International Journal for Equity in Health最新文献

{"title":"Accelerated multimorbidity in early adulthood and long-term functional disability in later life: a life-course epidemiological study.","authors":"Yushan Du, Xiaohan Zhu, Mingxing Wang, Ziyi Ye, Wen Cui, Chao Guo","doi":"10.1186/s12939-026-02869-0","DOIUrl":"https://doi.org/10.1186/s12939-026-02869-0","url":null,"abstract":"<p><strong>Background: </strong>Chronic somatic diseases (CSDs), particularly cardiometabolic diseases (CMDs) are recognized contributors to functional disability, yet limited evidence examines these associations by employing longitudinal approaches.</p><p><strong>Objective: </strong>This study aimed to investigate the association between early adulthood patterns of CMDs and other CSDs with the incidence and trajectories of later-life functional disability.</p><p><strong>Methods: </strong>Data were drawn from the China Health and Retirement Longitudinal Study implemented during 2011-2020. Functional disability was measured by activities of daily living (ADL) and instrumental activities of daily living (IADL). Latent class trajectory modeling was used to identify 10-year trajectories of functional disability. Sequence analysis was used to cluster CSD patterns from ages 18 to 44 and time-dependent Cox proportional hazard models and logistical regressions were employed to detect the associations between early adulthood CSD patterns and the incident risk and longitudinal trajectory of functional disability in later life.</p><p><strong>Results: </strong>Among 7,077 participants, four distinct early adulthood disease patterns were identified: (I) \"Long-term health,\" (II) \"Long-term with a non-CMD CSD\", (III) \"Later fast transition to CMDs or non-CMD CSDs\", and (IV) \"Early transition to CMDs or multimorbidity\". After adjusting for covariates, participants with a history of CSDs showed higher risks of functional disability.</p><p><strong>Conclusion: </strong>This study confirms that early adulthood patterns of CSDs are differentially associated with later-life functional disability, through the establishment of a lifespan-based disease-disability research framework and multi-disease trajectory modeling. Early diagnosis and interventions for CSDs are important to sustain functional function in aging.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Forced migration and human trafficking: survivors' narratives of strength and survival upon first arrival in Germany.","authors":"Estella Alejandra Tambini Stollwerck, Irja Rzepka-Marot, Hans-Christoph Friederich, Christoph Nikendei","doi":"10.1186/s12939-026-02875-2","DOIUrl":"https://doi.org/10.1186/s12939-026-02875-2","url":null,"abstract":"<p><strong>Background: </strong>Human trafficking poses a major public health challenge to the international community, with significant health and social consequences for those affected. Forced migrants are particularly vulnerable to becoming victims of human trafficking due to language barriers and migration-related hardships. These include social and economic deprivation. To better understand the lived experiences within this already vulnerable group, it is essential to examine individual cases in relation to risk factors, experiences of exploitation and exit, and resilience.</p><p><strong>Methods: </strong>Using a qualitative approach, this study examines social determinants and risk factors of forced migrants who survived human trafficking. It explores their experiences, eventual escape, and sheds light on their resilience. For this purpose, semi-structured interviews regarding the trafficking experiences were conducted with newly arrived forced migrants at a reception and registration centre in Germany. The presence of human trafficking was determined through an initial screening procedure and then confirmed in a personal interview. Additionally, we assessed the refugees' mental health burden with brief screening questionnaires for post-traumatic stress disorder, depression, anxiety, and the overall stress level (PC-PTSD-5, GAD-2, PHQ-2, RHS-15 distress thermometer).</p><p><strong>Findings: </strong>A total of 20 interviews were conducted with 14 female and 6 male participants. The participants came from 9 different countries. Most of them experienced sexual exploitation (N = 11), labour exploitation (N = 7). Few were trafficked but not exploited (N = 3). Participants reported that financial hardship was the main benefitting exploitation risk, and in many cases, they had been recruited by individuals they already knew. Spiritual rituals were sometimes used to increase pressure and control. Various forms of violence were inherent to the trafficking situations. In most cases, those affected managed to free themselves. Interpersonal connections and religious beliefs played a crucial role in coping with these experiences, however the screening for common mental disorders among refugees still indicated high levels of psychological distress. The results are discussed in relation to existing literature and implications for support and intervention are presented.</p>","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strategies to reach, involve, and maintain underserved populations in health intervention research: a systematic review of reviews.","authors":"Jeroen Pronk, Hristiyanna Ivanova, Zeena Harakeh, Annemarie Schuller, Pepijn van Empelen, Hilde van Keulen","doi":"10.1186/s12939-026-02858-3","DOIUrl":"https://doi.org/10.1186/s12939-026-02858-3","url":null,"abstract":"<p><strong>Background: </strong>Certain population subgroups, including people with lower socioeconomic status, racial and/or ethnic minorities, and individuals with lower literacy skills, face greater health challenges and participate significantly less in health intervention research. This leads to non-generalizable findings and interventions that fail to meet their needs. Despite the recognition of barriers, such as mistrust, limited access, and communication challenges in previous research, strategies to overcome these barriers are still insufficiently implemented. This review of reviews aimed to synthesize existing intervention strategies for improving the recruitment and retention of underserved populations in health intervention research across health domains and assess evidence on their effectiveness.</p><p><strong>Methods: </strong>A systematic review of existing reviews was conducted in three databases (i.e., PubMed, PsycINFO, and Scopus) to identify, summarize, and synthesize strategies used to reach, involve, and maintain underserved populations in health intervention research. The following inclusion criteria were applied: (systematic) reviews and/or meta-analyses published in English between January 2013 and January 2026, with a focus on strategies for the inclusion of underserved populations in health intervention research.</p><p><strong>Results: </strong>A total of 18 reviews published between 2014 and 2026 met all inclusion criteria, the majority (N = 11) being systematic reviews. The findings revealed considerable overlap across reviews, underscoring that certain strategies are frequently used. A comprehensive summary of these strategies is provided, categorized based on their primary goal: (1) encouragement strategies to improve outreach to underserved populations, (2) facilitation strategies to improve their participation, and 3) retention strategies to maintain their participation. However, retention was rarely addressed as a primary focus in the included reviews.</p><p><strong>Conclusions: </strong>After integrating evidence across reviews from diverse health domains and underserved populations, the findings of this review of reviews highlight the importance of a multifaceted recruitment strategy that incorporates and/or combines approaches and serve goals throughout the health intervention research process. Researchers should: (1) tailor research materials, design and interaction methods, (2) collaborate with local organizations and healthcare providers, and (3) offer flexible participation options and incentives. Additionally, regular assessment and adaptation of the intervention materials are crucial to maintain participant engagement and improve the intervention's effectiveness.</p>","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of stigma and violence among persons affected by skin neglected tropical diseases (NTDs): longitudinal analysis from an integrated intervention in Liberia.","authors":"India Hotopf, Shahreen Chowdhury, Hannah Berrian, Wede Seekey, Jerry Kollie, Colleen Parker, Zeela Zaizay, Emerson Rogers, Georgina V K Zawolo, John Solunta Smith, Karsor Kollie, Tiawanlyn Godwin-Akpan, Emmanuel Zaizay, Sally Theobald, Laura Dean, Rosalind McCollum","doi":"10.1186/s12939-026-02865-4","DOIUrl":"https://doi.org/10.1186/s12939-026-02865-4","url":null,"abstract":"<p><strong>Background: </strong>Persons affected by skin neglected tropical diseases (skin NTDs) commonly face stigma and violence, which perpetuates social exclusion, mental health issues, poverty and impedes health-seeking behaviour. Thus, stigma and violence limit the attainment of World Health Organisation (WHO) 2030 roadmap progress. Evidence on stigma related to skin NTDs pertains largely to leprosy, and experiences focus on the micro level, with limited consideration of the broader meso and macro social and structural conditions underpinning experiences of stigma. This study sought to explore experiences of stigma and violence among persons affected by skin NTDs in Liberia, within the context of an integrated skin NTD programme, including the application of intersectionality theory, considering how experiences change over time and in in relation to gender and condition, and making evidence-based recommendations.</p><p><strong>Methods: </strong>This participatory action research study used participatory methods (e.g., photovoice) and worked with persons affected as co-researchers. We drew on longitudinal qualitative data (n=649 participants) from three distinct timepoints during 2019-2023 with respondents from across the health system, prioritising perspectives of persons affected. We conducted gendered thematic framework analysis, guided by a conceptual framework, drawing on the WHO violence typology, stigma forms and the social ecological model.</p><p><strong>Findings and discussion: </strong>Stigma and violence, commonly attributed to myths and misconceptions, are hindering participation and inclusion. Stigma and violence seem to have reduced, however, emotional violence and internalised stigma remain prevalent. There has been a reported decline in stigmatising attitudes held by formal health workers, but some informal providers (traditional and faith healers) continue to perpetuate harmful myths. Harmful myths and gender shape the manifestation and determinants of violence, often mirroring gender norms and converging with other forms of inequalities, with women disproportionately impacted. Leprosy was associated with the most distressing and de-humanising accounts. The relationship between skin NTDs, stigma and violence is complex and multifaceted - we propose a framework to strengthen understanding. Addressing stigma and violence is paramount in the delivery of equitable, person-centred care, with implications beyond NTD programmes. More evidence is needed to deliver tailored, gender transformative interventions that engage informal providers and community-based groups (CBGs).</p>","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":"25 1","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical and hormonal gender-affirming care: cross-domain determinants and artificial intelligence-enabled expansion.","authors":"Mehek Sharma, Vikram Sharma, Gianluca De Leo","doi":"10.1186/s12939-026-02870-7","DOIUrl":"https://doi.org/10.1186/s12939-026-02870-7","url":null,"abstract":"<p><p>Gender-affirming surgery (GAS) and gender-affirming hormone therapy (GAHT) and are evidence-based components of care that support the health and well-being of transgender and gender-diverse (TGD) individuals, with extensive evidence linking them to reduced suicidality, improved mental health, and quality of life. Whereas most studies examine isolated outcomes-often within urban populations-this review adopts a system-level, cross-domain perspective to examine how access to gender-affirming care is shaped by structural conditions, including the urban concentration of affirming services, limited clinician training, fragmented insurance coverage, and the underrepresentation of rural TGD populations in research. These intersecting barriers undermine timely initiation, continuity, and quality of GAHT and GAS across diverse care settings. A distinctive contribution of this review is its integration of artificial intelligence (AI) as an emerging dimension of gender-affirming care. By synthesizing evidence on AI-enabled decision support, training simulations, and voice therapy, the review positions AI as a promising, equity-enhancing pathway to expand access, strengthen provider competency, reduce administrative burden, and advance global TGD health equity at scale.</p>","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of discrimination, paternal support, and hypertensive disorders of pregnancy (HDP) in the MIEHR study, Houston, Texas.","authors":"Tahereh Alinia, Elaine Symanski, Juan Manuel Alvarez, Kristina Walker Whitworth","doi":"10.1186/s12939-026-02864-5","DOIUrl":"https://doi.org/10.1186/s12939-026-02864-5","url":null,"abstract":"<p><strong>Background: </strong>Discrimination is a psychosocial stressor that, through activation of stress-response pathways, may influence risk of adverse perinatal health outcomes. However, few studies have evaluated the association between discrimination and hypertensive disorders of pregnancy (HDP), and none have explored effect modification by race or paternal support, which may buffer the adverse effects of discrimination.</p><p><strong>Methods: </strong>We included 1,847 non-Hispanic Black and White participants from the Maternal and Infant Environmental Health Riskscape (MIEHR) study. Krieger's validated Experiences of Discrimination (EOD) scale was used to assess occurrence (yes/no) and frequency (once, 2-3, ≥ 4 times) of discrimination in nine situations. We created continuous scores representing total situations and frequency and also categorized (0, 1-2, ≥ 3) the situations score. Using electronic health records, we identified participants with HDP (hypertension in pregnancy, preeclampsia, eclampsia, and hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome). We applied log-binomial regression to evaluate associations between experiences of discrimination and HDP, adjusted for maternal age, pre-pregnancy body mass index, income, and race. Analyses were stratified by race and self-reported paternal support (none/a little vs. good/excellent) as potential effect modifiers; due to small numbers, the situation score was dichotomized (0, ≥ 1) for these analyses.</p><p><strong>Results: </strong>HDP occurred in 37.5% (n = 430) of Black and 26.0% (n = 182) of White participants. Compared with participants reporting no discrimination, the adjusted risk ratio (aRR) was 1.13 (95% CI: 0.96, 1.33) and 1.11 (95% CI: 0.94, 1.30) for those reporting discrimination in 1-2 and ≥ 3 situations, respectively. By setting, the strongest associations were observed for discrimination in getting a job (aRR: 1.22; 95% CI: 1.14, 1.43), by police (aRR: 1.21; 95% CI: 1.01, 1.44), and getting medical care (aRR: 1.17; 95% CI: 0.94, 1.44). Stratified analyses revealed the strongest associations between experiencing discrimination and HDP among Black participants and those with lower perceptions of paternal support.</p><p><strong>Conclusions: </strong>We found associations between discrimination and HDP among Black participants, who bear the greatest burden of HDP, as well as a potential buffering effect of paternal support. Future research is needed to investigate associations between discrimination and HDP and evaluate whether enhancing paternal support can mitigate the impact of discrimination on HDP risk.</p>","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147813910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a risk assessment model for elder abuse vulnerability among ethnic minority older adults in Hunan, China: a cross-sectional study.","authors":"Chunhong Shi, Yizhou Liu, Xin Long, Linling Chang, Mengyang Li, Chunyan Li","doi":"10.1186/s12939-026-02866-3","DOIUrl":"https://doi.org/10.1186/s12939-026-02866-3","url":null,"abstract":"<p><strong>Background: </strong>Elder abuse is a significant public health issue, particularly among those from ethnic minorities who often face unique cultural and social challenges that may exacerbate their vulnerability. However, research on elder abuse in this population remains limited. This study aimed to explore the prevalence of vulnerability to abuse among older ethnic minorities in China and to develop a risk assessment model to inform the development of prevention strategies in this population.</p><p><strong>Methods: </strong>From February to September 2024, a cross-sectional study was employed to survey 314 older adults from ethnic minorities in Chenzhou, Yongzhou, and Jishou, in Hunan Province of China. The questionnaire included the Vulnerability to Abuse Screening Scale (VASS), the UCLA Loneliness Scale-8 (ULS-8), and the Patient Health Questionnaire-9 (PHQ-9). Statistical analyses were performed using the chi-square test and logistic regression.</p><p><strong>Results: </strong>The overall prevalence of self-reported elder abuse risk among older ethnic minorities in China was 58.92%, with the main types being psychological abuse (34.08%), physical abuse (29.94%), neglect (28.34%), and financial exploitation (13.06%). Loneliness and depressive symptoms were identified as risk factors for elder abuse vulnerability (odds ratio [OR] = 1.098 and 1.101, respectively), whereas living in rural areas and receiving community support were identified as protective factors (OR = 0.565 and 0.520, respectively). The risk assessment model was developed as follows: logit(p) = - 1.154 - 0.571×living in rural areas - 0.653× community support services + 0.094×loneliness + 0.096×depressive symptoms. The area under the receiver operating characteristic (ROC) curve of the model was 0.744, with a sensitivity of 0.568 and specificity of 0.860. The Hosmer-Lemeshow goodness-of-fit test showed a P value of 0.383.</p><p><strong>Conclusions: </strong>The prevalence of self-reported elder abuse risk among older ethnic minorities in China is relatively high and is associated with living in rural areas, receiving community support services, loneliness, and depressive symptoms. The prediction model developed in this study has satisfactory discriminative efficacy and holds certain social application value. These findings inform policymakers and service providers to promote community support services, integrate mental health interventions, and improve older adults' rights protection networks in ethnic minorities to reduce the vulnerability to abuse.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urban-rural disparities in high-impact chronic pain among older adults in Southwest China: a community-based cross-sectional study.","authors":"Guozhong Zhou, Jingyi Ma, Chenwei Gao, Min Wang, Wenjuan Tao, Wenlian Duan, Liqiong Su, Shaowei Qin, Chao Song","doi":"10.1186/s12939-026-02863-6","DOIUrl":"https://doi.org/10.1186/s12939-026-02863-6","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;High-impact chronic pain (HICP) represents a severe subset of chronic pain characterized by substantial functional interference. Although chronic pain is known to be more prevalent in rural areas, the magnitude and determinants of urban-rural disparities in HICP among older adults in China remain inadequately understood.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We conducted a community-based cross-sectional study among residents aged ≥ 60 years in Anning City, Yunnan Province, a region characterized by a distinct urban-rural composition. Chronic pain was identified via a structured questionnaire, and high-impact chronic pain (HICP) was assessed using the validated Chinese version of the PEG scale, operationally defined as a score ≥ 4 on any of the three domains(Pain intensity, Enjoyment of life, and General activity). Data on sociodemographic characteristics, lifestyle factors, comorbidities, and healthcare utilization were collected. Urban-rural comparisons were performed using Chi-square tests. To identify independent risk factors for HICP, we employed a two-stage binary logistic regression approach on the full analytical sample of chronic pain patients: univariate analyses were conducted first to examine crude associations, followed by multivariable logistic regression to estimate adjusted effects while controlling for potential confounders.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Among 2,800 participants, the overall prevalence of chronic pain was 28.5%, with a significantly higher rate in rural areas (36.01%) than in urban areas (23.01%) (P &lt; 0.001). Of those with chronic pain, 68.7% met the criteria for HICP, demonstrating a pronounced urban-rural disparity (81.92% rural vs. 53.49% urban, P &lt; 0.001). In univariate logistic regression, rural residence exhibited the strongest crude association with HICP (odds ratio [OR] = 3.82, 95% confidence interval [CI]: 2.67-5.48). Additional factors significantly associated with increased odds included age ≥ 71 years (OR = 1.61, 95% CI: 1.14-2.28), occupation as a farmer (OR = 1.89, 95% CI: 1.31-2.71) or being unemployed (OR = 4.23, 95% CI: 1.98-9.02), and daily sedentary time ≥ 4 h (OR = 1.61, 95% CI: 1.14-2.28). In the fully adjusted multivariable model, rural residence remained the predominant independent risk factor for HICP (adjusted OR [aOR] = 3.56, 95% CI: 2.28-5.54). Advanced age (≥ 71 years) retained an independent association with elevated HICP risk (aOR = 1.48, 95% CI: 1.02-2.16). Notably, the significant crude effects of occupation and sedentary time were attenuated and no longer statistically significant after multivariable adjustment. Furthermore, good or very good self-reported sleep quality was independently associated with higher odds of HICP (aOR = 1.53, 95% CI: 1.04-2.25). Rural patients predominantly reported pain in weight-bearing joints and faced significant financial barriers to healthcare access.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Profound urban-rural disparities ex","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Governance, financing, and cultural safety in Taiwan's indigenous long-term care: a CFIR/RE-AIM analysis of Wenjian stations.","authors":"Hsin-Tzu Lin, Huey-Fen Su, Hsin-Hung Ho, Feng-Tzu Chen, I-Chun Chen","doi":"10.1186/s12939-026-02861-8","DOIUrl":"https://doi.org/10.1186/s12939-026-02861-8","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147770717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Targeting equity in early childhood: resource allocation in Sweden's Extended Home Visiting Program.","authors":"Sergio Flores, Anna Fäldt, Erik Grönqvist, Filipa Sampaio, Anna Sarkadi","doi":"10.1186/s12939-026-02867-2","DOIUrl":"https://doi.org/10.1186/s12939-026-02867-2","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":"25 1","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147770664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}