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Public health and inequities

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https://www.readbyqxmd.com/read/28080947/hiv-testing-intervention-development-among-men-who-have-sex-with-men-in-the-developed-world
#1
Paul Flowers, Claudia Estcourt, Pam Sonnenberg, Fiona Burns
HIV testing is a 'gateway' technology, enabling access to treatment and HIV prevention. Biomedical approaches to prevention, such as pre-exposure prophylaxis and treatment as prevention, require accurate and regular HIV test results. HIV testing also represents a powerful 'teachable moment' for behavioural prevention. An increasing range of HIV tests and the emergence of self-managed diagnostic technologies (e.g. self-testing) means there is now considerable diversification of when, where and how results are available to those who test...
January 13, 2017: Sexual Health
https://www.readbyqxmd.com/read/28077122/relationship-between-risk-assessment-and-payment-models-in-swedish-public-dental-service-a-prospective-study
#2
Gunnel Hänsel Petersson, Svante Twetman
BACKGROUND: To a) compare risk categories in patients selecting a capitation payment (CP) model with those in fee-for-service (FFS), b) determine the 3-year caries increment in the two groups, and c) compare the amount of delivered preventive care in the two groups. METHODS: A comprehensive risk assessment was carried out in 1295 young adults attending eight Public Dental Clinics in the Scania region and 75% could be re-examined after 3 years; 615 had selected the CP model and 310 the traditional FFS...
January 11, 2017: BMC Oral Health
https://www.readbyqxmd.com/read/28076583/-social-factors-associated-with-use-of-prenatal-care-in-ecuador
#3
Amaya Sánchez-Gómez, William Cevallos, Mario J Grijalva, Luis C Silva-Ayçaguer, Susana Tamayo, Jerry O Jacobson, Jaime A Costales, Rodrigo Jiménez-Garcia, Valentín Hernández-Barrera, Suzanne Serruya, Celia Riera
Objectives: Prenatal care is a pillar of public health, enabling access to interventions including prevention of mother-to-child transmission of HIV and congenital syphilis. This paper describes social factors related to use of prenatal care in Ecuador. Methods: In 2011 and 2012, participant clinical history and interview information was analyzed from a national probability sample of 5 998 women presenting for delivery or miscarriage services in 15 healthcare facilities in Ecuador, to estimate prevalence of HIV, syphilis, and Chagas disease, and prenatal care coverage...
November 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28073892/socioeconomic-and-ethnic-inequities-within-organised-colorectal-cancer-screening-programmes-worldwide
#4
C M de Klerk, S Gupta, E Dekker, M L Essink-Bot
OBJECTIVE: Colorectal cancer (CRC) screening programmes can reduce CRC mortality. However, the implementation of a screening programme may create or exacerbate socioeconomic and ethnic health inequities if participation varies by subgroup. We determined which organised programmes characterise participation inequities by socioeconomic and ethnic subgroups, and assessed the variation in subgroup participation among programmes collecting group-specific data. DESIGN: Employing a literature review and survey among leaders of national or regional screening programmes, this study identified published and unpublished data on participation by socioeconomic status and ethnicity...
January 10, 2017: Gut
https://www.readbyqxmd.com/read/28072856/socioeconomic-inequalities-in-body-mass-index-across-adulthood-coordinated-analyses-of-individual-participant-data-from-three-british-birth-cohort-studies-initiated-in-1946-1958-and-1970
#5
David Bann, William Johnson, Leah Li, Diana Kuh, Rebecca Hardy
BACKGROUND: High body mass index (BMI) is an important contributor to the global burden of ill-health and health inequality. Lower socioeconomic position (SEP) in both childhood and adulthood is associated with higher adult BMI, but how these associations have changed across time is poorly understood. We used longitudinal data to examine how childhood and adult SEP relates to BMI across adulthood in three national British birth cohorts. METHODS AND FINDINGS: The sample comprised up to 22,810 participants with 77,115 BMI observations in the 1946 MRC National Survey of Health and Development (ages 20 to 60-64), the 1958 National Child Development Study (ages 23 to 50), and the 1970 British Cohort Study (ages 26 to 42)...
January 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28069616/public-health-in-england-in-2016-the-health-of-the-public-and-the-public-health-system-a-review
#6
REVIEW
John Middleton
BACKGROUND: This article describes the current state of the health of the public in England and the state of the public health professional service and systems. SOURCES OF DATA: Data sources are wide ranging including the Global Burden of Disease, the Commonwealth Fund and Public Health England reports. AREAS OF AGREEMENT: There is a high burden of preventable disease and unacceptable inequalities in England. There is considerable expectation that there are gains to be made in preventing ill health and disability and so relieving demand on healthcare...
January 8, 2017: British Medical Bulletin
https://www.readbyqxmd.com/read/28068988/disability-support-and-long-term-social-care-of-an-elderly-spanish-population-2008-2009-an-epidemiologic-analysis
#7
J Almazán-Isla, M Comín-Comín, E Alcalde-Cabero, C Ruiz, E Franco, R Magallón, J Damián, J de Pedro-Cuesta, L A Larrosa-Montañes
BACKGROUND: Though poorly known, relationships between disability, need of help (dependency) and use of social services are crucial aspects of public health. The objective of this study was to describe the links between disability, officially assessed dependency, and social service use by an industrial population, and identify areas of inequity. METHODS: We took advantage of a door-to-door survey conducted in the Cinco Villas district, Spain, in 2008-2009, which provided data on disability, morbidity, and service use among 1216 residents aged ≥50 years, and officially assessed dependency under the 2006 Dependency Act (OAD)...
January 9, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28066863/assessing-equity-in-the-provision-of-primary-healthcare-centers-in-buenos-aires-province-argentina-a-stochastic-frontier-analysis
#8
Florencia Arnaudo, Fernando Lago, Valentina Viego
BACKGROUND: Unequal access to healthcare between individuals or populations does not imply the existence of inequities as it must be controlled for differences in need. This is usually done either via direct or indirect standardization methods. OBJECTIVE: We study the degree of equity in the availability of public primary healthcare centers between the 134 municipalities of the Buenos Aires province (Argentina) with a novel application of an existing statistical tool...
January 9, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28065616/experience-on-mechanical-thrombectomy-for-acute-stroke-treatment-in-a-brazilian-university-hospital
#9
Guilherme S Nakiri, Luis H Castro-Afonso, Lucas M Monsignore, Francisco A Dias, Frederico F Alessio-Alves, Soraia Ramos C Fabio, Millene R Camilo, Pedro T Cougo-Pinto, Octavio M Pontes-Neto, João Pereira Leite, Daniel G Abud
BACKGROUND: Brazil is a developing country struggling to reduce its extreme social inequality, which is reflected on shortage of health-care infrastructure, mainly to the low-income class, which depends exclusively on the public health system. In Brazil, less than 1% of stroke patients have access to intravenous thrombolysis in a stroke unit, and constraints to the development of mechanical thrombectomy in the public health system increase the social burden of stroke. OBJECTIVE: Report the feasibility of mechanical thrombectomy as part of routine stroke care in a Brazilian public university hospital...
January 5, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/28061870/referring-to-multimodal-rehabilitation-for-patients-with-musculoskeletal-disorders-a-register-study-in-primary-health-care
#10
Charlotte Post Sennehed, Sara Holmberg, Kjerstin Stigmar, Malin Forsbrand, Ingemar F Petersson, Anja Nyberg, Birgitta Grahn
BACKGROUND: In 2008, the Swedish government introduced a National Rehabilitation Program, in which the government financially reimburses the county councils for evidence-based multimodal rehabilitation (MMR) interventions. The target group is patients of working age with musculoskeletal disorders (MSD), expected to return to work or remain at work after rehabilitation. Much attention in the evaluations has been on patient outcomes and on processes. We lack knowledge about how factors related to health care providers and community can have an impact on how patients have access to MMR...
January 7, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28061790/closing-the-gender-leadership-gap-a-multi-centre-cross-country-comparison-of-women-in-management-and-leadership-in-academic-health-centres-in-the-european-union
#11
Ellen Kuhlmann, Pavel V Ovseiko, Christine Kurmeyer, Karin Gutiérrez-Lobos, Sandra Steinböck, Mia von Knorring, Alastair M Buchan, Mats Brommels
BACKGROUND: Women's participation in medicine and the need for gender equality in healthcare are increasingly recognised, yet little attention is paid to leadership and management positions in large publicly funded academic health centres. This study illustrates such a need, taking the case of four large European centres: Charité - Universitätsmedizin Berlin (Germany), Karolinska Institutet (Sweden), Medizinische Universität Wien (Austria), and Oxford Academic Health Science Centre (United Kingdom)...
January 6, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28057032/ethical-imperatives-of-timely-access-to-orphan-drugs-is-possible-to-reconcile-economic-incentives-and-patients-health-needs
#12
R Rodriguez-Monguio, T Spargo, E Seoane-Vazquez
BACKGROUND: More than 6,800 rare diseases and conditions have been identified in the US, which affect 25-30 million Americans. In 1983, the US Congress enacted the Orphan Drug Act (ODA) to encourage the development and marketing of drugs to treat rare diseases and conditions. This study analyzed all orphan designations and FDA approvals since 1983 through 2015, discussed the effectiveness of incentives for the development of treatments for rare diseases, and reflected on the ethical imperatives for timely access to orphan drugs...
January 5, 2017: Orphanet Journal of Rare Diseases
https://www.readbyqxmd.com/read/28056968/co-payments-for-general-practitioners-in-denmark-an-analysis-using-two-policy-models
#13
Camilla Hansen, Despena Andrioti
BACKGROUND: The increasing health expenditure for general practitioners (GPs) in Denmark requires that other ways of financing the health system are investigated. This study aims to analyse possibilities for implementing out-of-pocket payments to GPs in Denmark. METHODS: The study was conducted as a literature review with 11 articles included. The Health Policy Triangle and the Kingdon Model were used in analysing and discussing the implementation of a cost-sharing policy with an emphasis on the out-of-pocket payments method...
January 5, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28056891/addressing-health-inequities-in-ontario-canada-what-solutions-do-the-public-support
#14
Maritt Kirst, Ketan Shankardass, Sonica Singhal, Aisha Lofters, Carles Muntaner, Carlos Quiñonez
BACKGROUND: As public opinion is an important part of the health equity policy agenda, it is important to assess public opinion around potential policy interventions to address health inequities. We report on public opinion in Ontario about health equity interventions that address the social determinants of health. We also examine Ontarians' support and predictors for targeted health equity interventions versus universal interventions. METHODS: We surveyed 2,006 adult Ontarians through a telephone survey using random digit dialing...
January 5, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28045207/public-primary-and-secondary-skin-cancer-prevention-perceptions-and-knowledge-an-international-cross-sectional-survey
#15
S Seite, V Del Marmol, D Moyal, A Friedman
BACKGROUND: The incidence of melanoma and non-melanoma skin cancer is continuing to increase worldwide, with sun exposure serving as the primary external etiologic force in its development. Despite noticeable public health efforts, there continue to be gaps in public awareness and primary and secondary prevention mechanisms. This survey study sought to investigate preventative behaviors regarding sun exposure and skin cancer detection at an international scale. METHODS: A questionnaire was submitted, both online and by telephone, to a representative sample (based on official demographic statistics on gender, age and region) of people aged from 15 to 65 originating from 23 countries...
January 3, 2017: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/28025680/impact-of-surgery-on-quality-of-life-of-women-with-obstetrical-fistula-a-qualitative-study-in-burkina-faso
#16
Julie Désalliers, Marie-Eve Paré, Salam Kouraogo, Jacques Corcos
INTRODUCTION AND HYPOTHESIS: Obstetric fistula, caused by traumatic delivery and patient lack of access to obstetric care, is an important public health concern in developing countries, particularly in Sub-Saharan Africa. This research focuses on the experience of women living with obstetric fistula in Burkina Faso as well as their reintegration into community after surgery. METHODS: This project was funded by the Mères du Monde en Santé (MMS) Foundation and conducted in collaboration with the Boromo Hospital...
December 26, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/28024682/coming-of-age-women-s-sexual-and-reproductive-health-after-twenty-one-years-of-democracy-in-south-africa
#17
Diane Cooper, Jane Harries, Jennifer Moodley, Deborah Constant, Rebecca Hodes, Cathy Mathews, Chelsea Morroni, Margaret Hoffman
This paper is a sequel to a 2004 article that reviewed South Africa's introduction of new sexual and reproductive health (SRH) and rights laws, policies and programmes, a decade into democracy. Similarly to the previous article, this paper focuses on key areas of women's SRH: contraception and fertility, abortion, maternal health, HIV, cervical and breast cancer and sexual violence. In the last decade, South Africa has retained and expanded its sexual and reproductive health and rights (SRHR) policies in the areas of abortion, contraception, youth and HIV treatment (with the largest antiretroviral treatment programme in the world)...
November 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/28024658/the-association-between-socioeconomic-status-and-health-related-quality-of-life-among-polish-postmenopausal-women-from-urban-and-rural-communities
#18
M Kaczmarek, J Pacholska-Bogalska, W Kwaśniewski, J Kotarski, B Halerz-Nowakowska, A Goździcka-Józefiak
In recent years, more scholarly attention has been paid to a growing range of geographic characteristics as antecedents of inequalities in women's health and well-being. The purpose of this study was to evaluate differences in health-related quality of life between rural and urban Polish postmenopausal women. Using a data set from a reproductive health preventive screening of 660 postmenopausal women aged 48-60 years, inhabitants of Wielkopolska and Lublin provinces, the association of place of residence, socioeconomic status and lifestyle factors with health-related quality of life (the SF-36 instrument) was evaluated using ANCOVA models and multiple logistic regression analysis with backward elimination steps...
December 1, 2016: Homo: Internationale Zeitschrift Für die Vergleichende Forschung Am Menschen
https://www.readbyqxmd.com/read/28008287/searching-for-sex-and-gender-sensitive-tuberculosis-research-in-public-health-finding-a-needle-in-a-haystack
#19
Bilkis Vissandjee, Assia Mourid, Christina A Greenaway, Wendy E Short, Jodi A Proctor
Despite broadening consideration of sex- and gender-based issues in health research, when seeking information on how sex and gender contribute to disease contexts for specific health or public health topics, a lack of consistent or systematic use of terminology in health literature means that it remains difficult to identify research with a sex or gender focus. These inconsistencies are driven, in part, by the complexity and terminological inflexibility of the indexing systems for gender- and sex-related terms in public health databases...
2016: International Journal of Women's Health
https://www.readbyqxmd.com/read/27999222/a-cross-disciplinary-approach-to-global-environmental-health-the-case-of-contaminated-sites
#20
Daniela Marsili
Cross-disciplinary approaches to Global Environmental Health are essential to address environmental health threats within and beyond national boundaries, taking into account the links among health, environment and socio-economic development. The aim of this study is to present a cross-disciplinary approach where knowledge and findings from environmental epidemiology and social research are integrated in studying environmental health issues, focusing on environmental health inequities, public and environmental health literacy, and international scientific cooperation...
October 2016: Annali Dell'Istituto Superiore di Sanità
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