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

{"title":"Assessing the Impact of Changes to the Social Security System on Health Outcomes in the UK Since 2010: A Systematic Review.","authors":"Martin Taulbut, Georgia Rendall, Graeme Scobie, Stefania Greci, Andrew Pulford","doi":"10.1177/27551938261464081","DOIUrl":"10.1177/27551938261464081","url":null,"abstract":"<p><p>This article systematically reviews quantitative studies of the impacts of changes to the UK social security system since 2010 on health outcomes from 10 peer reviewed databases and the grey literature as outlined in the Prospero protocol CRD42021282605. Study quality was assessed using an adaptation of the Effective Public Health Practice Project tool (EPHPP). Studies were reported following the Synthesis without Meta-analysis (SWiM) guidelines. Certainty of the impact of welfare reform on mental health was considered using GRADE principles. Of 8504 records screened, eighteen studies were included in the review. Fifteen looked at mental health outcomes: 12 showed worsening mental health, two showed mixed effects and one showed no effect. Three studies showed that reforms harmed health when measured using life expectancy or mortality. No effects on physical health were reported from three studies, and findings were mixed for the impact on general health. Four studies reported on the impact of reforms on inequalities in one or more health outcome with mixed results. The certainty of our findings on mental health was rated very low. Changes to the UK social security system between 2010 and 2020 were associated with poorer population level mental health and mortality derived health measures.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938261464081"},"PeriodicalIF":2.2,"publicationDate":"2026-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148698521","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":"Growing Suicides in India: Looming Disaster among the World's Largest Population.","authors":"Sheikh Shoib, Sujit Kumar Kar, Ilham Zaidi, Miyuru Chandradasa, Fahimeh Saeed, Soumitra Das","doi":"10.1177/27551938261467629","DOIUrl":"https://doi.org/10.1177/27551938261467629","url":null,"abstract":"<p><p>This comment aims to comprehensively analyse the alarming increase in suicide rates in India, emphasizing demographic variations, contributory factors, and existing preventive measures. The study also explores the effectiveness of the National Suicide Prevention Strategy (NSPS), Mental Healthcare Act (MHCA), and other initiatives in addressing this public health crisis. This comment concludes that while India has taken crucial steps in formulating suicide prevention strategies, effective implementation remains a challenge. Recommendations include increasing access to mental health support, enhancing telepsychiatry services, and promoting responsible media coverage. Collaboration between the health and education sectors, along with targeted prevention tactics for high-risk groups, is essential to curb the growing suicide crisis in India. The study underscores the urgency of a holistic and collaborative approach to mental health awareness and intervention.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938261467629"},"PeriodicalIF":2.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681224","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 need for expanding conceptual and analytical frontiers in the field of SDOHS.","authors":"J Benach, Carles Muntaner","doi":"10.1177/27551938261451205","DOIUrl":"10.1177/27551938261451205","url":null,"abstract":"","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"295-297"},"PeriodicalIF":2.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201504","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":"Understanding COVID-19 Vaccine Hesitancy in Black, East Asian, and Eastern European Diasporic Communities in Toronto: A Scoping Review.","authors":"Rade Zinaic, Josephine Pui-Hing Wong","doi":"10.1177/27551938251400901","DOIUrl":"10.1177/27551938251400901","url":null,"abstract":"<p><p>Canada achieved COVID-19 vaccination coverage of 83.2% in the total population (at least one dose). However, only 49.6% of Canadians completed the primary series plus one booster (which defines one as fully vaccinated). Inconsistent uptake of COVID-19 vaccines impeded pandemic response and led to increased demands in a stretched health care system. To advance pandemic preparedness, a critical understanding of vaccine access and hesitancy is needed. We undertook a scoping review to identify the primary reasons for vaccine hesitancy in Toronto's East Asian, Black, and Eastern European diaspora. A total of 5548 articles were retrieved from PubMed, OVID, JSTOR, ERIC and 27 and 43 from Google Scholar and Google respectively. De-duplication left us with 42 relevant sources for data extraction, including 19 news articles, 9 commentaries, 11 pieces of grey literature and 3 peer reviewed articles that were not identified via academic databases. Our review results revealed four factors for COVID-19 vaccine hesitancy among East Asian, Black, and Eastern European diasporas in Toronto: (<i>a</i>) access barriers; (<i>b</i>) mistrust; (<i>c</i>) racism; and (<i>d</i>) misinformation. These factors can create conditions of re-racialization by stereotyping entire ethnoracial groups or convincing members of these groups to become vaccine skeptics.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"374-387"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13269719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688591","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":"Fossil Health: Deconstructing the Health and Energy Relationship to Reimagine a Viable Future.","authors":"Laila Vivas, Lucinda Cash-Gibson, Aline Chiabai","doi":"10.1177/27551938261419437","DOIUrl":"10.1177/27551938261419437","url":null,"abstract":"<p><p>In an era of socio-ecological crisis, the dominant cultural narratives of the Anthropocene paradoxically reinforce a deep reliance on fossil fuels. These systems profoundly shape modern life, including our most fundamental conceptions of health. This article argues that societal conceptions of health in the Global North are constituted within, and constrained by, fossil-fuelled paradigms. To analyse this lock-in, we propose <i>Fossil Health</i> as a conceptual tool designed to show how fossil fuel dependency perpetuates productivist and unsustainable notions of health. By applying this lens through an integration of political ecology, sociology, and public health, we trace its manifestations across healthcare systems, policies, behaviours, and daily practices. Ultimately, transcending this cycle is essential for re-imagining more equitable and ecologically-attuned relationships between society, nature, and health.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"332-342"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13269716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146168066","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":"Ozempic and Wegovy Meet Congress: Political Economy Without Critique and Sociology Without Society.","authors":"Rodney Loeppky","doi":"10.1177/27551938261425193","DOIUrl":"10.1177/27551938261425193","url":null,"abstract":"<p><p>In the fall of 2024, a U.S. Senate Hearing on the high price of Novo Nordisk's prescription drugs Ozempic and Wegovy underlined some of the deepest challenges in the U.S. health care system. This article utilizes critical approaches to both political economy and sociological discussions of medicalization as a means to address these challenges. Market-led organization and medicalization underlie not only these products' pricing, but also wider issues of cost control and health care organization. Congressional debate tends to either attribute blame on individual corporate actors, largely sidestepping larger structural issues, or defend industry and profit-oriented care, deflecting blame for high costs on the lifestyle choices of individual Americans. The article reestablishes an interrelation between critical political economy and medicalization, calling for a reorientation of health purchasing in the United States, along the lines of a single payer system that would, by necessity, interrogate the value of evolving drug (and other medical) provision for American society. This argument has strong practical political implications, potentially enabling policymakers to approach the emergence of 'wonder' drugs like Ozempic/Wegovy on terms that matter to both patients and U.S. society-price, medical necessity, access, and overall health care costs.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"403-414"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13269720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147292121","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":"Deconstructing Resilience and Reconstructing Palestinian Endurance and Resistance.","authors":"Rita Giacaman","doi":"10.1177/27551938261423037","DOIUrl":"10.1177/27551938261423037","url":null,"abstract":"<p><p>This commentary critiques the concept of resilience in general drawing on the international literature, followed by an analysis of its application to Palestinians living in the Israeli occupied Palestinian territory (the West Bank, including Palestinian East Jerusalem, and the Gaza Strip).</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"306-312"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147292055","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":"Keeping People <i>Down</i>, <i>In (Line)</i> and <i>Out</i>: Structural Stigma and Missingness In Health Care.","authors":"David Baruffati, Mhairi Mackenzie, Calum Lindsay, David Ellis, Michelle Major, Catherine O'Donnell, Sharon Simpson, Geoff Wong, Andrea Williamson","doi":"10.1177/27551938261419417","DOIUrl":"10.1177/27551938261419417","url":null,"abstract":"<p><p>Recent years have seen the development of conceptualisations of stigma which have moved beyond individual-level analyses towards exploring how stigma operates across multiple levels. While empirical research has examined the impact of stigma across various domains, there remains scant research exploring the lived experience of <i>structural stigma</i>. In this article, we examine structural stigma as a driver of multiple missed appointments, or 'missingness', in health care. We draw on qualitative data from 61 interviews with health and social care professionals and experts-by-experience of missingness in the United Kingdom, focusing on three stigmatised statuses: people from marginalised racial and ethnic groups, including those in the asylum system; people with mental health conditions; and people experiencing problem substance use. We adapt Link and colleagues' schema of stigma outcomes-keeping people <i>down</i>, <i>in,</i> and <i>away</i>-to explore how structural stigma shapes access to and experiences of health care. Our findings demonstrate a range of such processes through which barriers to effective engagement occur, and suggest that a focus on structural stigma will benefit policy, practice, and future research in this area.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"360-373"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13269724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147292068","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":"The Economic Cost of Barriers to Health Care Access: A Cross-Sectional Study in India.","authors":"Shakeel Ahmed","doi":"10.1177/27551938261421532","DOIUrl":"10.1177/27551938261421532","url":null,"abstract":"<p><p>The assessment of barriers to health care access helps to form equitable health policy and programs for all. This article examines the institutional and noninstitutional barriers to health care access in India. The study uses the 75th round National Sample Survey (NSS) of consumption on health (2017-2018). Both institutional and noninstitutional barriers are analysed through descriptive analysis to explore some of the major barriers to health care access. A regression analysis is also conducted to arrive at the mean cost of such barriers. The result shows that 'unsatisfactory service quality' and a 'lack of preferred doctors/hospitals' are two major institutional barriers, and the 'ignorance of illness' is the major noninstitutional barrier to health care access. The result further shows that the 'unavailability of required services' incurs the highest mean cost of INR₹998, followed by the 'unsatisfactory service quality' (₹392) and a 'lack of preferred doctor/hospital' (₹201). The cost of private health care also varies across socioeconomic determinants such as place of residence, age, gender, caste, and class.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"426-433"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146260253","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":"Hidden Rainbows: Health Needs, Policy Challenges, and Socio-Ecological Factors Affecting the LGBTQIA+ Community in Primary Care in Manila, Philippines.","authors":"Adriel R Pizarra","doi":"10.1177/27551938261431282","DOIUrl":"10.1177/27551938261431282","url":null,"abstract":"<p><p>This qualitative study examined lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other minoritized sexual and gender identities (LGBTQIA+) primary care in Manila using a lens of minority stress theory within a social-ecological model. Focus group discussions, key informant interviews, and policy document analysis identified needs, barriers, and policy/institutional determinants. Unmet needs in mental health, sexual and reproductive health, HIV/sexual transmitted infections (STI) care, and gender-affirming care were analyzed. Individually, internalized stigma, anticipated discrimination, misinformation, and financial constraints discouraged disclosure and timely care. Interpersonally, family acceptance facilitated use, whereas rejection and peer-circulated misinformation impeded it. Institutionally, provider bias, limited LGBTQIA+ competency, confidentiality breaches, and recurring stock-outs constrained equitable access. Community organizations and informal networks bridged gaps but faced unstable funding and oversight. At the policy level, weak legal protections, decentralized governance, and financing gaps produced variable access and limited coverage for LGBTQIA+-relevant services. The analysis clarifies cross-level pathways by which policy ambiguity and institutional deficits amplify interpersonal and individual stressors. It specifies practical components of gender-affirming care in primary care-respectful identity practices, privacy-preserving records, and structured counseling/referral for gender-affirming hormone therapy. Recommended actions include mandatory provider training, stronger privacy safeguards, routine sexual orientation, gender identity and expression, and sex characteristics (SOGIESC)-disaggregated data, sustainable contracting with community groups, integrated mental health/HIV/sexual and reproductive health (SRH) with gender-affirming hormone treatment (GAHT) pathways, and financing reforms. Limitations include single-city scope, recruitment through service-linked channels, and a qualitative, cross-sectional design.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"388-402"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500911","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}