. The field of public health is very broad and its concept is changing over time, being defined in a narrower and wider sense. In short, public health is a science and practice that aims at ensuring the conditions in which people can preserve and improve their health and prevent health damage...
May 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28490355/regional-inequity-in-complete-antenatal-services-and-public-emergency-obstetric-care-is-associated-with-greater-burden-of-maternal-deaths-analysis-from-consecutive-district-level-facility-survey-of-karnataka-india
#14
M Himanshu, Carina Källestål
BACKGROUND: This equity focused evaluation analyses change in inter-district inequity of maternal health services (MHS) in Karnataka state between 2006-07 & 2012-13, alongside association of MHS inequity with distribution of maternal deaths. METHODS: Repeated cross-sectional analysis of inequity and decomposition was done on nine district level MHS indicators using Theil's T index. Data was obtained from population linked district level facility surveys and health information systems...
May 11, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28485714/portugal-health-system-review
#15
Jorge de Almeida Simoes, Goncalo Figueiredo Augusto, Ines Fronteira, Cristina Hernandez-Quevedo
This analysis of the Portuguese health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. Overall health indicators such as life expectancy at birth and at age 65 years have shown a notable improvement over the last decades. However, these improvements have not been followed at the same pace by other important dimensions of health: child poverty and its consequences, mental health and quality of life after 65...
March 2017: Health Systems in Transition
https://www.readbyqxmd.com/read/28472286/general-practitioners-attitudes-towards-and-experiences-with-referrals-due-to-supplemental-health-insurance
#16
Merethe K Andersen, Line B Pedersen, Michael Dupont, Kjeld Møller Pedersen, Anders Munck, Jørgen Nexøe
Background.: Supplemental health insurances (SHI) cover 38% of the Danish population. SHI can give faster access to, and additional treatment from, private health providers. However, this is contingent on a referral from the general practitioner (GP), further complicating clinical decision-making. Objectives.: To describe GPs' attitudes to SHI and their experiences with patients holding SHI. Moreover, we analysed associations between different GP characteristics; e...
May 2, 2017: Family Practice
https://www.readbyqxmd.com/read/28468612/the-barriers-and-facilitators-that-indigenous-health-workers-experience-in-their-workplace-and-communities-in-providing-self-management-support-a-multiple-case-study
#17
Jessica Conway, George Tsourtos, Sharon Lawn
BACKGROUND: The inequality in health outcomes between Indigenous (Throughout the paper, the term Indigenous will be used to represent both Aboriginal Australians and Torres Strait Islander Australians.) and non-Indigenous Australians continues to be a major public health issue. Chronic conditions are responsible for the majority of the gap in life expectancy for this population. Evidence suggests that chronic condition management models focusing on self-management have led to improved health outcomes in Indigenous populations...
May 3, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28464185/-recommendations-for-academic-profiling-of-global-public-health-in-germany
#18
Alexander Krämer, Florian Fischer
Many dimensions of public health are now global. Therefore, global public health is essential for facing cross-border health problems, promoting health chances and reducing health inequalities on a global level. The aim of this interdisciplinary research field is to improve the health of the population and its subgroups in a global context, taking into account a variety of factors. The importance of global public health is shown in this paper. Central topics, concepts and methods, as well as challenges for global public health are identified and recommendations for the academic profiling of global public health in Germany are given...
May 2, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/28459825/patterns-of-analgesic-use-to-relieve-tooth-pain-among-residents-in-british-columbia-canada
#19
Jamie Moeller, Julie Farmer, Carlos Quiñonez
The use of prescription opioids has increased dramatically in Canada in recent decades. This rise in opioid prescriptions has been accompanied by increasing rates of opioid-related abuse and addiction, creating serious public health challenges in British Columbia (BC), one of Canada's most populated provinces. Our study explores the relationship between dental pain and prescription opioid use among residents in BC. We used data from the 2003 Canadian Community Health Survey (CCHS), which asked respondents about their use of specific analgesic medications, including opioids, and their history of tooth pain in the past month...
2017: PloS One
https://www.readbyqxmd.com/read/28453666/inequalities-in-rural-communities-adapting-national-deprivation-indices-for-rural-settings
#20
D Fecht, A Jones, T Hill, T Lindfield, R Thomson, A L Hansell, R Shukla
Background: Deprivation indices have been widely used in healthcare research and planning in the United Kingdom. Existing indices, however, are dominated by characteristics of urban populations that may be less relevant in capturing the nature of rural deprivation. We explore if deprivation indices can be modified to make them more sensitive to displaying rural disadvantage in England. Methods: The analysis focussed on the 2011 Carstairs Index (Carstairs2011) and the 2010 English Index of Multiple Deprivation (IMD2010)...
April 27, 2017: Journal of Public Health
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