Ssm-Population Health最新文献

{"title":"Making sense of MAIHDA’s history and goals: A response to “Variance partition that eludes intuition”","authors":"Luisa N. Borrell , Christina I. Nieves , 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}

{"title":"The association between sports social capital and cognitive health: A longitudinal study of middle-aged and elderly adults in China","authors":"Yutao Li,&nbsp;Hengguo Song","doi":"10.1016/j.ssmph.2025.101778","DOIUrl":"10.1016/j.ssmph.2025.101778","url":null,"abstract":"<div><div>This study examines the association between sports social capital and cognitive health in middle-aged and elderly individuals in China. Using data from the China Health and Retirement Longitudinal Study (CHARLS) and deep learning methods, we analyze interactions between sports social capital, cognitive function, and various health behaviors across multiple time points. Findings reveal that baseline cognitive scores and education are key predictors of cognitive health, consistent with cognitive reserve theory. Importantly, education amplifies the benefits of sports social capital, suggesting a synergistic effect that supports cognitive function. Results further show that sports social capital exerts a cumulative effect on cognition, with its influence increasing over time. Unlike general physical activity, sports social capital—formed through social engagement in sports—plays a unique role in sustaining cognitive function. Additionally, it is associated with a reduction in the cognitive risks of smoking and other behaviors, highlighting its potential role as a buffer against health risks. This research extends social capital theory in health contexts and suggests that promoting group sports activities that foster social support networks could serve as an effective intervention. Such policies, particularly among lower-education groups, may help preserve cognitive health within aging populations.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101778"},"PeriodicalIF":3.6,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679947","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 increased telehealth use on the treatment of substance use disorder during the COVID-19 pandemic","authors":"Fares Qeadan ,&nbsp;Sydney Shimizu ,&nbsp;Benjamin Tingey ,&nbsp;Philip J. Kroth ,&nbsp;Talar Markossian","doi":"10.1016/j.ssmph.2025.101780","DOIUrl":"10.1016/j.ssmph.2025.101780","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic necessitated a shift from in-person substance use disorder (SUD) treatment to virtual telehealth (TH) visits, creating opportunities to assess the impact of virtual visits on SUD treatment.</div></div><div><h3>Methods</h3><div>This study utilized retrospective, de-identified, electronic health record (EHR) data from Oracle EHR Real-World Data to examine the impact of TH on SUD treatment. Patients with a qualifying SUD diagnosis from 141 U.S. health systems were included and divided into pre-TH (January 1, 2017 through January 1, 2019) and COVID (January 1, 2020 through January 1, 2022) cohorts. This study analyzed TH utilization, medications for SUD (MSUD) prescribing, drug-related events, and mental health crises, comparing patient outcomes where the treating clinician was a high TH user versus a low TH user in both pre-COVID and COVID periods.</div></div><div><h3>Results</h3><div>Patients visiting high TH clinicians had lower MSUD prescribing rates, yet a higher MSUD day's supply, and higher rates of TH outpatient visits than those visiting low TH providers, with both groups having an increase in TH visits during the COVID period. Patients with high TH clinicians had lower rates of SUD-related hospitalizations than those with low TH providers but similar rates of drug overdoses, relapses, injection-related infections, and mental health crises.</div></div><div><h3>Conclusions</h3><div>TH modalities showed increased SUD-related outpatient visits without increasing adverse outcomes, indicating its potential as a sustainable alternative to in-person care. This study highlights the need for further research on TH efficacy for SUD-specific populations and supports the continued integration of telehealth in SUD treatment post-pandemic.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101780"},"PeriodicalIF":3.6,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679946","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":"Relative socio-economic position and meaning and purpose in life in adolescents: An intangible cost of social inequalities","authors":"William Pickett ,&nbsp;Nathan King ,&nbsp;Frank J Elgar ,&nbsp;Valerie E. Michaelson","doi":"10.1016/j.ssmph.2025.101776","DOIUrl":"10.1016/j.ssmph.2025.101776","url":null,"abstract":"<div><div>Having a sense of meaning in life supports adolescent health but is affected by experiences of wealth or poverty. We examined its associations with relative advantage (RA) and relative deprivation (RD) in a sample of Canadian adolescents (n = 17,634) using survey data from the Health Behaviour in School-aged Children study. We calculated RA and RD using all other schoolmates as reference groups in 238 schools. Descriptively, RA was associated with greater meaning and purpose and RD was associated with less. Regression-based estimates of prevalence ratios (PR) revealed more nuanced patterns. RD was associated with less of a sense of meaning and purpose in females and gender-diverse youth only. RA was associated with a reduced risk of low meaning and purpose in females (PR 0.77; 95 % CI: 0.61 to 0.98), with similar trends in males and gender diverse students that did not achieve significance. Although the association was not pronounced at the ecological (school) level, the negative associations with RD were stronger in more unequal schools. To illustrate, in schools of high wealth inequality, RD was most strongly associated with having low meaning and purpose in females (PR 1.59; 95 % CI: 1.20 to 2.11) and gender diverse adolescents (PR 1.97, 95 % CI: 0.90 to 4.33), with no statistically significant effect in males. These patterns reveal the salience of proximal socioeconomic reference cues for adolescents and offer new insights into why inequalities in health and wellbeing are so challenging to address in youth populations. They also underscore the importance of both socioeconomic position and wealth distribution within school settings, providing impetus for thought and change.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101776"},"PeriodicalIF":3.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143644382","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":"Why gender and sex matter in infectious disease modelling: A conceptual framework","authors":"Diane Auderset ,&nbsp;Julien Riou ,&nbsp;Carole Clair ,&nbsp;Matthieu Perreau ,&nbsp;Yolanda Mueller ,&nbsp;Joëlle Schwarz","doi":"10.1016/j.ssmph.2025.101775","DOIUrl":"10.1016/j.ssmph.2025.101775","url":null,"abstract":"<div><div>The COVID-19 pandemic underscored the differential impact of infectious diseases across population groups, with gender and sex identified as important dimensions influencing transmission and health outcomes. Sex-related biological factors, such as differences in immune response and comorbidities, contribute to men's heightened severity risks, while gender norms and roles influence exposure patterns, adherence to prevention measures, and healthcare access, influencing women's higher reported infection rates in certain contexts. Despite widely observed gender/sex disparities, infectious disease models frequently overlook gender and sex as key dimensions, leading to gaps in understanding and potential blind spots in public health interventions. This paper develops a conceptual framework based on the Susceptible-Exposed-Infectious-Recovered/Deceased (SEIR/D) compartmental model to map pathways through which gender and sex may influence susceptibility, exposure, transmission, recovery, and mortality. Using a narrative review of modelling, epidemiological, and clinical studies, this framework identifies and characterises the main social and biological mechanisms on this matter—including gendered occupational exposure, differential adherence to preventive measures, and disparities in healthcare-seeking behaviour—alongside sex-based differences in immune response and disease severity. The framework also examines potential gender-related variations in epidemiological surveillance data, highlighting disparities in testing uptake and hospitalisation referrals that could influence model outputs. By synthesising these insights, this paper provides a theoretical foundation for integrating gender and sex into infectious disease models. It advocates for interdisciplinary collaboration between modellers, social scientists, and clinicians to advance gender- and sex-sensitive modelling approaches. Accounting for gender and sex can enhance predictive accuracy, inform intervention strategies, and promote health equity in pandemic response.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101775"},"PeriodicalIF":3.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637308","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":"Inequitable access to PrEP among gay, bisexual, and other men who have sex with men in Canada: A network analysis of social indicators","authors":"Barry D. Adam ,&nbsp;Diego Monteza-Quiroz ,&nbsp;Trevor A. Hart ,&nbsp;Shayna Skakoon-Sparling ,&nbsp;David M. Moore ,&nbsp;Terri Zhang ,&nbsp;Aki Gormezano ,&nbsp;Daniel Grace","doi":"10.1016/j.ssmph.2025.101771","DOIUrl":"10.1016/j.ssmph.2025.101771","url":null,"abstract":"<div><div>This paper examines demographic, structural, and syndemic variables to map facilitators and barriers to accessing pre-exposure prophylaxis (PrEP) among gay, bisexual, and other men who have sex with men (GBM) in the three largest cities in Canada, Vancouver, Toronto, and Montreal. Focusing on factors in the later stages of the PrEP cascade, this study first performed a logistic regression analysis and reports adjusted odds ratios, then entered statistically significant social indicators into a network analysis to profile the interrelated and sometimes mutually reinforcing social conditions that shape inequitable access to PrEP among Canadian GBM. Barriers to accessing a gay-friendly health care provider (HCP) and financial barriers remain primary nodes associated with inequitable PrEP access. These two nodes are, in turn, linked to other social indicators: experiencing stigma from an HCP, being less likely to be out to an HCP (most common among bisexual and queer men), and not being able to find an HCP accepting of their sexuality (most common among Indigenous, Black, and some other GBM of colour). The cost of PrEP was also a barrier, especially for less educated and un- or under-employed GBM, as well as newcomers to Canada, who more often lacked insurance for medications. These findings point toward the importance of having a primary HCP and finding an HCP who is culturally competent regarding the sexualities of gay and bisexual men, queer and trans people. These barriers may also explain other social inequities experienced by Black, Indigenous, and other GBM of colour, and by people who do not have health insurance that covers all or most of the cost of PrEP. This pattern of inequitable access to PrEP points toward the urgency of providing universal access without financial barriers (currently available in some Canadian provinces but not others) and supporting access points with a reputation for welcoming GBM in their full diversity.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101771"},"PeriodicalIF":3.6,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629289","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":"Skin tone – a marker of bias known as colorism – in relation to sleep health among African American women","authors":"Bethany T. Ogbenna ,&nbsp;Symielle A. Gaston ,&nbsp;Taylor W. Hargrove ,&nbsp;Quaker E. Harmon ,&nbsp;Donna D. Baird ,&nbsp;Chandra L. Jackson","doi":"10.1016/j.ssmph.2025.101774","DOIUrl":"10.1016/j.ssmph.2025.101774","url":null,"abstract":"<div><div>People with darker-skin tone are more likely than their lighter-skin counterparts to have less access to health-promoting resources (e.g., economic security; quality housing; favorable neighborhood environment). These adverse conditions can affect sleep and result in poor health outcomes such as cardiovascular disease and depression. However, few studies have examined associations between skin tone and sleep disparities. To address this gap, we used cross-sectional (2010–2012) and longitudinal (until 2014–2018) data from the Study of Environment, Lifestyle and Fibroids cohort of 1674 Black women aged 23-35 years and residing in the Detroit, Michigan area. Skin tone was measured using a skin reflectance instrument and categorized as light [29.3–57.6] (25%), medium [57.7–72.4] (50%), and dark [72.5–106.1] (25%) brown. Self-reported sleep dimensions were dichotomized (yes vs. no): short sleep duration, non-restorative sleep, insomnia symptoms, and sleep apnea. Adjusting for age and educational attainment, we used Poisson regression with robust variance to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs) and applied generalized estimating equations to log binomial models to determine risk ratios (RRs) and 95% CIs between skin tone and each sleep dimension, separately. Dark vs. light skin tone was associated with marginally higher prevalence and risk of short sleep (PR = 1.04 [95% CI:1.00–1.08]; RR = 1.07 [95% CI: 0.99–1.16]) and a lower prevalence of insomnia symptoms (PR = 0.95 [95% CI: 0.91–0.99]). Insomnia symptoms were more prevalent among women with light skin tone (21.1% vs. 17.7% [medium] and 15.6% [dark]). Our findings elucidate the critical importance and need to address the differential impact of historical ideologies, systems, policies, and practices on Black women, which can manifest health-damaging social phenomena like colorism.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101774"},"PeriodicalIF":3.6,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725349","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":"Physical and online food outlet availability and its influence on out-of-home dietary behaviours in Great Britain: A repeated cross-sectional study","authors":"Jody C. Hoenink ,&nbsp;Yuru Huang ,&nbsp;Matthew Keeble ,&nbsp;Joreintje D. Mackenbach ,&nbsp;Maria G.M. de Pinho ,&nbsp;Lana Vanderlee ,&nbsp;David Hammond ,&nbsp;Christine M. White ,&nbsp;Thomas Burgoine ,&nbsp;Jean Adams","doi":"10.1016/j.ssmph.2025.101773","DOIUrl":"10.1016/j.ssmph.2025.101773","url":null,"abstract":"<div><h3>Background</h3><div>As online food delivery service (OFDS) platforms gain popularity, understanding their impact on diet alongside physical food outlets is important for addressing suboptimal dietary quality. This study examined the independent and combined associations between physical and online food outlet availability and out-of-home dietary behaviours in 2019 and 2022. We also explored whether associations between physical outlet availability and dietary behaviours are modified by online food outlet availability.</div></div><div><h3>Methods</h3><div>In this repeated cross-sectional analysis, we used British data from the adult International Food Policy Study (IFPS) in 2019 (n = 2912) and 2022 (n = 3544). Postcodes were used to assess neighbourhood food outlet availability using Ordnance Survey data and to determine OFDS availability on three platforms through web scraping. Associations were examined between neighbourhood outlet and OFDS availability with self-reported frequency of physical food outlet use, online food outlet use, and consuming meals prepared out-of-home.</div></div><div><h3>Results</h3><div>In 2019 and 2022, both neighbourhood and OFDS availability were positively associated with all outcome measures. In 2019, after mutual adjustment, both availability measures remained associated with online food outlet use and consuming meals prepared out-of-home. However, in 2022, only OFDS availability was associated with these outcomes. For example, a one standard deviation increase in OFDS availability was associated with a 9% (95%CI 3%–14%) increase in frequency of consuming meals prepared out-of-home after adjusting for neighbourhood outlet availability. OFDS availability also modified associations between neighbourhood outlets and both online food outlet use and out-of-home meal consumption. As OFDS availability increased, the link between neighbourhood outlets and out-of-home meal consumption weakened.</div></div><div><h3>Conclusion</h3><div>Neighbourhood outlet availability may influence out-of-home dietary behaviours, but its impact appears to weaken when OFDS availability is considered. Public health strategies should address the growing influence of OFDS platforms to improve dietary quality.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101773"},"PeriodicalIF":3.6,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591445","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}