{"title":"Supplementary Private Health Insurance and Household Debt, Health Care Utilization, and Medical Spending Following A Health Shock.","authors":"Sooyeol Park, Kanghee Kim, Kevin Callison","doi":"10.1177/27551938241293382","DOIUrl":"10.1177/27551938241293382","url":null,"abstract":"<p><p>This article aims to evaluate the effect of enrolling in supplementary private health insurance on household debt, medical spending, and medical service use among South Koreans experiencing a health shock. Using data from the Korean Welfare Panel Study from 2009 through 2017, we compared household debt and health service use for those with and without private supplemental health insurance after experiencing a health shock. We found no significant differences in household debt or the financial burden of a health shock between those with and without supplemental health insurance coverage following a shock. Households with supplemental coverage used more medical services compared to households without supplementary coverage and incurred additional medical expenses.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"187-198"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11977816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549349","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":"Pharmaceutical Industry Payments to Patient Organizations in Poland: Analysis of the Patterns, Evolution, and Structure of Connections.","authors":"Marta Makowska, Shai Mulinari, Piotr Ozieranski","doi":"10.1177/27551938241305995","DOIUrl":"10.1177/27551938241305995","url":null,"abstract":"<p><p>Drug company funding can create conflicts of interest that compromise the integrity of patient organizations, a problem studied primarily in Western Europe and North America. To address this research gap, we conducted a case study in Poland, a Central European country. Between 2012 and 2020, 33 companies reported payments worth €13 729 644 to 273 patient organizations in Poland. The funding was highly concentrated, with the top ten recipients amassing 46.2 percent of the total amount. Cancer patient organizations were the primary recipients, receiving 37.5 percent. The funding focused on patient organizations' educational activities, constituting 40.4 percent of the total. For the ten companies reporting payments consistently from 2012 to 2020, we detected an increase in both the value of individual payments and the overall value of the funding. Additionally, some patient organizations formed exclusive, or nearly exclusive, ties with single companies. Overall, our study reveals important similarities between Poland and Western countries in the reported distribution of drug company payments to patient organizations. It also highlights priority areas for further research, including the evolution and structure of the financial connections.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"199-212"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11977834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900913","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}
Carin Håkansta, Virginia Gunn, Bertina Kreshpaj, Nuria Matilla-Santander, David H Wegman, Christer Hogstedt, Emilia F Vignola, Carles Muntaner, Theo Bodin, Patricia O'Campo, Wayne Lewchuk
{"title":"What is the Role of Minimum Wages in Addressing Precarious Employment in the Informal and Formal Sectors? Findings from a Systematic Review.","authors":"Carin Håkansta, Virginia Gunn, Bertina Kreshpaj, Nuria Matilla-Santander, David H Wegman, Christer Hogstedt, Emilia F Vignola, Carles Muntaner, Theo Bodin, Patricia O'Campo, Wayne Lewchuk","doi":"10.1177/27551938241286463","DOIUrl":"10.1177/27551938241286463","url":null,"abstract":"<p><p>This article presents synthesized evidence from 16 studies examining initiatives with potential to mitigate workers' exposure to precarious employment through the adoption of minimum wage policies. All studies were set in low-income countries and focused on both formal and informal workers. A systematic review of evaluated initiatives addressing precarious employment identified the evidence. We consider minimum wage policies as initiatives that could address precarious employment because of the central role of minimum wages in establishing employment terms for workers in precarious situations. We include initiatives aimed at formal and informal workers, given that precarious employment can exist in both sectors, that these workers share concerns regarding income and would benefit from minimum wage policies. The findings imply that minimum wage policies could increase precariously employed workers' financial compensation, although with some differences and with little or no effect on employment security. It is not feasible to extend these conclusions beyond low-income economies due to differences with high-income economies in how the mechanisms through which minimum wage policies could impact worker compensation and employment security. However, they should serve as a reminder for high-income economies, many of which experience expanding informal sectors, about the need for related research and policy.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"124-147"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11977811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382640","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":"Responding to the existential threats to global health and health equity: Opening speech of the 2023 Presentation of the IJSDOHS.","authors":"Joan Benach","doi":"10.1177/27551938251322262","DOIUrl":"https://doi.org/10.1177/27551938251322262","url":null,"abstract":"","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":"55 2","pages":"115-123"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060578","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":"Prevalence and Sociodemographic Factors Associated with Overweight and Obesity Among Adults in Colombia: A Pooled Analysis.","authors":"Paula Andrea Castro-Prieto, Jeroen J A Spijker","doi":"10.1177/27551938241304714","DOIUrl":"10.1177/27551938241304714","url":null,"abstract":"<p><p>Given the increased prevalence of overweight and obesity in adults in Colombia, estimating the effect of sociodemographic factors on overweight and obesity is crucial for creating and implementing public health policies. A pooled analysis was performed using a multinomial logistic regression model through Colombian Nutritional Situation Surveys held in 2010 and 2015. The study included Colombian adults between 18 and 64 years old (n = 162,119). Overall, the prevalence of obesity increased from 16.47 percent in 2010 to 18.67 percent in 2015, being higher in women than in men in both surveys. Multinomial logistic regression analysis revealed that the most critical factor of being overweight and obese were older age, having a higher level of education, being engaged in household activities, and living in regions other than the country's capital. Additionally, for obesity, belonging to the Afro Colombian racial-ethnic group and being a woman were associated with an increased probability. In conclusion, these results provide more information on the sociodemographic factors related to overweight and obesity, which will help focus public health policies on higher-risk populations, such as racial-ethnic communities.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"213-231"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973662","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}
Welington Serra Lazarini, Francis Sodré, Carlos Eduardo Siqueira
{"title":"Health Policies Within the Poverty Agendas of the Lula Da Silva and Rousseff Administrations: The Influence of the World Bank.","authors":"Welington Serra Lazarini, Francis Sodré, Carlos Eduardo Siqueira","doi":"10.1177/27551938241291715","DOIUrl":"10.1177/27551938241291715","url":null,"abstract":"<p><p>The anti-poverty agenda has been at the heart of the World Bank's discourse in recent decades. Social policies started to be identified as strategic for combating poverty and promoting development in poor countries. We analyzed the health policy recommendations made by the World Bank to Brazil in the Lula da Silva and Rousseff administrations from 2003 to 2014. Document analysis was used to explore the partnership contracts between the World Bank and Brazil, projects financed by the World Bank in Brazil, and the document \"20 Years of Construction of the Health System in Brazil: An Analysis of the Unified Health System.\" Content analysis of documents show that there was a predominance of projects focusing on reducing poverty, while social policies occupied a secondary place in the agenda. The World Bank approached states and municipalities expanding the spread of its state reform agenda, in addition to reinterpreting the structural framework of the <i>Sistema Único de Saúde</i> (SUS). We conclude that the Bank acted to limit the original principles of the SUS in favor of hegemonic interests of the current phase of capitalist accumulation.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"178-186"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142712034","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":"Reflecting on Current Challenges, Goals and Directions in SDOH.","authors":"Joan Benach, Carles Muntaner","doi":"10.1177/27551938251319501","DOIUrl":"10.1177/27551938251319501","url":null,"abstract":"","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"111-114"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538117","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}
Emilia F Vignola, Jia Li, Sharon R Silver, Sherry Baron
{"title":"The Health of Those Who Feed Us: An Assessment of Health Inequities Along the United States Food Chain.","authors":"Emilia F Vignola, Jia Li, Sharon R Silver, Sherry Baron","doi":"10.1177/27551938241285109","DOIUrl":"10.1177/27551938241285109","url":null,"abstract":"<p><p>While the health of all depends on the food chain, few studies have focused systematically on the health of food chain workers themselves (production, manufacturing, wholesale, retail, and commercial and institutional services). In this study we used 2018 and 2019 data from the Behavioral Risk Factor Surveillance System (BRFSS) to examine health-related metrics of food chain workers, combined and by industry sector, compared to non-food chain workers, among 32 U.S. states. Logistic regression indicated U.S. food chain workers had higher prevalences of barriers to health care access, smoking, no physical exercise, and poor self-reported health than all other workers. Patterns were similar among food chain workers in all industry sectors except wholesale. Additionally, commercial food services workers had higher prevalence of poor mental health, while institutional food services workers had higher prevalences of obesity, diabetes, and hypertension than all other workers. We discuss implications of these results for interventions, with specific attention to improving employment conditions. Food chain worker health is critical for food system sustainability and population health equity.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"148-161"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11973228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382639","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 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":"https://doi.org/10.1177/27551938251327111","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938251327111"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","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}
{"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":"https://doi.org/10.1177/27551938251314656","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938251314656"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","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}