Ssm-Population Health最新文献

{"title":"Social determinants of where people die: A study of moderators and mediators using linked UK Census and mortality data","authors":"J.M. Davies ,&nbsp;K.C. Chua ,&nbsp;M. Maddocks ,&nbsp;F.E.M. Murtagh ,&nbsp;K.E. Sleeman","doi":"10.1016/j.ssmph.2025.101784","DOIUrl":"10.1016/j.ssmph.2025.101784","url":null,"abstract":"<div><h3>Background</h3><div>Where people die depends on many factors and is important to the quality of end-of-life care. Many people prefer to avoid end-of-life hospital admissions and yet hospital remains the most common place of death across high-income countries and is more likely for people who live in more deprived areas. This study examines moderators and mediators of socioeconomic inequality in place of death.</div></div><div><h3>Methods</h3><div>We used census data linked to mortality data for people who died in England and Wales between 2011 and 2017 to investigate the association between area-based income deprivation and death in hospital versus home, hospice, and care home. We tested moderators including age, sex, ethnicity, underlying cause of death and region, and mediating pathways through housing deprivation, living alone, and worse health.</div></div><div><h3>Results</h3><div>Among 34,230 decedents, after adjusting for age and sex, the proportion of deaths in hospital was higher in more deprived areas; 52.4 % (95 % CI: 51.2 %–53.6 %) and 46.7 % (45.5 %–48.0 %) for people living in the most and least deprived areas, respectively. This association was moderated by underlying cause of death; a social gradient was observed for deaths from cancer, dementia and ‘other’ causes but not for people who died from respiratory, cardiovascular, and sudden causes (F = 43.81; df (20), p = 0.0016). In a subsample of people who died from cancer, people living in the most deprived areas were more likely to live alone (36 % (95 % CI 30 %–41 %)) than those in the least deprived areas (19 % (15 %–23 %)), and this partly explained why they were more likely to die in hospital, accounting for 12.2 % of the total effect of income deprivation on death in hospital.</div></div><div><h3>Conclusion</h3><div>This study contributes novel findings that deepen our understanding of socioeconomic inequality in place of death. Improving support for people living alone in more deprived areas is identified as a potential way to reduce inequalities in place of death.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101784"},"PeriodicalIF":3.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143790928","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 complex representation and contradicting results linking sexual orientation to allostatic load","authors":"Gabriel Desjardins ,&nbsp;Névéna Chuntova ,&nbsp;Robert-Paul Juster","doi":"10.1016/j.ssmph.2025.101789","DOIUrl":"10.1016/j.ssmph.2025.101789","url":null,"abstract":"<div><div>This commentary discusses a publication by Katsuya Oi and Amanda M. Pollitt using the National Longitudinal Study of Adolescent to Adult Health to assess presumed sexual orientation effects on allostatic load, the ‘wear and tear’ of chronic stress. Their findings indicate that discordant heterosexual women—those whose sexual attractions or behaviors do not align with their heterosexual identity—experience notably higher allostatic load compared to other sub-groups. In contrast, women who identify as non-heterosexual did not exhibit significantly elevated allostatic load. Several theoretical problems, interpretative inadequacies, issues with terminology, and misrepresentation of the existing literature limit the full impact of this original work. In the spirit of collegial critique, the objective of this commentary is to offer potential resolutions and considerations for future research among sexually diverse as well as gender diverse populations.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101789"},"PeriodicalIF":3.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679828","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":"Measuring county-level immigration policy contexts that may influence Latino health in California","authors":"Fabiola M. Perez-Lua ,&nbsp;Gabriela E. Lazalde ,&nbsp;Corbin Farias ,&nbsp;Clara B. Barajas ,&nbsp;Jessie Kemmick Pintor ,&nbsp;Ninez A. Ponce ,&nbsp;Alexander N. Ortega ,&nbsp;Maria-Elena De Trinidad Young","doi":"10.1016/j.ssmph.2025.101790","DOIUrl":"10.1016/j.ssmph.2025.101790","url":null,"abstract":"<div><div>Studies have examined the impact of federal and state immigration policies on Latino immigrant health. Few studies have investigated the effects of local policies that shape access to services, resources, and opportunities among Latino and immigrant populations. This article presents a framework and measures to describe county-level immigration policy contexts. We developed multisectoral indicators of immigration policy contexts by linking policies and social conditions of inequity to immigration policy through mechanisms of structural racism. Using the indicators, we constructed measures of county-level immigration policy contexts in California. Two indices measured the extent of local 1) inclusive policymaking and 2) social inequity that is reinforced by immigration policy. We categorized counties into four typologies of local immigration policy contexts using the index scores. We used maps and Poisson regression analyses to examine geographic and demographic variations in the scores and typologies. We found that counties in metropolitan regions had the highest inclusive policymaking scores. Rural or agricultural counties had the highest social inequity scores. Inclusive policymaking and social inequity did not always align; some counties with many inclusive policies also had high social inequity. The counties represented in each typology of local immigration policy contexts shared unique geographic characteristics. Ultimately, our findings show that local immigration policy contexts are the product of two distinct mechanisms, and they vary across California, an inclusive state. Researchers must consider local contexts when investigating the social determinants of Latino health. State policymakers should address local conditions of inequity that are reinforced by immigration policy.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101790"},"PeriodicalIF":3.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725348","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":"Community-level social capital and polypharmacy among public assistance recipients in Japan: A multilevel cross-sectional study","authors":"Masayuki Kasahara ,&nbsp;Haruna Kawachi ,&nbsp;Keiko Ueno ,&nbsp;Shiho Kino ,&nbsp;Naoki Kondo ,&nbsp;Shunya Ikeda ,&nbsp;Daisuke Nishioka","doi":"10.1016/j.ssmph.2025.101788","DOIUrl":"10.1016/j.ssmph.2025.101788","url":null,"abstract":"","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101788"},"PeriodicalIF":3.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679830","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":"Effects of refundable state earned income tax credits on access to medical and dental services of low-income mothers","authors":"Haobing Qian ,&nbsp;George L. Wehby","doi":"10.1016/j.ssmph.2025.101787","DOIUrl":"10.1016/j.ssmph.2025.101787","url":null,"abstract":"<div><h3>Background</h3><div>Low-income women face constraints to timely access to medical and dental services. There is little evidence on whether refundable state earned income tax credit (EITC) programs affect access to care. We examine the effects of refundable state EITC levels on accessing medical and dental care among low-income mothers and potential interactions with state Medicaid eligibility levels.</div></div><div><h3>Methods</h3><div>We use data from 1996-2019 Behavioral Risk Factor Surveillance System (BRFSS). We focus on single mothers aged 18–44 with high school or less education and two or more children as the group that receives the most EITC payments, but also consider other subgroups. We consider the timing of EITC disbursement relative to interview month and outcome measurement. The regression analysis adjusts for state time-invariant differences, national time trends, and several individual-level and state time-varying covariates.</div></div><div><h3>Results</h3><div>There is little evidence that higher refundable state EITC affects access to medical and dental services among low-income mothers including among the group mostly likely to benefit from this policy. A small improvement in dental visits and decrease in forgone medical visits are observed in some models. However, these results are sensitive to the timing of EITC measure and included interview months. Moreover, some effects are observed among subgroups less exposed to EITC. There is also no evidence that EITC effects differ by state Medicaid eligibility.</div></div><div><h3>Conclusion</h3><div>The overall small payments from refundable state EITC do not appear to impact medical and dental care access of low-income mothers. Further research to understand potential individual-level heterogeneity by EITC amounts and timing relative to health care needs is important.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101787"},"PeriodicalIF":3.6,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679951","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":"Advancing health equity in wastewater-based epidemiology: A global critical review and conceptual framework","authors":"Soroush Moallef ,&nbsp;Ruchita Balasubramanian ,&nbsp;Nancy Krieger ,&nbsp;Loni P. Tabb ,&nbsp;Jarvis T. Chen ,&nbsp;William P. Hanage ,&nbsp;Mary T. Bassett ,&nbsp;Tori L. Cowger","doi":"10.1016/j.ssmph.2025.101786","DOIUrl":"10.1016/j.ssmph.2025.101786","url":null,"abstract":"<div><div>Population health data from wastewater-based epidemiology (WBE) are being used at unprecedented scales worldwide, yet there is limited focus on how to advance health equity in the field. Addressing this gap, we conducted a critical review of published literature in PubMed, targeting studies at the intersection of WBE and health equity. Of 145 articles assessed in full-text screening, we identified 68 studies with health equity considerations. These studies spanned various spatial scales and biochemical targets, addressing domains such as study design and methodologies, ethical and social considerations, and the feasibility and implementation of WBE monitoring. We summarize and synthesize health equity-oriented considerations across the identified domains. We further propose five key considerations to advance health equity in WBE research and practice, and integrate these considerations into a conceptual framework to illustrate how they apply to major steps in the process of conducting WBE. These considerations include global inequities in WBE access, the need to prevent potential harms and stigma via data misuse (inappropriate reporting of data and potential use of WBE for criminal surveillance), and the importance of regulation and community engagement, particularly amidst the growing privatization of WBE, especially in the United States.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101786"},"PeriodicalIF":3.6,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143800474","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":"Investigating the long-term impact of experiencing a major disaster in mid-adulthood on body mass index and waist circumference: A prospective birth cohort study","authors":"Eggleton Phoebe ,&nbsp;Boden Joseph ,&nbsp;Harvet Anne ,&nbsp;Deng Bingyu ,&nbsp;McLeod Geraldine ,&nbsp;Campbell Malcolm ,&nbsp;Hobbs Matthew","doi":"10.1016/j.ssmph.2025.101781","DOIUrl":"10.1016/j.ssmph.2025.101781","url":null,"abstract":"","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101781"},"PeriodicalIF":3.6,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679829","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":"Making sense of MAIHDA’s history and goals: A response to “Variance partition that eludes intuition”","authors":"Luisa N. Borrell ,&nbsp;Christina I. Nieves ,&nbsp;Clare R. Evans","doi":"10.1016/j.ssmph.2025.101779","DOIUrl":"10.1016/j.ssmph.2025.101779","url":null,"abstract":"","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101779"},"PeriodicalIF":3.6,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679948","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":"Inequality trajectories in avoidable under-5 mortality in Colombia: A 23-year analysis of inequities (2000–2022)","authors":"Maylen Liseth Rojas-Botero ,&nbsp;Julián Alfredo Fernández-Niño ,&nbsp;Yadira Eugenia Borrero-Ramírez","doi":"10.1016/j.ssmph.2025.101782","DOIUrl":"10.1016/j.ssmph.2025.101782","url":null,"abstract":"<div><div>Despite progress in Colombia's overall health indicators, substantial inequalities in avoidable under-five mortality persist across its regions. This study examines the trajectories of avoidable mortality rate in childhood (AMRC) across Colombian departments from 2000 to 2022, highlighting territorial inequalities and their socioeconomic determinants. A group-based trajectory analysis was applied to avoidable under-five mortality rates across 33 Colombian departments over a 23-year period. Additionally, multinomial logistic regression models were used to identify the socioeconomic, demographic, and health system factors associated with trajectory group membership. Three distinct mortality trajectories were identified: lower (57.6 % of departments), mid-range (30.3 %), and upper (12.1 %). Departments in the upper trajectory had consistently higher AMRC and were characterized by higher rates of unmet basic needs, poverty, rurality, illiteracy in women, and births to adolescent mothers. Despite overall declines in AMRC, relative inequalities between trajectory groups remained significant. Territorial inequalities in avoidable child mortality in Colombia are deeply rooted in socioeconomic determinants. Regions with higher poverty and less access to timely, quality healthcare experience higher avoidable mortality rates. These findings underscore the need for targeted policy interventions to address persistent health inequities.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101782"},"PeriodicalIF":3.6,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679950","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":"Physician-patient sex concordance and patient outcomes: Evidence from China","authors":"Shasha Yuan ,&nbsp;Xiaojuan Sha ,&nbsp;Kexin Xiao ,&nbsp;Mingwei Fu","doi":"10.1016/j.ssmph.2025.101783","DOIUrl":"10.1016/j.ssmph.2025.101783","url":null,"abstract":"<div><div>The growing body of research on the effects of physician-patient sex concordance on healthcare delivery across various medical settings has yielded highly heterogeneous results, with limited evidence from low- and middle-income countries (LMICs). This study aims to examine the impact of physician-patient sex concordance on both the quality of care (treatment outcomes and 30-day readmission rates) and medical expenditure (total expenditure and specific fee categories) among hospitalized patients with acute myocardial infarctions (AMI) in China. Using hospital administrative data (2018–2022) from a tertiary general hospital in Eastern China, we focus on the patients with a primary discharge diagnosis of AMI to achieve the random matching between physicians and patients (n = 1299). Our findings indicate that 70 % of AMI patients were treated by surgeons of the same sex. The patients in the physician-patient sex concordance group incurred significantly higher hospitalized expenditure, primarily in medication and surgery expenditure, with no significant increase in diagnostic expenditure. Physician-patient sex concordance was associated with an average increase of 2.3 days of hospitalization and a 4.37 percentage point increase in the copayment rate. However, no significant improvement in quality of care was observed. These findings provide a foundation for future research on the underlying mechanisms driving disparities in healthcare delivery due to physician-patient sex concordance, which is critical for the deep understanding of gender equity in health care.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101783"},"PeriodicalIF":3.6,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679949","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}