Health Promotion International最新文献_第6页

Insights into the Belgian gambling advertising ban: the need for a comprehensive public policy approach. 比利时赌博广告禁令的启示：需要全面的公共政策方法。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-08-01 DOI: 10.1093/heapro/daae116

Bram Constandt, Steffi De Jans

引用次数: 0

Cost-effectiveness analysis and return on investment of SunSmart Western Australia to prevent skin cancer. 西澳大利亚 "阳光智选 "预防皮肤癌的成本效益分析和投资回报。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-08-01 DOI: 10.1093/heapro/daae091

Louisa G Collins, Carolyn Minto, Melissa Ledger, Sally Blane, Delia Hendrie

{"title":"Cost-effectiveness analysis and return on investment of SunSmart Western Australia to prevent skin cancer.","authors":"Louisa G Collins, Carolyn Minto, Melissa Ledger, Sally Blane, Delia Hendrie","doi":"10.1093/heapro/daae091","DOIUrl":"10.1093/heapro/daae091","url":null,"abstract":"Each year, malignant melanoma accounts for 57 000 deaths globally. If current rates continue, there will be an estimated 510 000 new cases annually and 96 000 deaths by 2040. Melanoma and keratinocyte cancers (KCs) incur a large societal burden. Using a mathematical population model, we performed an economic evaluation of the SunSmart program in the state of Western Australia (WA), a primary prevention program to reduce the incidence of skin cancer, versus no program. A societal perspective was taken combining costs to the health system, patients and lost productivity. The model combined data from pragmatic trial evidence of sun protection, epidemiological studies and national cost reports. The main outcomes modelled were societal and government costs, skin cancer counts, melanoma deaths, life years and quality-adjusted life years. Over the next 20 years, the model predicted that implementing the WA SunSmart program would prevent 13 728 KCs, 636 melanomas and 46 melanoma deaths per 100 000 population. Furthermore, 251 life years would be saved, 358 quality-adjusted life years gained and AU$2.95 million in cost savings to society per 100 000 population would be achieved. Key drivers of the model were the rate reduction of benign lesions from sunscreen use, the costs of purchasing sunscreen and the effectiveness of reducing KCs in sunscreen users. The likelihood of WA SunSmart being cost-effective was 90.1%. For the WA Government, the estimated return on investment was $8.70 gained for every $1 invested. Primary prevention of skin cancer is a cost-effective strategy for preventing skin cancers.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898912","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

Replicability, adaptability and long-term impact of the 'Healthy Youngsters, Healthy Dads' program in Newcastle, Australia. 澳大利亚纽卡斯尔 "健康青少年、健康父亲 "计划的可复制性、适应性和长期影响。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-08-01 DOI: 10.1093/heapro/daae095

Lee M Ashton, Jacqueline A Grounds, Alyce T Barnes, Emma R Pollock, Myles D Young, Stevie-Lee Kennedy, Anna T Rayward, Daniel R Lee, Philip J Morgan

{"title":"Replicability, adaptability and long-term impact of the 'Healthy Youngsters, Healthy Dads' program in Newcastle, Australia.","authors":"Lee M Ashton, Jacqueline A Grounds, Alyce T Barnes, Emma R Pollock, Myles D Young, Stevie-Lee Kennedy, Anna T Rayward, Daniel R Lee, Philip J Morgan","doi":"10.1093/heapro/daae095","DOIUrl":"10.1093/heapro/daae095","url":null,"abstract":"'Healthy Youngsters, Healthy Dads' (HYHD) targets fathers to improve the health of their preschool-aged children. In a previous randomized trial, fathers and children experienced meaningful improvements in physical activity and eating behaviours. The next phase is to test the replicability and adaptability of HYHD when delivered in the community by trained facilitators. Fathers/father-figures and children aged 3-5 years were recruited from Newcastle, Australia into a 9-week, non-randomized trial with assessments at baseline, 10 weeks, and 12 months. The primary outcome was achievement of pre-registered targets for recruitment (≥ 96 dyads), attendance (≥ 70%), compliance (completing ≥ 70% of home-based tasks), fidelity (≥ 80% of content delivered as intended) and program satisfaction (≥ 4/5). Secondary outcomes included physical activity, nutrition, screen time and parenting measures. Process targets were surpassed for recruitment (140 fathers, 141 children), attendance (79% for fathers-only workshops, 81% for father-child sessions), compliance (80% of home-tasks completed), fidelity (99% for education, ≥ 97% for practical) and program satisfaction (4.8/5). Mixed effects regression models revealed significant effects in fathers for moderate-to-vigorous physical activity, co-physical activity, dietary intake and parenting practises, which were maintained at 12 months. Significant effects were also established for screen time at 10 weeks only. For children, significant effects were observed for screen time and dietary intake at 10 weeks, while effects on energy-dense, nutrient-poor foods and healthy, nutrient-dense core food intake were maintained at 12 months. Findings demonstrate the replicability and adaptability of HYHD when delivered in the community by local trained facilitators. Further investigation into how to optimally scale-up HYHD is warranted.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11317530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918104","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

Shape-shifting versions of class in Australia and the pursuit of equity in public health. 澳大利亚阶级的转变与公共卫生领域的公平追求。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-08-01 DOI: 10.1093/heapro/daae093

Megan Warin, Victoria Loblay

{"title":"Shape-shifting versions of class in Australia and the pursuit of equity in public health.","authors":"Megan Warin, Victoria Loblay","doi":"10.1093/heapro/daae093","DOIUrl":"10.1093/heapro/daae093","url":null,"abstract":"The COVID-19 pandemic and current cost of living crisis have highlighted socioeconomically patterned health disparities, bringing renewed focus on equity in public health. Despite political rhetoric invoking cultural narratives of egalitarianism and opportunities for class mobility, social class remains a significant factor in health outcomes in the Australian context. For social scientists, class (despite robust critiques) is a key analytical concept that has been theoretically broadened to encompass social and cultural practices (habitus). In public health, however, concepts of social disadvantage have expanded toward frames such as health equity and socioeconomic status in ways that can obscure 'class' and habitus. Understandings and operationalization of concepts of class and equity not only impact collaborative and interdisciplinary relationships, but also the framing of public health problems and health promotion interventions and policies. In this article, we draw on our experiences as anthropologists conducting ethnography in and of Australian health promotion programs to map and re-evaluate the intersection of concepts of social class and equity. We trace how representations of class emerged in these programs, and the versions of class and equity that materialized across different public health contexts. We argue for a conceptual repositioning of class that recognizes its shape-shifting qualities and of its materializations in different politics, disciplines and everyday contexts. In doing so, we highlight 'class' as a salient dimension of the design, implementation and evaluation of health promotion programs.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11319935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972291","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

Validating the short-version European Health Literacy Survey Questionnaire for community-dwelling older adults in Japan. 验证针对日本社区老年人的短版欧洲健康素养调查问卷。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-08-01 DOI: 10.1093/heapro/daae105

Rika Matsuo, Kimie Fujita, Mami Miyazono, Keiko Miyasaka, Tomi Yamanaka, Kanako Yakushiji, Atsushi Nagai

{"title":"Validating the short-version European Health Literacy Survey Questionnaire for community-dwelling older adults in Japan.","authors":"Rika Matsuo, Kimie Fujita, Mami Miyazono, Keiko Miyasaka, Tomi Yamanaka, Kanako Yakushiji, Atsushi Nagai","doi":"10.1093/heapro/daae105","DOIUrl":"https://doi.org/10.1093/heapro/daae105","url":null,"abstract":"The European Health Literacy Survey Questionnaire (HLS-EU-Q47) is available in multiple languages, and shortened versions have also been developed. This study aimed to examine the reliability and validity of the short version of the questionnaire (HLS-Q12) developed for community-dwelling older adults in Japan. The HLS-Q12 was developed using 12 of the 47 items of the Japanese version of the HLS-EU-Q47. In this study, the survey was conducted by distributing self-administered questionnaires to community-dwelling individuals aged 65 years and older who consented to participate; their responses were collected by mail. The correlation between the HLS-Q12 and the HLS-EU-Q47 was tested to assess criterion validity. To test construct validity, nine novel hypotheses were proposed. We also conducted a confirmatory factor analysis of the HLS-Q12. Based on a resurvey after 5-7 days, test-retest reliability was examined using interclass correlation coefficients (ICCs) and Bland-Altman analysis. In total, 118 individuals provided valid responses to the questionnaire. The Spearman rank correlation coefficient between the HLS-Q12 and the HLS-EU-Q47 was r = 0.98 (p < 0.001), and eight of the nine hypotheses were supported. The ICC was 0.96 (p < 0.001), and the 95% limit of agreement was -0.26 ± 5.9, suggesting no systematic error. Thus, the Japanese version of the HLS-Q12 was found to be reliable with high criterion validity and reproducibility. Hence, the HLS-Q12 is a useful scale for measuring health literacy among older adults in Japan.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047531","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

Starting conversations about mental health and wellbeing in Australian culturally and linguistically diverse communities. 在澳大利亚不同文化和语言的社区开展有关心理健康和幸福的对话。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-08-01 DOI: 10.1093/heapro/daae099

Alyssa R Morse, Dianna G Smith, Rosemary Clifford, Brad Shrimpton, Michelle Banfield

{"title":"Starting conversations about mental health and wellbeing in Australian culturally and linguistically diverse communities.","authors":"Alyssa R Morse, Dianna G Smith, Rosemary Clifford, Brad Shrimpton, Michelle Banfield","doi":"10.1093/heapro/daae099","DOIUrl":"10.1093/heapro/daae099","url":null,"abstract":"Australia is a multicultural nation with nearly 30% of the population born overseas. Migrants' mental health can be impacted by discrimination, racism and experiences relating to asylum and immigration. These can be compounded by low help-seeking caused by stigmatized beliefs and poor mental health literacy. My Mind, My Voice (MMMV) is a co-designed program aiming to promote awareness of mental health and wellbeing for people with a culturally and linguistically diverse (CALD) background. This research project explored the perceived impacts and value of MMMV and processes leading to those impacts. A mixture of internal quantitative and qualitative evaluation surveys (n = 32) and researcher-conducted semi-structured interviews (n = 9) were conducted with CALD organization and community members who attended training workshops, presented MMMV events or attended an event. Data were analysed using a reflexive thematic analysis approach. Five themes were developed: culturally relevant and respectful, cross-cultural connections, the importance of language, increasing confidence and literacy and the potential to change attitudes. Being involved with a co-produced program that was culturally relevant and respectful was a positive experience that enhanced people's confidence and literacy. Feeling respected, valued and validated helped participants feel empowered to develop and deliver mental health and wellbeing education in their community. Open, honest conversations are an important way to break down stigma and start conversations about mental health and wellbeing in CALD communities. Evaluation outcomes demonstrate the success of MMMV's collaborative approach, which can inform the development and evaluation of CALD mental health promotion interventions.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11319870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972292","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

Epidemiology of non-communicable diseases among professional drivers in LMICs: a systematic review and meta-analysis. 低收入国家职业司机的非传染性疾病流行病学：系统回顾和荟萃分析。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-08-01 DOI: 10.1093/heapro/daae087

Belinda J Njiro, Harrieth P Ndumwa, Hannah Wanjiku Waithera, Rehema Chande, William Julius, Fredirick Mashili, Julius C Mwita, Monica H Swahn, Catherine Staton, Joel Msafiri Francis

{"title":"Epidemiology of non-communicable diseases among professional drivers in LMICs: a systematic review and meta-analysis.","authors":"Belinda J Njiro, Harrieth P Ndumwa, Hannah Wanjiku Waithera, Rehema Chande, William Julius, Fredirick Mashili, Julius C Mwita, Monica H Swahn, Catherine Staton, Joel Msafiri Francis","doi":"10.1093/heapro/daae087","DOIUrl":"10.1093/heapro/daae087","url":null,"abstract":"This systematic review collected evidence on the burden of non-communicable diseases (NCDs) among professional drivers and reported on the most common factors that increase the risk of NCDs in this specific population in low- and middle-income countries (LMICs). The protocol for this systematic review was registered in the International Prospective Register of Systematic Reviews (PROSPERO). We conducted a thorough search on PubMed/MEDLINE, EMBASE, Scopus, Global Health, Web of Science and Africa-wide information databases on 11 May 2023. We adapted the Joanna Briggs Institute (JBI) tool to assess the quality of the studies. We estimated the prevalence of hypertension, prediabetes, diabetes mellitus (DM), overweight and obesity among professional drivers using a random effect model to compute pooled and subgroup analyses. In addition, we conducted a narrative synthesis of the risk factors and recommendations presented in the included studies. Forty-one studies, including 48 414 study participants, met the criteria for inclusion. The pooled prevalence of hypertension, DM and obesity among professional drivers was 36.7% [95% confidence interval (CI): 31.8-41.6%], 15.2% (95% CI: 7.0-23.4%) and 27.2% (95% CI: 18.7-35.8%), respectively. Unsupportive environment, work stress, sedentary lifestyle, consumption of unhealthy foods and shift work were the most common modifiable risk factors reported. Our findings also show a significant burden of hypertension, DM and obesity among professional drivers in LMICs. The prevalence of DM and obesity was two- and three-fold higher than findings in general populations, respectively. Our findings indicate an urgent need for tailored interventions for different occupation-related risk factors for NCDs among professional drivers in LMICs.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11364521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114768","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

Aiming for transformations in power: lessons from intersectoral CBPR with public housing tenants (Québec, Canada). 以权力变革为目标：与公共住房租户开展跨部门 CBPR 的经验教训（加拿大魁北克省）。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-08-01 DOI: 10.1093/heapro/daae085

Stephanie Radziszewski, Janie Houle, Corentin Montiel, Jean-Marc Fontan, Juan Torres, Kate Frolich, Antoine Boivin, Simon Coulombe, Hélène Gaudreau

{"title":"Aiming for transformations in power: lessons from intersectoral CBPR with public housing tenants (Québec, Canada).","authors":"Stephanie Radziszewski, Janie Houle, Corentin Montiel, Jean-Marc Fontan, Juan Torres, Kate Frolich, Antoine Boivin, Simon Coulombe, Hélène Gaudreau","doi":"10.1093/heapro/daae085","DOIUrl":"10.1093/heapro/daae085","url":null,"abstract":"Intersectoral collaborations are recommended as effective strategies to reduce health inequalities. People most affected by health inequalities, as are people living in poverty, remain generally absent from such intersectoral collaborations. Community-based participatory research (CBPR) projects can be leveraged to better understand how to involve people with lived experience to support both individual and community empowerment. In this paper, we offer a critical reflection on a CBPR project conducted in public housing in Québec, Canada, that aimed to develop intersectoral collaboration between tenants and senior executives from four sectors (housing, health, city and community organizations). This single qualitative case study design consisted of fieldwork documents, observations and semi-structured interviews. Using the Emancipatory Power Framework (EPF) and the Limiting Power Framework (LPF), we describe examples of types of power and resistance shown by the tenants, the intersectoral partners and the research team. The discussion presents lessons learned through the study, including the importance for research teams to reflect on their own power, especially when aiming to reduce health inequalities. The paper concludes by describing the limitations of the analyses conducted through the EPF-LPF frameworks and suggestions to increase the transformative power of future studies.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11304601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898911","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

Health literacy and its determinants among school-going children: a school-based cross-sectional study in Nepal. 在校儿童的健康素养及其决定因素：尼泊尔一项以学校为基础的横断面研究。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-08-01 DOI: 10.1093/heapro/daae059

Prakash Adhikari, Kiran Paudel, Sandesh Bhusal, Kamal Gautam, Pratik Khanal, Tara Ballav Adhikari, Prabhat K C, Roman Shrestha, Sushan Man Shrestha

{"title":"Health literacy and its determinants among school-going children: a school-based cross-sectional study in Nepal.","authors":"Prakash Adhikari, Kiran Paudel, Sandesh Bhusal, Kamal Gautam, Pratik Khanal, Tara Ballav Adhikari, Prabhat K C, Roman Shrestha, Sushan Man Shrestha","doi":"10.1093/heapro/daae059","DOIUrl":"https://doi.org/10.1093/heapro/daae059","url":null,"abstract":"Limited health literacy is linked to unhealthy behaviors, adverse health outcomes, poor quality of life and financial burdens on society. However, little is known about the level of health literacy, especially among school-going children. This cross-sectional study assesses health literacy levels and their determinants in 354 school children from Kathmandu Metropolitan City, utilizing a multi-stage cluster sampling method. The 10-item Health Literacy for School-Aged Children was used to measure the student's literacy levels. Bivariate analysis and multivariable logistic regression at the significance level of 0.05 were performed to determine factors associated with limited health literacy. The majority of participants (76.6%) had moderate health literacy, while 13.8% had a high level and 9.6% had a low level of health literacy. Students from nuclear families had lower odds [adjusted odds ratio (aOR): 0.4; 95% CI: 0.2-0.8] of having limited health literacy. Students whose mother education was up to secondary school (aOR: 10.1; 95% CI: 1.3-78.9), students with pre-existing mental health conditions (aOR: 3.7; 95% CI: 1.4-9.6) and students with unsatisfactory health status (aOR: 3.9; 95% CI: 1.5-10.5) had higher odds to have limited health literacy. These results suggest the importance of prioritizing school health promotion and education activities for students with pre-existing mental health conditions and mothers with low educational attainment. Implementing peer support group programs for children with mental illnesses, mobilizing school health professionals and introducing interventions such as vocational training of mothers can collectively improve health literacy among school-going children.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903525","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

Effect of COVID-19 lockdowns on quality-of-life and health services access by socio-economic status in Australia. 按社会经济地位分列的 COVID-19 封锁对澳大利亚生活质量和医疗服务获取的影响。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-08-01 DOI: 10.1093/heapro/daae096

Ying Ru Feng, Ian Li, Ingebjorg Kristoffersen, Bruce K Armstrong, David B Preen

{"title":"Effect of COVID-19 lockdowns on quality-of-life and health services access by socio-economic status in Australia.","authors":"Ying Ru Feng, Ian Li, Ingebjorg Kristoffersen, Bruce K Armstrong, David B Preen","doi":"10.1093/heapro/daae096","DOIUrl":"10.1093/heapro/daae096","url":null,"abstract":"This study examined changes in physical and mental health quality-of-life and health services access before and after the onset of the COVID-19 pandemic among individuals of lower and higher socio-economic status (SES) in Australia. Difference-in-differences and logistic regression models were undertaken using data from the Household, Income and Labour Dynamics in Australia (HILDA) survey and government data on COVID-19 lockdowns between January 2020 and February 2021. Individuals from higher SES reported larger decreases in mental health quality-of-life scores than those from lower SES after the onset of the pandemic. Those from lower SES reported less disruption with any health services (24.2% vs 30.4%; OR = 0.68; p < 0.001), specifically dental services (8.2% vs 15.4%; OR = 0.51; p < 0.001) and allied health services (5.9% vs 8.5%; OR = 0.60; p < 0.001), compared with those from higher SES. Additional days under lockdown were associated with reduced access to all health services (OR = 1.19). Furthermore, long-term health conditions (higher SES: OR = 1.54) and scores indicative of poorer physical (lower SES: OR = 1.17; higher SES: OR = 1.07) and mental health (lower SES: OR = 1.16; higher SES: OR = 1.12) were associated with increased health services disruption. While individuals from higher SES were more likely than those from lower SES to experience greater relative declines in mental health and increased disruption with health services access, individuals with a greater apparent need for health services, regardless of SES, may have faced inequalities in accessing these services during the COVID-19 pandemic.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11336672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019586","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