Global Public Health最新文献_第3页

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

Long-term perspectives of Muslim and Christian religious leaders on an educational intervention about family planning in Tanzania.

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-03-05 DOI: 10.1080/17441692.2025.2473455

Hajirah Gumanneh, Sheridan Bowers, Enock Miyaye, Patrick Kweka, Aneth Nzali, Ramadhan Mtita, Yassin Mchondo, Samuel Kalluvya, Jennifer A Downs, Agrey H Mwakisole

{"title":"Long-term perspectives of Muslim and Christian religious leaders on an educational intervention about family planning in Tanzania.","authors":"Hajirah Gumanneh, Sheridan Bowers, Enock Miyaye, Patrick Kweka, Aneth Nzali, Ramadhan Mtita, Yassin Mchondo, Samuel Kalluvya, Jennifer A Downs, Agrey H Mwakisole","doi":"10.1080/17441692.2025.2473455","DOIUrl":"10.1080/17441692.2025.2473455","url":null,"abstract":"Family planning (FP) education is essential in many sub-Saharan African countries, where there is a high unsatisfied demand for FP despite its availability at healthcare facilities free of charge. Male opposition, limited health knowledge, and concern about compatibility with religious beliefs are major causes of unsatisfied demand. Previous studies have shown that partnerships with religious leaders can increase family planning knowledge and uptake. However, most studies have observed short-term effects of educating religious leaders and little is known of the long-term sustainability of such an intervention. In this study, we interviewed Christian religious leaders 4-5 years after, and Muslim religious leaders 1.75 years after, they received an educational intervention on the medical and religious aspects of FP. We sought to assess the long-term impacts of this FP educational intervention on community discussions of FP and to identify continued challenges. We found that, even years after the intervention, religious leaders continued to educate community members in multiple settings and remained willing and motivated to teach about FP. These results suggest that educating religious leaders is a sustainable and potentially highly cost-effective intervention to improve knowledge and access to FP in communities where cultural norms and religious beliefs may serve as barriers.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2473455"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566479","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

Acceptability and cultural appropriateness of a parenting programme to reduce violence against adolescents in Tanzania delivered at scale: Implications for scale-up.

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-04-05 DOI: 10.1080/17441692.2025.2483882

Joyce Wamoyi, Mackenzie Martin, Yulia Shenderovich, Samwel Mgunga, Nyasha Manjengenja, Esther Ndyetabura, Jamie M Lachman

{"title":"Acceptability and cultural appropriateness of a parenting programme to reduce violence against adolescents in Tanzania delivered at scale: Implications for scale-up.","authors":"Joyce Wamoyi, Mackenzie Martin, Yulia Shenderovich, Samwel Mgunga, Nyasha Manjengenja, Esther Ndyetabura, Jamie M Lachman","doi":"10.1080/17441692.2025.2483882","DOIUrl":"https://doi.org/10.1080/17441692.2025.2483882","url":null,"abstract":"Although parenting programmes may be effective at reducing violence against children (VAC), there is a limited understanding on how acceptable and appropriate such programmes are among parents/caregivers ('caregivers') when delivered at scale. This paper explores the acceptability and cultural appropriateness of a parenting programme for caregivers and their adolescent girls, Parenting for Lifelong Health for Teens (PLH-Teens), which was delivered at scale in rural and semi-urban Tanzania. This paper employed a qualitative research design involving 18 focus group discussions (FGDs) with caregivers (N = 120) and adolescent girls (N = 60). Participants reported that the programme was acceptable, culturally appropriate, and beneficial. The use of participatory approaches and in-person group sessions was appealing to caregivers. However, several challenges hindered consistent engagement. These factors ranged from initial community mistrust about the programme, social norms on parenting, and group interactions to individual-level participant factors, stigma, and feeling of shame for being selected to join a programme. Overall, PLH-Teens programme was perceived as addressing the real parenting needs of caregivers and their adolescents. There is a need to address the challenges families experienced as these could hinder the acceptability, sustainability, and continued scale up of PLH-Teens in future programme delivery.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2483882"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788062","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

Reconciling data actionability and accountability in global health research: The case of SARS-CoV-2. 协调全球卫生研究中的数据可操作性和问责性：以SARS-CoV-2为例。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2024-12-11 DOI: 10.1080/17441692.2024.2436422

Nathanael Sheehan, Sabina Leonelli

{"title":"Reconciling data actionability and accountability in global health research: The case of SARS-CoV-2.","authors":"Nathanael Sheehan, Sabina Leonelli","doi":"10.1080/17441692.2024.2436422","DOIUrl":"https://doi.org/10.1080/17441692.2024.2436422","url":null,"abstract":"The requirements for actionability and accountability in data infrastructures are often viewed as incompatible, creating a trade-off where enhancing one diminishes the other. Through a comparative analysis of two data infrastructures used to share genomic data about the SARS-CoV-2 virus, we argue that making data actionable for knowledge development involves a commitment to ensuring that the data in question are representative of the phenomena being studied and accountable to data subjects and users. This in turn presupposes that: (1) enough data are contributed by a wide and diverse set of relevant sources; (2) mechanisms of feedback and inclusion are set up to ensure that data contributors can participate in data governance and interpretation, thereby helping to adequately contextualise data; and (3) accountability extends to the ways in which data infrastructures are run, financed and positioned vis-à-vis the communities they are meant to serve. Such a model of data sharing can only work on the understanding that data do not need to be easily accessible to be actionable; rather, actionability depends on the responsiveness and accountability of data infrastructures, and the efforts invested in ensuring open communication among contributors.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2436422"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812900","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

'They did not care for me. I was alone on bed like a dead person': A qualitative study on mistreatment, dignity and power during childbirth in Nepal. “他们不喜欢我。“我独自躺在床上，像个死人”：一项关于尼泊尔分娩期间虐待、尊严和权力的定性研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2024-12-12 DOI: 10.1080/17441692.2024.2439887

Rejina Gurung, Sibylle Herzig Van Wees

{"title":"'They did not care for me. I was alone on bed like a dead person': A qualitative study on mistreatment, dignity and power during childbirth in Nepal.","authors":"Rejina Gurung, Sibylle Herzig Van Wees","doi":"10.1080/17441692.2024.2439887","DOIUrl":"https://doi.org/10.1080/17441692.2024.2439887","url":null,"abstract":"Mistreatment during institutional childbirth is multifactorial and can have a detrimental effect on women's health and future care-seeking behaviour. Understanding its determinants is essential for improving respectful maternity care. This study aimed to explore women's experiences of mistreatment during childbirth in Nepal. Sixteen in-depth interviews were conducted with women who had recently given birth in a tertiary health facility (between 5 and 16 weeks postpartum). Participants were selected using purposive sampling to ensure a heterogenous sample. Data were analysed using Nvivo12, following Braun and Clarke's thematic analysis approach. Four themes were identified: (1) mistreatment and undignified care, (2) health system constraints, (3) adverse hospital culture, (4) power and territorial display. Mistreatment and undignified care included abuse, threats, neglect, inadequate communication, painful medical procedures and lack of autonomy. Health system constraints included inadequate resources and overcrowding. Adverse hospital culture was characterised by work stress among health professionals, a rigid hierarchical structure and the normalisation of mistreatment practices. Power and territoriality were evident in an atmosphere of fear for women with restricted companionship during birth. Favorable institutional strategies and tailored interventions are needed to eliminate solitary births and to provide women-centered respectful care by motivated and competent health professionals.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2439887"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817797","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