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Developing and validating a Women's Health Index for India. 制定和确认印度妇女健康指数。
IF 2.3 3区 医学
Journal of Public Health Policy Pub Date : 2025-02-11 DOI: 10.1057/s41271-025-00557-x
Meena Sehgal, Santosh Jatrana, Louise Johnson
{"title":"Developing and validating a Women's Health Index for India.","authors":"Meena Sehgal, Santosh Jatrana, Louise Johnson","doi":"10.1057/s41271-025-00557-x","DOIUrl":"https://doi.org/10.1057/s41271-025-00557-x","url":null,"abstract":"<p><p>Developing a women's health index is particularly important in the Indian context due to the pronounced disparities in women's health across various social, economic, and geographical segments. This paper focuses on the development and validation of a comprehensive Women's Health Index (WHI) for India. In contrast to previous efforts that predominantly focused on indicators related to pregnancy, childbirth, and the postpartum period, often limited to reproductive or maternal health services, our index adopts a multi-dimensional approach. The WHI comprises 17 variables, representing life stages of women and encompassing a diverse range of factors. Utilizing Principal Component Analysis, we computed the index and conducted statistical tests for internal and external validation. The spatial pattern of WHI reveals substantial inter-district and inter-state disparities. This study thus provides a valuable tool for characterizing women's health and identifying health inequalities at a smaller administrative level in India.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A population-level impact assessment of the National Health Mission on maternal and child health outcomes in India. 国家健康计划对印度母婴健康成果的人口层面影响评估。
IF 2.3 3区 医学
Journal of Public Health Policy Pub Date : 2025-02-03 DOI: 10.1057/s41271-025-00558-w
Abinash Singh, Sukumar Vellakkal, Aswini Kumar Mishra
{"title":"A population-level impact assessment of the National Health Mission on maternal and child health outcomes in India.","authors":"Abinash Singh, Sukumar Vellakkal, Aswini Kumar Mishra","doi":"10.1057/s41271-025-00558-w","DOIUrl":"https://doi.org/10.1057/s41271-025-00558-w","url":null,"abstract":"<p><p>India launched the National Health Mission (NHM) in 2005 to reduce maternal and child mortality by providing equitable, affordable, and quality healthcare services. Studies evaluating the impact of NHM primarily focused on the uptake of maternal and child health (MCH) services, revealing a dearth of evidence on related health outcomes. Using annual time-series data, we estimated the population-level (intention-to-treat effect) impact of the NHM on MCH outcomes such as infant mortality rate (IMR), stillbirth rate, neonatal mortality rate (NMR), and maternal mortality ratio (MMR). Our results exhibit strong consensus on the positive impact on IMR in the post-NHM period, with a significant reduction in its rate and regional inequity. Conversely, our estimates show a moderate impact on stillbirth rate and an insignificant impact on NMR and MMR. Our findings inform policy decisions for strengthening the public health system to amplify the positive gains in MCH outcomes.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Legalization of surrogacy? Opinions from more than 7700 residents in Taiwan. 代孕合法化？来自台湾7700多名居民的意见。
IF 2.3 3区 医学
Journal of Public Health Policy Pub Date : 2025-01-29 DOI: 10.1057/s41271-025-00551-3
Wei Cheng, Shu-Hsiang Liu, Chih-Yu Chen, Kuo-Yu Chao
{"title":"Legalization of surrogacy? Opinions from more than 7700 residents in Taiwan.","authors":"Wei Cheng, Shu-Hsiang Liu, Chih-Yu Chen, Kuo-Yu Chao","doi":"10.1057/s41271-025-00551-3","DOIUrl":"https://doi.org/10.1057/s41271-025-00551-3","url":null,"abstract":"<p><p>This study explores Taiwanese' perspectives on the potential legalization of surrogacy, an issue with diverse legal stances globally. Conducted between 17 December 2023 and 1 January 2024, this mixed-methods cross-sectional study employed Knowledge and Attitudes of Legalizing Surrogacy (KALS) questionnaire. This instrument assessed opinions and ethical considerations on various aspects including ethics and children's rights, surrogate health, offspring welfare, and social justice. Responses were quantitatively measured on a 5-point scale (with higher scores indicating more accurate knowledge or stronger perceived impact of surrogacy on society) supplemented by qualitative content analysis of open-ended responses. Out of 7780 predominantly female participants (82.8%), all scores were higher for those did not support the legalization of surrogacy (82.1% of respondents). Noteworthy concerns were raised about potential repercussions of legalizing surrogacy, underscoring the need for broader public education before any legal reforms are implemented. There is significant apprehension about surrogacy legalization in Taiwan, especially regarding its impact on women's health and children's welfare.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perspectives of healthcare workers on drone-enabled healthcare delivery in challenging terrains of Manipur and Nagaland, India: a qualitative research. 在曼尼普尔邦和那加兰邦具有挑战性的地形上，医疗工作者对无人机医疗服务的看法：一项定性研究。
IF 2.3 3区 医学
Journal of Public Health Policy Pub Date : 2025-01-27 DOI: 10.1057/s41271-025-00553-1
Sumit Aggarwal, Nupur Mahajan, Prakamya Gupta, Sivaraman Balaji, Simmy, Naorem Shyamjai Singh, Ayangla Saku, Balram Bhargava, Samiran Panda
{"title":"Perspectives of healthcare workers on drone-enabled healthcare delivery in challenging terrains of Manipur and Nagaland, India: a qualitative research.","authors":"Sumit Aggarwal, Nupur Mahajan, Prakamya Gupta, Sivaraman Balaji, Simmy, Naorem Shyamjai Singh, Ayangla Saku, Balram Bhargava, Samiran Panda","doi":"10.1057/s41271-025-00553-1","DOIUrl":"https://doi.org/10.1057/s41271-025-00553-1","url":null,"abstract":"<p><p>Collaborative initiatives of the drone industry and healthcare sector are becoming a pivotal step in restructuring healthcare service delivery in India. This paper documents knowledge and perceptions of healthcare workers from various districts of Manipur and Nagaland towards the use of drones for medical supply in the region. The study utilized 27 in-depth interviews with healthcare workers to collect qualitative data, which was then analyzed using NVivo 14 for thematic and content analysis. The findings indicated that 57% of respondents are unaware of drones' applications, citing security and privacy concerns and a lack of understanding about their role in the program. This study demonstrates the optimistic perception among healthcare professionals regarding drone delivery of medical supplies to remote areas, highlighting its potential to enhance accessibility and overcome logistical challenges. It emphasizes the need for training, community engagement, and safety measures to ensure effective implementation of drone technology in healthcare delivery.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenges and opportunities of vaccination during pregnancy: perspectives of 20 healthcare professionals. 怀孕期间接种疫苗的挑战和机遇：20名保健专业人员的观点。
IF 2.3 3区 医学
Journal of Public Health Policy Pub Date : 2025-01-22 DOI: 10.1057/s41271-025-00548-y
Mohammad S Razai, Sally Hargreaves, Pippa Oakeshott
{"title":"Challenges and opportunities of vaccination during pregnancy: perspectives of 20 healthcare professionals.","authors":"Mohammad S Razai, Sally Hargreaves, Pippa Oakeshott","doi":"10.1057/s41271-025-00548-y","DOIUrl":"https://doi.org/10.1057/s41271-025-00548-y","url":null,"abstract":"<p><p>Vaccination during pregnancy is crucial due to increased maternal vulnerability to infectious diseases. However, uptake of recommended vaccines (influenza, pertussis, COVID-19) remains suboptimal, particularly among disadvantaged groups. This qualitative study explored healthcare professionals' (HCPs) perspectives, selected purposively, on factors influencing maternal vaccination in London. Data from a workshop transcript and an online quality improvement survey involving 15 GPs, two midwives, two obstetricians and one pharmacist were thematically analysed. HCPs highlighted that pregnant women perceive the benefits of pertussis vaccination more positively than other vaccines. Clear, consistent communication and integrating vaccinations into routine antenatal care were identified as essential for improving accessibility and convenience. The critical role of midwives influencing vaccination decisions was emphasised. While recognising the potential of AI-based technologies to disseminate vaccine information, concerns were raised about trust, digital literacy and information quality, highlighting the need for tailored, reliable strategies to boost maternal vaccination rates and improve health outcomes.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenges of online surveys and synthetic data in achieving reproducibility in public health research: echoes of the "rise of the machines". 在线调查和综合数据在实现公共卫生研究可重复性方面面临的挑战：“机器兴起”的回响。
IF 2.3 3区 医学
Journal of Public Health Policy Pub Date : 2025-01-20 DOI: 10.1057/s41271-025-00556-y
Elena N Naumova
{"title":"Challenges of online surveys and synthetic data in achieving reproducibility in public health research: echoes of the \"rise of the machines\".","authors":"Elena N Naumova","doi":"10.1057/s41271-025-00556-y","DOIUrl":"https://doi.org/10.1057/s41271-025-00556-y","url":null,"abstract":"","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychological reactance to vaccine mandates on Twitter: a study of sentiments in the United States. 推特上对疫苗授权的心理抵制：一项对美国情绪的研究。
IF 2.3 3区 医学
Journal of Public Health Policy Pub Date : 2025-01-19 DOI: 10.1057/s41271-025-00554-0
Pei-Hsun Hsieh
{"title":"Psychological reactance to vaccine mandates on Twitter: a study of sentiments in the United States.","authors":"Pei-Hsun Hsieh","doi":"10.1057/s41271-025-00554-0","DOIUrl":"https://doi.org/10.1057/s41271-025-00554-0","url":null,"abstract":"<p><p>This study examines the relationship between vaccine mandates and public sentiment toward vaccines and health officials on Twitter. I analyzed 6.6 million vaccine-related tweets from July 2021 to February 2022 in the United States. Leveraging a large language model, BERT, I identified tweets discussing vaccine mandates even when lacking explicit keywords. Compared to non-mandate tweets, those mentioning mandates exhibit greater negativity, anger, and freedom-related language. Furthermore, increased state-level discussion of mandates correlates with rising levels of negativity and anger toward both vaccines and public health officials. Finally, greater disparity in vaccination progress across counties within a state is associated with increased anger in tweets directed toward both.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding attitudes, knowledge, and use of e-health services in the health system in Spain. 了解西班牙卫生系统中电子卫生服务的态度、知识和使用情况。
IF 2.3 3区 医学
Journal of Public Health Policy Pub Date : 2025-01-19 DOI: 10.1057/s41271-025-00549-x
Bruno González-Cacheda, Celso Cancela Outeda
{"title":"Understanding attitudes, knowledge, and use of e-health services in the health system in Spain.","authors":"Bruno González-Cacheda, Celso Cancela Outeda","doi":"10.1057/s41271-025-00549-x","DOIUrl":"https://doi.org/10.1057/s41271-025-00549-x","url":null,"abstract":"<p><p>The objective of this study was to understand factors that influence the attitude, knowledge, use, and access to e-health services in Spain. We examined the relationship between socio-demographic characteristics of participants and their attitudes toward, knowledge of and use of video-consultation, digital medical records, and experiences with digital devices. We conducted secondary data analysis using information collected by the Health Barometer # 8822 carried out by the Centro de Investigaciones Sociológicas. People with a lower level of education and social class, less digital experience, older, and foreign nationality have a low use of digital medical records. Similarly, the attitude and willingness to receive medical care via video-consultation were related to these socio-demographic factors. Thus, the use of e-health services might exacerbate inequity of the health system in Spain. To improve equity related to the e-health services, we recommend implementing a tailored approach supported by educational programs.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cannabis legalization: a call for the integration of main health and crime indicator domains towards comprehensive policy impact assessments. 大麻合法化：呼吁将主要健康和犯罪指标领域纳入全面政策影响评估。
IF 2.3 3区 医学
Journal of Public Health Policy Pub Date : 2025-01-19 DOI: 10.1057/s41271-025-00552-2
Benedikt Fischer, Tessa Robinson, Didier Jutras-Aswad
{"title":"Cannabis legalization: a call for the integration of main health and crime indicator domains towards comprehensive policy impact assessments.","authors":"Benedikt Fischer, Tessa Robinson, Didier Jutras-Aswad","doi":"10.1057/s41271-025-00552-2","DOIUrl":"https://doi.org/10.1057/s41271-025-00552-2","url":null,"abstract":"<p><p>Several jurisdictions have implemented legalization policies for non-medical cannabis, mainly towards improving public health and reducing illegal cannabis markets and crime. As some legalization initiatives are approaching maturity, conducting policy impact assessments has become timely. Emerging data, however, suggest rather mixed pictures for key outcomes and indicators. While many key health-related indicators show increases in adverse outcomes, improvements are shown for main crime-related outcomes associated with legalization. However, legalization policies are evaluated predominantly by utilizing separate approaches for the health outcomes and crime-related indicators, while comprehensive policy assessments require meaningful integration of all related indicators. We provide suggestions for an integrated approach to assessing cannabis legalization policies concerning health and crime-related outcomes. This approach is also valuable for policymakers and other stakeholders to create an empirical basis for relative valuations and choices regarding cannabis legalization's main policy outcomes.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gambling advertising regulation in Ghana: what do we know and where to next? 加纳的赌博广告监管：我们知道什么，下一步该怎么做？
IF 2.3 3区 医学
Journal of Public Health Policy Pub Date : 2025-01-17 DOI: 10.1057/s41271-025-00547-z
Emmanuel Badu, Gemma Crawford, Jonathan Hallett, Justine E Leavy
{"title":"Gambling advertising regulation in Ghana: what do we know and where to next?","authors":"Emmanuel Badu, Gemma Crawford, Jonathan Hallett, Justine E Leavy","doi":"10.1057/s41271-025-00547-z","DOIUrl":"https://doi.org/10.1057/s41271-025-00547-z","url":null,"abstract":"<p><p>In Ghana and many other sub-Saharan African countries gambling advertising has become pervasive due to weak regulations that allow gambling operators to zealously promote their products as a risk-free way to make money. In this commentary, we provide a public health perspective based on document analysis of the Ghana Gaming Commission's guidelines on advertisements, and recommendations for strengthening Ghana's gambling regulatory environment. With the industry intensifying its focus on new markets to grow and sustain profits, and new global players entering Ghana's market, the competition for market share will most likely intensify with an associated and aggressive increase in gambling advertising. Accordingly, a strengthened gambling advertising regulation underpinned by public health principles is required to restrict advertising across all forms of media and regulate advertising content. The next step for public health action should focus on advocating for new gambling advertising regulations and a review of the Gaming (gambling) Act.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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