Global Public Health最新文献_第4页

Local governance and health equity: Practical reflections from Chinese crisis governance. 地方治理与卫生公平：中国危机治理的实践思考。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-07-17 DOI: 10.1080/17441692.2026.2704270

Ting Zhang, Ran Xu

引用次数: 0

Reasons for not seeking formal healthcare after injuries: A qualitative study with injured individuals in four low- and middle-income countries. 受伤后不寻求正规医疗保健的原因：对四个低收入和中等收入国家受伤个体的定性研究。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-04-06 DOI: 10.1080/17441692.2026.2650929

Agnieszka Ignatowicz

{"title":"Reasons for not seeking formal healthcare after injuries: A qualitative study with injured individuals in four low- and middle-income countries.","authors":"Agnieszka Ignatowicz","doi":"10.1080/17441692.2026.2650929","DOIUrl":"10.1080/17441692.2026.2650929","url":null,"abstract":"Injuries are a major cause of morbidity and mortality in low- and middle-income countries, but many individuals do not seek care within formal healthcare systems. Although previous studies have highlighted barriers to healthcare, limited attention has been given to the experiences of those who remain beyond the formal systems. This study explored why injured individuals in Ghana, Pakistan, Rwanda and South Africa did not seek hospital care. Ninety-seven participants were purposively sampled from rural and urban settings. Interview data were analysed thematically, drawing on biosocial and pluralistic understandings of care. Across countries and settings, participants described how decisions not to seek care were influenced by the combined effects of out-of-pocket costs, transport challenges, past experiences with providers and long waiting times. These factors interacted with sociocultural factors, including beliefs, family influences and trust in indigenous healers. However, formal healthcare was not entirely rejected. Rather, care seeking was dynamic and contingent, with participants navigating decision-making based on affordability, perceived effectiveness and acceptability of treatment. The findings highlight that seeking care for injury should be understood within broader structural and sociocultural contexts. Improving access to formal injury care requires contextually grounded, culturally responsive approaches that acknowledge pluralistic care practices and reflect lived experiences of injury.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2650929"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627516","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 role of traditional birth attendants and neonatal mortality during armed conflict: A repeated cross-sectional analysis from Northern Nigeria. 武装冲突期间传统助产士的作用和新生儿死亡率：来自尼日利亚北部的重复横断面分析。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-07-22 DOI: 10.1080/17441692.2026.2701488

Olabayo Ojeleke, Wim Groot, Milena Pavlova

{"title":"The role of traditional birth attendants and neonatal mortality during armed conflict: A repeated cross-sectional analysis from Northern Nigeria.","authors":"Olabayo Ojeleke, Wim Groot, Milena Pavlova","doi":"10.1080/17441692.2026.2701488","DOIUrl":"https://doi.org/10.1080/17441692.2026.2701488","url":null,"abstract":"Armed conflict in Northern Nigeria has severely weakened health systems, reduced access to skilled birth attendants (SBAs) and increased reliance on traditional birth attendants (TBAs), especially in underserved communities. While TBAs fill critical service gap, concerns remain about their impact on neonatal outcomes. This study examines how conflict exposure influences the use of TBAs and assesses the relationship between TBA-assisted births and neonatal mortality in Northeast and Northwest Nigeria. We analyse data from the Nigeria Demographic and Health Surveys (2008-2018) linked with conflict data from the Armed Conflict Location and Event Dataset. We use logistic regression models to assess how conflict exposure affects TBA utilisation and neonatal mortality while controlling for demographic and socioeconomic variables. Conflict exposure significantly increases the use of TBA in Northeast Nigeria, though this reliance has declined over time. No consistent association was found between TBA-assisted births and neonatal mortality, suggesting that broader systemic factors influence newborn outcomes. In conflict-affected regions, TBA is sometimes a necessity due to systemic gaps in care delivery. Integrating the TBA into formal health systems through training and referral mechanisms is critical for improving care and achieving Sustainable Development Goal 3.2 to reduce neonatal deaths.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2701488"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148548868","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

Socioeconomic disadvantage accounts for most of the early childhood development gap among children of adolescent mothers: A cross-national analysis of 15 Latin American and Caribbean countries. 对15个拉丁美洲和加勒比国家的跨国分析表明，社会经济劣势是未成年母亲所生儿童早期发展差距的主要原因。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-07-23 DOI: 10.1080/17441692.2026.2708419

Arachu Castro, Laura V Sánchez-Vincitore, Daniel Cubilla-Bonnetier

{"title":"Socioeconomic disadvantage accounts for most of the early childhood development gap among children of adolescent mothers: A cross-national analysis of 15 Latin American and Caribbean countries.","authors":"Arachu Castro, Laura V Sánchez-Vincitore, Daniel Cubilla-Bonnetier","doi":"10.1080/17441692.2026.2708419","DOIUrl":"10.1080/17441692.2026.2708419","url":null,"abstract":"Children of adolescent mothers face elevated risks of early childhood development (ECD) delay. Whether this reflects maternal age or the socioeconomic disadvantage that predisposes young women to early childbearing remains debated. We conducted a secondary analysis of Multiple Indicator Cluster Survey data (rounds 5 and 6, 2013-2022) from 15 Latin American and Caribbean countries, comprising 23,650 children aged 36-59 months. Using survey-weighted regression with cluster-robust standard errors, we examined associations between adolescent motherhood and ECD scores, discipline practices, and beliefs about physical punishment and partner violence. Children of adolescent mothers had lower weighted mean ECD scores in 11 countries. After adjusting for wealth, maternal education, and urban/rural residence, significant adverse associations persisted only in Paraguay and Suriname. Violent discipline was significantly higher among adolescent mothers only in Honduras after covariate adjustment. Adolescent mothers were significantly more likely to justify partner violence in Belize, Paraguay, and Suriname. Justification of partner violence was associated with lower ECD scores among non-adolescent mothers in the Dominican Republic and El Salvador. The ECD disadvantage associated with adolescent motherhood is largely accounted for by socioeconomic factors in most countries. Addressing poverty and gender inequity remains the most broadly applicable strategy for reducing ECD inequity in the region.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2708419"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578384","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 case for near-term artificial intelligence risks to be considered a public health problem. 近期人工智能风险被视为公共卫生问题的理由。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-08-12 DOI: 10.1080/17441692.2026.2716984

Richard C Armitage

{"title":"The case for near-term artificial intelligence risks to be considered a public health problem.","authors":"Richard C Armitage","doi":"10.1080/17441692.2026.2716984","DOIUrl":"10.1080/17441692.2026.2716984","url":null,"abstract":"AI is being rapidly integrated across nearly all sectors, including within healthcare and health systems. The prevailing dominant narrative frames AI's impact on health as overwhelmingly positive and destined to improve further. However, this benefit-focused discourse overlooks a growing set of serious risks to human health arising from AI systems already in use or clearly on a path to deployment-termed as near-term AI risks to health. The most prominent near-term AI risks to health are outlined, including algorithmic bias, erroneous clinical diagnoses and recommendations, AI-enabled health disinformation, harms to mental health, AI-driven mass unemployment, lethal autonomous weapons systems, AI-enabled chemical and biological weapons and AI as both a vulnerability and an enabler of cyberattacks on health systems. Each risk is already causing harm, or could plausibly do so soon, to the health of substantial proportions of populations, thereby collectively satisfying the criteria for a public health problem. Recognising near-term AI risks to health as a public health problem rebalances the benefit-centric narrative. The article addresses counterarguments and briefly outlines potential risk management responses: mandatory AI health impact assessments for high-risk systems, public health-oriented surveillance of AI-related harms and systematic embedding of public health expertise within AI governance structures.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2716984"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722697","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

Trace of the tracer: Techno-solutionism, surveillance and the ambivalent experiences of digital health in Türkiye's COVID-19 response. 示踪剂的痕迹：技术解决方案主义、监测和数字卫生在<s:1>刚果民主共和国COVID-19应对中的矛盾经验。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-09-14 DOI: 10.1080/17441692.2026.2728442

Zübeyde Demircioğlu, Ayşe Polat, Hüseyin Küçükali

{"title":"Trace of the tracer: Techno-solutionism, surveillance and the ambivalent experiences of digital health in Türkiye's COVID-19 response.","authors":"Zübeyde Demircioğlu, Ayşe Polat, Hüseyin Küçükali","doi":"10.1080/17441692.2026.2728442","DOIUrl":"https://doi.org/10.1080/17441692.2026.2728442","url":null,"abstract":"This study examines how digital health technologies were implemented in pandemic response, based on interviews and focus groups with frontline health workers in Türkiye. While the COVID-19 pandemic accelerated the adoption of digital tools as essential solutions for crisis management, the findings reveal a more ambivalent reality.Digital systems improved coordination, replaced paper-based chaotic workflows, and enabled real-time data sharing. However, their effectiveness was constrained by infrastructural shortcomings, uneven digital skills, and misalignment with field conditions. Digitalisation also introduced new surveillance and performance monitoring, blurring professional boundaries and increasing bureaucratic burdens. Privacy concerns emerged as health workers used personal devices, while metric-driven oversight reduced their work to quantifiable outputs and obscured qualitative aspects of care. Furthermore, social inequalities, including limited digital literacy among older adults and the exclusion of migrants from official records, revealed the limits of technology-centred approaches and underscored the importance of human-centred interactions.This study argues that digital technologies function as socio-technical systems shaped by institutional structures, material resources, and practice. Türkiye's experience shows that digital tools can enhance coordination in public health emergencies when frontline experience, quality of care, and equity are prioritised. Otherwise, digitalisation risks reproducing the inefficiencies and inequalities it aims to resolve.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2728442"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963335","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

Tuberculosis prevention in low- and middle-income settings in the Asia-Pacific region, a qualitative scoping review. 亚太地区低收入和中等收入环境中的结核病预防：一项定性范围审查。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-08-20 DOI: 10.1080/17441692.2026.2716988

P Jops, P Peprah, J Newland, B Tsogt, G B Marks, R Triasih, S K Prankumar, T Lestari, S Tinsay, P Poga, S M Graham, A Kelly-Hanku

{"title":"Tuberculosis prevention in low- and middle-income settings in the Asia-Pacific region, a qualitative scoping review.","authors":"P Jops, P Peprah, J Newland, B Tsogt, G B Marks, R Triasih, S K Prankumar, T Lestari, S Tinsay, P Poga, S M Graham, A Kelly-Hanku","doi":"10.1080/17441692.2026.2716988","DOIUrl":"10.1080/17441692.2026.2716988","url":null,"abstract":"Tuberculosis (TB) is a leading cause of death globally, with most new TB cases notified in the Asia-Pacific region. We aimed to synthesize qualitative research of TB prevention strategies from the region, summarizing reported barriers to and facilitators of practices, and identifying important gaps and opportunities for future research. A scoping review was conducted using the Arksey and O'Malley framework and includes qualitative studies published in the Asia-Pacific region between 2015 and 2025. Six databases were searched to identify qualitative studies (or qualitative components of mixed-methods studies) that focused on TB prevention. Articles were assessed for inclusion by two authors who independently screened articles based on predetermined key words and criteria. Of 1745 articles identified, 40 were included in this review. Most qualitative research addressed secondary rather than primary prevention, such as treatment of TB infection and early detection and treatment of disease. Articles largely focused on healthcare workers, while vulnerable populations-such as pregnant women and people living with HIV-are underrepresented. Key barriers identified included health system weaknesses, TB-related stigma, and unclear infection control policies. Strengthening health systems, decentralizing TB services, and engaging communities were identified as crucial to ensuring accessible and sustainable TB prevention efforts.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2716988"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792156","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

Access to maternity services for women asylum seekers and refugees: A transnational document analysis of international, European regional, and United Kingdom governance. 寻求庇护妇女和难民获得孕产服务：国际、欧洲、区域和联合王国治理的跨国文件分析。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-09-01 DOI: 10.1080/17441692.2026.2725364

Nicole Winters, Deirdre O'Donnell, Lesley Dornan, George Kernohan

{"title":"Access to maternity services for women asylum seekers and refugees: A transnational document analysis of international, European regional, and United Kingdom governance.","authors":"Nicole Winters, Deirdre O'Donnell, Lesley Dornan, George Kernohan","doi":"10.1080/17441692.2026.2725364","DOIUrl":"https://doi.org/10.1080/17441692.2026.2725364","url":null,"abstract":"Women asylum seekers and refugees face persistent barriers to maternity care (antenatal, intrapartum and postnatal care) across high-income countries, yet the upstream governance shaping access remains under-examined. Although legally distinct, both groups share protection-seeking experiences and are addressed jointly in governance documents. This study examined and synthesised how international (macro), European regional (meso), and United Kingdom (UK, micro) governance documents frame and operationalise maternity service access. Sixty-four documents were analysed using the READ framework. Inductive analysis of macro and meso documents identified six access dimensions: universal coverage; cultural and linguistic adaptation; rights-based approaches; multi-agency collaboration; data, monitoring and accountability; and quality of care. These dimensions structured assessment of UK governance, with jurisdictions rated strong, moderate or weak. Alignment was fragmented: Wales, Scotland and Northern Ireland exempted asylum seekers from charging, whereas England retained charging provisions. Multi-agency collaboration was consistently articulated, yet none of the 35 UK government documents focused on maternity access for this population, and none required outcome monitoring disaggregated by asylum or refugee status. UK governance appears coordinated in form but fragmented in substance. UK-wide minimum standards and routine recording of these data, with safeguards against immigration-related use, could strengthen coherence and accountability and improve visibility of inequities.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2725364"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148864624","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

Barriers for uptake of COVID antivirals in multicultural communities - Exploring health service provider's reflections on inequities. 多元文化社区使用抗新冠病毒药物的障碍——探讨卫生服务提供者对不公平现象的反思。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-09-19 DOI: 10.1080/17441692.2026.2735661

Putu Novi Arfirsta Dharmayani, Catherine MacPhail, Delia Rambaldini-Gooding, Chris Degeling

{"title":"Barriers for uptake of COVID antivirals in multicultural communities - Exploring health service provider's reflections on inequities.","authors":"Putu Novi Arfirsta Dharmayani, Catherine MacPhail, Delia Rambaldini-Gooding, Chris Degeling","doi":"10.1080/17441692.2026.2735661","DOIUrl":"https://doi.org/10.1080/17441692.2026.2735661","url":null,"abstract":"Timely access to COVID-19 antivirals is essential for high-risk populations; however, access remains inequitable for many multicultural communities. This study aims to capture the perspectives and experiences of frontline and multicultural support workers on barriers and enablers to antiviral access for members of multicultural communities in New South Wales (NSW) during COVID-19. We conducted three focus groups with 13 frontline and multicultural support workers employed by NSW Health in three local health districts between February and April 2025 to capture participants' reflections on the 2022 COVID antiviral rollout. During the pandemic, all participants highlighted the extensive and rapid provision of information related to vaccination. In comparison, they received little information and had limited awareness about the rollout of COVID antivirals. Emerging barriers were identified, such as no training on antivirals for multicultural support workers, health system strain from COVID fatigue, and a lack of community trust in novel medications. Trusted relationships within the community were recognised as a key enabling factor in facilitating access to health information during the public health emergency. Persistent health inequities are evident in how multicultural communities were supported to access antivirals, even as these groups have experienced disproportionate impacts across multiple dimensions of the pandemic.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2735661"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149008408","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

Antimicrobial resistance and social inequity: Why the one health approach must centre poverty. 抗菌素耐药性与社会不平等：为什么一种卫生方法必须以贫困为中心。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-10-02 DOI: 10.1080/17441692.2026.2742514

Yusuf Hared Abdi, Sharmake Gaiye Bashir

{"title":"Antimicrobial resistance and social inequity: Why the one health approach must centre poverty.","authors":"Yusuf Hared Abdi, Sharmake Gaiye Bashir","doi":"10.1080/17441692.2026.2742514","DOIUrl":"https://doi.org/10.1080/17441692.2026.2742514","url":null,"abstract":"Antimicrobial resistance (AMR) is one of the most consequential threats to global public health. In 2021, bacterial AMR was associated with an estimated 4.71 million deaths globally, including 1.14 million directly attributable to resistance. Yet, despite its designation as a global emergency, policy responses remain heavily focused on surveillance, antimicrobial stewardship, diagnostics, and pharmaceutical innovation. These interventions are necessary but insufficient without sustained action on the social and structural conditions shaping infection exposure, access to care, and antibiotic use. This commentary argues that the One Health framework, as currently operationalised, does not sufficiently centre poverty and structural inequality as core determinants of AMR. AMR is shaped by overcrowded living conditions, inadequate water and sanitation, disrupted health systems, weak diagnostic infrastructure, gender inequities, and unreliable access to quality-assured medicines, disproportionately affecting low- and middle-income countries (LMICs). We propose four linked policy directions: aligning national AMR action plans with the Sustainable Development Goals; integrating socioeconomic disaggregation into AMR surveillance; reforming international financing to expand fiscal space for health, WASH, and diagnostics; and embedding communities as co-designers of stewardship and governance. A justice-oriented One Health approach is essential to translate global AMR commitments into equitable and durable action.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2742514"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149108700","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