Global Public Health最新文献_第2页

The level of male involvement and associated factors in the prevention of mother-to-child transmission of HIV in Lusaka, Zambia.

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-03-12 DOI: 10.1080/17441692.2025.2475458

Sheila Mukuni Mutondo, Joseph Lupenga, Chris Mweemba, Oliver Mweemba

{"title":"The level of male involvement and associated factors in the prevention of mother-to-child transmission of HIV in Lusaka, Zambia.","authors":"Sheila Mukuni Mutondo, Joseph Lupenga, Chris Mweemba, Oliver Mweemba","doi":"10.1080/17441692.2025.2475458","DOIUrl":"https://doi.org/10.1080/17441692.2025.2475458","url":null,"abstract":"This study aimed to identify the level of male involvement and factors associated with male involvement in the Prevention of Mother-to-Child Transmission of HIV. The study used an explanatory sequential mixed-methods design to assess male involvement in a sample of 566 women aged 18 and above. The study was conducted at three health facilities. A 10-item male partner involvement scale was used in the survey, and focus group discussions with both men and women and key informants were used to collect qualitative data. The weighted mean score for overall male involvement was 2.78 ± 1.40, indicating higher male involvement. Increasing income (p < 0.05), married (p < 0.031), living near a health facility (p = 0.033), HIV couple testing (p = 0.001) and disclosure of HIV results (p < 0.001) were associated with a higher male involvement in PMTCT. Men's busy schedules, lack of knowledge, lack of communication, long waiting times, lack of privacy and PMTCT activities deemed women's responsibility were cited as barriers to male involvement in PMTCT. Efforts are needed to improve male involvement in PMTCT services, focusing on addressing the barriers contributing to low male involvement.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2475458"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143614632","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 'wicked complex problems': Qualitative understandings of sexual violence prevention in male-dominated industries.

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-03-27 DOI: 10.1080/17441692.2024.2446720

Sarah Vrankovich, Sharyn Burns, Giselle Woodley, Jacqueline Hendriks

{"title":"Addressing 'wicked complex problems': Qualitative understandings of sexual violence prevention in male-dominated industries.","authors":"Sarah Vrankovich, Sharyn Burns, Giselle Woodley, Jacqueline Hendriks","doi":"10.1080/17441692.2024.2446720","DOIUrl":"https://doi.org/10.1080/17441692.2024.2446720","url":null,"abstract":"Globally there has been increased focus on the prevalence of sexual violence in workplaces, including the mining industry. In Western Australia, where this study is situated, this industry is a significant employer, predominantly male-dominated, and the prevalent use of fly-in-fly-out schedules can blur work and social life. Consequently, efforts to prevent and manage workplace sexual violence have become a priority, leading to the development and implementation of various strategies and resources. Qualitative interviews were conducted with 34 participants, including sexual violence prevention professionals (n = 16) and mining industry workers (n = 18). Reflexive thematic analysis identified systemic and behavioural considerations that may be transferrable to other male-dominated workplaces. Participants emphasised the importance of primary prevention training programmes that included engaging activities, realistic scenarios, careful use of language, humour and inspirational facilitators. Genuine consultation with workers is critical to ensure key messages are appropriately received. Prevention interventions also need to be supported by appropriate reporting mechanisms and support processes for victim/survivors. This research aims to provide an understanding of current sexual violence prevention initiatives within the Australian mining sector, offering recommendations for future approaches tailored to industries and contexts with similar dynamics.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2446720"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729717","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

Comparing youth-friendly clinics to the standard of care for adolescent girls and young women in Malawi: A qualitative analysis.

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-03-26 DOI: 10.1080/17441692.2025.2481466

Twambilile Phanga, Caroline N McKay, Dhrutika Vansia, Nivedita L Bhushan, Bertha Maseko, Linda E Kamtsendero, Lauren A Graybill, Mina C Hosseinipour, Linda-Gail Bekker, Audrey Pettifor, Nora E Rosenberg

{"title":"Comparing youth-friendly clinics to the standard of care for adolescent girls and young women in Malawi: A qualitative analysis.","authors":"Twambilile Phanga, Caroline N McKay, Dhrutika Vansia, Nivedita L Bhushan, Bertha Maseko, Linda E Kamtsendero, Lauren A Graybill, Mina C Hosseinipour, Linda-Gail Bekker, Audrey Pettifor, Nora E Rosenberg","doi":"10.1080/17441692.2025.2481466","DOIUrl":"https://doi.org/10.1080/17441692.2025.2481466","url":null,"abstract":"Adolescent girls and young women (AGYW) in sub-Saharan Africa (SSA) face difficulties accessing sexual and reproductive health (SRH) services. Youth-friendly service delivery models may prove an alternative to increase SRH service uptake. This analysis utilises evidence from the Girl Power-Malawi study, a study designed to compare the impact of different models of service delivery on SRH service uptake for AGYW. Three intervention clinics trained providers in youth-friendly health services (YFHS), engaged young peer educators in patient outreach, expanded hours and integrated various services into youth-dedicated spaces. A standard of care (SOC) clinic was included as a comparator. This paper draws on qualitative data from in-depth interviews with 60 participants (15 per clinic) and 8 focus group discussions (2 per clinic). Thematic analysis identified three key themes regarding SRH service acceptability: having peer educators made AGYW feel more comfortable seeking services; AGYW perceived services at intervention clinics to be more private; and clinic modifications such as free services, longer operating hours and integration of different SRH services made services easier to access. Adolescents expressed that these factors contributed to higher service uptake in intervention clinics. Youth-friendly service provisions are needed to ensure AGYW find care-seeking acceptable.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2481466"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729727","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

Perpetuating global inequalities in the knowledge economy: The case of HIV social science research in East Africa. 知识经济中全球不平等现象的长期存在：东非艾滋病毒社会科学研究案例。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-02-20 DOI: 10.1080/17441692.2025.2466731

Daniel Wight

{"title":"Perpetuating global inequalities in the knowledge economy: The case of HIV social science research in East Africa.","authors":"Daniel Wight","doi":"10.1080/17441692.2025.2466731","DOIUrl":"https://doi.org/10.1080/17441692.2025.2466731","url":null,"abstract":"Despite almost a century's research capacity strengthening in Africa, HIV/AIDS research has been dominated by high-income countries (HICs), illustrating broader inequalities in the global knowledge economy. The perpetuation of weak social science capacity in east Africa is analysed as part of a complex system with multiple causes at different socio-ecological levels. Furthermore, although primarily driven by HIC/ neo-colonialist interests, causes also stem from low-income countries (LICs), and individual actions reproduce macro-level structures. Most factors link to global economic inequalities, and the extraction of data and intellectual capacity from east Africa operates akin to Dependency Theory, but this is exacerbated by African governments. At the meso-level, HIC institutions prioritise revenue and publications over strengthening LIC research capacity, whatever their rhetoric, while serious impediments exist in east African institutions. At the micro-level, HIC researchers perpetuate inequalities through, e.g., prioritising output, maintaining dependency, and choosing HIC rather than LIC conferences and journals. Multiple responses are needed, particularly at the macro-level, especially long-term, tailored funding. Meso-level responses include meritocratic career structures and institutional research consultancies. Individual HIC researchers should, ideally, prioritise training and mentoring, but this risks career advancement. Above all, honesty is required about motives and conflicting interests, at institutional and individual levels.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2466731"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467808","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

Assessing health lifestyles in contemporary China: Patterns, transitions, and socioeconomic antecedents. 评估当代中国的健康生活方式：模式、转变和社会经济因素。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-01-02 DOI: 10.1080/17441692.2024.2447792

Yaxin Lan, Lei Jin

{"title":"Assessing health lifestyles in contemporary China: Patterns, transitions, and socioeconomic antecedents.","authors":"Yaxin Lan, Lei Jin","doi":"10.1080/17441692.2024.2447792","DOIUrl":"https://doi.org/10.1080/17441692.2024.2447792","url":null,"abstract":"Health lifestyles in China reflect complex interplays of various structural forces, yielding intricate and evolving patterns. Leveraging data from the 2004-2015 China Health and Nutrition Survey (N = 9,986), this study discerns latent health lifestyles, tracks transitional dynamics, and probes socioeconomic disparities in these shifts. Three distinct lifestyle categories emerge: 'high risk', 'overall healthy but inactive', and 'modernized and active'. Notably, the prevalent trend favours the 'overall healthy but inactive' lifestyle, steadily expanding over time, followed by the 'high-risk' group. Conversely, the 'modernized and active' lifestyle, while being the least common, exhibits a modest decline. Individuals engaged in primary industries are more likely to sustain an overall healthy but inactive lifestyle. Socioeconomic advantages, particularly in education and income, were linked to maintaining or transitioning into a modernised and active lifestyle, while lower income and unemployment were more prone to maintaining high-risk behaviours. These findings illuminate the intricate dynamics of health lifestyles in China's rapidly evolving landscape, highlighting socioeconomic influences on lifestyle transitions.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2447792"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921526","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

Caring for children with SAM: Intersectional stories of shame, blame and stigmatisation in Zimbabwe, Zambia and Kenya. 照顾患有SAM的儿童：在津巴布韦、赞比亚和肯尼亚的羞耻、指责和污名化的交叉故事。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2024-12-09 DOI: 10.1080/17441692.2024.2439883

Tim Brown, Kavita Datta, Catherine Achieng, Jacqueline Kabongo, Joseph M Zulu, Mutsa Bwakura-Dangarembizi, Andrew Prendergast

{"title":"Caring for children with SAM: Intersectional stories of shame, blame and stigmatisation in Zimbabwe, Zambia and Kenya.","authors":"Tim Brown, Kavita Datta, Catherine Achieng, Jacqueline Kabongo, Joseph M Zulu, Mutsa Bwakura-Dangarembizi, Andrew Prendergast","doi":"10.1080/17441692.2024.2439883","DOIUrl":"https://doi.org/10.1080/17441692.2024.2439883","url":null,"abstract":"This paper draws from qualitative research undertaken with the mothers and primary caregivers of children aged under 5 years old and in recovery from severe acute malnutrition (SAM), as well as other community members, across three study sites in Kenya, Zambia, and Zimbabwe. The paper highlights how nutrition-related stigma is constructed and enacted in complex ways, by multiple actors and across diverse settings. Adopting an intersectional approach, the paper identifies how stigma emerges at the intersections of social identity, especially age, gender, and associated beliefs about women's, and especially young women's, assumed (in)capacity to care. The paper highlights how such stigmatising practices have the potential to place the children of mothers and primary caregivers affected by stigma at heightened vulnerability to SAM as well as to impair their recovery because of its impact upon health-seeking behaviours. In conclusion, we argue that intersectional approaches to stigma are crucial to better understand the social construction of stigma pertaining to SAM, the differential experiences, and responses, of caregivers, as well as how these shape pathways to differing forms of care.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2439883"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800327","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

The transformative terrain: An in-depth analysis of trends in self-managed abortion in India using NFHS-5 national data.

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-02-20 DOI: 10.1080/17441692.2025.2467796

Sushanta K Banerjee, Sumit Gulati, Erin Pearson

{"title":"The transformative terrain: An in-depth analysis of trends in self-managed abortion in India using NFHS-5 national data.","authors":"Sushanta K Banerjee, Sumit Gulati, Erin Pearson","doi":"10.1080/17441692.2025.2467796","DOIUrl":"https://doi.org/10.1080/17441692.2025.2467796","url":null,"abstract":"In 2022, the World Health Organization endorsed self-managed abortion (SMA) with medical abortion pills as a safe abortion method. This study utilises India's National Family Health Survey Round 5 (2019-2021) data from 724,115 women to estimate state-level self-managed abortion (SMA). It examines SMA characteristics, trends over time, and self-reported complications in India using descriptive and multivariate analysis. This study finds significant regional disparities, with a higher proportion of self-managed abortions in the eastern (45%), central (39%), and north-eastern (31%) regions. A rising trend in SMA was observed, increasing from 19% in 2014-45% in 2021. There were higher odds of SMA among economically disadvantaged, less educated, and employed women. The study found no increased odds of self-reported complications in SMA, suggesting its safety and effectiveness, especially at early gestational ages. These findings underscore the importance of supporting reproductive choices, including access to quality drugs and information, while highlighting the continued relevance of provider-assisted care, particularly for surgical abortions and later gestational needs. This study offers crucial insights on SMA for programmatic and policy advocacy while underscoring the need for more research in the SMA field.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2467796"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457657","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

From policy to practice: syndemic and intersectional challenges to ART adherence for transgender women under India's post-test and treat policy.

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-03-06 DOI: 10.1080/17441692.2025.2473446

William Lodge, Jatin Chaudary, Shruta Rawat, Madina Agénor, Alpana Dange, Vivek R Anand, Don Operario, Matthew J Mimiaga, Katie B Biello

{"title":"From policy to practice: syndemic and intersectional challenges to ART adherence for transgender women under India's post-test and treat policy.","authors":"William Lodge, Jatin Chaudary, Shruta Rawat, Madina Agénor, Alpana Dange, Vivek R Anand, Don Operario, Matthew J Mimiaga, Katie B Biello","doi":"10.1080/17441692.2025.2473446","DOIUrl":"10.1080/17441692.2025.2473446","url":null,"abstract":"Transgender women (TGW) in India face one of the highest HIV prevalence rates among key populations in India, yet data on their engagement in the HIV care cascade is limited. This study investigates barriers and supportive factors for adhering to antiretroviral therapy (ART), which is vital for achieving viral suppression, reducing transmission risk to nearly zero (i.e. undetectable = utransmittable; U = U), and enhancing the quality of life for TGW living with HIV. Between July and September 2023, trained community recruiters recruited 30 TGW living with HIV in Mumbai and New Delhi, India. Using intersectionality and syndemic theory as guiding frameworks, we purposively sampled and conducted semi-structured qualitative interviews. The interviews revealed four main themes - two barriers and two supportive factors influencing ART adherence: the impact of poverty on syndemic factors, intersectional stigma and discrimination, empowerment to overcome barriers, and the influence of inclusive government programmes and policies in improving TGW's access to ART. Despite the availability of free ART immediately after diagnosis under India's 'test and treat' policy, economic instability and intersecting stigma hinder adherence. Our findings reveal that holistic interventions focusing on economic support, stigma reduction, and personal and collective empowerment might improve ART adherence among TGW in India.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2473446"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566466","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

Grounding global health in care: connecting decoloniality and migration through racialization.

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-03-24 DOI: 10.1080/17441692.2025.2480646

Hansjörg Dilger, Jérémy Geeraert, Tinashe Goronga, Lucia Mair, Nassim Mehran, Ursula Probst, Raphael Frankfurter, Vivien-Lee Greiwe, Margret Jaeger, Ulrike Kluge, Jillian Pape, Jaleel Plummer, Hannah Strohmeier, Levi Vonk, Seth M Holmes

{"title":"Grounding global health in care: connecting decoloniality and migration through racialization.","authors":"Hansjörg Dilger, Jérémy Geeraert, Tinashe Goronga, Lucia Mair, Nassim Mehran, Ursula Probst, Raphael Frankfurter, Vivien-Lee Greiwe, Margret Jaeger, Ulrike Kluge, Jillian Pape, Jaleel Plummer, Hannah Strohmeier, Levi Vonk, Seth M Holmes","doi":"10.1080/17441692.2025.2480646","DOIUrl":"https://doi.org/10.1080/17441692.2025.2480646","url":null,"abstract":"ABSTRACTRecent academic and activist critiques raise important points about the ways in which coloniality, migration and racialization are often overlooked in global health research and practice. In particular, these critiques highlight how such structural forces perpetuate inequalities and exclusions, as well as processes of epistemic violence in global health. While agreeing with these critical interventions, this paper argues for a focus on care and the importance that concrete acts and systems of care in postcolonial, migratory and racialized contexts have on the suffering and vulnerability of individuals and communities. Drawing on case studies from multiple different geographic and social contexts, we argue that the perspective of racialization can highlight how multi-layered inequalities in global healthcare are shaped by the intertwined processes of coloniality and migration; thereby explaining the contextual, structural vulnerability of specific groups of people to certain health conditions and their exclusion from adequate healthcare resources. We argue that social scientists and critical global health scholars and practitioners can play a central role in bringing the three strands of research - coloniality, migration and racialization - into conversation to explore their potential for jointly advancing the care and well-being of individuals and communities in different geographical and social contexts.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2480646"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692015","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

Beyond financial incentives: a quantitative study on spatial stigma and Puerto Rican physician migration to the United States.

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-02-20 DOI: 10.1080/17441692.2025.2467767

Nelson Varas-Díaz, Sheilla R Madera, Mark Padilla, Torsten B Neilands, John Vertovec, Kariela Rivera-Bustelo, Adrián J Santiago-Santiago, Claudia A Mercado Ríos, Genevieve Reid, Kevin Grove, Alíxida Ramos Pibernus

{"title":"Beyond financial incentives: a quantitative study on spatial stigma and Puerto Rican physician migration to the United States.","authors":"Nelson Varas-Díaz, Sheilla R Madera, Mark Padilla, Torsten B Neilands, John Vertovec, Kariela Rivera-Bustelo, Adrián J Santiago-Santiago, Claudia A Mercado Ríos, Genevieve Reid, Kevin Grove, Alíxida Ramos Pibernus","doi":"10.1080/17441692.2025.2467767","DOIUrl":"10.1080/17441692.2025.2467767","url":null,"abstract":"Puerto Rico faces a significant health crisis due to the mass migration of physicians to the United States, exacerbating the challenge of achieving the World Health Organisation's recommended physician-to-population ratio. While economic factors such as higher salaries in the US have been identified as primary drivers, the complexity of this migration wave requires a deeper exploration. This study quantitatively examines the role of push factors, pull factors, and spatial stigmatisation in physician migration from Puerto Rico. Using data from a randomly selected sample of 550 physicians (255 who had migrated to the US and 295 who lived in Puerto Rico), we analyse how perceptions of Puerto Rico's image and reputation, combined with stigmatisation linked to practicing medicine on the Island, influence migration decisions. Findings highlight that while better economic opportunities in the US are significant, the spatial stigma associated with Puerto Rico's healthcare system plays a crucial role in the decision to migrate. Policies aimed at curbing physician migration must address not only economic incentives but also the broader socio-cultural perceptions that contribute to the stigmatisation of practicing medicine in Puerto Rico. This study provides insights to inform comprehensive policy solutions to the healthcare crisis in Puerto Rico.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2467767"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11921220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0