Health Promotion International最新文献_第10页

Young people's perspectives on policies to create healthier food environments in England. 英国年轻人对创造更健康食品环境政策的看法。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-10-01 DOI: 10.1093/heapro/daae133

Chiara Rinaldi, Elizabeth McGill, Mark Petticrew, Cecile Knai, Matt Egan

{"title":"Young people's perspectives on policies to create healthier food environments in England.","authors":"Chiara Rinaldi, Elizabeth McGill, Mark Petticrew, Cecile Knai, Matt Egan","doi":"10.1093/heapro/daae133","DOIUrl":"10.1093/heapro/daae133","url":null,"abstract":"Food environments are important determinants of healthy diets among young people. This study explored young people's perspectives on their food environment, their recommendations to policymakers and views on youth engagement in policy processes. There is limited research on young people's perspectives on their involvement in developing food environment policies. Youth engagement in policymaking processes can lead to greater policy integrity and inclusivity. Four focus group discussions were conducted with 39 young people (12-21 years) from a town in North West England and a metropolitan area in the English Midlands. Participants were recruited through youth organizations. Data were analysed using inductive thematic analysis. Young people reported concerns about the density of fast food outlets in their local area, the unaffordability of healthier food, and fast food advertisement. These issues were not believed to be prioritized in local and national policymaking. Accordingly, policy recommendations were mainly for structural food environment policies, including restrictions on fast food outlet density and incentives for menu reformulation. Young people did not feel involved in local decisions about the food environment. They expressed a need for more meaningful engagement beyond consultation. Young people have repeatedly shown to have a deep understanding of the social, commercial and political factors that influence diet and health. It is essential that policymakers aiming to improve young people's diets take their unique views and concerns into account to create effective policies that resonate with young people.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Re-politicizing the WHO's social determinants of health framework. 将世界卫生组织的健康社会决定因素框架重新政治化。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-10-01 DOI: 10.1093/heapro/daae122

Canan Karatekin, Bria Gresham, Andrew J Barnes, Frederique Corcoran, Rachel Kritzik, Susan Marshall Mason

{"title":"Re-politicizing the WHO's social determinants of health framework.","authors":"Canan Karatekin, Bria Gresham, Andrew J Barnes, Frederique Corcoran, Rachel Kritzik, Susan Marshall Mason","doi":"10.1093/heapro/daae122","DOIUrl":"10.1093/heapro/daae122","url":null,"abstract":"Although the World Health Organization's (WHO's) framework on social and structural determinants of health and health inequities (SSDHHI) has done much to raise awareness of these determinants, it does not go far enough in considerations of politics and power. The framework has become more de-politicized since its publication, with the definition of social determinants shifting toward downstream and individualized factors. In the meantime, new research fields on legal, commercial and political determinants of health and health inequities have emerged; however, these have not become integrated adequately into broader SSDHHI frameworks. To address these challenges, we argue for a re-politicization and an expansion of the WHO's framework by including the agents who have power over shaping structural determinants and the ways they use power to shape these determinants. We also provide a more detailed conceptualization of structural determinants to facilitate research. We propose a guideline for evaluating studies according to the extent to which they point upstream versus downstream and incorporate agents and considerations of power. We then use this framework to encourage more research on associations among agents, mechanisms of power, and structural determinants; how changes in structural determinants affect power dynamics among agents; and a wider focus on structural determinants beyond laws and policies, such as broad economic and sociopolitical systems. We also urge researchers to consider societal and institutional forces shaping their research with respect to SSDHHI. Research based on this framework can be used to provide evidence for advocacy for structural changes and to build more just systems that respect the fundamental human right to a healthy life.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Nurses' health promotion practices in rural primary health care in Nigeria. A qualitative study. 尼日利亚农村初级卫生保健中护士的健康促进实践。定性研究。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-10-01 DOI: 10.1093/heapro/daae120

Maria Oluomachi Enebeli, Victoria Saint, Kerstin Hämel

{"title":"Nurses' health promotion practices in rural primary health care in Nigeria. A qualitative study.","authors":"Maria Oluomachi Enebeli, Victoria Saint, Kerstin Hämel","doi":"10.1093/heapro/daae120","DOIUrl":"https://doi.org/10.1093/heapro/daae120","url":null,"abstract":"Nurses play a vital role in providing high-quality primary healthcare and health promotion services. The state of research highlights their often complex operational realities and shows the need for an evidence-based understanding of nurses' perspectives on health promotion practices, especially in low-resource settings. This study focuses on how community health nurses in rural primary healthcare centers in Nigeria perceive their health promotion role and the opportunities and challenges of, and potential entry points for strengthening, their practice. A sample of 10 nurses from eight rural primary healthcare centers in eight local government areas of Anambra state, Nigeria, was purposively selected. Data were collected via semistructured telephone and written interviews and analyzed by qualitative content analysis using a deductive-inductive approach. Nurses emphasized their commitment to supporting patients and communities to develop skills and take control of their own lives. Nurses described their role as facilitators of behavioral and environmental change, individual and community empowerment facilitators as well as social activists. Factors that enhance the health promotion practice of nurses include adequate skills, sufficient human and material resources and community support and participation. Inhibiting factors included insufficient funding, poor working conditions, staff shortages, high workload, lack of training opportunities and low participation of community members. Overcoming challenges and facilitating health promotion activities in rural communities require bolstering nurses by providing further training opportunities for enhancing their health promotion competencies and creating supportive environments. Future research should focus on how to strengthen nurses' health promotion efforts through interprofessional and intersectoral collaboration.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11424163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Extrinsic goals benefit capitalism but not well-being. Rethinking the economy's goal for a healthier future. 外在目标有利于资本主义，但不利于福祉。反思经济目标，创造更健康的未来。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-10-01 DOI: 10.1093/heapro/daae090

Robert J Noonan

{"title":"Extrinsic goals benefit capitalism but not well-being. Rethinking the economy's goal for a healthier future.","authors":"Robert J Noonan","doi":"10.1093/heapro/daae090","DOIUrl":"https://doi.org/10.1093/heapro/daae090","url":null,"abstract":"The dramatic rise in non-communicable diseases around the world but notably in high-income countries like the UK is a manifestation of a global economic system-capitalism-that prioritizes wealth over health. A decade ago, the former WHO Director-General, Margaret Chan highlighted how 'efforts to prevent non-communicable diseases go against the business interests of powerful economic operators' [United Nations. (2013) Take Action for the Sustainable Development Goals. https://www.un.org/sustainabledevelopment/sustainable-development-goals/ (last accessed 16 February 2024)]. While there is a growing literature on how politics and economics influence population health-for better or worse-less attention has been given to exploring how economic systems like capitalism influence people's psychological well-being. To fill this gap, the following article examines how the continued pursuit of economic growth under capitalism (neoliberal free-market forms especially) impacts well-being through challenging basic psychological needs for security, autonomy, competence and relatedness. In doing so, I hope to shed important light on the sources and possible solutions to our growing health and social problems, and stimulate a conversation on how to achieve a healthier future for us all.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11424164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Alcohol use disorders among healthcare professionals: a call for action. 医疗保健专业人员的酒精使用障碍：行动呼吁。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-10-01 DOI: 10.1093/heapro/daae121

Hannah W Waithera, Harrieth P Ndumwa, Belinda J Njiro, Rehema Chande-Mallya, William Julius, Monica Swahn, Catherine A Staton, Joel M Francis

{"title":"Alcohol use disorders among healthcare professionals: a call for action.","authors":"Hannah W Waithera, Harrieth P Ndumwa, Belinda J Njiro, Rehema Chande-Mallya, William Julius, Monica Swahn, Catherine A Staton, Joel M Francis","doi":"10.1093/heapro/daae121","DOIUrl":"https://doi.org/10.1093/heapro/daae121","url":null,"abstract":"Alcohol consumption and harmful and hazardous drinking are significant contributors to the global burden of disease, accounting for about 3 million deaths each year globally. Owing to their stressful work environment, healthcare professionals are at a high risk of experiencing physical and mental health problems, particularly alcohol use disorders. Alcohol use disorder among healthcare professionals is of concern as it is associated with decreased work productivity and performance and associated ill health and cognitive impairment. This review, therefore, aimed to gather evidence on the prevalence and associated factors for alcohol use disorders among healthcare professionals. The findings revealed a high prevalence of alcohol use disorders among healthcare professionals, which were worsened during the COVID-19 pandemic. Additionally, there was a glaring dearth of studies conducted in low- and middle-income countries. Urgent interventions and support systems are therefore needed to address these issues. A comprehensive approach, considering individual and organizational factors, alongside evidence-based interventions, training and support programs, can promote workforce well-being and improve the quality of patient care. It is imperative to integrate alcohol use screening, preventive and treatment interventions with primary healthcare and psychiatry services. This will help ensure early diagnosis and timely initiation of preventive and therapeutic measures, reducing the risk of missed opportunities. Furthermore, offering effective human resource management support services to healthcare professionals would significantly enhance their well-being and help prevent alcohol use disorders.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Mental health literacy of adolescents in Bermuda, according to age, gender and race. 按年龄、性别和种族分列的百慕大青少年心理健康知识。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-10-01 DOI: 10.1093/heapro/daae131

Daniel Cavanagh, Anthony Jorm, Nicola Reavley, Shawnee Basden, Laura M Hart

{"title":"Mental health literacy of adolescents in Bermuda, according to age, gender and race.","authors":"Daniel Cavanagh, Anthony Jorm, Nicola Reavley, Shawnee Basden, Laura M Hart","doi":"10.1093/heapro/daae131","DOIUrl":"10.1093/heapro/daae131","url":null,"abstract":"Mental health literacy (MHL) is an important part of the help-seeking process, yet there is a lack of knowledge about the MHL of adolescents in the Caribbean. This region is important to study as it is underrepresented in mental health research globally. The aim of this study is to explore the ability of adolescents in Bermuda to recognize depression and social phobia (social anxiety) and their beliefs about the sources of help for a peer with these mental health problems. This cross-sectional study surveyed middle and high school students aged 10-19 years in Bermuda. Online surveys conducted between November 2022 and June 2023 gathered demographic data including age, gender and race, and assessed the ability to recognize depression and social anxiety from descriptions provided in randomly assigned vignettes, and beliefs about sources of help. Across 15 middle and high schools, 2423 adolescents (out of 3593 eligible participants) completed all demographic and MHL survey questions (1139 males, 1272 females). Recognition rates for depression and social anxiety were 60% and 53%, respectively. Compared to females, males endorsed a greater variety of help sources. Reporting symptoms of depression or anxiety reduced the likelihood of endorsing multiple sources of help. MHL of adolescents in Bermuda is sub-optimal, particularly for social anxiety. Mental health promotion programs may be useful in improving recognition rates.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11471998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Influence of park visitation on physical activity, well-being and social connectedness among Australians during COVID-19. 在 COVID-19 期间，游览公园对澳大利亚人的体育活动、幸福感和社会联系的影响。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-10-01 DOI: 10.1093/heapro/daae137

Elise Rivera, Lauren Arundell, Kate Parker, Jenny Veitch, Jo Salmon, Nicola D Ridgers, Anna Timperio, Shannon L Sahlqvist, Venurs H Y Loh

{"title":"Influence of park visitation on physical activity, well-being and social connectedness among Australians during COVID-19.","authors":"Elise Rivera, Lauren Arundell, Kate Parker, Jenny Veitch, Jo Salmon, Nicola D Ridgers, Anna Timperio, Shannon L Sahlqvist, Venurs H Y Loh","doi":"10.1093/heapro/daae137","DOIUrl":"10.1093/heapro/daae137","url":null,"abstract":"This cross-sectional study examined associations of park visitation with physical activity (PA), well-being, and social connectedness among 1089 participants during the coronavirus disease 2019 pandemic. In August 2020, adolescents and adults in Australia self-reported demographics, usual park visitation, frequency and duration of park visits, PA, well-being and social connectedness. Multilevel linear regression models examined associations of park visitation with well-being and social connectedness. Multilevel mixed-effects negative binomial regression models examined associations between visitation and PA. Compared to not visiting a park, visitation was positively associated with well-being (B = 3.92, 95% confidence interval [CI] = 1.24, 6.60) and days/week performing PA for 30 min (B = 1.24, 95% CI = 1.11, 1.39) per day and negatively associated with social connectedness (B = -3.75, 95% CI = -7.11, -0.39). Compared to visiting a park less than once/week, visiting once/week was positively associated with well-being (B = 3.90, 95% CI = 0.53, 7.21). Visiting more than once/week was positively associated with days/week performing PA for 30 min (B = 1.37, 95% CI = 1.21, 1.58) and 60 min (B = 1.34, 95% CI = 1.09, 1.64) per day and with well-being (B = 4.19, 95% CI = 0.90, 7.49). Duration of park visits was positively associated with days/week performing PA for 30 min (B = 1.09, 95% CI = 1.04, 1.13) and 60 min (B = 1.09, 95% CI = 1.02, 1.17) per day. Our findings highlight the role of parks in positively influencing health-related outcomes and the 'dosage' of park use needed to attain health benefits.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11495220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Real-world public health interventions demonstrate how research evidence informs program scale-up. 真实世界的公共卫生干预措施展示了研究证据如何为计划的推广提供依据。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-10-01 DOI: 10.1093/heapro/daae111

Melanie Crane, Karen Lee, Luke Wolfenden, Philayrath Phongsavan, Adrian Bauman

{"title":"Real-world public health interventions demonstrate how research evidence informs program scale-up.","authors":"Melanie Crane, Karen Lee, Luke Wolfenden, Philayrath Phongsavan, Adrian Bauman","doi":"10.1093/heapro/daae111","DOIUrl":"10.1093/heapro/daae111","url":null,"abstract":"Evidence-based population interventions rely on intervention testing (efficacy and effectiveness trials) to determine what works to improve public health. We investigated the characteristics of real-world public health interventions to address obesity and explored the extent to which research testing was undertaken prior to scale-up. We identified 90 population health interventions targeting physical activity, nutrition or obesity-related health behaviours and collected publicly available information on their key characteristics and outcomes. We then assessed the differences between interventions that followed a research pathway and those that did not. Two-thirds (n = 60) of the interventions were reported as having followed a research pathway. Univariate logistic regression analysis revealed that these interventions were more likely to be health education interventions [odds ratio (OR): 5.56; 95% confidence interval (CI): 1.38-22.38], developed by research institutes (OR: 12.81; 95% CI: 3.47-47.34), delivered in North America (OR: 4.13; 95% CI: 1.61-10.62), and less likely to be owned (OR: 0.35; 95% CI: 0.14-0.88) or funded by government organizations (OR: 0.37; 95% CI: 0.14-0.95). Interventions that followed a research pathway were nearly three times more likely to have a positive impact on population health (OR: 2.72; 95% CI: 1.04-7.14). Interventions that followed a research pathway to scale-up were no more likely to be sustained longer than those that did not. Differences exist across real-world interventions between those that follow a research pathway to population-scale delivery and those that do not, regarding organizational and environmental context. A key benefit of research pathway to scale-up is the impact it has on health outcomes.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11419317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors associated with low health literacy in unpaid caregivers of older people: a systematic review 与老年人无酬照护者健康素养低下相关的因素：系统性综述

IF 2.7 4区医学

Health Promotion International Pub Date : 2024-09-18 DOI: 10.1093/heapro/daae118

Madson Alan Maximiano-Barreto, Ludmyla Caroline de Souza Alves, Diana Quirino Monteiro, Marisa Matias, Jed Montayre, Bruna Moretti Luchesi

{"title":"Factors associated with low health literacy in unpaid caregivers of older people: a systematic review","authors":"Madson Alan Maximiano-Barreto, Ludmyla Caroline de Souza Alves, Diana Quirino Monteiro, Marisa Matias, Jed Montayre, Bruna Moretti Luchesi","doi":"10.1093/heapro/daae118","DOIUrl":"https://doi.org/10.1093/heapro/daae118","url":null,"abstract":"Health literacy is a public health issue. Unpaid caregivers of older people with low health literacy may have difficulties providing care, exerting a negative impact on the care process. The aim of the present study was to perform a systematic review of the literature on factors associated with low health literacy in unpaid caregivers of older people. Searches for relevant articles were conducted in the Cochrane Library, Embase, LILACS, PubMed and Web of Science databases. A total of 1440 articles were identified, nine of which met the eligibility criteria and were included in the systematic review, which was registered in PROSPERO (CRD42024522986). A total of 2209 unpaid caregivers participated in the studies selected for this review. Most were women (67.2%). The average frequency of inadequate health literacy was 27.1%. Sociodemographic characteristics (i.e. advanced age, low educational level, the female sex), factors related to the care process (i.e. low acculturation, low empowerment, poor ability to read medication package inserts, lower care capacity, greater disease severity, hospitalization of care recipients), cognitive factors and factors related to quality of life/well-being (i.e. less social support, poorer quality of life, greater cognitive impairment, higher levels of burden) were associated with low health literacy. In conclusion, low health literacy in unpaid caregivers of older people is associated with sociodemographic, care-related and cognitive factors as well as factors related to quality of life/well-being. Low health literacy may exert a negative impact on the health of caregivers and, consequently, the quality of care provided to older people.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"53 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

The financial burden of noncommunicable diseases from out-of-pocket expenditure in sub-Saharan Africa: a scoping review 撒哈拉以南非洲自费支出造成的非传染性疾病财政负担：范围界定审查

IF 2.7 4区医学

Health Promotion International Pub Date : 2024-09-17 DOI: 10.1093/heapro/daae114

Adelakun Odunyemi, Md Tauhidul Islam, Khurshid Alam

{"title":"The financial burden of noncommunicable diseases from out-of-pocket expenditure in sub-Saharan Africa: a scoping review","authors":"Adelakun Odunyemi, Md Tauhidul Islam, Khurshid Alam","doi":"10.1093/heapro/daae114","DOIUrl":"https://doi.org/10.1093/heapro/daae114","url":null,"abstract":"The growing financial burden of noncommunicable diseases (NCDs) in sub-Saharan Africa (SSA) hinders the attainment of the sustainable development goals. However, there has been no updated synthesis of evidence in this regard. Therefore, our study summarizes the current evidence in the literature and identifies the gaps. We systematically search relevant databases (PubMed, Scopus, ProQuest) between 2015 and 2023, focusing on empirical studies on NCDs and their financial burden indicators, namely, catastrophic health expenditure (CHE), impoverishment, coping strategies, crowding-out effects and unmet needs for financial reasons (UNFRs) in SSA. We examined the distribution of the indicators, their magnitudes, methodological approaches and the depth of analysis. The 71 included studies mostly came from single-country (n = 64), facility-based (n = 52) research in low-income (n = 22), lower-middle-income (n = 47) and upper-middle-income (n = 10) countries in SSA. Approximately 50% of the countries lacked studies (n = 25), with 46% coming from West Africa. Cancer, cardiovascular disease (CVD) and diabetes were the most commonly studied NCDs, with cancer and CVD causing the most financial burden. The review revealed methodological deficiencies related to lack of depth, equity analysis and robustness. CHE was high (up to 95.2%) in lower-middle-income countries but low in low-income and upper-middle-income countries. UNFR was almost 100% in both low-income and lower-middle-income countries. The use of extreme coping strategies was most common in low-income countries. There are no studies on crowding-out effect and pandemic-related UNFR. This study underscores the importance of expanded research that refines the methodological estimation of the financial burden of NCDs in SSA for equity implications and policy recommendations.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"6 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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