International journal of social determinants of health and health services最新文献_第2页

The Role of Justice in Addressing the Social Determinants of Health. 司法在处理健康问题社会决定因素方面的作用。

International journal of social determinants of health and health services Pub Date : 2025-07-01 Epub Date: 2025-02-24 DOI: 10.1177/27551938251321973

Sara Gilboe, Liz Curran

{"title":"The Role of Justice in Addressing the Social Determinants of Health.","authors":"Sara Gilboe, Liz Curran","doi":"10.1177/27551938251321973","DOIUrl":"10.1177/27551938251321973","url":null,"abstract":"This article explores social determinants of health (SDH) in the global context and their connection to justice and human rights. Critiquing prevailing top-down approaches, it demonstrates that policy responses can be divorced from local factors necessary for addressing SDH. The authors examine health justice partnerships (HJPs) and how interdisciplinary collaboration between health and legal services can address inequality and health disparities. This discussion is timely given the Hague Declaration on Equal Access to Justice for All by 2030 formulates five pillars of people-centered justice. From the 2023 \"Plan of Action\" comes a \"Joint Statement and Call to Action on the Rule of Law and People-Centered Justice: Renewing a Core Pillar of Democracy,\" creating alignment between SDH and justice approaches for coordinated action. This article demonstrates how HJPs offer a unique avenue for driving change at the community level, advocating for systemic transformations to address poverty, inequality, and injustice. By driving change from local to international levels, multiple voices provide lenses for problem solving. Using American philosopher Carol C. Gould's theory of human rights, the authors explore how joint-disciplinary perspectives and moving beyond paternalistic intervention through integrating justice, human rights, and democracy can respond to drive outcomes in SDHs.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"249-261"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484819","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

Feeling the Structural: School-Based Educators' Perspectives on Indigenous Child Suicidality in Canada. 感受结构：学校教育工作者对加拿大土著儿童自杀的看法。

International journal of social determinants of health and health services Pub Date : 2025-07-01 Epub Date: 2025-04-10 DOI: 10.1177/27551938251327904

Jordan McVittie, Jeffrey Ansloos

{"title":"Feeling the Structural: School-Based Educators' Perspectives on Indigenous Child Suicidality in Canada.","authors":"Jordan McVittie, Jeffrey Ansloos","doi":"10.1177/27551938251327904","DOIUrl":"10.1177/27551938251327904","url":null,"abstract":"Suicide is a critical public health issue disproportionately affecting Indigenous communities in Canada, especially children. Research on child suicide remains scarce, resulting in a limited understanding of its risk and protective factors. Identified risk dimensions include mental and behavioral health, relational issues, and significant adverse childhood experiences like abuse, and bullying. Studies on Indigenous youth and adults also emphasize the effects of colonization, public policy on child welfare, and systemic racism. The lack of research specifically addressing Indigenous child suicidality underscores the urgent need for tailored research. This article presents findings from a study engaging First Nations and Inuit educators, revealing factors linked to suicidal distress among Indigenous children. Through reflexive thematic analysis, three major themes emerged: the proximal emotional toll of distal risk factors, the impact of adverse childhood experiences, and the role of material deprivation in enhancing risk. Insights from educators are vital for developing targeted interventions to improve prevention efforts.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"318-329"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058087","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

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

Exploring the Intersections of Gender Dynamics, Sexual Behaviour, and the Hazard of Reporting Sexually Transmitted Infections among Women in Pakistan: An Intersectional Feminist Perspective Utilizing PDHS (2017-18) Data. 探索性别动态、性行为和巴基斯坦妇女报告性传播感染风险的交叉点：利用PDHS（2017-18）数据的交叉点女权主义视角。

International journal of social determinants of health and health services Pub Date : 2025-04-01 Epub Date: 2024-12-29 DOI: 10.1177/27551938241306307

Qurra-Tul-Ain Ali Sheikh

{"title":"Exploring the Intersections of Gender Dynamics, Sexual Behaviour, and the Hazard of Reporting Sexually Transmitted Infections among Women in Pakistan: An Intersectional Feminist Perspective Utilizing PDHS (2017-18) Data.","authors":"Qurra-Tul-Ain Ali Sheikh","doi":"10.1177/27551938241306307","DOIUrl":"https://doi.org/10.1177/27551938241306307","url":null,"abstract":"This study examined the factors influencing women's susceptibility to sexually transmitted infections (STIs) in Pakistan from an intersectional feminist perspective. The research analyzed sexual behavior, spouse-related dynamics, patriarchal structure, and socioeconomic and demographic factors to understand the complex realities faced by women in this societal context using the 2017-2018 Pakistan Demographic and Health Survey. In applying intersectional feminist perspectives, statistical analyses, including chi-squared tests and multivariate logistic regressions, were employed to explore the factors influencing reported STI levels. The findings revealed that 35.8 percent of women reported experiencing STIs within the past year. Contrary to expectations, women who exhibited sexual empowerment were prone to report STIs, highlighting the impact of power dynamics and gender norms on women's sexual health. In addition, there was a negative correlation between women's participation in decision making regarding contraceptive use and the reporting of STIs, suggesting that women's autonomy in reproductive choices does not necessarily lead to improved sexual health outcomes. To effectively combat this issue, this article presents an integrated approach that challenges negative masculine attitudes, promotes healthy sexual behaviors, and emphasizes communication and shared responsibility for sexual health within marital relationships. Interventions should prioritize fostering marital fidelity, enhancing communication between partners, and empowering women to make conversant decisions about contraception.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":"55 2","pages":"162-177"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054268","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