International Journal for Equity in Health最新文献

{"title":"Negotiating existential conflicts in later life: an empirically informed analysis of gender and age in psychotherapy with older adults.","authors":"Felix Weibezahl","doi":"10.1186/s12939-026-02862-7","DOIUrl":"https://doi.org/10.1186/s12939-026-02862-7","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":"25 1","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13122916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147770666","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}

{"title":"Behavioral health needs of newcomer patients in a pediatric emergency department.","authors":"Kalyn Holmes, Emily Weinberger, Taylor McCormick, Erin Soares","doi":"10.1186/s12939-026-02860-9","DOIUrl":"https://doi.org/10.1186/s12939-026-02860-9","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147770653","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":"Reconstructing infectious disease prevention mechanisms in carceral settings in transitional states: lessons from the Chinese experience.","authors":"Shuchen Tang, Yulong Yang, Wenqing Yang","doi":"10.1186/s12939-026-02856-5","DOIUrl":"https://doi.org/10.1186/s12939-026-02856-5","url":null,"abstract":"<p><strong>Aims: </strong>This study aims to examine how infectious disease prevention mechanisms are constructed and operationalized within carceral settings in transitional states, using China as a representative case. It focuses on the discursive and structural strategies employed by stakeholders to navigate institutional challenges in epidemic control and to delineate responsibilities across health and justice sectors, while also considering the ethical implications of these strategies and upholding the dignity and rights of individuals affected.</p><p><strong>Methods: </strong>Guided by the epidemiological triangle model, the study adopts a dual-method qualitative design. First, it conducts a normative analysis of Chinese legal and administrative frameworks related to prison-based disease prevention. Second, it integrates empirical fieldwork based on 21 semi-structured interviews with correctional staff, health administrators, and incarcerated individuals across three provinces, supported by thematic and content analysis.</p><p><strong>Results: </strong>Findings reveal that China's carceral health governance has undergone a three-stage transformation-from institutional neglect to legal formalization, and ultimately to preventive risk management. Stakeholders engage in discursive boundary work by aligning prison health efforts with national public health objectives, while structural boundary work manifests in spatial segregation, surveillance routines, and inter-agency protocols. Digital surveillance and health monitoring systems, as part of these structural strategies, have contributed to improving public health outcomes in carceral settings by enabling real-time data sharing and timely intervention. However, these systems also raise ethical concerns: individuals with drug use histories or criminal records often worry that such monitoring, linked to stigmatized or criminalized practices, may be used for punitive purposes or excessive control rather than solely for health protection. Despite advances, gaps remain in enforcement consistency, resource allocation, and the legal clarity of emergency mandates. Additionally, carceral settings have long been plagued by systemic issues such as overcrowding, inadequate basic health services, and the erosion of human dignity, which create favorable conditions for the rapid spread of infectious diseases-these structural deficiencies are key drivers of high disease transmission rates in such environments.</p><p><strong>Conclusions: </strong>The study highlights boundary work as a central mechanism for institutional adaptation in prison health governance. China's evolving approach offers scalable insights for other transitional states, emphasizing the need for integrated, context-aware strategies that reconcile biopolitical control with human rights considerations, and explicitly address ethical dilemmas arising from surveillance and other intervention measures. Effective prison health reform requires not","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147770733","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":"Using the WHO Health Equity Assessment Toolkit to investigate changes in rural vs urban malnutrition inequality for low- and middle-income countries.","authors":"Patrick C Roney, Anca D Dragomir, George Luta","doi":"10.1186/s12939-026-02798-y","DOIUrl":"https://doi.org/10.1186/s12939-026-02798-y","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":"25 1","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13097934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147770817","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}

{"title":"The impact of vision care program on the mental health of migrant children in Eastern China: evidence from a cluster-randomized controlled trial.","authors":"Yue Wang, Cong Li, Hanwen Zhang, Yue Ma","doi":"10.1186/s12939-026-02854-7","DOIUrl":"https://doi.org/10.1186/s12939-026-02854-7","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147770668","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":"Unveiling healthcare disparities in Somalia: the hidden struggles of nomadic communities.","authors":"Hodan A Duale, Abdulwahab M Salad, Said Mohamoud, Abdirisaq M Artan, Abdiweli A Mohamed, Abdi Gele","doi":"10.1186/s12939-026-02846-7","DOIUrl":"https://doi.org/10.1186/s12939-026-02846-7","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147770659","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":"Access to bariatric surgery in Aotearoa, New Zealand - a scoping review.","authors":"Noah Appleby, Elaijah Tuivaiti, Makayla Kahi, Matire Harwood, Grant Beban, Suheelan Kulasegaran, Alana Cavadino, Vanessa Selak, Jamie-Lee Rahiri","doi":"10.1186/s12939-026-02844-9","DOIUrl":"https://doi.org/10.1186/s12939-026-02844-9","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147770743","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":"Understanding equity-oriented maternity care for women of refugee background in high-income countries: a qualitative systematic review.","authors":"Aishah Jameel, Nicole Pope, Fran Hearn, Amita Tuteja, Elisha Riggs","doi":"10.1186/s12939-026-02848-5","DOIUrl":"10.1186/s12939-026-02848-5","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13097718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728946","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}

{"title":"The structural roots of multimorbidity: social inequalities, health disparities, and systemic challenges in Southern Spain.","authors":"Javier Alvarez-Galvez, Carlos Villalba Del Valle, Helena De Sola Perea, Esther Ortega-Martin","doi":"10.1186/s12939-026-02857-4","DOIUrl":"https://doi.org/10.1186/s12939-026-02857-4","url":null,"abstract":"<p><strong>Background: </strong>Multimorbidity-the co-occurrence of two or more chronic health conditions-has become a major public health challenge in ageing societies. However, most research continues to frame it as a clinical or epidemiological issue, overlooking the role of social determinants and healthcare system dynamics. This study investigates the patterns, experiences, and structural implications of multimorbidity in southern Spain, aiming to uncover how health inequalities shape disease profiles and care experiences in one of the most deprived regions of the country.</p><p><strong>Methods: </strong>We employed a mixed-methods sequential explanatory design. The quantitative phase was based on a cross-sectional telephone survey of 1,592 individuals aged 50 and over with multimorbidity. Latent Class Analysis (LCA) was used to identify multimorbidity patterns based on 33 chronic conditions. Associations with sociodemographic factors and healthcare utilisation were analysed using chi-square tests. The qualitative phase consisted of 18 semi-structured interviews with healthcare professionals and patients, analysed thematically to explore lived experiences, care trajectories, and institutional barriers.</p><p><strong>Results: </strong>Five multimorbidity patterns were identified: unspecific, cardiometabolic, musculoskeletal, musculoskeletal-mental, and complex multimorbidity. These patterns showed clear social stratification: complex and musculoskeletal-mental profiles were more prevalent among low-income individuals, women, and residents in deprived areas. Healthcare utilisation also varied across patterns, with higher service use in more complex profiles. Qualitative findings revealed that multimorbidity was experienced as a cycle of physical decline, emotional vulnerability, and systemic neglect. Patients faced difficulties in treatment adherence, experienced long waiting times, and often relied on informal caregiving, predominantly by women. Healthcare professionals highlighted systemic fragmentation, lack of coordination, and the inadequacy of clinical guidelines for complex cases.</p><p><strong>Conclusions: </strong>Multimorbidity in this context is not merely a clinical challenge but a socially embedded condition shaped by structural inequality and institutional failures. Health systems must move beyond single-disease logic and adopt integrated, equity-oriented models of care that consider the syndemic nature of multimorbidity. This study highlights the need to incorporate social determinants into chronic care strategies and to prioritise the lived experiences of patients and caregivers in future health policy and planning.</p>","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716601","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":"\"A single viral video can undo months of health education\": social media, trust, and vaccine hesitancy in wartime Ukraine.","authors":"Safiyeh Tayebi, Ana Lorena Ruano, Liudmyla Ishchenko, Fedir Lapii, Iuliia Pavlova, Oleski Korzh, Olga Belousova, Ubydul Haque","doi":"10.1186/s12939-026-02845-8","DOIUrl":"10.1186/s12939-026-02845-8","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13097975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716584","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}