Global Public Health最新文献_第7页

From policy to practice: syndemic and intersectional challenges to ART adherence for transgender women under India's post-test and treat policy. 从政策到实践：在印度的检测和治疗后政策下，跨性别妇女坚持抗逆转录病毒治疗的学术和交叉挑战。

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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266041/pdf/","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":"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. 穆斯林和基督教宗教领袖对坦桑尼亚计划生育教育干预的长期看法。

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

Mpox in conflict zones: Lessons from displaced populations in the Democratic Republic of Congo (DRC). 冲突地区的麻疹：刚果民主共和国流离失所人口的经验教训。

IF 2.1 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-09-01 DOI: 10.1080/17441692.2025.2551008

Majani Edward

{"title":"Mpox in conflict zones: Lessons from displaced populations in the Democratic Republic of Congo (DRC).","authors":"Majani Edward","doi":"10.1080/17441692.2025.2551008","DOIUrl":"https://doi.org/10.1080/17441692.2025.2551008","url":null,"abstract":"The Mpox outbreak in the Democratic Republic of Congo (DRC) highlights the critical intersection of conflict, displacement and public health. With over 15,000 reported cases and 700 deaths, the crisis has disproportionately affected internally displaced persons (IDPs), particularly women and girls, who face heightened vulnerabilities due to caregiving roles and unsanitary living conditions in overcrowded camps. These conditions, compounded by limited healthcare access, poor sanitation and widespread stigma, have amplified disease transmission. The inadequacies of vaccination campaigns, diagnosis and treatment further exacerbate the situation, underscoring systemic healthcare challenges in conflict zones.This article explores the lessons learned from the Mpox outbreak, emphasising the need to integrate health considerations into humanitarian responses and the importance of addressing stigma and empowering women as community leaders. Key recommendations include improving living conditions in camps, strengthening healthcare infrastructure, combating misinformation, prioritising women and girls in response strategies, and fostering global collaboration for sustainable solutions.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2551008"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144951536","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

Remaking research relationality: Tribal and youth engagement in fisheries research. 重塑研究关系：部落和青年参与渔业研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-05-11 DOI: 10.1080/17441692.2025.2497916

Janessa Esquible, Avery Hoffman, Danielle Lowrey, Destiny Ropati, Jessica Black, Courtney Carothers

{"title":"Remaking research relationality: Tribal and youth engagement in fisheries research.","authors":"Janessa Esquible, Avery Hoffman, Danielle Lowrey, Destiny Ropati, Jessica Black, Courtney Carothers","doi":"10.1080/17441692.2025.2497916","DOIUrl":"https://doi.org/10.1080/17441692.2025.2497916","url":null,"abstract":"This paper presents methodological research approaches utilised with Indigenous communities in the Kuskokwim Region of southwestern Alaska. The project is situated in the communities of Kongiganak, Quinhagak, Bethel, Aniak, and McGrath, spanning the Kuskokwim Bay and Kuskokwim River, and with Alaska Native Peoples who have been Salmon Peoples and stewards of their ancestral homelands since time immemorial. We specifically expand upon methodologies that have made this project successful, highlighting Indigenous and qualitative methodological approaches and Tribal youth engagement in Indigenous-led, Tribal and community-engaged research, given the importance of research process with and in Indigenous communities. Circle dialogues served as a core methodology for building initial relationships and partnerships between Tribes and the University, and as a mechanism to shape the research in a way that is aligned with Tribal priorities and respecting Tribal sovereignty. We uplift the voices of Tribal citizens who participated in these dialogues regarding their concerns and hopes for salmon and Salmon Peoples, while bringing youth along this research journey. Lastly, we emphasise the importance of spending time in community and building relationships, because it is these relationships that serve as a core foundation for carrying out research 'in a good way'.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2497916"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003772","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

'It's not discrete, it's not going to be easy': A qualitative analysis of the practical application of syndemic theory in healthcare. “它不是离散的，它不会是容易的”：对综合症理论在医疗保健中的实际应用的定性分析。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-05-12 DOI: 10.1080/17441692.2025.2504704

Simon M Outram, Kimberly A Koester, Lissa Moran, Wayne T Steward, Emily A Arnold

{"title":"'It's not discrete, it's not going to be easy': A qualitative analysis of the practical application of syndemic theory in healthcare.","authors":"Simon M Outram, Kimberly A Koester, Lissa Moran, Wayne T Steward, Emily A Arnold","doi":"10.1080/17441692.2025.2504704","DOIUrl":"https://doi.org/10.1080/17441692.2025.2504704","url":null,"abstract":"Over the past decade, multiple federal, state and local government mission statements have employed syndemic theory in proposed policies and practices. We interviewed 20 key informants from academia, non-governmental organisations and local government public health officials on range of topics relating to how syndemic theory is shaping healthcare policy and practice. Informants highlighted the role of syndemic theory in providing person-centred services. They also provided examples of HIV-related care services and organisational change that have been influenced or shaped by syndemic theory. However, informants also indicated that they are just beginning to understand how to employ syndemics and noted that there are many barriers to putting syndemic theory into practice. In particular, they described how governance structures and funding are siloed and therefore at odds with the holistic and integrated framework that is core to syndemic theory. Nevertheless, they felt the central messages of syndemic theory are well supported among colleagues and remained committed to finding ways to put syndemic theory in practice. We argue that that governmental and non-governmental institutions and departments will need to substantially invest in braided funding streams and associated healthcare administrative structures.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2504704"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990071","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

'Keep learning, keep trying': exploring food and cultural experiences and supports of Inuvialuit youth in the Inuvialuit Settlement Region. “不断学习，不断尝试”：探索因纽瓦柳特定居地区因纽瓦柳特青年的食物和文化体验和支持。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-06-18 DOI: 10.1080/17441692.2025.2516704

Maria Ramirez Prieto, Sonja Ostertag, Kanelsa Noksana, Shayla Arey, Denise Wolki, Susie Memogana, Celina Wolki, Aimee Yurris, Kelly Skinner

引用次数: 0

'Vaccine preferences and government responsiveness in a public health crisis: Lessons from the Middle East'. “公共卫生危机中的疫苗偏好和政府反应：来自中东的教训”。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-06-09 DOI: 10.1080/17441692.2025.2499095

Nimah Mazaheri

{"title":"'Vaccine preferences and government responsiveness in a public health crisis: Lessons from the Middle East'.","authors":"Nimah Mazaheri","doi":"10.1080/17441692.2025.2499095","DOIUrl":"https://doi.org/10.1080/17441692.2025.2499095","url":null,"abstract":"This article examines the causes of vaccine preferences during the COVID-19 pandemic through an analysis of surveys conducted in 11 countries in the Middle East and North Africa (MENA) region. It centres on how an individual's political ideology and views about the government's pandemic response influenced preferences about vaccines, specifically the choice to only get a vaccine from a particular supplier (e.g. Pfizer, AstraZeneca, Sinovac, etc.) versus the willingness to get the first available vaccine. The analysis shows that people who are politically engaged and pro-democracy are less likely to hold preferences about vaccine brands compared to democracy skeptics and those who are politically disengaged. Yet, a person's experiences and interactions with their government during the pandemic critically mattered. People in the MENA region who had negative views of their government's response to the pandemic and those who did not receive pandemic relief aid were more likely to express a strong preference about vaccine brand. The emergence of distinct preferences about vaccine brands are an understudied but ongoing problem in the global effort to vaccinate people from deadly diseases.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2499095"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144247533","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

Expanded child support grant eligibility and later-life mortality among mothers in rural South Africa. 扩大了南非农村母亲的子女抚养费资格和晚年死亡率。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-04-01 DOI: 10.1080/17441692.2025.2483870

Rishika Chakraborty, Erika T Beidelman, Maria Klein, Lindsay C Kobayashi, Katherine Eyal, Chodziwadziwa Whiteson Kabudula, Molly Rosenberg

{"title":"Expanded child support grant eligibility and later-life mortality among mothers in rural South Africa.","authors":"Rishika Chakraborty, Erika T Beidelman, Maria Klein, Lindsay C Kobayashi, Katherine Eyal, Chodziwadziwa Whiteson Kabudula, Molly Rosenberg","doi":"10.1080/17441692.2025.2483870","DOIUrl":"10.1080/17441692.2025.2483870","url":null,"abstract":"The South African Child Support Grant (CSG) may be associated with mother's mortality via pathways linked to CSG spending, however, this relationship remains uncertain. To identify the association between CSG eligibility and mortality among mothers, we exploited exogenous variation in CSG-eligibility due to iterative age-eligibility expansions. Data were obtained from the Agincourt Health and Socio-Demographic Surveillance System. Mothers contributed person-time from age 50 till they died or were censored in March 2022. The cumulative duration of CSG-eligibility was calculated using children's birthdates and CSG expansion years and dichotomised at the median to give high (>18) and low (≤18) duration. We matched mothers with high vs low duration of CSG-eligibility based on their birth years and number of children. To estimate the association between cumulative duration of CSG eligibility by age 50 and subsequent all-cause mortality, we specified Cox proportional hazards models, adjusting for sociodemographic variables. Duration of CSG-eligibility was not associated with mortality among mothers in the full sample (adjusted HR: 1.05, 95% CI: 0.75, 1.44) nor within sociodemographic sub-groups. Future studies should explore the association of CSG eligibility with premature and cause-specific mortality in mothers and at different life course timings to promote their health and longevity.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2483870"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11990111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763722","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