1,335 results match your criteria International Journal for Equity in Health [Journal]


Impact of oral health on Australian urban Aboriginal and Torres Strait Islander families: a qualitative study.

Int J Equity Health 2019 Feb 18;18(1):34. Epub 2019 Feb 18.

Queensland University of Technology, Institute of Health & Biomedical Innovation, Centre for Children's Health Research, 62 Graham Street, South Brisbane, Qld, 4101, Australia.

Background: The oral health of a child not only impacts the physical well-being of the child, but can have quality of life implications for parents and families as they endeavour to provide care and support their child's oral health needs. Within Australia, Aboriginal and Torres Strait Islander children are thought to experience a disproportionate burden of poor oral heath compared to non-Indigenous children. Despite the prevalence of oral health challenges, there are limited qualitative studies investigating the oral health experiences of families. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-019-0937-yDOI Listing
February 2019

Factors influencing oncologists' prescribing hormonal therapy in women with breast cancer: a qualitative study in Córdoba, Argentina.

Authors:
Yolanda Eraso

Int J Equity Health 2019 Feb 18;18(1):35. Epub 2019 Feb 18.

School of Social Professions, London Metropolitan University, 166-220 Holloway Road, London, N7 8DB, UK.

Background: Hormonal therapy is an integral component for breast cancer treatment in women with oestrogen receptor positive tumours in early-stage and advanced cases of the disease. Little is known about what factors influence oncologists' prescribing practices, especially non-biological factors, although this information may have important implications for understanding inequalities in health care quality and outcomes. This paper presents findings from research on factors influencing oncologists' prescribing hormonal therapy for women with early and advanced cases of breast cancer in the city of Córdoba, Argentina. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-019-0936-zDOI Listing
February 2019

Inequalities in the prevalence of undiagnosed hypertension among Bangladeshi adults: evidence from a nationwide survey.

Int J Equity Health 2019 Feb 15;18(1):33. Epub 2019 Feb 15.

Institute for Social Science Research, The University of Queensland, Indooroopilly, 4068, Queensland, Australia.

Background: In recent years, developing countries like Bangladesh are facing a higher burden of non-communicable diseases such as hypertension as a result of demographic transition. Prevalence of hypertension is often studied in this setting. However, evidence on undiagnosed hypertension is not widely available in the existing literature. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-019-0930-5DOI Listing
February 2019

Long-term out of pocket expenditure of people with cancer: comparing health service cost and use for indigenous and non-indigenous people with cancer in Australia.

Int J Equity Health 2019 Feb 12;18(1):32. Epub 2019 Feb 12.

Menzies School of Health Research, Charles Darwin University, Darwin, Australia.

Background: Indigenous Australians diagnosed with cancer have poorer survival compared to non-Indigenous Australians. We aim to: 1) identify differences by Indigenous status in out-of-pocket expenditure for the first three-years post-diagnosis; 2) identify differences in the quantity and cost of healthcare services accessed; and 3) estimate the number of additional services required if access was equal between Indigenous and non-Indigenous people with cancer.

Methods: We used CancerCostMod, a model using linked administrative data. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-019-0931-4DOI Listing
February 2019

The evolution of socioeconomic health inequalities in Ecuador during a public health system reform (2006-2014).

Int J Equity Health 2019 Feb 8;18(1):31. Epub 2019 Feb 8.

Área de postgrados en gestión de la salud y la seguridad social, Universidad Jorge Tadeo Lozano, Carrera 4 #, 22-61, Bogotá D.C., Colombia.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0905-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368770PMC
February 2019

Health reform in Mexico: governance and potential outcomes.

Int J Equity Health 2019 Feb 7;18(1):30. Epub 2019 Feb 7.

Network GRAAL (Research Groups for America and Africa Latins), San Cristóbal de Las Casas, Chiapas, Mexico.

Adopting key mechanisms to restructure public policy in developing countries is a crucial political task. The strengthening of infrastructure of health services, care quality, monitoring and population health; all might contribute to assuring the functionality of a national system for health monitoring and care. Over the last decades, the Mexican government has launched wide-ranging political reforms aiming to overcome socioeconomic and environmental problems, namely health, education, finances, energy and pension. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-019-0929-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367748PMC
February 2019
1 Read

The effect of China's new cooperative medical scheme on health expenditures among the rural elderly.

Int J Equity Health 2019 Feb 6;18(1):27. Epub 2019 Feb 6.

Key Laboratory of Health Technology Assessment of Fujian Province, School of Public Health, Xiamen University, Xiang'an Nan Road, Xiang'an District, Xiamen, 361102, Fujian, China.

Background: The alarming progression of an increasingly aging population in China has attracted much attention within the country and abroad. In 2003, the Chinese central government launched the New Cooperative Medical Scheme (NCMS) to resolve problems of healthcare inequity in regions with inadequate infrastructure and relative poverty. The purpose of this study was to investigate the effect of NCMS on health expenditures by the Chinese rural elderly population. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-019-0933-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364469PMC
February 2019

Exploring pathways to outpatients' satisfaction with health care in Chinese public hospitals in urban and rural areas using patient-reported experiences.

Int J Equity Health 2019 Feb 6;18(1):29. Epub 2019 Feb 6.

Health Outcomes and Economic Evaluation Research Group, Stockholm Centre for Healthcare Ethics, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.

Background: This study aimed to measure outpatients' general satisfaction with and experiences of different aspects of health care in Chinese public hospitals and to investigate to what extent general satisfaction could be explained by patients' experiences in public hospitals located at urban and rural areas.

Methods: Data on 4782 outpatients were derived from a patient survey in 9 city-level (urban) and 16 county-level (rural) public hospitals across China in 2016. According to Donabedian's model, questions on patients' experiences were categorized into six aspects under "structure" and "process", with general satisfaction representing "outcome". Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-019-0932-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366112PMC
February 2019
1 Read

Trends in female genital mutilation/cutting in Senegal: what can we learn from successive household surveys in sub-Saharan African countries?

Int J Equity Health 2019 Jan 30;18(1):25. Epub 2019 Jan 30.

Department of Anthropology, University of Washington, Box 353100, Seattle, WA, 98195-3100, USA.

Background: Over the last several decades, global efforts to end female genital mutilation/cutting (FGM/C) have intensified through combined efforts of international and non-governmental organizations, governments, and religious and civil society groups. One question asked by donors, program implementers and observers alike is whether there is any evidence that FGM/C is declining. In the last two decades, reliable data have been generated in numerous countries through major household surveys, including repeat cross-sectional surveys. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0907-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354388PMC
January 2019

Applying an intersectionality lens to examine health for vulnerable individuals following devolution in Kenya.

Int J Equity Health 2019 Jan 30;18(1):24. Epub 2019 Jan 30.

Department of International Public Health, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, UK.

Background: Power imbalances are a key driver of avoidable, unfair and unjust differences in health. Devolution shifts the balance of power in health systems. Intersectionality approaches can provide a 'lens' for analysing how power relations contribute to complex and multiple forms of health advantage and disadvantage. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-019-0917-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352384PMC
January 2019

When abortion is not within reach: Ethiopian university students struggling with unintended pregnancies.

Int J Equity Health 2019 Jan 28;18(1):23. Epub 2019 Jan 28.

Department of Health Promotion and Development, University of Bergen, P.O box 7807, 5020, Bergen, Norway.

Background: In spite of increasing international commitment to young people's sexual and reproductive health, unintended pregnancies remain a major problem for young women worldwide. This article explores the issue of unintended pregnancies among Ethiopian university students and investigates narratives of students who carried their pregnancy to term. Ethiopia's relatively permissive abortion law forms part of the backdrop for the exploration. Read More

View Article

Download full-text PDF

Source
https://equityhealthj.biomedcentral.com/articles/10.1186/s12
Publisher Site
http://dx.doi.org/10.1186/s12939-019-0925-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350354PMC
January 2019
3 Reads

What accounts for the rise of low self-rated health during the recent economic crisis in Europe?

Int J Equity Health 2019 Jan 28;18(1):21. Epub 2019 Jan 28.

Faculty of Economic Sciences, University of Warsaw, Dluga 44/50, 00-241, Warsaw, Poland.

Background: A growing literature investigates health effects of the recent economic crisis. This study examines how different economic mechanisms affected low self-rated health (SRH) in Europe over the crisis period (2008-2011). We measure changes in low SRH over 2008-2011 and analyze how they are accounted for by changes in household income levels and income distribution (income poverty, income inequality), labour market developments (increasing unemployment, falling employment, changes in labour market inactivity), and non-income poverty (material deprivation). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-019-0926-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350338PMC
January 2019

Co-insurance and health care utilization in Japanese patients with rheumatoid arthritis: a discontinuity regression approach.

Int J Equity Health 2019 Jan 28;18(1):22. Epub 2019 Jan 28.

Center of Pharmaceutical Outcomes Research, Naresuan University, Phitsanulok, Thailand.

Background: Co-insurance rates in Japan decrease when patients turn 70 years of age. We aim to compare changes in medical demand for Japanese patients with rheumatoid arthritis (RA) at age 70 prior to 2014, when there was a reduction in co-insurance rates from 30 to 10%, with changes in medical demand at age 70 after 2014 when co-insurance rates decreased from 30% to only 20%.

Methods: We used administrative data from large Japanese hospitals. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-019-0920-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350300PMC
January 2019

Shaping the abortion policy - competing discourses on the Zambian termination of pregnancy act.

Int J Equity Health 2019 Jan 28;18(1):20. Epub 2019 Jan 28.

Centre for international Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.

Introduction: The Zambian Termination of Pregnancy Act permits abortion on socio-economic grounds, but access to safe abortion services is limited and this constitutes a considerable problem for rights to sexual and reproductive health. The case of Zambia provides an opportunity to explore the relationship between a legal framework that permits abortion on diverse grounds, the moral and political disputes around abortion and access to sexual and reproductive health services.

Methods: This paper draws upon eleven months of ethnographic fieldwork in Zambia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0908-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348644PMC
January 2019
1 Read

Caesarean sections in the in the context of the Chiranjeevi Yojana public private partnership program to promote institutional birth in Gujarat, India; does the embedded disincentive for caesarean section work?

Int J Equity Health 2019 Jan 24;18(1):17. Epub 2019 Jan 24.

Department of Public Health Sciences, Karolinska Institutet, Tomtebodavägen 18a, Widerströmska Huset, 171 77, Stockholm, Sweden.

Background: The government of Gujarat, India runs a large public private partnership program to widen access to emergency obstetric care (EmOC). The program include a disincentive for Cesareans section (CS) which are capped at seven per 100 women. In this paper, we study if the disincentive works by comparing CS rates among similar groups of women who deliver within and outside the program. Read More

View Article

Download full-text PDF

Source
https://equityhealthj.biomedcentral.com/articles/10.1186/s12
Publisher Site
http://dx.doi.org/10.1186/s12939-019-0922-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345034PMC
January 2019
4 Reads

'Learning to shape life' - a qualitative study on the challenges posed by a diagnosis of diabetes mellitus type 2.

Int J Equity Health 2019 Jan 24;18(1):19. Epub 2019 Jan 24.

Martin-Luther-University Halle-Wittenberg, Medical Faculty, Institute of Medical Sociology, Magdeburger Str. 8, 06112, Halle (Saale), Germany.

Background: Diabetes mellitus type 2 is a central challenge for health policy and healthcare in all advanced countries. For the affected persons, living with a diagnosis of type 2 diabetes is difficult because the disease and its treatment have a considerable effect on daily life. The aim of this study was to investigate the challenges associated with a diagnosis of type 2 diabetes for those affected and the range, depth and complexities of the subjective perspectives of the patients under the conditions of the German healthcare system. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-019-0924-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346523PMC
January 2019
2 Reads

Sociodemographic patterns of health insurance coverage in Namibia.

Int J Equity Health 2019 Jan 22;18(1):16. Epub 2019 Jan 22.

Department of Medicine, University of Cambridge, Cambridge, Cambridgeshire, UK.

Introduction: Health insurance has been found to increase healthcare utilisation and reduce catastrophic health expenditures in a number of countries; however, coverage is often unequally distributed among populations. The sociodemographic patterns of health insurance in Namibia are not fully understood. We aimed to assess the prevalence of health insurance, the relation between health insurance and health service utilisation and to explore the sociodemographic factors associated with health insurance in Namibia. Read More

View Article

Download full-text PDF

Source
https://equityhealthj.biomedcentral.com/articles/10.1186/s12
Publisher Site
http://dx.doi.org/10.1186/s12939-019-0915-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341740PMC
January 2019
2 Reads

The impact of policy on the intangible service efficiency of the primary health care institution- based on China's health care reform policy in 2009.

Int J Equity Health 2019 Jan 21;18(1):14. Epub 2019 Jan 21.

School of Public Health and Management, Chongqing Medical University, the Research Center for Medicine and Social Development, the Collaborative Innovation Center for Social Risk Governance in Health, No. 1 Medical School Road, Yuzhong District, Chongqing, 400016, China.

Objectives: Analyzing the impact of the China's health care reform policy in 2009 on the intangible service efficiency of PHCI and exploring the way to improve the service efficiency of PHCI.

Methods: The Malmquist productivity index based on the Data Envelopment Analysis (DEA) was used to measure the variation of TFP and its decomposition of PHCI before and after the implementation of the health care reform policy in 2009. Then, the Tobit model was applied to estimate the key factors affecting the improvement of the intangible service efficiency of PHCI. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0901-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341553PMC
January 2019

Benefit incidence analysis in public health facilities in India: utilization and benefits at the national and state levels.

Int J Equity Health 2019 Jan 21;18(1):13. Epub 2019 Jan 21.

Harvard University T.H. Chan School of Public Health, Boston, USA.

Background: Benefit Incidence Analysis (BIA) is used to understand the distribution of health care utilization and spending in comparison to income distribution. The results can illustrate how effectively governments allocate limited resources towards meeting the needs of the poor. In analyzing the distribution of public spending on inpatient, outpatient, and deliveries, this paper represents the most recent BIA completed in India. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-019-0921-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341563PMC
January 2019

Socioeconomic inequalities in low back pain among older people: the JAGES cross-sectional study.

Int J Equity Health 2019 Jan 21;18(1):15. Epub 2019 Jan 21.

Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, 4-1, Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8575, Japan.

Background: Low back pain is an important public health issue across the world. However, it is unclear whether socioeconomic status (SES) is associated with low back pain. This study determines an association between SES and low back pain among older people. Read More

View Article

Download full-text PDF

Source
https://equityhealthj.biomedcentral.com/articles/10.1186/s12
Publisher Site
http://dx.doi.org/10.1186/s12939-019-0918-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341699PMC
January 2019
3 Reads

Can social network analysis help to include marginalised young women in structural support programmes in Botswana? A mixed methods study.

Int J Equity Health 2019 Jan 18;18(1):12. Epub 2019 Jan 18.

Department of Family Medicine, McGill University, 5858 chemin de la Côte-des-Neiges, 3rd floor, Montreal, Quebec, H3S 1Z1, Canada.

Background: In Botswana, one fifth of the adult population is infected with HIV, with young women most at risk. Structural factors such as poverty, poor education, strong gender inequalities and gender violence render many young women unable to act on choices to protect themselves from HIV. A national trial is testing an intervention to assist young women to access government programs for returning to education, and improving livelihoods. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-019-0911-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339404PMC
January 2019
1 Read

Assessing the relationship between out-of-pocket spending on blood pressure and diabetes medication and household catastrophic health expenditure: evidence from Pakistan.

Int J Equity Health 2019 Jan 15;18(1). Epub 2019 Jan 15.

Health Metrics and Measurement Cluster, World Health Organization, Geneva, Switzerland.

Background: Treatment of non-communicable diseases (NCDs) in low-and-middle-income countries (LMICs) is costly and could expose households to financial hardship and vulnerability. This paper examines the association between medication costs of two major NCDs - hypertension (blood pressure) and diabetes, and household-level incidences of catastrophic health expenditure (CHE) in a South Asian LMIC, Pakistan.

Methods: The study analyzes self-reported blood pressure and diabetes (BPD) medication expenditure from the latest version (2015-16) of the Household Integrated Economic Survey (HIES) of Pakistan, a nationally representative survey of 24,238 households. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0906-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334430PMC
January 2019
2 Reads

How does whole of government action address inequities in obesity? A case study from Australia.

Int J Equity Health 2019 Jan 14;18(1). Epub 2019 Jan 14.

The Australian Prevention Partnership Centre, Sax Institute, Ultimo, Australia.

Background: There are many factors across different sectors that contribute to inequities in obesity levels. This implies the need for action across different government departments and policy domains (hereafter referred to as whole of government multisectoral action). In this study we explored the public policy attention given to inequities in obesity using an Australian case study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-019-0913-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332679PMC
January 2019

The impact of perceived discrimination on depressive symptoms and the role of differentiated social support among immigrant populations in South Korea.

Int J Equity Health 2019 Jan 11;18(1). Epub 2019 Jan 11.

Department of Health Science and Services, School of Public Health Seoul National University, 1 Kwanak-ro, Kwanak-gu, Seoul, 151-742, South Korea.

Background: Previous studies demonstrated a positive association between perceived discrimination and mental health problems among immigrants in countries that traditionally host immigrants. Recent trends in international migration show that there has been a significant increase in immigrant populations in East Asian countries. These newer host countries have different social contexts from traditional ones, yet mental health among these immigrants and its relationship to discrimination are under-researched. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-019-0910-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329122PMC
January 2019
4 Reads

Decomposition of socioeconomic inequalities in cigarette smoking: the case of Namibia.

Int J Equity Health 2019 Jan 11;18(1). Epub 2019 Jan 11.

Health Economics Unit, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.

Background: Namibia has one of the highest levels of income inequality in the world. Increased smoking prevalence, especially among the youth, may leave the country facing the spectre of higher smoking-related disease prevalence in the years to come. This study examines socioeconomic inequalities in smoking in Namibia and explores the drivers of this inequality. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-019-0912-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329116PMC
January 2019

Is there a fair distribution of the structure of dental services in the capitals of the Brazilian Federative Units?

Int J Equity Health 2019 Jan 8;18(1). Epub 2019 Jan 8.

Department of Public Health, Postgraduate Program in Public Health, Postgraduate Program in Dentistry, Federal University of Maranhão, São Luís, Maranhão, Brazil.

Background: Brazilian Primary Care Facilities (PCF) provide primary care and must offer dental services for diagnosis, prevention, and treatment of diseases. According to a logic of promoting equity, PCF should be better structured in less developed places and with higher need for oral health services.

Objective: To analyze the structure of dental caries services in the capitals of the Brazilian Federative Units and identify whether socioeconomic factors and caries (need) are predictors of the oral health services structure. Read More

View Article

Download full-text PDF

Source
https://equityhealthj.biomedcentral.com/articles/10.1186/s12
Publisher Site
http://dx.doi.org/10.1186/s12939-018-0899-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325759PMC
January 2019
10 Reads

Measurement and decomposition of income-related inequality in self-rated health among the elderly in China.

Int J Equity Health 2019 Jan 8;18(1). Epub 2019 Jan 8.

Department of Otolaryngology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Background: Population ageing in China has brought increasing attention to the health inequalities of the elderly. The purpose of this paper is to measure income-related health inequality among the elderly in China and decompose its causes.

Methods: The data are from the China Health and Retirement Longitudinal Study (CHARLS) survey in 2013, which contains 6176 individuals aged 60 years and above. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-019-0909-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325844PMC
January 2019

He Pikinga Waiora: supporting Māori health organisations to respond to pre-diabetes.

Int J Equity Health 2019 Jan 7;18(1). Epub 2019 Jan 7.

Faculty of Māori and Indigenous Studies, University of Waikato, Hamilton, New Zealand.

Background: Type 2 Diabetes (T2D) is a common long-term condition affecting the health and wellbeing of New Zealanders; one in every four New Zealanders is pre-diabetic. Māori, the Indigenous people of New Zealand, are at an increased risk of developing pre-diabetes and T2D and there are significant inequities between Māori and non-Māori for T2D complications. The purpose of this study was to explore the questions of how the strengths of Māori heath organisations may be leveraged, and how the barriers and constraints experienced by Māori health organisations may be negotiated, for the benefit of Māori; and from a systems perspective, to identify strategic opportunities that may be considered and applied by Māori health organisations, funders and policy makers to respond more effectively to pre-diabetes and reduce health inequities between Māori and non-Māori. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0904-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6322250PMC
January 2019

The social determinants of chronic disease management: perspectives of elderly patients with hypertension from low socio-economic background in Singapore.

Int J Equity Health 2019 Jan 3;18(1). Epub 2019 Jan 3.

Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, 12 Science Drive 2 #10-01, Tahir Foundation Building, Singapore, 117549, Singapore.

Background: In Singapore, the burden of hypertension disproportionately falls on the elderly population of low socio-economic status. Despite availability of effective treatment, studies have shown high prevalence of sub-optimal blood pressure control in this group. Poor hypertension management can be attributed to a number of personal factors including awareness, management skills and overall adherence to treatment. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0897-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318975PMC
January 2019
1 Read

Tuberculosis incidence inequalities and its social determinants in Manaus from 2007 to 2016.

Int J Equity Health 2018 12 29;17(1):187. Epub 2018 Dec 29.

Escola Nacional de Saúde Pública Sérgio Arouca - Fiocruz, Rio de Janeiro, Brazil.

Background: Brazil is among the 30 countries with high-burden of tuberculosis worldwide, and Manaus is the capital with the highest tuberculosis incidence. The accelerated economic and population growth in Manaus in the last 30 years has strengthened the process of social stratification that may result in population groups that are less favored in terms of healthcare and are vulnerable to infection and illness due to tuberculosis. This study aimed to characterize inequalities associated with tuberculosis incidence in relation to the socioeconomic and demographic characteristics of the resident population of Manaus and to identify their determinants from 2007 to 2016. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0900-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310934PMC
December 2018

Facilitators and barriers of sociodemographic data collection in Canadian health care settings: a multisite case study evaluation.

Int J Equity Health 2018 12 27;17(1):186. Epub 2018 Dec 27.

Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, Canada.

Background: Despite growing awareness of the importance of social determinants of health, research remains limited about the implementation of sociodemographic data collection in Canadian health care settings. Little is known about the salient contextual factors that enable or hinder collection and use of social information to improve quality of care in clinical settings. This study examines the perceptions and experiences of managers and care providers to better understand how to support organizational efforts to collect and use sociodemographic data to provide equity-oriented care. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0903-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307203PMC
December 2018

"I feel more comfortable speaking to a male": Aboriginal and Torres Strait Islander men's discourse on utilizing primary health care services.

Int J Equity Health 2018 12 17;17(1):185. Epub 2018 Dec 17.

Wardliparingga Aboriginal Research Unit, South Australian Health and Medical Research Institute, Adelaide, Australia.

Background: Aboriginal and Torres Strait Islander men have the highest morbidity and mortality rates, and lowest rates of health service utilization in Australia. There is a current perception that Aboriginal and Torres Strait Islander men are disinterested in their health. This study aimed to identify the perceived motivators, barriers and enablers of Aboriginal and Torres Strait Islander men's utilization of primary health care services, explore their experiences and obtain suggestions from them as to how services could be modified to improve utilization. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0902-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297962PMC
December 2018
1 Read

Changes in income-related inequalities in cervical cancer screening during the Spanish economic crisis: a decomposition analysis.

Int J Equity Health 2018 12 13;17(1):184. Epub 2018 Dec 13.

Department of Applied Economics, Public Economics and Political Economy, School of Economics, Complutense University of Madrid, Campus de Somosaguas, 28223 Pozuelo de Alarcón, Madrid, Spain.

Background: Cervical cancer is one of the most prevalent cancers, but it may be prevented by early detection. Social inequalities in the use of cytology testing have been identified in the literature. However, the degree of income-related inequality has not been quantified and determinants of inequality changes during the economic crisis remain unknown. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0894-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293596PMC
December 2018

A two-stage spatial allocation model for elderly healthcare facilities in large-scale affordable housing communities: a case study in Nanjing City.

Int J Equity Health 2018 12 12;17(1):183. Epub 2018 Dec 12.

School of Civil Engineering, Southeast University, Jiangning District, Nanjing, 211189, China.

Background: As the proportion of elderly residents living in large-scale affordable housing communities (LAHCs) increases in China, serious problems have become apparent related to the spatial allocation of elderly healthcare facilities (EHFs), e.g., insufficient provision and inaccessibility. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0898-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6291974PMC
December 2018

Equity of primary care service delivery for low income "sicker" adults across 10 OECD countries.

Int J Equity Health 2018 12 12;17(1):182. Epub 2018 Dec 12.

Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.

Background: Despite significant investments to support primary care internationally, income-based inequities in access to quality health care are present in many high-income countries. This study aims to determine whether low- and middle-income groups are more likely to report poor quality of primary care (PC) than high-income groups cross-nationally.

Methods: The 2011 Commonwealth Fund Telephone Survey of Sicker Adults is a cross-sectional study across eleven countries. Read More

View Article

Download full-text PDF

Source
https://equityhealthj.biomedcentral.com/articles/10.1186/s12
Publisher Site
http://dx.doi.org/10.1186/s12939-018-0892-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292158PMC
December 2018
5 Reads

Assessing changes in social determinants of health inequalities in South Africa : a decomposition analysis.

Int J Equity Health 2018 12 11;17(1):181. Epub 2018 Dec 11.

Department of Economics, University of Pretoria, Private Bag X20, Hatfield 0028, Pretoria, South Africa.

Background: Despite various policy interventions that have targeted reductions in socio-economic inequalities in health and health care in post-Apartheid South Africa, evidence suggests that not much has really changed. In particular, health inequalities, which are strongly linked to social determinants of health (SDH), persist. This study, thus, examines how changes in the SDH have impacted health inequalities over the last decade, the second since the end of Apartheid. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0885-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290544PMC
December 2018
1 Read

How do macro-level structural determinants affect inequalities in mental health? - a systematic review of the literature.

Int J Equity Health 2018 12 6;17(1):180. Epub 2018 Dec 6.

Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.

Background: In Europe and elsewhere there is rising concern about inequality in health and increased prevalence of mental ill-health. Structural determinants such as welfare state arrangements may impact on levels of mental health and social inequalities. This systematic review aims to assess the current evidence on whether structural determinants are associated with inequalities in mental health outcomes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0879-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284306PMC
December 2018

Accrediting private providers with National Health Insurance to better serve low-income populations in Kenya and Ghana: a qualitative study.

Authors:
Lauren Suchman

Int J Equity Health 2018 12 5;17(1):179. Epub 2018 Dec 5.

Institute for Global Health Sciences, University of California San Francisco, San Francisco, California, USA.

Background: Small private providers in low- and middle-income countries (LMICs) are well positioned to fill gaps in services to low-income populations using Social Health Insurance (SHI) schemes. However, we know little about the practical challenges both private providers and patients face in the context of SHI that may ultimately limit access to quality services for low-income populations. In this paper, we pull together data collected from private providers, patients, and SHI officials in Kenya and Ghana to answer the question: does participation in an SHI scheme affect private providers' ability to serve poorer patient populations with quality health services?

Methods: In-depth interviews were held with 204 providers over three rounds of data collection (2013, 2015, 2017) in Kenya and Ghana. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0893-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282320PMC
December 2018

Using concept mapping to identify policy options and interventions towards people-centred health care services: a multi stakeholders perspective.

Int J Equity Health 2018 12 4;17(1):177. Epub 2018 Dec 4.

Department of Public Health and Primary Care, Ghent University, Campus UZ Gent, 6K3, Corneel Heymanslaan 10, B-9000, Ghent, Belgium.

Background: People-centred health care (PCC) services are identified by the WHO as important building blocks towards universal health coverage. In 2016 the WHO formulated a comprehensive framework on integrated PCC services based on an international expert consultation. Yet, expert opinions may fail to recognize the needs of all health system stakeholders. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0895-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6278128PMC
December 2018

Trends in health resource disparities in primary health care institutions in Liaoning Province in Northeast China.

Int J Equity Health 2018 12 4;17(1):178. Epub 2018 Dec 4.

China Center for Health Development Studies, School of Public Health, Peking University, 38 Xueyuan Road Haidian district, Beijing, 100191, China.

Background: The allocation of health resources in primary health care institutions (PHCI) is crucial to health reform. China has recently implemented many reform measures emphasizing the provision of primary health care services, with equity as one of the major goals. The aim of this study was to analyze the quantity, quality, and distribution of health resources in Liaoning Province from 2005 to 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0896-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280446PMC
December 2018
1 Read

Area deprivation and attachment to a general practitioner through centralized waiting lists: a cross-sectional study in Quebec, Canada.

Int J Equity Health 2018 12 4;17(1):176. Epub 2018 Dec 4.

Centre de recherche Charles-Le Moyne - Saguenay Lac-St-Jean sur les innovations en santé, Université de Sherbrooke, Longueuil Campus, 150 Place Charles-Le Moyne, Suite 200, Longueuil, Quebec, J4K 0A8, Canada.

Background: Access to primary healthcare is an important social determinant of health and having a regular general practitioner (GP) has been shown to improve access. In Canada, socio-economically disadvantaged patients are more likely to be unattached (i.e. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0887-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277998PMC
December 2018
1 Read

On the unraveling of 'revitalization of local health traditions' in India: an ethnographic inquiry.

Int J Equity Health 2018 11 23;17(1):175. Epub 2018 Nov 23.

Health Systems & Equity, George Institute for Global Health, New Delhi, India.

Background: India has recently renewed emphasis on non-allopathic systems of medicine as a means to address the health needs of its populace. Earlier in 2002, its national health policy had sought to 'revitalize' community-based health knowledge and practices - jointly christened 'local health traditions'. Yet policy texts remain silent on the actual means by which 'revitalization of local health traditions' should take place. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0890-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251191PMC
November 2018
6 Reads

The inequality of inpatient care net benefit under integration of urban-rural medical insurance systems in China.

Int J Equity Health 2018 11 22;17(1):173. Epub 2018 Nov 22.

School of Health Policy & Management, Nanjing Medical University, 101Longmian Avenue, Jiangning District, Nanjing, 211166, People's Republic of China.

Background: China has recently made efforts to integrate urban and rural basic medical insurance systems in order to ensure both urban and rural enrollees obtain unified benefits. However, whether the distribution of government healthcare subsides has become more equitable remains unknown. The purpose of this study was to analyze determinants of and inequality in net inpatient care benefits under the integration of urban-rural medical insurance systems in China. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0891-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251195PMC
November 2018
7 Reads

Spillover benefit of improved access to healthcare on reducing worry about housing and meal affordability.

Int J Equity Health 2018 11 22;17(1):174. Epub 2018 Nov 22.

Department of Social and Behavioral Sciences, Harvard. T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA, 02115, USA.

Background: The Affordable Care Act Medicaid expansion improved access to health insurance among low-income populations. We sought to examine the spillover benefits of the ACA Medicaid expansion on ability to afford rent/mortgage and purchase of nutritious meals.

Methods: Using data from the Behavioral Risk Factor Surveillance System (BRFSS) we analyzed individuals aged 18-64 years residing in 12 U. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0877-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251117PMC
November 2018
7 Reads

Medical termination of pregnancy service delivery in the context of decentralization: social and structural influences.

Int J Equity Health 2018 11 21;17(1):172. Epub 2018 Nov 21.

Department of Rural Health, The University of Melbourne, 49 Graham Street, Shepparton, VIC, 3055, Australia.

Background: Medical termination of pregnancy (MToP) is a safe and acceptable abortion option. Depending on country context, MToP can be administered by general practitioners and mid-level healthcare providers in the first and second trimesters of pregnancy. Like other high-income countries, a range of social and structural barriers to MToP service provision exist in Australia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0888-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249871PMC
November 2018
3 Reads

Maternal health care access among migrant women labourers in the selected brick kilns of district Faridabad, Haryana: mixed method study on equity and access.

Int J Equity Health 2018 11 20;17(1):171. Epub 2018 Nov 20.

Centre for Community Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.

Background: Socio-economic inequity leads to health inequity. Inequity is closely intertwined with internal migration. This study was planned with the objective of documenting the maternal health care utilization among women labourers working in brick kilns situated in an area of Haryana, north India. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0886-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247702PMC
November 2018
12 Reads

How does membership in local savings groups influence the determinants of national health insurance demand? A cross-sectional study in Kisumu, Kenya.

Int J Equity Health 2018 11 20;17(1):170. Epub 2018 Nov 20.

Swiss Tropical and Public Health Institute, Basel, Switzerland.

Background: Rotating savings and credit associations (ROSCAs) are highly active in many sub-Saharan African countries, serving as an important gateway for coping with financial risk. In light of the Kenya's National Hospital Insurance Fund's (NHIF's) strategy of targeting ROSCAs for membership enrolment, this study sought to estimate how ROSCA membership influences the determinants of voluntary health insurance enrolment.

Methods: A cross-sectional survey of 444 households was carried out in Kisumu City between July and August 2016. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0889-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247627PMC
November 2018
7 Reads

A turnaround strategy: improving equity in order to achieve quality of care and financial sustainability in Italy.

Int J Equity Health 2018 11 20;17(1):169. Epub 2018 Nov 20.

Health and Management Laboratory (MeS Lab), Institute of Management, Sant'Anna School of Advanced Studies, Piazza Martiri della Libertà, 24, Pisa, Italy.

Background: Equity, financial sustainability, and quality in healthcare are key goals embraced by universal health systems. However, systematic performance management strategies for achieving equity are still weaker than those aimed at achieving financial sustainability and quality of care. Using a vertical equity perspective, the overarching aim of this paper is to examine how improving equity in quality of care impacts on financial sustainability. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0878-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6245858PMC
November 2018
1 Read

Does cultural capital contribute to educational inequalities in food consumption in the Netherlands? A cross-sectional analysis of the GLOBE-2011 survey.

Int J Equity Health 2018 11 15;17(1):168. Epub 2018 Nov 15.

Department of Public Health, Erasmus University Medical Centre, PO Box 2040, 3000 CA, Rotterdam, The Netherlands.

Background: The importance of culture for food consumption is widely acknowledged, as well as the fact that culture-based resources ("cultural capital") differ between educational groups. Since current explanations for educational inequalities in healthy and unhealthy food consumption (e.g. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12939-018-0884-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6238371PMC
November 2018
7 Reads