35,278 results match your criteria social determinants

Healthcare lobbying on upstream social determinants of health in the US.

Prev Med 2021 Jul 31:106751. Epub 2021 Jul 31.

Boston University School of Public Health, Boston, MA, United States of America.

Healthcare stakeholders are increasingly investing to address social determinants of health (SDOH) as they seek to improve health outcomes and reduce total healthcare costs in their communities. Policy heavily shapes SDOH, and healthcare lobbying on SDOH issues may offer large impacts through positive policy change. Federal lobbying disclosures from the ten highest spending health insurance and healthcare provider organizations and related associations between 2015 and 2019 were reviewed to identify lobbying reported on the salient SDOH issues, defined based on the Accountable Health Communities Model health-related social needs screening tool. Read More

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A critical exploration of nurses' perceptions of access to oncology care among Indigenous peoples: Results of a national survey.

Nurs Inq 2021 Aug 2:e446. Epub 2021 Aug 2.

College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.

Inequities in access to oncology care among Indigenous peoples in Canada are well documented. Access to oncology care is mediated by a range of factors; however, emerging evidence suggests that healthcare providers, including nurses, play a significant role in shaping healthcare access. The purpose of this study was to critically examine access to oncology care among Indigenous peoples in Canada from the perspective of oncology nurses. Read More

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Physician induced demand for knee replacement surgery in Iran.

BMC Health Serv Res 2021 Aug 2;21(1):763. Epub 2021 Aug 2.

Health Equity Research Center (HERC), Tehran University of Medical Sciences, Tehran, Iran.

Background: The structure of the Iranian health system has raised this hypothesis that a part of the Knee Replacement Surgery (KRS) services are provided due to Physician-Induced Demand (PID).

Methods: This paper used an unbalanced individual panel data covering the steady-state 15,729 KRSs performed by 995 surgeons provided by the Armed Forces Insurance Organization at the provincial level over the 60 months (2014-2018). We use a generalized method of moment's system (GMM-SYS) to obtain consistent and asymptotically efficient estimates, which provide a vital instrument for our dynamic panel data. Read More

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Time to first birth and its determinants among married female youths in Ethiopia, 2020: survival analysis based on EDHS 2016.

BMC Womens Health 2021 Aug 2;21(1):278. Epub 2021 Aug 2.

Department of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P.O. Box 196, Gondar, Ethiopia.

Introduction: The first birth is the most significant events in a woman's life that indicates the beginning of undertaking the intensive responsibilities of motherhood and childcare. Age at first birth has health, economic and social consequences and implications. But little has been known on the time to first birth and its determinants in Ethiopia. Read More

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Social determinants of overweight and obesity in Paraguayan adults using quantile regression.

J Public Health Res 2021 Jul 31. Epub 2021 Jul 31.

Department of Health Administration, College of Health Science, Yonsei University, Wonjum .

Background: The World Health Organization (WHO) defines the double burden of malnutrition as the new face of malnutrition. This is a serious problem in Latin American countries, especially Paraguay, which has a high obesity rate. This study aimed to gather data to inform a national strategy for confronting the double-burden challenge in Paraguay by 1) identifying whether the body mass index (BMI) of study subjects differed significantly according to social determinants, and 2) assessing the factors affecting BMI and the extent of their impact according to BMI quantile levels. Read More

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A combined GIS-MCDA approach to prioritize stream water quality interventions, based on the contamination risk and intervention complexity.

Sci Total Environ 2021 Jul 27;798:149322. Epub 2021 Jul 27.

Centro de Investigação e Tecnologias Agroambientais e Biológicas, Universidade de Trás-os-Montes e Alto Douro, Ap 1013, 5001-801 Vila Real, Portugal.

Water management decisions are complex ever since they are dependent on adopted politics, social objectives, environmental impacts, and economic determinants. To adequately address hydric resources issues, it is crucial to rely on scientific data and models guiding decision-makers. The present study brings a new methodology, consisting of a combined GIS-MCDA, to prioritize catchments that require environmental interventions to improve surface water quality. Read More

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The biogas dilemma: An analysis on the social approval of large new plants.

Waste Manag 2021 Jul 30;133:10-18. Epub 2021 Jul 30.

Sustainability Environmental Economics and Dynamics Studies (SEEDS) - Research Centre, Ferrara, Italy; Ministry of Economy and Finance - Directorate of Economic and Fiscal Studies, Via dei Normanni, 5, 00184 Rome, Italy(1). Electronic address:

The degree of social acceptance of biogas as a renewable green energy source is still somewhat disregarded. Although many initiatives have focused on the construction of new biogas plants around the world, local protests on the construction of new plants often arise. This study aims to analyse the determinants of citizens' perceptions regarding the construction of new biomass plants in their neighbouring areas. Read More

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Barriers and facilitators to patient engagement in patient safety from patients and healthcare professionals' perspectives: A systematic review and meta-synthesis.

Nurs Forum 2021 Aug 2. Epub 2021 Aug 2.

Department of Family Medicine, McGill University, Montreal, Canada.

Aims: To explore patients' and healthcare professionals' (HCPs) perceived barriers and facilitators to patient engagement in patient safety.

Methods: We conducted a systematic review and meta-synthesis from five computerized databases, including PubMed/MEDLINE, Embase, Web of Science, Scopus and PsycINFO, as well as grey literature and reference lists of included studies. Data were last searched in December 2019 with no limitation on the year of publication. Read More

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Knowledge of obstetric danger signs among antenatal clinic attendees in South-South Nigeria.

Health Care Women Int 2021 Aug 2:1-16. Epub 2021 Aug 2.

Department of Community Health, University of Benin, Benin City, Nigeria.

The authors assessed the knowledge of obstetric danger signs and its determinants among 405 pregnant women in their 3 trimester receiving antenatal care. The study was cross-sectional. Those knowledgeable of danger signs during pregnancy were 24. Read More

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Social Determinants of Comfort: A New Term for End-of-Life Care.

J Palliat Med 2021 Aug;24(8):1130-1131

College of Nursing, University of Tennessee, Knoxville, Knoxville, Tennessee, USA.

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Estimating the Size of Hidden Groups.

Adv Exp Med Biol 2021 ;1333:39-59

Department of Epidemiology and Biostatistics, Institute for Global Health Sciences, University of California San Francisco, San Francisco, USA.

NSU studies have been applied in different countries. For example, this technique has been used in the United States to estimate the number of women who had been raped in the last year. Read More

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January 2021

Investigating the effect of quarantine caused by COVID-19 on mental health and social trust.

Przegl Epidemiol 2021 ;75(1):51-57

Department of Psychiatry, Shahrekord University of Medical Sciences, Shahrekord, Iran.

Purpose: This study was conducted to examine the effect of quarantine caused by COVID-19 on people's mental health and social trust.

Method: In this study, the sample size covers 2919 people in the southwest of Iran that was selected cluster sample method and was evaluated online using tools of social trust and a checklist of mental disorder syndrome.

Results: Due to the results, COVID-19 affected all people's mental health negatively, but there was a significant difference between the rates of COVID-19 caused anxiety and the dimensions of the psychological problems and social trust different between men and women and married and single people, and also the education level. Read More

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January 2021

Care and prevention during the COVID-19 pandemic quarantine: sedentary lifestyle and increased risk of kidney stones.

Przegl Epidemiol 2021 ;75(1):45-50

Nickan Research Institute, Isfahan, Iran.

Currently, the issue of lifestyle combined with lack of physical activity in quarantine conditions during the COVID-19 pandemic has become a major health problem in many countries around the world. Increased inactivity is associated with increased obesity as well as decreased physical activity and general health. Kidney stones are the third most common urinary tract disease. Read More

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January 2021

Compensating for missing data in the OHRKAN cohort study examining total leisure noise exposure among adolescents.

Int J Audiol 2021 Aug 1:1-9. Epub 2021 Aug 1.

Department of Occupational and Environmental Health, Epidemiology, Bavarian Health and Food Safety Authority, Munich, Germany.

Objective: Investigating determinants of total leisure noise (TLN) exposure among adolescents over 7.5 years and compensating for missing data due to loss to follow-up.

Design: In the OHRKAN cohort study, data were collected by questionnaires at four waves. Read More

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Well-being: Diversified perspectives in search of operational definitions.

Uriel Halbreich

Int J Soc Psychiatry 2021 Aug 2:207640211036176. Epub 2021 Aug 2.

Jacobs School of Medicine and Biomedical Sciences, University at Buffalo - The State University of New York at Buffalo (SUNY-AB), USA.

well-being is a multi-faceted concept that should be an operational domain. The territory is claimed by many disciplines and professionals who usually emphasize their own unique perspective. Economists and politicians focus on finance, prosperity, per-capita product and jobs. Read More

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Debate: Is there a true global children and young people mental health crisis? Fact or Fiction: A South African Perspective.

Ingrid Daniels

Child Adolesc Ment Health 2021 Aug 1. Epub 2021 Aug 1.

World Federation for Mental Health, San Antonio, Texas, USA.

The article seeks to discuss the complexities that prevail in South Africa in attempting to understand the debate about whether there is a true global children and young people mental health crisis in the country. In the absence of reliable and current epidemiological data and prevalence studies, assumptions can only be made about the extent of the crisis when considering the prevailing social determinants of mental disorders. The lack of investment, limited child and adolescent mental health resources, and inadequate access to treatment complicate this crisis as many children and young people go untreated. Read More

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Nursing practice environment and employee silence about patient safety: The mediating role of professional discrimination experienced by nurses.

J Adv Nurs 2021 Aug 1. Epub 2021 Aug 1.

Department of Social Work, Hellenic Mediterranean University, Crete, Greece.

Aims: To examine the associations between nurse work environment with nurses' silence about patient safety and the mediating effects of professional discrimination experienced by nurses.

Design: Multicentre cross-sectional study.

Methods: Between January and April 2019, 607 nurses and nursing assistants from seven hospitals in Greece assessed their clinical environment using the 'Practice Environment Scale of the Nursing Work Index Revised-PES-NWIR', and the silence about patient safety. Read More

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Motivation System of Healthy and Safe Nutrition in Iranian Adolescent Girls: A Qualitative Study.

Biomed Res Int 2021 12;2021:5556759. Epub 2021 Jul 12.

Research Center of Prevention and Epidemiology of Non-Communicable Disease, Department of Biostatistics and Epidemiology, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd 89151, Iran.

Objective: Motivation determines the possibility of an individual's intention to accept health-related behaviors. Despite the important role of the motivational system in conducting healthy and safe nutrition behavior, this issue has not been adequately addressed. The purpose of this qualitative study was to explain the healthy and safe nutrition motivation system among Iranian adolescent girls. Read More

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Moving Beyond Simple Risk Prediction: Segmenting Patient Populations Using Consumer Data.

Front Public Health 2021 15;9:716754. Epub 2021 Jul 15.

Department of Health Policy and Management, University of Arkansas for Medical Sciences, Little Rock, AR, United States.

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The Missing Professional Perspective: Medical, Veterinary, and Dual Degree Public Health Student Perceptions of One Health.

Front Public Health 2021 15;9:704791. Epub 2021 Jul 15.

The Centre for Higher Education Studies, University of Liverpool, Liverpool, United Kingdom.

One Health (OH) is an important concept to design appropriate public health responses to emerging diseases such as COVID-19. How trainee health professionals understand this concept is important to its implementation. In this study, we explored how medical (MD), veterinary (DVM), and dual degree MD and DVM Master of Public Health (MPH) students define OH and its relevance to practice. Read More

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Assessing the effects of disasters and their aftermath on pregnancy and infant outcomes: A conceptual model.

Int J Disaster Risk Reduct 2021 Aug 24;62. Epub 2021 Jun 24.

Professor and Chair, Department of Environmental Health Sciences, Tulane School of Public Health and Tropical Medicine, New Orleans, LA; Currently Dean and professor, Department of Environmental and Occupational Health, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA.

Although many studies have examined broad patterns of effects on pregnancy and infant outcomes after disasters, the causes of adverse outcomes are not always clear. Disasters cause interrelated exposure to environmental pollutants, psychological stressors, and lack of health care, and interacts with other social determinants of health. This topical review examines the short- and long-term effects of disasters on pregnancy and how they are mediated by social, behavioral, and environmental effects. Read More

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Effects of air pollution and climatology on COVID-19 mortality in Spain.

Air Qual Atmos Health 2021 Jul 26:1-7. Epub 2021 Jul 26.

Orphan Drug Laboratory, Biologic System Department, Metropolitan Autonomous University, Calzada del Hueso 1100, Coapa, Villaquietud, Coyoacán, 04960 Mexico City, Mexico.

The health, economic, and social impact of COVID-19 has been significant across the world. Our objective was to evaluate the association between air pollution (through NO and PM levels) and COVID-19 mortality in Spanish provinces from February 3, 2020, to July 14, 2020, adjusting for climatic parameters. An observational and ecological study was conducted with information extracted from Datadista repository (Datadista, 2020). Read More

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National and Subnational Cancer Incidence for 22 Cancer Groups, 2000 to 2016: A Study Based on Cancer Registration Data of Iran.

J Cancer Epidemiol 2021 12;2021:6676666. Epub 2021 Jul 12.

Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: Cancer is an increasing public health concern, and detailed knowledge of the cancer incidence is required for developing effective cancer control plans. The objective of this study is to present the cancer incidence of 22 cancer groups in Iran and all 31 provinces of the country from 2000 to 2016, for both sexes across different age groups.

Method: To study the national and provincial cancer incidence in Iran, we extracted data from the Cancer Project, which collects the Iranian cancer registry data and visualizes it in the VIZIT data visualization system. Read More

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Demographic Characteristics, Motivation and Perception of Change as Determinants of Memory Compensation Self-Reports After Acquired Brain Injury.

Front Psychol 2021 14;12:607035. Epub 2021 Jul 14.

Laboratoire EPSYLON EA 4556, Paul Valéry University Montpellier 3, Montpellier, France.

Introduction: Individuals with brain injuries experience cognitive and emotional changes that have long-lasting impacts on everyday life. In the context of rehabilitation, surveys have stressed the importance of compensating for memory disturbances to ease the impact of disorders on day-to-day autonomy. Despite extensive research on the nature of neurocognitive impairments following brain injury, few studies have looked at patients' perceptions of these day-to-day compensations. Read More

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Does Loneliness Have a Cost? A Population-Wide Study of the Association Between Loneliness and Healthcare Expenditure.

Int J Public Health 2021 2;66:581286. Epub 2021 Feb 2.

Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences (FHML), Maastricht University, Maastricht, Netherlands.

Loneliness has been associated with unhealthy behavior, poorer health, and increased morbidity. However, the costs of loneliness are poorly understood. Multiple sources were combined into a dataset containing a nationally representative sample ( = 341,376) of Dutch adults (18+). Read More

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February 2021

The main factors influencing COVID-19 spread and deaths in Mexico: A comparison between phases I and II.

Appl Geogr 2021 Sep 27;134:102523. Epub 2021 Jul 27.

Business School, Department of Economics, Universidad de Monterrey, Mexico.

This article investigates the geographical spread of confirmed COVID-19 cases and deaths across municipalities in Mexico. It focuses on the spread dynamics and containment of the virus between Phase I (from March 23 to May 31, 2020) and Phase II (from June 1 to August 22, 2020) of the social distancing measures. It also examines municipal-level factors associated with cumulative COVID-19 cases and deaths to understand the spatial determinants of the pandemic. Read More

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September 2021

Eliminating barriers to nighttime activity participation: the case of on-demand transit in Belleville, Canada.

Transportation (Amst) 2021 Jul 26:1-24. Epub 2021 Jul 26.

Department of Urban Environments, Université de l'Ontario français, 7 Lower Jarvis St., Toronto, ON M5E 1Z2 Canada.

Demand-responsive technologies are rapidly changing the transportation landscape. The City of Belleville, Ontario has recently replaced its evening and nighttime fixed route bus service with an on-demand transit (ODT) service. Preliminary reports have found a 300% increase in nighttime bus ridership since the implementation of this service, yet to fully understand the social return on the investment in on-demand services, we must also quantify whether and for whom these new services have enabled time savings and increased levels of activity participation. Read More

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Implementation of the CANRISK Tool: A Qualitative Exploration Among Allied Health Professionals in Canada.

Can J Diabetes 2021 Jun 29. Epub 2021 Jun 29.

Applied Research Division, Public Health Agency of Canada, Ottawa, Ontario, Canada. Electronic address:

Objectives: Launched in 2011 by the Public Health Agency of Canada, the Canadian Diabetes Risk Questionnaire (CANRISK) is a self-assessment tool validated in a Canadian sample, but its uptake has never been assessed. We sought to determine the level of current use of the CANRISK tool, identify common facilitators and barriers to its use and recommend future improvements.

Methods: Ten professional allied health organizations across Canada were contacted for in-depth interviews. Read More

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Visceral adiposity index and atherogenic index of plasma as useful predictors of risk of cardiovascular diseases: evidence from a cohort study in Iran.

Lipids Health Dis 2021 Aug 1;20(1):82. Epub 2021 Aug 1.

Research Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Background: Visceral adiposity index (VAI) and atherogenic index of plasma (AIP) are relatively new indicators for predicting non-communicable diseases (NCDs). Therefore, the present study was done to assess the association of AIP and VAI with risk of cardiovascular diseases (CVDs).

Methods: This cross-sectional study was conducted on 7,362 individuals aged between 35 and 65 years old participated in Ravansar non-communicable diseases (RaNCD) cohort study. Read More

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