D Daniel, Hayu Qaimamunazzala, Julivius Prawira, Ayu Siantoro, Mita Sirait, Yohanes B Tanaboleng, Retna Siwi Padmawati
{"title":"Interactions of Factors Related to the Stunting Reduction Program in Indonesia: A Case Study in Ende District.","authors":"D Daniel, Hayu Qaimamunazzala, Julivius Prawira, Ayu Siantoro, Mita Sirait, Yohanes B Tanaboleng, Retna Siwi Padmawati","doi":"10.1177/27551938231156024","DOIUrl":"https://doi.org/10.1177/27551938231156024","url":null,"abstract":"<p><p>Previous stunting-related studies focus more on causes or determinants of stunting. Little is known about factors contributing to the success of stunting reduction programs. This study aims to fill those gaps using a case study from Ende District, Province of Nusa Tenggara Timur, Indonesia. A group model-building workshop with stunting-related stakeholders was conducted in November 2021. The system dynamic approach in the form of a causal loop diagram was used. Five variables related to the stunting reduction program were included in the analysis: the budget for the stunting reduction program; stunting-related stakeholder's cooperation and coordination; sufficient water supply; the ability of the related stakeholders to execute the program; and water, sanitation, and hygiene-related behavior. We found that the budget for the program and the cooperation and coordination between stakeholders were the most influential variables in the system. The feedback loop between these 2 variables was also the most prominent in the system, suggesting that sufficient funding and strong collaboration between stakeholders could lead to successful stunting reduction programs. Finally, this study implies that the stunting reduction programs in developing countries should be seen holistically and improvement should be conducted in all aspects, including financial, institutional, environmental, technical, and social.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":"53 3","pages":"354-362"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9732950","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}
Joseph Mangano, Kelli S Gaus, Timothy A Mousseau, Michael Ketterer
{"title":"Strontium-90 in Baby Teeth as a Basis for Estimating U.S. Cancer Deaths From Nuclear Weapons Fallout.","authors":"Joseph Mangano, Kelli S Gaus, Timothy A Mousseau, Michael Ketterer","doi":"10.1177/27551938231152771","DOIUrl":"https://doi.org/10.1177/27551938231152771","url":null,"abstract":"<p><p>Nuclear weapons testing in the atmosphere during the 1950s and 1960s deposited fallout throughout the world, exposing all humans to food and water before the Limited Test Ban Treaty ended large-scale tests. The largest effort to measure in vivo fallout in humans, performed by Washington University (USA), collected over 300,000 deciduous teeth to document a sustained increase in Strontium-90 (Sr-90) during testing and a sharp decline after the test ban. Sr-90 patterns and trends in teeth were consistent with those of bones and milk. Sr-90 is still detectable in about 100,000 of the teeth, which were never tested. Tooth donors were born during atmospheric testing (1946-1965) and thus exposed to fallout in utero and during infancy/childhood, when exposures pose the greatest health risk. Preliminary analysis of global fallout's health risk in the United States indicates recent cancer mortality in several high-fallout areas exceeded that of states with the lowest fallout, peaking for the cohort born in the early 1960s, when fallout was highest. These findings support subsequent measurement of Sr-90 in deciduous teeth of persons who died of diseases such as cancer, along with controls, a novel approach to assessing fallout hazards.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":"53 3","pages":"374-384"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9730228","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}
{"title":"The Emergence of Precarious Employment as a Determinant of Health in Europe and the Relevance of Contextual Factors: A Critical Research Synthesis.","authors":"Timo-Kolja Pförtner","doi":"10.1177/00207314221139797","DOIUrl":"https://doi.org/10.1177/00207314221139797","url":null,"abstract":"<p><p>Precarious employment as a determinant of health remains on the rise in Europe, in contrast to the European Pillar of Social Rights. Research in epidemiology, public health, and occupational health research has debated the health impacts of precarious employment. A number of studies have concluded that precarious employment contributes to poor health. More recent research has focused on the contextual influences of the association between precarious employment and health. Accordingly, we argue that the welfare state and the specific institutional arrangements on the national level determine and mediate the extent of the association between precarious employment and health. This research synthesis: (a) debates explanations for the rise of precarious employment in Europe, (b) illustrates how precarious employment has risen in Europe since the 1980s, (c) indicates empirical findings of the association between precarious employment and health in Europe, (d) discusses how research explains between-country differences of the association between precarious employment and health, and (e) presents empirical findings on the contextual determinants of the association between precarious employment and health in Europe.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":"53 3","pages":"266-281"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9735056","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}
{"title":"Downing the Master's Tools? New Research Strategies to Address Social Determinants of Health Inequalities.","authors":"Ted Schrecker","doi":"10.1177/27551938231161932","DOIUrl":"https://doi.org/10.1177/27551938231161932","url":null,"abstract":"<p><p>A dramatic increase in the volume of research literature referencing social determinants of health (SDH) since the report of the World Health Organization Commission on the topic in 2008 has not been matched by expansion of policies and interventions to reduce health inequalities by way of SDH. This article argues that familiar hierarchies of evidence that privilege clinical epidemiology as used in evidence-based medicine are inappropriate to address SDH. They misunderstand both the range of relevant evidence and the value-based nature of standards of proof. A richer conceptual armamentarium is available; it includes several applications of the concepts of epidemiological worlds and the lifecourse, which are explained in the article. A more appropriate evidentiary approach to SDH and health inequalities requires \"downing the master's tools,\" to adapt Audre Lorde's phrase, and instead applying a multidisciplinary approach to assessing the evidence that adequately reflects the complexity of the relevant causal pathways. Doing so is made more difficult by the power structures that shape research priorities, yet it is essential.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":"53 3","pages":"253-265"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/39/c9/10.1177_27551938231161932.PMC10315868.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9749712","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}
{"title":"Corporate Efforts to Adopt and Distort the Social Determinants of Health Framework.","authors":"David U Himmelstein, Steffie Woolhandler","doi":"10.1177/27551938231162573","DOIUrl":"https://doi.org/10.1177/27551938231162573","url":null,"abstract":"<p><p>Over the past two centuries, progressive scholars have highlighted the health-harming effects of oppressive living and working conditions. Early studies delineated the roots of inequities in these social determinants of health in capitalist exploitation. Analyses in the 1970s and 1980s that adopted the social determinants of health framework emphasized the deleterious effects of poverty but rarely explored its origins in capitalist exploitation. Recently, major U.S. corporations have adopted and distorted the social determinants of health framework, implementing trivial interventions that serve as rhetorical cover for their myriad health-harming behaviors, and the Trump administration cited social determinants to justify imposing work requirements for persons seeking health insurance through Medicaid. Progressives should raise the alarm against the use of social determinants of health rhetoric to bolster corporate power and undermine health.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":"53 3","pages":"249-252"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10092848","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}
Courtney L McNamara, Virginia Kotzias, Clare Bambra, Ronald Labonté, David Stuckler
{"title":"Have COVID-19 Stimulus Packages Mitigated the Negative Health Impacts of Pandemic-Related Job Losses? A Systematic Review of Global Evidence from the First Year of the Pandemic.","authors":"Courtney L McNamara, Virginia Kotzias, Clare Bambra, Ronald Labonté, David Stuckler","doi":"10.1177/27551938231176374","DOIUrl":"10.1177/27551938231176374","url":null,"abstract":"<p><p>Social protection can buffer the negative impacts of unemployment on health. Have stimulus packages introduced during the COVID-19 pandemic mitigated potential harms to health from unemployment? We performed a systematic review of the health effects of job loss during the first year of the pandemic. We searched three electronic databases and identified 49 studies for inclusion. Three United States-based studies found that stimulus programs mitigated the impact of job loss on food security and mental health. Furloughs additionally appeared to reduce negative impacts when they were paid. However, despite the implementation of large-scale stimulus packages to reduce economic harms, we observed a clear pattern that job losses were nevertheless significantly associated with negative impacts, particularly on mental health, quality of life, and food security. We also observe suggestive evidence that COVID-related job loss was associated with child maltreatment, worsening dental health, and poor chronic disease outcomes. Overall, although we did find evidence that income-support policies appeared to help protect people from the negative health consequences of pandemic-related job loss, they were not sufficient to fully offset the threats to health. Future research should ascertain how to ensure adequate access to and generosity of social protection programs during epidemics and economic downturns.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":"53 3","pages":"311-322"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5d/25/10.1177_27551938231176374.PMC10243096.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9725931","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}
{"title":"Corrigendum to: \"Association Between Urban Regeneration and Healthcare-Seeking Behavior of Affected Residents: A Natural Experiment in two Multi-Ethnic Deprived Housing Areas in Denmark\".","authors":"","doi":"10.1177/27551938231184924","DOIUrl":"https://doi.org/10.1177/27551938231184924","url":null,"abstract":"","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938231184924"},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9718841","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}
{"title":"Dependency Theory: An Evaluation of the Period-Based Changes in the Utilization of Maternal Health Care and Neonatal Mortality in Tanzania Between 1991 and 2016.","authors":"Neema Langa","doi":"10.1177/27551938231156033","DOIUrl":"10.1177/27551938231156033","url":null,"abstract":"<p><p>While efforts have been made to increase maternal health care (MHC) utilization and decrease neonatal mortality in Tanzania, much remains to be known about the effect of dependency (particularly on reproductive policy changes) on the use of MHC and neonatal health over time among varying socioeconomic groups. This study applied dependency theory to cross-sectional secondary data (collected by the Tanzania Demographic Health Surveys between 1991 and 2016) to investigate period-based changes in MHC and neonatal mortalities in Tanzania. Results from the data analysis found that while neonatal mortalities were decreasing in Tanzania (from 1991 to 2016), the odds of neonatal mortality were still greater in 2016. Also, a decline in the recommended skilled delivery assistance and 4 + antenatal care visits occurred in the data period. A significant increase in socioeconomic inequality around MHC use and neonatal mortality occurred during the study period as well. Policy recommendations to reduce these inequalities and move toward meeting Sustainability Development Goals for maternal and neonatal health in Tanzania are discussed.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938231156033"},"PeriodicalIF":0.0,"publicationDate":"2023-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10692134","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}
{"title":"Global Warming in Pakistan and Its Impact on Public Health as Viewed Through a Health Equity Lens.","authors":"Rozina Somani","doi":"10.1177/27551938231154467","DOIUrl":"10.1177/27551938231154467","url":null,"abstract":"<p><p>Pakistan is extremely vulnerable to the negative impacts of climate change. The recent monsoon season caused widespread, deadly flooding, affecting 15% of the total population when extreme heat waves were followed by the worst rains and floods in the country's history. But Pakistan was not the cause of its own misfortune. The atmospheric buildup of carbon dioxide (CO2) is the greatest contributor to climate change. If we look at the increase of carbon dioxide in the atmosphere, we find that Pakistan is, like all developing nations, essentially a non-contributor of the problem, contributing considerably less than 1% of global greenhouse gas emissions. Moreover, although significant factors exacerbating the effects of climate change in Pakistan include an inadequate sewage system, air pollution from industrial waste, and deforestation, the country could not afford to proactively fix these, nor prepare for flooding and heavy rains. It lacks the funding for climate resilience efforts. As a result, Pakistan is suffering from a high prevalence of poor health outcomes. Children, the elderly, women, and the homeless, especially those living with poverty and disease, are at a high risk of morbidity and mortality. Since mitigating the devastating effects of climate change will continue to be an ongoing challenge for Pakistan, it urgently needs financial investment so that it can build climate-resilient infrastructures and institute mechanisms to deal with global warming's worst effects. Industrialized nations are responsible for global warming, and they must take responsibility for fighting global warming by helping developing countries cultivate greater public health emergency preparedness.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938231154467"},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9975889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10810737","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}
{"title":"(In)Equity and Primary Health Care: The Case of Costa Rica and Panama.","authors":"Madeline Baird","doi":"10.1177/27551938231152991","DOIUrl":"10.1177/27551938231152991","url":null,"abstract":"<p><p>The 1970s marked a significant opportunity for improving primary health care globally. Yet, political will and widescale investment to achieve \"health for all\" vastly diverged in countries across the Americas in the decades that followed. Distinct ideologies and models of health care emerged following commitments to social investment, equity, and community participation at Alma-Ata. In the 1970s, Costa Rica scaled up its national health system and increased broad social investment. In Panama, the establishment of the Ministry of Health in 1969 coincided with broad state investment in primary health care, yet the emergence of neoliberal models based on efficiency and privatization in the decades that followed undermined efforts toward health equity. Models of state-sanctioned investment and policies diverged in their framing of ideas about the right to health, characterized by broad social investment in Costa Rica addressing the structural factors of ill health versus financing stratified health systems and select biomedical interventions in Panama. These case studies describe the historical, political, economic, and social dimensions that account for the distinct framing of ideas about right to health and health equity and enabled Costa Rica to diverge as a country with one of the most effective health systems in the region.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938231152991"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9170670","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}