Journals International Journal for Equi...

International Journal for Equity in Health
Nicolette Sheridan, Rawiri McKree Jansen, Matire Harwood, Tom Love, Timothy Kenealy
BACKGROUND: For more than a century, Māori have experienced poorer health than non-Māori. In 2019 an independent Tribunal found the Government had breached Te Tiriti o Waitangi by "failing to design and administer the current primary health care system to actively address persistent Māori health inequities". Many Māori (44%) have unmet needs for primary care. Seven models of primary care were identified by the funders and the research team, including Māori-owned practices...
February 27, 2024: International Journal for Equity in Health
Viktoria Steinbeck, Anja Yvonne Bischof, Lukas Schöner, Benedikt Langenberger, David Kuklinski, Alexander Geissler, Christoph Pross, Reinhard Busse
BACKGROUND: As patient-reported outcomes (PROs) gain prominence in hip and knee arthroplasty (HA and KA), studies indicate PRO variations between genders. Research on the specific health domains particularly impacted is lacking. Hence, we aim to quantify the gender health gap in PROs for HA/KA patients, differentiating between general health, health-related quality of life (HrQoL), physical functioning, pain, fatigue, and depression. METHODS: The study included 3,693 HA patients (1,627 men, 2,066 women) and 3,110 KA patients (1,430 men, 1,680 women) receiving surgery between 2020 to 2021 in nine German hospitals, followed up until March 2022...
February 27, 2024: International Journal for Equity in Health
Taslima Rahman, Dominic Gasbarro, Khorshed Alam, Khurshid Alam
BACKGROUND: Rural‒urban disparity in catastrophic healthcare expenditure (CHE) is a well-documented challenge in low- and middle-income countries, including Bangladesh, limiting financial protection and hindering the achievement of the Universal Health Coverage target of the United Nations Sustainable Development Goals. However, the factors driving this divide remain poorly understood. Therefore, this study aims to identify the key determinants of the rural‒urban disparity in CHE incidence in Bangladesh and their changes over time...
February 27, 2024: International Journal for Equity in Health
Monica Pérez Jolles, Meredith P Fort, Russell E Glasgow
For the fields of implementation science and health equity, understanding and being responsive to local contexts is of utmost importance to better inform the development, implementation, and evaluation of healthcare and public health interventions to increase their uptake and sustainment. Contexts are multi-level and include political, historical, economic, and social factors that influence health, as well as organizational characteristics, reflecting the richness of members' views, resources, values, and needs...
February 27, 2024: International Journal for Equity in Health
Olaf von dem Knesebeck, Jens Klein
BACKGROUND: It has consistently been shown that perceived discrimination is associated with adverse health outcomes. Despite this uncontested relevance, there is a lack of research on the experiences of discrimination in health care. Therefore, the following research questions were addressed: (1) How often do people in Germany report having been discriminated in health care due to different reasons? (2) Which socio-demographic groups are most afflicted by perceived discrimination in health care? METHODS: Analyses are based on a cross-sectional online survey conducted in Germany...
February 26, 2024: International Journal for Equity in Health
Xiaoou Bu, Yao Wang, Yawen Du, Chuanglu Mu, Wenjun Zhang, Pei Wang
BACKGROUND: Patient satisfaction is an important outcome domain of patient-centered care. Medical humanization follows the patient-centered principle and provides a more holistic view to treat patients. The COVID-19 pandemic posed significant barriers to maintaining medical humanization. However, empirical study on the relationship between medical humanization and patient satisfaction is clearly absent. OBJECTIVES: We examined the mediation effects of communication on the relationship between medical humanization and patient satisfaction when faced with a huge public health crisis like the COVID-19 pandemic, and the moderation effect of medical institutional trust on the mediation models...
February 26, 2024: International Journal for Equity in Health
Sun Yeop Lee, Woong-Han Kim, Jongho Heo
BACKGROUND: A high burden of physical, mental, and occupational health problems among migrant workers has been well-documented, but data on undocumented migrant workers are limited and their well-being has rarely been compared to that of the general population. METHODS: Using data from a cross-sectional survey of non-professional migrant workers in South Korea in early 2021, we described their physical, psychological, social well-being and health behaviors across a wide range of outcomes, including self-rated health, occupational injury, cigarette smoking, heavy alcohol consumption, meal pattern, happiness, mental illness, social support, and social participation...
February 26, 2024: International Journal for Equity in Health
Philip Bammert, Wiebke Schüttig, Anna Novelli, Iryna Iashchenko, Jacob Spallek, Miriam Blume, Katharina Diehl, Irene Moor, Nico Dragano, Leonie Sundmacher
BACKGROUND: Besides macrolevel characteristics of a health care system, mesolevel access characteristics can exert influence on socioeconomic inequalities in healthcare use. These reflect access to healthcare, which is shaped on a smaller scale than the national level, by the institutions and establishments of a health system that individuals interact with on a regular basis. This scoping review maps the existing evidence about the influence of mesolevel access characteristics and socioeconomic position on healthcare use...
February 23, 2024: International Journal for Equity in Health
Hedda Mattsson, Johanna Gustafsson, Sergio Prada, Laura Jaramillo-Otoya, George Leckie, Juan Merlo, Merida Rodriguez-Lopez
BACKGROUND: The prevalence of teenage pregnancy in Colombia is higher than the worldwide average. The identification of socio-geographical disparities might help to prioritize public health interventions. AIM: To describe variation in the probability of teenage maternity across geopolitical departments and socio-geographical intersectional strata in Colombia. METHODS: A cross-sectional study based on live birth certificates in Colombia. Teenage maternity was defined as a woman giving birth aged 19 or younger...
February 23, 2024: International Journal for Equity in Health
Omar Acosta Ruiz, Monica Ancira-Moreno, Isabel Omaña-Guzmán, Sonia Hernández Cordero, Arturo Cuauhtémoc Bautista Morales, Cecilia Pérez Navarro, Soraya Burrola Méndez, Eric Monterrubio Flores, Alejandra Trejo, Martha Kaufer-Horwitz, Ariana Cajero, Belén Sánchez, Constanza Bernat, Elder Salgado-Amador, Elizabeth Hoyos-Loya, Mónica Mazariegos, Cinthya Muñoz Manrique, Royer Pacheco Cruz, Elvia Mendoza, Mauro Brero, Matthias Sachse, Fernanda Cobo Armijo
BACKGROUND: Maternal and child malnutrition represents a public health problem in Mexico Primary care (PC) is responsible for introducing women and children under five to the health system, detecting diseases on time, and providing medical services, including pharmacological treatment if necessary. Providing these services with quality is essential to improve maternal and child health. This study evaluated the quality of nutritional care during preconception, pregnancy, postpartum, infancy, and preschool age at the PC health units across six Mexican states between 2020 and 2021...
February 22, 2024: International Journal for Equity in Health
Siân Bladon, Diane Ashiru-Oredope, Neil Cunningham, Alexander Pate, Glen P Martin, Xiaomin Zhong, Ellie L Gilham, Colin S Brown, Mariyam Mirfenderesky, Victoria Palin, Tjeerd P van Staa
BACKGROUND AND AIMS: Sepsis is a serious and life-threatening condition caused by a dysregulated immune response to an infection. Recent guidance issued in the UK gave recommendations around recognition and antibiotic treatment of sepsis, but did not consider factors relating to health inequalities. The aim of this study was to summarise the literature investigating associations between health inequalities and sepsis. METHODS: Searches were conducted in Embase for peer-reviewed articles published since 2010 that included sepsis in combination with one of the following five areas: socioeconomic status, race/ethnicity, community factors, medical needs and pregnancy/maternity...
February 21, 2024: International Journal for Equity in Health
Margarita Rivera Arrivillaga, Marina Gold, Elizabeth Pellecer Rivera, Jose Guillermo Juárez
BACKGROUND: In the Americas, the Pan American Health Organization (PAHO) has promoted initiatives that aim at the elimination of mother-to-child transmitted diseases for over two decades. Although Guatemala has assumed the commitment to improve access and coverage of reproductive and perinatal services, the goals have not yet been reached. Often, the implementation of these efforts is hampered by complexities rooted in social, cultural, and environmental intersections. The objective of this work is to share our experience applying gender intersectionality as a methodological and analytical tool in a participatory research project that aims to improve access to maternal and child health screening services...
February 20, 2024: International Journal for Equity in Health
Carlos Martins Neto, Maria Dos Remédios Freitas Carvalho Branco, Alcione Miranda Dos Santos, Bruno Luciano Carneiro Alves de Oliveira
PURPOSE: This study analyses the survival of hospitalized patients with Severe Acute Respiratory Syndrome (SARS) due to COVID-19 and identifies the risk groups for death due to COVID-19 from the identification of potential interactions between its predictors. METHODS: This was a retrospective longitudinal study with data from 1,756,917 patients reported in the Influenza Epidemiological Surveillance Information System from 26 February 2020 to 31 December 2022. In this study, all adult and older (≥ 20 years) patients were hospitalized with SARS due to COVID-19, with death as the outcome...
February 20, 2024: International Journal for Equity in Health
Luis Alejandro Rodríguez-Guerrero, Iratxe Pérez-Urdiales, Astrid Escrig-Piñol, María Del Mar Jiménez-Lasserrotte, María Del Mar Pastor-Bravo, José Tomás Mateos, Erica Briones-Vozmediano
BACKGROUND: Migrant seasonal agricultural workers face conditions of material vulnerability such as inadequate housing difficulties prevent access to running water supplies. The purpose of this study is to explore the perceptions of professionals involved in the care and support of seasonal migrant agricultural workers, as it relates to water access and water consumption and their impact on these workers' health, in a context of COVID-19 pandemic. METHODS: A qualitative exploratory and descriptive study was conducted in 2021 as part of a larger research project, based on 63 personal semi-structured interviews with professionals who provided support to seasonal migrant agricultural workers in three Spanish autonomous regions...
February 16, 2024: International Journal for Equity in Health
Abiodun Olusola Omotayo, Adebayo Isaiah Ogunniyi
BACKGROUND: COVID-19 has delivered an enormous shock to the global economy, triggering the deepest recession in eight decades, almost three times as deep as the 2009 global recession. Of all the nations in Africa, Nigeria remains one of the nations with a huge and significant impact on the human capital. METHODS: Hence, here we employed the recent nationally representative data from Nigeria - the COVID-19 National Longitudinal Phone Survey 2020-World Bank Living Standards Measurement Study Integrated Agriculture Survey (LSMS-ISA), a harmonized dataset to explore how the COVID-19 induced shocks affected households' human capital development (using health and education outcomes)...
February 16, 2024: International Journal for Equity in Health
Chandler Long, Abimbola O Williams, Alysha M McGovern, Caroline M Jacobsen, Liesl M Hargens, Sue Duval, Michael R Jaff
BACKGROUND: Significant race and sex disparities exist in the prevalence, diagnosis, and outcomes of peripheral artery disease (PAD). However, clinical trials evaluating treatments for PAD often lack representative patient populations. This systematic review aims to summarize the demographic representation and enrollment strategies in clinical trials of lower-extremity endovascular interventions for PAD. METHODS: Following the 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we searched multiple sources (Medline, EMBASE, Cochrane, Clinicaltrials...
February 13, 2024: International Journal for Equity in Health
Charlene Thompson, Tara Million, Devan Tchir, Angela Bowen, Michael Szafron
BACKGROUND: Despite considerable investment in maternal-child programs in Canada, there has been little positive impact on the health of Indigenous mothers and their children. The reasons for this are unclear and there is a need to identify how such programs can be successfully implemented. Community input is essential for successful programs; however, it is unclear what the contributions of frontline workers have been in the health program process, i.e., program development, delivery, and evaluation...
February 13, 2024: International Journal for Equity in Health
Estefania Hernandez-Pineda, Ciro-Alberto Amaya, Catalina González-Uribe, Andrea Herrera, Nubia Velasco
BACKGROUND: This paper discusses the stages of health system resilience (HSR) and the factors underlying differences in HSR during the covid-19 pandemic, especially the vaccination challenge. We studied the relationship between vaccination strategies and macro-context backgrounds in 21 Latin American countries. Our objective was to capture the impact of those aspects in the SR and identify potential improvements for future crises and for vaccination programs in general. METHODS: The study uses mixed-methods research to provide insights into how the countries' backgrounds and vaccination strategies impact the HSR...
February 12, 2024: International Journal for Equity in Health
Reema Harrison, Maha Pervaz Iqbal, Upma Chitkara, Corey Adams, Ashfaq Chauhan, Rebecca Mitchell, Elizabeth Manias, Megan Alston, Anne Marie Hadley
BACKGROUND: Patient-reported experience measures (PREMs) are used to drive and evaluate unit and organisational-level healthcare improvement, but also at a population level, these measures can be key indicators of healthcare quality. Current evidence indicates that ethnically diverse communities frequently experience poorer care quality and outcomes, with PREMs data required from this population to direct service improvement efforts. This review synthesises evidence of the methods and approaches used to promote participation in PREMs among ethnically diverse populations...
February 12, 2024: International Journal for Equity in Health
Capucine Barcellona, Yzabel Bryanna Mariñas, Si Ying Tan, Gabriel Lee, Khin Chaw Ko, Savina Chham, Chhea Chhorvann, Borwornsom Leerapan, Nam Pham Tien, Jeremy Lim
No abstract text is available yet for this article.
February 8, 2024: International Journal for Equity in Health
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