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

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。

IF 2.6

International journal of social determinants of health and health services Pub Date : 2025-10-01 Epub 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 Velásquez, 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 Velásquez, Po-Yen Hsu, Carles Muntaner, Joan Benach, Aeve Ribbons","doi":"10.1177/27551938251343485","DOIUrl":"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":"388-401"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","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

Outsourcing Policy-Related Functions in Australia: Health and Equity Impacts. 澳大利亚外包政策相关职能：健康与公平影响。

IF 2.6

International journal of social determinants of health and health services Pub Date : 2025-10-01 Epub Date: 2025-07-28 DOI: 10.1177/27551938251355452

Julia Anaf, Toby Freeman, Fran Baum

{"title":"Outsourcing Policy-Related Functions in Australia: Health and Equity Impacts.","authors":"Julia Anaf, Toby Freeman, Fran Baum","doi":"10.1177/27551938251355452","DOIUrl":"10.1177/27551938251355452","url":null,"abstract":"Changes to the public sector in Australia over recent decades result from the adoption of neoliberal policies and New Public Management techniques. By the 1990s Australian governments were privatizing a significant portion of public sector roles, including outsourcing a range of traditional government services, policy, and decision making to the private sector, often to large global consultancy firms. While much is known about privatization and outsourcing, less is known about the health and equity impacts. Using a qualitative approach, data collection included documents, website searches, Parliament of Australia Hansard transcripts, media items, and semi-structured interviews (n = 11). Six key themes were identified, including the scope of outsourcing, consultants' strategies, conflicts of interest, undermining the public sector, poor outcomes for the public, and implications for equity. The use of private sector actors in the Australian public sector has led to promoting private over public interests. There are legitimate reasons for governments to engage the services of global consulting firms in instances when public sector capacity cannot deliver specific highly specialized work. However, the current extensive use of consultants should be decreased through rebuilding public sector capacity to promote health and equity, and public over private interests.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"428-440"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12371131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","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。

IF 2.6

International journal of social determinants of health and health services Pub Date : 2025-10-01 Epub 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":"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":"455-464"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","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

Global Health on the Edge of a World War III. 第三次世界大战边缘的全球卫生。

IF 2.6

International journal of social determinants of health and health services Pub Date : 2025-10-01 Epub Date: 2025-07-28 DOI: 10.1177/27551938251359053

Joan Benach, Carles Muntaner

{"title":"Global Health on the Edge of a World War III.","authors":"Joan Benach, Carles Muntaner","doi":"10.1177/27551938251359053","DOIUrl":"10.1177/27551938251359053","url":null,"abstract":"As the COVID-19 pandemic clearly illustrated, the well-being of populations is shaped not just by the health systems that generate diseases but also by the macro structural factors that influence the ecosocial determinants of health. Wars are among the most severe threats to public health, triggering widespread mortality, the collapse of health care systems, food insecurity, disease outbreaks, psychological trauma, and long-term socio-economic destabilization, as well as other forms of social and environmental destruction. This article explores the current geopolitical landscape, analyzing political tensions and the major causes of conflicts in order to evaluate the potential of a Third World War developing in the near future. It argues that, from a public health perspective, comprehending the geopolitical motivations behind armed conflicts is crucial for their prevention. Given the current era of escalating geopolitical tensions and the looming threat of nuclear conflict, the authors urge public health institutions and their educators and researchers to engage deeply with war and conflict as a determinant of health and health inequity, and advocate for peace through diplomacy and disarmament.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"371-375"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735892","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

The Banning of Engineered Stone in Australia: An Evidence-Based and Precautionary Policy. 禁止工程石在澳大利亚：循证和预防政策。

IF 2.6

International journal of social determinants of health and health services Pub Date : 2025-10-01 Epub Date: 2025-01-30 DOI: 10.1177/27551938251314656

Catherine Cavalin, Alfredo Menéndez-Navarro, Alain Lescoat

{"title":"The Banning of Engineered Stone in Australia: An Evidence-Based and Precautionary Policy.","authors":"Catherine Cavalin, Alfredo Menéndez-Navarro, Alain Lescoat","doi":"10.1177/27551938251314656","DOIUrl":"10.1177/27551938251314656","url":null,"abstract":"On December 13, 2023, Australia became the first country to ban engineered stone. This material contains more than 80 percent crystalline silica, agglomerated with resins, metal oxides and other (potentially toxic) substances. Engineered stone has become a mass-market product since the late 1990s and has contributed to a worldwide resurgence of accelerated forms of silicosis and a notable incidence of systemic diseases. Such a ban is a very rare event in a world where the regulatory framework governing the use of toxic substances in the workplace is generally limited to setting exposure limits. The Australian decision is exemplary in many respects: it is based on public consultation with all stakeholders, it contributes to updating biomedical knowledge that industries seek to conceal or undermine, and it is based on a realistic vision of real working conditions. In the absence of any evidence that lowering the silica content of this material would reduce occupational hazards related to toxic cocktail effects, this ban implements an evidence-based and precautionary public health policy.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"415-423"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070059","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

The Debilitating Impact of Transphobia on Health Care Services: The Moderated Mediation Model of Transphobia, Minority Stress, Social Exclusion, and Access to Health Care among People Who Are Transgender. 跨性别恐惧症对医疗服务的削弱影响：跨性别者的跨性别恐惧症、少数群体压力、社会排斥和医疗服务可及性的中介模型

IF 2.6

International journal of social determinants of health and health services Pub Date : 2025-10-01 Epub Date: 2025-03-17 DOI: 10.1177/27551938251327111

Zain Rafique, Sidra Riaz, Shahid Habib

{"title":"The Debilitating Impact of Transphobia on Health Care Services: The Moderated Mediation Model of Transphobia, Minority Stress, Social Exclusion, and Access to Health Care among People Who Are Transgender.","authors":"Zain Rafique, Sidra Riaz, Shahid Habib","doi":"10.1177/27551938251327111","DOIUrl":"10.1177/27551938251327111","url":null,"abstract":"Drawing on the perspective of minority stress theory, an elaboration of social stress theory, and the Social Exclusion Knowledge Network model, this study's aim is to develop and test the feasibility of a moderated mediation model in the context of Pakistan. This model investigates the roles that transphobia, minority stress, and social exclusion play in the transgender population's access to health care services by the individual's communities in Pakistan. By applying a time-lagged research design and collecting multisource data from public sector hospitals in the capital city of Pakistan, alongside conducting a single-source survey over 30 consecutive working days (N = 206), we explore these relationships in depth. The results reveal that transphobia is negatively related to health care access, with minority stress mediating this negative relationship. Furthermore, social exclusion not only moderates the connection between transphobia and minority stress but also amplifies the indirect association between leader transphobia and health care access via minority stress. This moderated mediation framework underscores the critical impact of transphobia on health care access and highlights the amplifying role of social exclusion. The findings from this study offer invaluable insights for future researchers and practitioners focused on mitigating transphobia's impact on health care access within transgender contexts.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"402-414"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652463","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

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。

IF 2.6

International journal of social determinants of health and health services Pub Date : 2025-10-01 Epub 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":"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":"376-387"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12371132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Predestined Failure of the Market Mechanism in Ensuring Health for all in Times of a Pandemic: The Case of the Republic of Korea. 大流行时期市场机制在确保人人健康方面的注定失败：以大韩民国为例。

IF 2.6

International journal of social determinants of health and health services Pub Date : 2025-10-01 Epub Date: 2025-06-30 DOI: 10.1177/27551938251350469

Jin-Hwan Kim

{"title":"The Predestined Failure of the Market Mechanism in Ensuring Health for all in Times of a Pandemic: The Case of the Republic of Korea.","authors":"Jin-Hwan Kim","doi":"10.1177/27551938251350469","DOIUrl":"10.1177/27551938251350469","url":null,"abstract":"This article investigated South Korea's COVID-19 response through the lens of power relations, arguing that the state's overreliance on public health measures stemmed from its inability to control economic power within the medical care sector. By applying a modified version of Erik Olin Wright's theoretical framework, the study examines interactions between state, economic, and social powers across two distinct economies: public health and medical care policies. The analysis reveals that insufficient state and social power to regulate economic power in medical care necessitated stricter public health interventions. The research delineates COVID-19 response policies into two categories: public health policies for infection reduction and medical care policies for patient treatment. It demonstrates how private hospitals' monopolistic control over the critical care resources, combined with weak social accountability mechanisms, forced the government to maintain strict social distancing measures. The study ultimately highlights the limitations of unregulated markets in medical care, emphasizing the importance of social power in directing market forces toward more equitable and effective disaster responses.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"465-476"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531448","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。

IF 2.6

International journal of social determinants of health and health services Pub Date : 2025-10-01 Epub 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":"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":"477-487"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","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

Comment on the Paper by Cavalin et al. The Banning of Engineered Stone in Australia: An Evidence-based and Precautionary Policy. 对Cavalin等人论文的评论。禁止工程石在澳大利亚：循证和预防政策。

IF 2.6

International journal of social determinants of health and health services Pub Date : 2025-10-01 Epub Date: 2025-07-15 DOI: 10.1177/27551938251344405

Deborah Yates, Kim Brislane, Jennifer Coles, Elham Hosseini-Beheshti, Anthony Linton

引用次数: 0