International journal of social determinants of health and health services最新文献

What is the Association Between Economic Growth and Health Equity? A Cross-National Study of 83 Low- and Middle-income Countries. 经济增长与卫生公平之间的关系是什么？83个中低收入国家的跨国研究。

International journal of social determinants of health and health services Pub Date : 2025-05-29 DOI: 10.1177/27551938251345969

Toby Freeman, Hailay Abrha Gesesew, Clare Bambra, Heather Brown, Shahid Ullah, Jennie Popay, Fran Baum

{"title":"What is the Association Between Economic Growth and Health Equity? A Cross-National Study of 83 Low- and Middle-income Countries.","authors":"Toby Freeman, Hailay Abrha Gesesew, Clare Bambra, Heather Brown, Shahid Ullah, Jennie Popay, Fran Baum","doi":"10.1177/27551938251345969","DOIUrl":"https://doi.org/10.1177/27551938251345969","url":null,"abstract":"Inequities in infant and child mortality are an urgent public health issue for lower- and middle-income countries (LMICs). We sought to establish whether gross domestic product (GDP) is associated with the extent of health inequalities within LMICs. We conducted a secondary analysis of publicly available health equity data from the Health Equity Database of LMICs and GDP data from the World Bank. We used infant and under-five mortality rates by socioeconomic quintile. The slope of inequality index and relative index of inequality were calculated for both outcomes for each country (n = 83). Mixed effect linear regression analysis was used to investigate the relationship with GDP. Higher GDP was associated with a significant decrease in absolute socioeconomic inequities in both infant (f2 = 0.26) and under-five mortality (f2 = 0.33). Higher GDP was also associated with relative inequities in infant (f2 = 0.08) and under-five mortality (f2 = 0.07). Thus, increasing GDP may help reduce absolute inequities in infant and under-five mortality, but may increase relative inequities. Understanding drivers of the distribution of wealth and income to flatten the socioeconomic gradient in health are crucial to reducing health inequities.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938251345969"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Inequalities in the Utilization of Recommended Antenatal Care in india: Further Analyses of the Poor-non-Poor Divide. 在建议产前保健在印度的利用不平等：进一步分析贫穷和非贫穷的鸿沟。

International journal of social determinants of health and health services Pub Date : 2025-05-29 DOI: 10.1177/27551938251345658

Suraj Sharma

{"title":"Inequalities in the Utilization of Recommended Antenatal Care in india: Further Analyses of the Poor-non-Poor Divide.","authors":"Suraj Sharma","doi":"10.1177/27551938251345658","DOIUrl":"https://doi.org/10.1177/27551938251345658","url":null,"abstract":"The present research tries to explore unequal access to recommended antenatal care (RANC) among groups and subgroups, especially between poor and non-poor mothers in India. This study used data from the National Family Health Survey 2019-2021. Early initiation for antenatal care (ANC), husband's presence during ANC, pregnancy complications, exposure to mass media, birth interval, and pregnancy wantedness were factors affecting the utilization of RANC. Mothers who were educated, belonged to the Other Backward Classes (OBC) and General social group, were Christian and Sikh, resided in urban areas, were non-poor, and were located in western and southern regions had a significantly higher likelihood of receiving the RANC. The lowest RANC levels were found in the central region, regardless of caste or place of residence. Compared to the other regions, mothers who were poor from the western and southern regions had higher odds of receiving the RANC in their category of poor and even larger odds than women in non-poor categories from various regions. The decomposition analyses revealed that the largest factor explaining the poor and non-poor gaps in utilization of RANC was the region, followed by mothers' education, mothers' exposure to mass media, and place of residence.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938251345658"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bridging Sectors and Disciplines to Gain a Critical Understanding of the Eco-Social Determinants of Health Inequities: The ESDHI-EU Conference. 弥合部门和学科，以获得对卫生不平等的生态社会决定因素的批判性理解：ESDHI-EU会议。

International journal of social determinants of health and health services Pub Date : 2025-05-21 DOI: 10.1177/27551938251343485

Joana Morrison, Natalia Tumas, Ornella Moreno Mattar, Mariana Gutiérrez-Zamora Navarro, Juan M Pericas, Eliana Martínez Herrera, Lucinda Cash-Gibson, Josep Maria Caroz Armayones, Pablo Ruisoto, Christos Zografos, Beatriz Rodríguez Labajos, Paula Vergés Vega, Ángela Londoño, Marya Bautista, Claire Karaguesian, Daniel Nuñez, Ferràn Muntané, Humberto Jiménez, Laila Vivas, Linda Velázquez, Po-Yen Hsu, Carles Muntaner, Joan Benach, Aeve Ribbons

{"title":"Bridging Sectors and Disciplines to Gain a Critical Understanding of the Eco-Social Determinants of Health Inequities: The ESDHI-EU Conference.","authors":"Joana Morrison, Natalia Tumas, Ornella Moreno Mattar, Mariana Gutiérrez-Zamora Navarro, Juan M Pericas, Eliana Martínez Herrera, Lucinda Cash-Gibson, Josep Maria Caroz Armayones, Pablo Ruisoto, Christos Zografos, Beatriz Rodríguez Labajos, Paula Vergés Vega, Ángela Londoño, Marya Bautista, Claire Karaguesian, Daniel Nuñez, Ferràn Muntané, Humberto Jiménez, Laila Vivas, Linda Velázquez, Po-Yen Hsu, Carles Muntaner, Joan Benach, Aeve Ribbons","doi":"10.1177/27551938251343485","DOIUrl":"https://doi.org/10.1177/27551938251343485","url":null,"abstract":"The current eco-social crisis is driven by an unsustainable socioeconomic model based on continued economic growth that exceeds planetary limits. Groups experiencing disadvantages are being disproportionately affected, further deepening global, regional, and local health inequities. Understanding the simultaneous ecological and social crises through a comprehensive approach across disciplines and sectors-including citizen participation-is essential for driving transformative change and paradigm shifts. Achieving genuine ecological sustainability, social justice, and health equity is critical for transitioning towards a new social-ecological paradigm in research and policy. This requires transformative research and policymaking in key areas-eco-social crisis; democracy, social inclusion and participation; geopolitics; and equitable, sustainable cities-all of which represent pressing challenges within this global crisis, and serve as thematic axes for the European conference Rethinking the Eco-Social Determinants of Health Inequities through the Transdisciplinary and Intersectoral Lens (ESDHI-EU), which will be held in Barcelona, Spain, on May 22-23, 2025, and will explore the root causes of health inequities from a transdisciplinary, intersectoral, and transnational perspective.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938251343485"},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Early-Stage Pharmaceutical Market Structures Between Originators and First Generics After Introducing the Patent Linkage System in South Korea. 韩国引入专利联动制度后，创始者与首个仿制药之间的早期医药市场结构。

International journal of social determinants of health and health services Pub Date : 2025-05-19 DOI: 10.1177/27551938251342990

Kyung-Bok Son

{"title":"Early-Stage Pharmaceutical Market Structures Between Originators and First Generics After Introducing the Patent Linkage System in South Korea.","authors":"Kyung-Bok Son","doi":"10.1177/27551938251342990","DOIUrl":"https://doi.org/10.1177/27551938251342990","url":null,"abstract":"This study describes the characteristics of early-stage market structures between originators and first generics, analyzes factors influencing early-stage market structures, and suggests policy options to enhance market competition under the patent linkage system. Information on the active substances in originators and their corresponding generics that entered the market through the first generic exclusivity from 2015 to 2020 were retrieved. Logistic regression models were applied to elucidate the factors that determine the early-stage market structure. Forty-four pairs were identified as having generics that entered the market. Various market structures were observed upon entering the first generics. Prolonged market exclusivity for originators was shown to be linked to limited competition even after the market entry of generics. The changed behaviors of generic manufacturers were observed. Manufacturers have adopted independent market entry strategies to be granted first generic exclusivity instead of collaborating with others. Disclosing lists of originators in monopolistic markets and their ongoing exclusivity terms is required. The government could support manufacturers in adapting to the patent linkage system by providing information on patent challenges and disputes. Policy measures to enhance generic uptakes would incentivize manufacturers to be the first generic manufacturers.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938251342990"},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health Promotion Actions for the Homeless Population: A Literature Review Conducted in Brazil. 无家可归者的健康促进行动：在巴西进行的文献综述。

International journal of social determinants of health and health services Pub Date : 2025-05-13 DOI: 10.1177/27551938251340493

Miguel Henrique da Silva Dos Santos, Regina Kelly Guimarães Gomes Campos, Patrícia Neyva da Costa Pinheiro, Adriana Gomes Nogueira Ferreira, Mariana Cavalcante Martins, Régia Christina Moura Barbosa Castro

{"title":"Health Promotion Actions for the Homeless Population: A Literature Review Conducted in Brazil.","authors":"Miguel Henrique da Silva Dos Santos, Regina Kelly Guimarães Gomes Campos, Patrícia Neyva da Costa Pinheiro, Adriana Gomes Nogueira Ferreira, Mariana Cavalcante Martins, Régia Christina Moura Barbosa Castro","doi":"10.1177/27551938251340493","DOIUrl":"https://doi.org/10.1177/27551938251340493","url":null,"abstract":"This review aims to identify health promotion actions for the homeless population in the scientific literature. A bibliographic review was conducted, with searches performed in the following databases: Web of Science, Scopus, CINAHL, Embase, and Medline. The studies found were analyzed by two independent evaluators using the search strategy that screened 6,446 studies, of which 20 met the eligibility criteria. In the included studies, study design evaluations and level of evidence assessments were performed in addition to the extraction of information for data synthesis. The health promotion actions in the studies converged mainly on restoration, treatment, and prevention of health problems. The synthesis of the selected studies resulted in three categories involving sexual health, care for the promotion of physical health and a healthy lifestyle, and substance use reduction. The included studies evidenced health promotion actions that positively impact the health-disease process of people who are homeless. The importance of intensifying the development of studies for this population is emphasized, especially in developing nations.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938251340493"},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Wealth Extraction from a Nursing Home Chain With Individual, Private Equity, and Real Estate Owners. 个人、私募股权和房地产所有者从养老院链中提取财富。

International journal of social determinants of health and health services Pub Date : 2025-05-11 DOI: 10.1177/27551938251335565

Charlene A Harrington

{"title":"Wealth Extraction from a Nursing Home Chain With Individual, Private Equity, and Real Estate Owners.","authors":"Charlene A Harrington","doi":"10.1177/27551938251335565","DOIUrl":"https://doi.org/10.1177/27551938251335565","url":null,"abstract":"For-profit nursing home (NH) chains have become increasingly financialized in order to maximize short-term profits. This descriptive case study focused on the wealth extraction from a mid-sized for-profit California NH chain, from its founding in 1999 until its sale in 2021. The chain had individual founders/owners, a private equity owner, and a real estate group owner. The aims were to analyze the chain's (a) history and profits, organizational structure, and board; (b) management, operations, and strategies; (c) financial status; and (d) quality outcomes. Qualitative and quantitative data were collected and analyzed from multiple public and private sources. The company grew to 63 NHs and related companies with an estimated enterprise value of US$1.3 billion in 2020, while making substantial profits for its owners. The private equity owners had a strong, direct influence on the chain's organizational structure, board, management, operations, strategies, and financial controls from 2016-2020. Its cost controls appeared to be associated with a negative impact on NH nurse staffing levels, nursing wages, turnover rates, resident complaints, penalties, and litigation. Future research should study NH policies that improve ownership and financial transparency while ensuring that government funds are used for NH residents and care providers.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938251335565"},"PeriodicalIF":0.0,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outsourcing National Health Service Surgery to the Private Sector: Waiting Time Inequality and the Making of a Two-Tier System for Hip and Knee Replacement in England. 外包国家医疗服务手术私营部门：等待时间不平等和制造双层系统的髋关节和膝关节置换在英国。

International journal of social determinants of health and health services Pub Date : 2025-04-27 DOI: 10.1177/27551938251336949

Graham Kirkwood, Allyson M Pollock

{"title":"Outsourcing National Health Service Surgery to the Private Sector: Waiting Time Inequality and the Making of a Two-Tier System for Hip and Knee Replacement in England.","authors":"Graham Kirkwood, Allyson M Pollock","doi":"10.1177/27551938251336949","DOIUrl":"https://doi.org/10.1177/27551938251336949","url":null,"abstract":"This study analyzes National Health Service (NHS)-funded elective primary hip and knee replacement admissions and waiting times in England by provider (the NHS and private), socioeconomic deprivation and comorbidity, both prior to the introduction of Independent Sector Treatment Centers from 1997 to 2003 and following the rapid expansion in NHS contracts with the private sector from 2008 to 2019. Between 1997 and 2019, NHS-funded admission rates more than doubled. Between 2003 and 2008, when the proportion of patients treated in the private sector was negligible, admissions to the NHS increased and waiting times more than halved. After 2008, following the expansion in use of private providers by the NHS, NHS admission rates fell and waiting times rose for all patients. Waiting times for private providers were half those for the NHS, and the poorest 20 percent waited longer than the richest 20 percent. Between 2003 and 2019, inequalities in waiting time rose for the poorest 20 percent. The introduction of private providers into the NHS is associated with a contraction in in-house NHS provision, increasing waiting times for all patients and a two-tier system operating in favor of the rich.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938251336949"},"PeriodicalIF":0.0,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Are We All Post Traumatic Yet? A Critical Narrative Review of Trauma Among Arab Refugees. 我们都经历过创伤吗？阿拉伯难民创伤的批判性叙事回顾。

International journal of social determinants of health and health services Pub Date : 2025-04-13 DOI: 10.1177/27551938251330735

Osama Tanous, Nadine Hosny, Suad Joseph

{"title":"Are We All Post Traumatic Yet? A Critical Narrative Review of Trauma Among Arab Refugees.","authors":"Osama Tanous, Nadine Hosny, Suad Joseph","doi":"10.1177/27551938251330735","DOIUrl":"https://doi.org/10.1177/27551938251330735","url":null,"abstract":"Post-traumatic stress disorder (PTSD) is one of the most studied, diagnosed, and treated mental health disorders in settings of war and displacement. A large body of literature has questioned the utility of the PTSD framework and its application to traumatic stress among populations experiencing wars, political violence, and displacement that is chronic and on a population level. No review has yet summarized the conceptual alternatives proposed by scholars for refugees in or from the Arab region. Our article reviews conceptual articles from the last three decades that propose alternative frameworks to understand trauma and traumatic stress among Arab refugees in the Arab region. We have identified nine articles that critiqued the applicability of PTSD framework for Arab refugees and/or provided alternative key concepts. Themes such as the individualistic nature of PTSD, the nature and longitude of traumatic stress, the \"normalization of traumatic stress,\" and the medicalization of trauma have emerged. The articles also discuss social justice as recovery, diagnostic recommendations, and the flow of knowledge production from the Global North to the Global South. Our article expands a growing body of literature critiquing the applicability of Western psychiatric models in settings in the Global South, specifically the Arab region.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938251330735"},"PeriodicalIF":0.0,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Leading U.S. and U.K. Medical Journals' Coverage of Wars in Ukraine and Gaza. 美国和英国主要医学杂志对乌克兰和加沙战争的报道。

International journal of social determinants of health and health services Pub Date : 2025-04-10 DOI: 10.1177/27551938251329896

Lenore S Azaroff, Taylor Weckstein, Steffie Woolhandler, Elizabeth Schrier, David U Himmelstein

引用次数: 0

Being Called Social Does Not Necessarily Make You Community-Focused. 被称为社交并不一定让你专注于社区。

International journal of social determinants of health and health services Pub Date : 2025-04-10 DOI: 10.1177/27551938251324155

Albert Espelt, Carme Borrell, Jaume Sanahuja, Eva Codinach, Carme Espelt, Ferran Daban, Mireia Campoy-Vila, Jordi Trapé-Úbeda, Carles Muntaner

引用次数: 0