Global Public Health最新文献_第2页

Indigenous sovereignty in research and epistemic justice: Truth telling through research. 研究中的原住民主权与认知正义：透过研究说出真相。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2024-12-11 DOI: 10.1080/17441692.2024.2436436

Raglan Maddox, Melody E Morton Ninomiya

{"title":"Indigenous sovereignty in research and epistemic justice: Truth telling through research.","authors":"Raglan Maddox, Melody E Morton Ninomiya","doi":"10.1080/17441692.2024.2436436","DOIUrl":"https://doi.org/10.1080/17441692.2024.2436436","url":null,"abstract":"Indigenous ways of knowing, being and doing are based on embodied sovereignty, relationality and countless generations of knowledge sharing. We call for epistemic justice in which Indigenous knowledge systems are recognised and valued in research-related contexts. We draw attention to how colonial knowledge systems silence, delegitimise and devalue specific knowers and ways of knowing, being and doing - through truth telling. This includes (1) the extent to which educational systems, research, practices, decisions, and reported outcomes are whitewashed - a process of structural and systemic discrimination, racism, and exclusion that actively alters or omits Indigenous and non-Euro-Western contributions and perspectives to fit Euro-Western norms and (2) whitewashed and racialised logic in scientific research that claims to be open, collaborative and transparent. Whitewashing not only obscures the history and contributions of Indigenous peoples and communities but also actively reinforces systemic biases and inequities. We assert the need for epistemic justice in public health research. Epistemic justice calls for Indigenous sovereignty and self-determination to be made visible. It may involve on how colonial policies, protocols, and regulations are connected to everyday lived inequities of Indigenous communities, families and individuals. Ultimately, epistemic justice is inherent to Indigenous peoples' health and wellness, self-determination and sovereignty.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2436436"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mpox and the men who have sex with men (MSM) community in Nigeria: Exploratory insights from MSM and persons providing healthcare services to them. 尼日利亚的Mpox和男男性行为者社区：来自男男性行为者和向他们提供保健服务的人的探索性见解。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-01-20 DOI: 10.1080/17441692.2024.2433725

Michael Kunnuji, Megan Schmidt-Sane, Olufunke Adegoke, Syed Abbas, Elizabeth Shoyemi, Akanni O Lawanson, Ayodele Jegede, Hayley MacGregor

{"title":"Mpox and the men who have sex with men (MSM) community in Nigeria: Exploratory insights from MSM and persons providing healthcare services to them.","authors":"Michael Kunnuji, Megan Schmidt-Sane, Olufunke Adegoke, Syed Abbas, Elizabeth Shoyemi, Akanni O Lawanson, Ayodele Jegede, Hayley MacGregor","doi":"10.1080/17441692.2024.2433725","DOIUrl":"https://doi.org/10.1080/17441692.2024.2433725","url":null,"abstract":"The current mpox outbreak has challenged previous understanding of the disease, with human-to-human transmission being a significant mode of transmission, particularly among gay, bisexual, and other men who have sex with men (GBMSM). A knowledge gap exists on MSM's mpox experiences in Nigeria's restrictive sociolegal context. This study explored mpox awareness, knowledge, and experiences among MSM in Lagos, Nigeria, through 28 in-depth interviews. We analysed the interview transcripts thematically. Findings showed low awareness and knowledge of mpox among MSM, who prefer seeking healthcare outside public health facilities due to stigma. Intimate contact during sexual intercourse is a likely source of infection among MSM. The Nigerian mpox response does not centre MSM, and centreing them may not be ideal due to potential stigma. MSM seek care through various means, including drugs, herbal remedies, and KP-friendly sexual and reproductive health (SRH) services, but face stressful care-seeking due to limited social support and stigma. The study shows that Nigeria's mpox situation differs from the situation in mpox non-endemic contexts. The homophobic legal and social environment and heterogenous spread require unique disease framing and context-sensitive response. The study concludes that further surveillance is needed to deepen understanding around mpox care seeking among MSM in Nigeria.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2433725"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Addressing challenges in the implementation of precision oncology: An in-depth examination of limitations and disparities in the treatment of non-small cell lung cancer in the Brazilian public healthcare system (SUS). 解决在实施精确肿瘤学的挑战：在巴西公共卫生系统（SUS）治疗非小细胞肺癌的局限性和差异的深入检查。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-01-09 DOI: 10.1080/17441692.2025.2450412

Luma Princess Schneider, Jean Henri Maselli-Schoueri, Barbara de Souza Gutierres Aguiar, Pedro Nazareth Aguiar, Auro Del Giglio

{"title":"Addressing challenges in the implementation of precision oncology: An in-depth examination of limitations and disparities in the treatment of non-small cell lung cancer in the Brazilian public healthcare system (SUS).","authors":"Luma Princess Schneider, Jean Henri Maselli-Schoueri, Barbara de Souza Gutierres Aguiar, Pedro Nazareth Aguiar, Auro Del Giglio","doi":"10.1080/17441692.2025.2450412","DOIUrl":"https://doi.org/10.1080/17441692.2025.2450412","url":null,"abstract":"Precision oncology (PO) has significantly advanced lung cancer treatment by enabling personalised therapy based on genetic mutations. However, equitable access to molecular testing and targeted therapies remains a challenge, particularly in resource-limited settings such as the Brazilian Public Health System (SUS). To identify the challenges faced by SUS in caring for patients with non-small cell lung cancer (NSCLC) in terms of access to Precision Oncology. Retrospective study with data from e-medical records of NSCLC treated between 2015-2021. 174 patients with NSCLC were included, of which 56% were females and 63% had non-squamous histology - 80% of early-stage patients and 32% of advanced-stage patients missed access to genomic testing, primarily due to short life expectancy or insufficient sample size. Only one participant underwent testing for all recommended biomarkers. Among patients with actionable mutations, 40% did not receive targeted therapy; however, regarding EGFR mutations, only 8% did not get it. Access to targeted therapy was associated with improved survival outcomes. The study highlights critical challenges and missed opportunities in the implementation of precision oncology for NSCLC management within the SUS and underscores the need for strategies to improve access to genomic testing in the public health setting.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2450412"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142947196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multi-stakeholder perspectives of community pharmacies' extended services in Al Baha province, Saudi Arabia: A qualitative study. 多方利益相关者视角下的社区药房扩展服务在Al Baha省，沙特阿拉伯：一项定性研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-01-15 DOI: 10.1080/17441692.2025.2452218

Khalid S Alghamdi, Mahdi H Alsugoor, Max Petzold, Laith Hussain-Alkhateeb, Christina Ljungberg Persson

{"title":"Multi-stakeholder perspectives of community pharmacies' extended services in Al Baha province, Saudi Arabia: A qualitative study.","authors":"Khalid S Alghamdi, Mahdi H Alsugoor, Max Petzold, Laith Hussain-Alkhateeb, Christina Ljungberg Persson","doi":"10.1080/17441692.2025.2452218","DOIUrl":"https://doi.org/10.1080/17441692.2025.2452218","url":null,"abstract":"Community pharmacies have expanded to include new services such as health screenings and medication reviews. However, developing and implementing new applications tends to be challenging and entails comprehensive planning by multiple stakeholders. This qualitative study explores stakeholders' perspectives of these new services and identifies perceived barriers or facilitators for implementing practice changes. The study held four focus group discussions with 27 stakeholders and was conducted in Al Baha province, Saudi Arabia. Participants described community pharmacy services as traditional and limited to dispensing prescriptions. Several barriers were identified, including a lack of public awareness, public privacy and confidentiality concerns, and inadequate communication and collaboration between community pharmacists and physicians. According to the participants, free training programmes and continuing education for community pharmacists (with a focus on independent and small-chain community pharmacies) and financial support from the government could facilitate extending the roles played by community pharmacists. Another suggestion was that implementing standards for accreditation could create a competitive environment for community pharmacies, granting them well-deserved privileges and enhancing public confidence in the quality and safety of pharmaceutical care. Developing interprofessional policy is also vital, as this would allow community pharmacies to integrate into the health system.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2452218"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hypothetical acceptability of minimally invasive tissue sampling and considerations for practice: A qualitative study in Vietnam 微创组织取样的假定可接受性及实践中的考虑因素：越南定性研究

IF 3.3 3区医学

Global Public Health Pub Date : 2024-09-16 DOI: 10.1080/17441692.2024.2403097

Nhung Doan Phuong, Ngan Ta Thi Dieu, My Le Thao Nguyen, An Luu Phuoc, Halina Suwalowska, Duy Manh Nguyen, Ha Thi Lien Nguyen, Huong Thi Thu Vu, Thach Ngoc Pham, Trung Cap Nguyen, Mai Thị Phước Loan, Mary Chambers, Nghia Ho Dang Trung, Jennifer Ilo Van Nuil, H. Rogier van Doorn

引用次数: 0

Unravelling the nexus of microfinance and women’s non-communicable disease (NCD) health outcomes in Sri Lanka: An exploratory study 揭示斯里兰卡小额信贷与妇女非传染性疾病（NCD）健康结果之间的关系：探索性研究

IF 3.3 3区医学

Global Public Health Pub Date : 2024-09-11 DOI: 10.1080/17441692.2024.2396941

Gabriela Fernando, Jo Durham, Peter S. Hill, Hebe Gouda

引用次数: 0

Can health promotion facilitate development in fragile states?: An instrumental variable estimation with panel data 促进健康能否促进脆弱国家的发展？利用面板数据进行工具变量估算

IF 3.3 3区医学

Global Public Health Pub Date : 2024-09-09 DOI: 10.1080/17441692.2024.2387000

Jiwoo Ha, Sun-Young Kim

引用次数: 0

The health workforce conundrum for burn care in Uttar Pradesh, India: a qualitative exploration 印度北方邦烧伤护理卫生工作者的难题：定性探索