International Journal for Equity in Health最新文献

{"title":"The epidemic and socioeconomic factors shock: a long-term dynamic analysis of equity in infectious disease healthcare in China.","authors":"Lisha Hou, Cheng Zhang, Changjun Wang, Yong Wang, Jinpeng Guo, Yong Chen, Ju Huang","doi":"10.1186/s12939-026-02852-9","DOIUrl":"https://doi.org/10.1186/s12939-026-02852-9","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716547","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":"Trends and inequities in primary and emergency care use among older adults in British Columbia: an analysis across age, sex, income, and rurality (2018-2023).","authors":"Anh N Q Pham, Julia Smith","doi":"10.1186/s12939-026-02859-2","DOIUrl":"https://doi.org/10.1186/s12939-026-02859-2","url":null,"abstract":"<p><strong>Background: </strong>Access to care in Canada has become increasingly unstable, exacerbated by workforce shortages and the COVID-19 pandemic, which disrupted in-person care and accelerated the shift to virtual modalities. This hugely affects older adults (65+) as a high-need population. Our study addresses gaps in the literature and the trends of health care service utilization by providing a population-level analysis of trends and inequities in primary and emergency care use among older adults in British Columbia (BC) from the pre-pandemic period through to recovery (2018-2023).</p><p><strong>Methods: </strong>We conducted a population-based repeated cross-sectional study using linked administrative health data for all BC residents aged 65 years or older, averaging 1.08 million individuals annually. We examined annual trends and calculated population-based rates for Family Physician (FP) visits, virtual visits, Emergency Department (ED) visits, and acute hospital admissions. To assess inequities, we utilized estimated Incidence Rate Ratios (IRRs), stratifying by age, sex, income, and rurality, and evaluating intersectional interactions among these predictors.</p><p><strong>Results: </strong>COVID-19 caused a system-wide shock in 2020; by 2023, in-person outpatient, ED, and hospital utilization remained 7-9% below 2018 levels despite an aging population, suggesting a lower-throughput equilibrium. Conversely, virtual care surged and stabilized at four to five times pre-pandemic levels, indicating a durable shift toward hybrid care. Rural residents exhibited a significantly lower ED use (IRR 0.35) and lower FP visits (IRR 0.97), but higher rates of hospital admissions compared to urban residents; low-income older adults and males relied more on acute care (ED and hospital admission), whereas females had higher rates of FP visits. The oldest-old males (80+) and low-income groups were identified as high-risk clusters for acute care use, facing distinct barriers to longitudinal engagement.</p><p><strong>Conclusion: </strong>The COVID-19 pandemic induced a lasting alteration to the healthcare landscape for older adults in BC. While virtual care has become a permanent fixture, it has not uniformly offset persistent deficits in in-person care. The recovery period has exacerbated structural inequities, revealing an \"inverse care\" pattern where populations with substantial needs - specifically rural residents, low-income older adults, and older males - face the greatest barriers to preventative care.</p>","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147698486","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":"Intimate Partner Violence (IPV) against women during a public health crisis: Latent class analysis (LCA) of a population-based data.","authors":"Reza Moshfeghinia, Sara Mostafavi, Erfan Sanaei, Getinet Ayano, Hossein Molavi Vardanjani","doi":"10.1186/s12939-026-02833-y","DOIUrl":"10.1186/s12939-026-02833-y","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13085442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147689488","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":"Culturally and linguistically appropriate vaccine education (CLAVE) for Indigenous communities: design and implementation study of a community-based approach to digital vaccine education in the Central Highlands of Guatemala.","authors":"Jamie Sewan Johnston, Lucia Abascal Miguel, Rubi Gaitán Barrillas, Emily Lopez, Julia Coxaj, Magda Silvia Sotz Mux, Parminder S Suchdev, Jose Carlos Monzon Fuentes, Esbeydy Pardo, Semay Johnston, Nadine Ann Skinner, Anne Kraemer Diaz, Nadia Diamond-Smith, Victoria C Ward","doi":"10.1186/s12939-026-02836-9","DOIUrl":"10.1186/s12939-026-02836-9","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13126958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147689439","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":"Intersectional inequalities in healthcare utilisation in informal settlements in Freetown, Sierra Leone: a multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA).","authors":"Ibrahim Juldeh Sesay, Samira Sesay, Haja Wurie-Kamara, Sia Morenike Tengbe, Sullaiman Fullah, Dora Vangahun, Ibrahim Gandi, Noemia Teixeira de Siqueira Filha, Rajith Lakshman, Abu Conteh, Samuel Saidu, Braima Koroma, Bintu Mansaray, Helen Elsey, Lana Whittaker, Laura Dean, Neele Wiltgen Georgi, Motto Nganda, Francis Refell, Joseph M Macarthy, Alastair H Leyland, Rachel Tolhurst, Eliud Kibuchi","doi":"10.1186/s12939-026-02851-w","DOIUrl":"https://doi.org/10.1186/s12939-026-02851-w","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147673026","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":"Integrating between cultural competence and humility: a qualitative study of Israeli pediatric cardiologists.","authors":"Yaara Sadeh, Yael Karni-Visel, Rachel Dekel, Liat Sherman, Uriel Katz","doi":"10.1186/s12939-026-02825-y","DOIUrl":"https://doi.org/10.1186/s12939-026-02825-y","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147672998","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":"Health responsibility among marginalized women in Mashhad, northeastern Iran: a critical ethnographic study.","authors":"Faezeh Rastgoo, HamidReza Zendehtalab, Mehrdad Arabestani, Nayyereh Davoudi","doi":"10.1186/s12939-026-02832-z","DOIUrl":"https://doi.org/10.1186/s12939-026-02832-z","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147672983","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":"Lived experiences of heat stress among migrant agricultural workers in Spain: a qualitative study.","authors":"Lena van Selm, Caroline Voorhis, Sarah Williams, Daniel Izuzquiza-Regalado, Sebastian Notario-Gallego, Seydou Diop, Stella Evangelidou, Erica Briones-Vozmediano, Ana Requena-Méndez","doi":"10.1186/s12939-026-02850-x","DOIUrl":"10.1186/s12939-026-02850-x","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662525","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":"'What would happen if I die in a foreign country?': Cancer-related personal uncertainty and its implications for health equity among Indonesian migrant domestic workers.","authors":"Madhu Neupane Bastola, Jeffry Oktavianus, Margo Turnbull","doi":"10.1186/s12939-026-02834-x","DOIUrl":"https://doi.org/10.1186/s12939-026-02834-x","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147654084","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":"Scabies as a manifestation of structural violence in refugee communities: a case from Rwanda.","authors":"Ursin Bayisenge, Peter Mugume, Gail Davey, Shahaduz Zaman","doi":"10.1186/s12939-026-02842-x","DOIUrl":"10.1186/s12939-026-02842-x","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147654058","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}