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

Social Inequalities in Euthanasia Knowledge and Trends in Potential use Two Years Post-Legalization: A Population-Based Study in Basque Country, Spain. 安乐死合法化两年后，安乐死知识的社会不平等和潜在使用趋势：西班牙巴斯克地区的一项基于人口的研究。

IF 2.2

International journal of social determinants of health and health services Pub Date : 2026-10-13 DOI: 10.1177/27551938261486619

Marta Bartolomé-Rupérez, Unai Martín Roncero, Verónica Tíscar-González

{"title":"Social Inequalities in Euthanasia Knowledge and Trends in Potential use Two Years Post-Legalization: A Population-Based Study in Basque Country, Spain.","authors":"Marta Bartolomé-Rupérez, Unai Martín Roncero, Verónica Tíscar-González","doi":"10.1177/27551938261486619","DOIUrl":"https://doi.org/10.1177/27551938261486619","url":null,"abstract":"Euthanasia was legalized in Spain in 2021 through the Organic Law of Euthanasia Regulation. However, legal recognition does not guarantee equal access as axes of inequality may influence both awareness of the law and attitudes toward its potential use. This study analyzes social inequalities in knowledge about euthanasia legalization and hypothetical behaviors in situations covered by the regulation. A cross-sectional survey was conducted among a representative sample of adults living in the Basque Country, including those who were not born there (n = 5858). The prevalence of knowledge and willingness to request euthanasia were estimated by social position, and adjusted prevalence ratios were calculated using multivariate Poisson regression models with robust variance. Awareness of the legal right to request euthanasia decreased with lower education and social class and was also lower among older adults, young men, and individuals born in lower-income countries. Willingness to apply for euthanasia showed similar social gradients; however, men were more predisposed overall, and significant age differences appeared mainly among older adults and people not originally from the Basque Country. These findings reveal structural inequities that may constrain effective access to euthanasia despite its legalization, underscoring the need to integrate equity considerations into policies that guarantee an equitable application of the right.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938261486619"},"PeriodicalIF":2.2,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186673","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

Informal Employment Trajectories as A Social Determinant of Mental Limitations in Older Age in Uruguay: A Gender-Sensitive Analysis. 非正式就业轨迹作为乌拉圭老年人精神限制的社会决定因素：对性别问题敏感的分析。

IF 2.2

International journal of social determinants of health and health services Pub Date : 2026-10-12 DOI: 10.1177/27551938261497510

Fabrizio Méndez-Rivero

{"title":"Informal Employment Trajectories as A Social Determinant of Mental Limitations in Older Age in Uruguay: A Gender-Sensitive Analysis.","authors":"Fabrizio Méndez-Rivero","doi":"10.1177/27551938261497510","DOIUrl":"https://doi.org/10.1177/27551938261497510","url":null,"abstract":"This study examines the association between informal employment trajectories and the presence of mental limitations in old age in Uruguay. Using retrospective data from a nationally representative survey, informal employment trajectories for individuals aged 60 and older were reconstructed. Mental limitations were measured through two functional indicators: difficulties in learning and applying knowledge, and limitations in social relationships. Logistic regression models (odds ratios) were estimated separately by sex, adjusting for age, education, chronic disease, income, and labor force participation. Among men, higher cumulative exposure to informal employment was consistently associated with greater odds of both types of mental limitations. Among women, exposure to informal employment was associated with a significantly lower likelihood of mental limitations. However, this does not imply that informality is less harmful for women; rather, it reflects the fact that formality is not as protective for women as it is for men, due to the enduring patterns of vertical and horizontal gender occupational segregation. The results highlight the importance of recognizing informal employment as a social determinant of mental limitation in old age, particularly in high-income countries of the Global South with persistent employment and welfare inequalities, like Uruguay.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938261497510"},"PeriodicalIF":2.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168673","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

From Global Governance to the Shop Floor: Power, Policy, and the Production of Health Inequities. 从全球治理到车间：权力、政策和卫生不平等的产生。

IF 2.2

International journal of social determinants of health and health services Pub Date : 2026-10-01 Epub Date: 2026-09-24 DOI: 10.1177/27551938261488903

Carles Muntaner, Joan Benach

引用次数: 0

Death is the Only Option for Us! Unveiling Health and Healthcare Crises Among Slum Dwellers in Guwahati Metropolitan City, India. 死亡是我们唯一的选择！揭露印度古瓦哈提大都会贫民窟居民的健康和医疗危机。

IF 2.2

International journal of social determinants of health and health services Pub Date : 2026-10-01 Epub Date: 2026-07-09 DOI: 10.1177/27551938261451987

Nitish Gogoi, Arunima Deka

{"title":"Death is the Only Option for Us! Unveiling Health and Healthcare Crises Among Slum Dwellers in Guwahati Metropolitan City, India.","authors":"Nitish Gogoi, Arunima Deka","doi":"10.1177/27551938261451987","DOIUrl":"10.1177/27551938261451987","url":null,"abstract":"The ever-growing issues and challenges faced by people living in slum areas are now gaining attention from policymakers and scholars across disciplines. This article investigates how slum dwellers in the Guwahati metropolitan city in India suffer from healthcare vulnerabilities in their everyday lives. To achieve this, we employed \"narrative inquiry\" as a method and found that slum dwellers in Guwahati experience layers of healthcare vulnerabilities, primarily due to their poor economic conditions, occupational hazards, low levels of education, and marginalized social backgrounds. Moreover, the systemic, infrastructural, and social inequities that exist within the public healthcare system further exacerbate their health issues. Based on the field insights, we argue that understanding the ingrained healthcare vulnerabilities, inequities, and disparities that impoverished slum dwellers experience within the urban landscape is a prerequisite to addressing their health and healthcare vulnerabilities. We conclude the article by arguing that health and healthcare equities among slum dwellers are not merely an elusive goal but a tangible reality that needs to be ensured with a holistic approach, which also includes empathetic and ethical behavior from healthcare professionals towards marginalized sections of society.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"542-552"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148414094","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

'Enterprise-Mode' and Sparks of Resistance on the SUS Shop Floor in Brazil. “企业模式”与巴西SUS车间的阻力火花。

IF 2.2

International journal of social determinants of health and health services Pub Date : 2026-10-01 Epub Date: 2026-07-09 DOI: 10.1177/27551938261451637

Mara Isa de Vasconcelos Coracini, Juliana Borges Polastrini, Diego Napolitano Curceli, Fernando Mostaço da Mata, Virginia Junqueira, Alexandre de Oliveira Henz, Angela Aparecida Capozzolo

{"title":"'Enterprise-Mode' and Sparks of Resistance on the SUS Shop Floor in Brazil.","authors":"Mara Isa de Vasconcelos Coracini, Juliana Borges Polastrini, Diego Napolitano Curceli, Fernando Mostaço da Mata, Virginia Junqueira, Alexandre de Oliveira Henz, Angela Aparecida Capozzolo","doi":"10.1177/27551938261451637","DOIUrl":"10.1177/27551938261451637","url":null,"abstract":"The Brazilian Health Reform Movement succeeded in enshrining health as a constitutional social right, resulting in the creation of the Unified Health System (Sistema Único de Saúde, or SUS), based on the principles of universality, comprehensive care, equity, and democratized participation of users and workers in system management. However, the SUS faces a process of privatization by private Social Health Organizations (Organizações Sociais de Saúde, or OSS). This article reports part of a study involving researchers, including public mental health service workers. The methodological strategy explored narratives related to episodes of care in workplaces. The results revealed what we termed the 'enterprise-mode,' impacting both workers and the care provided in services managed by OSS. SUS health care workers on the shop floor face the challenge of commercial privatizing forces acting against the foundational principles of democratic management inscribed in the Brazilian Psychiatric Reform law enacted in 2001. A relationship is imposed that corrodes interactions within the team and between the team and service users, attempting to silence those who defend the SUS. However, the narratives also reveal sparks of resistance and insubordination emerging in the daily lives of SUS shop floor workers that can strengthen resistance movements for social health rights.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"580-588"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148414052","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

Beyond Predestined Failure: Reassessing Structural Determinism in South Korea's COVID-19 Response. 超越注定的失败：重新评估韩国应对COVID-19的结构决定论。

IF 2.2

International journal of social determinants of health and health services Pub Date : 2026-10-01 Epub Date: 2026-04-16 DOI: 10.1177/27551938261442739

Ho Kyung Sung

引用次数: 0

Intimate Partner Violence and Depression among Sexual and Gender Minorities in Nepal: Challenges and Recommendations for Mental Health Services. 尼泊尔性和性别少数群体中的亲密伴侣暴力和抑郁：精神卫生服务的挑战和建议。

IF 2.2

International journal of social determinants of health and health services Pub Date : 2026-10-01 Epub Date: 2026-05-15 DOI: 10.1177/27551938261442798

Sandhya Poudel, Huaibo Xin, Alice Ma, Cedric Harville

{"title":"Intimate Partner Violence and Depression among Sexual and Gender Minorities in Nepal: Challenges and Recommendations for Mental Health Services.","authors":"Sandhya Poudel, Huaibo Xin, Alice Ma, Cedric Harville","doi":"10.1177/27551938261442798","DOIUrl":"10.1177/27551938261442798","url":null,"abstract":"Research studies focusing on intimate partner violence (IPV) and depression among sexual and gender minorities (SGMs) are conducted more in developed countries, with few research conducted in Nepal. This study aimed to find out the prevalence of IPV and depression among SGMs in Nepal, assess the relationship between IPV and depression, identify challenges faced by SGMs in accessing mental health services, and provide recommendations to address them. A cross-sectional mixed-method study was used to collect data from 122 SGMs in Kathmandu, Nepal, from February-May 2024. Participants were recruited using respondent-driven sampling and completed self-administered questionnaires via QualtricsXM. Approximately 81.1% of participants experienced at least one form of emotional violence in their lifetime, 59.8% experienced physical violence, and 36.9% experienced sexual violence. Similarly, 33.6% of participants reported moderate to severe depression. Bivariate linear regression analysis showed a positive relationship between IPV and depression (B = 0.458, p < .001). Participants highlighted barriers to accessing mental health services, including limited availability, lack of LGBTQIA+-friendly care, and financial constraints. Participants emphasized expanding online mental health services, providing cost-free care, and increasing government support to improve SGMs' access to mental health services. This study highlighted the need to address socioeconomic and structural barriers to reduce distal (e.g., violence) and proximal minority stressors, and its psychological consequences among SGMs in Nepal.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"512-520"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147950519","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 World Expected More of Canada: Canada and the Pandemic Agreement. 世界对加拿大有更多期望：加拿大与大流行病协议。

IF 2.2

International journal of social determinants of health and health services Pub Date : 2026-10-01 Epub Date: 2026-06-18 DOI: 10.1177/27551938261458695

Joel Lexchin

{"title":"The World Expected More of Canada: Canada and the Pandemic Agreement.","authors":"Joel Lexchin","doi":"10.1177/27551938261458695","DOIUrl":"10.1177/27551938261458695","url":null,"abstract":"In an attempt to avoid the inequitable outcome of the COVID-19 pandemic whereby High-Income Countries received the overwhelming majority of vaccine doses after they became available, the World Health Organization initiated negotiations in December 2021 on a legally binding Pandemic Agreement. This paper uses a variety of documents and personal experience to examine how the Canadian government communicated with its domestic stakeholders about the stances that Canada was taking during the negotiations and to illustrate what positions Canada was advancing at the negotiations table in Geneva. This article argues that the government lacked transparency in its communications and gave no indication that it was listening to the feedback it was receiving. During the negotiations, aside from advancing a progressive position of gender equality, the government pushed to weaken the obligations of countries and the commercial sector to ensure that vaccines, treatments and technology would be available on an equitable basis globally in any future pandemic. Now that the Pandemic Agreement has been adopted by the World Health Assembly, there is still the task of agreeing on an annex on pathogen access and benefit sharing. Past experience suggests that during these negotiations Canada will favor commercial over public health interests.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"442-450"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148274031","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

Navigating the Landscape of Child Health Insurance Coverage in Punjab, Pakistan: A Socioeconomic Perspective. 巴基斯坦旁遮普省儿童健康保险覆盖的概况：社会经济视角。

IF 2.2

International journal of social determinants of health and health services Pub Date : 2026-10-01 Epub Date: 2026-06-03 DOI: 10.1177/27551938261451648

Seemab Gillani, Feng Wang, Daniel Balsalobre-Lorente, Tusawar Iftikhar Ahmad, Muhammad Nouman Shafiq

{"title":"Navigating the Landscape of Child Health Insurance Coverage in Punjab, Pakistan: A Socioeconomic Perspective.","authors":"Seemab Gillani, Feng Wang, Daniel Balsalobre-Lorente, Tusawar Iftikhar Ahmad, Muhammad Nouman Shafiq","doi":"10.1177/27551938261451648","DOIUrl":"10.1177/27551938261451648","url":null,"abstract":"Getting health insurance for children's health care appears to be on the rise around the world. Nonetheless, progress is sluggish, and several cases of infections in children remain unaddressed, resulting in child mortality. A deeper understanding of health insurance coverage can improve health care utilization. Therefore, this study aims to find the impact of child-specific, maternal, household-related, and regional variables on child health insurance coverage in Punjab, Pakistan. The study is based on microdata (of 35,453 children aged 5 to 17 years) obtained from the Multiple Indicators Cluster Survey (MICS) to investigate the socioeconomic determinants of child insurance coverage. The study employed logistic regression and found that a child aged 10 to 14 was 15 percent less likely to have health insurance coverage than the reference category (i.e., child aged 5 to 9 years). A child with a functional disability had 1.3 times more chances to avail of health insurance than a child without any functional disabilities. Children from poorer households were 2.6 times more likely to have health insurance than those from the poorest households. The study concludes that an intervention based on raising maternal education levels, economic upliftment of households, and targeted support for the children of southern Punjab could improve child health insurance coverage in Punjab.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"498-511"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148152427","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

Income Security Health Promotion: Addressing Patients' Unmet Income Needs in a Toronto Family Practice, a Qualitative Study. 收入保障健康促进：在多伦多家庭实践中解决患者未满足的收入需求，一项定性研究。

IF 2.2

International journal of social determinants of health and health services Pub Date : 2026-10-01 Epub Date: 2026-02-12 DOI: 10.1177/27551938261419707

Jane Parry, Meredith Vanstone, Michel Grignon, James R Dunn

{"title":"Income Security Health Promotion: Addressing Patients' Unmet Income Needs in a Toronto Family Practice, a Qualitative Study.","authors":"Jane Parry, Meredith Vanstone, Michel Grignon, James R Dunn","doi":"10.1177/27551938261419707","DOIUrl":"10.1177/27551938261419707","url":null,"abstract":"Poverty is acknowledged as an important social determinant of health, and health care professionals are responding to it in some settings, most notably in the primary care setting. The Income Security Health Promotion service offered by the St. Michael's Hospital Academic Family Health Team in Toronto, Ontario, Canada, is an example of a primary-care intervention to address patients' unmet income needs. Understanding the history and social conditions of existence of this service will be helpful to other primary care practitioners considering income interventions in their own setting. A qualitative case study was conducted to describe the origins, context and functioning of this intervention. Purposive sampling was used to recruit 12 key informants from the Family Health Team, including income security health promoters, clinicians and management. Interviews revealed the origins of the service as part of a new and well-resourced family practice, with a team of clinicians well-versed in the social determinants of health and with a strong social justice orientation. They described the required skill set of a promoter, and the importance of assimilating the role into the circle of care. Their experience offers important insights into how to create and sustain such a program in other primary care settings.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"553-565"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183804","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