International journal of social determinants of health and health services最新文献_第4页

An Examination of Inter-State Variation in Utilization of Healthcare Services, Associated Financial Burden and Inequality: Evidence from Nationally Representative Survey in India. 医疗保健服务利用、相关经济负担和不平等的州际差异研究：来自印度全国代表性调查的证据。

International journal of social determinants of health and health services Pub Date : 2024-07-01 Epub Date: 2024-03-11 DOI: 10.1177/27551938241230761

Aashima, Rajesh Sharma

{"title":"An Examination of Inter-State Variation in Utilization of Healthcare Services, Associated Financial Burden and Inequality: Evidence from Nationally Representative Survey in India.","authors":"Aashima, Rajesh Sharma","doi":"10.1177/27551938241230761","DOIUrl":"10.1177/27551938241230761","url":null,"abstract":"This study examines the health care utilization pattern, associated financial catastrophes, and inequality across Indian states to understand the subnational variations and aid the policy makers in this regard. Data from recent National Sample Survey (2017-2018), titled, \"Household Social Consumption: Health,\" covering 113,823 households, was employed in the study. Descriptive statistics, Erreygers concentration index (CI), and recentered influence function decomposition were applied in the study. We found that, in India, 7 percent of households experienced catastrophic health expenditure (CHE) and 1.9 percent of households were pushed below poverty line due to out-of-pocket expenditure on hospitalization. Notably, outpatient care was more burdensome (CHE: 12.1%; impoverishment: 4%). Substantial interstate variations were observed, with high financial burden in poorer states. Utilization of health care services from private health care providers was pro-rich (hospitalization CI 0.31; outpatient CI 0.10), while the occurrence of CHE incidence was pro-poor (hospitalization CI -0.10; outpatient CI -0.14). Education level, economic status, health insurance, and area of residence contributed significantly to inequalities in utilization of health care services from private providers and financial burden. The high financial burden of seeking health care necessitates the need to increase public health spending and strengthen public health infrastructure. Also, concerted efforts directed towards increasing awareness about health insurance and introducing comprehensive health insurance products (covering both inpatient and outpatient services) are imperative to augment financial risk protection in India.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"206-223"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140095295","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

Social Mechanisms, Labour Markets and the Politics of Health. 社会机制、劳动力市场和健康政治。

International journal of social determinants of health and health services Pub Date : 2024-07-01 Epub Date: 2024-05-28 DOI: 10.1177/27551938241257182

Joan Benach, Carles Muntaner

引用次数: 0

The U-Shaped Curve of Health Inequalities Over the 20th and 21st Centuries. 20 世纪和 21 世纪健康不平等的 U 型曲线。

International journal of social determinants of health and health services Pub Date : 2024-07-01 Epub Date: 2024-04-01 DOI: 10.1177/27551938241244695

Clare Bambra

{"title":"The U-Shaped Curve of Health Inequalities Over the 20th and 21st Centuries.","authors":"Clare Bambra","doi":"10.1177/27551938241244695","DOIUrl":"10.1177/27551938241244695","url":null,"abstract":"This article examines historical trends in health inequalities over the 20th and 21st centuries. Drawing on studies from the United States, United Kingdom, Sweden, and Western Europe, it concludes that there is evidence of a u-shaped curve in (relative) health inequalities. These trends in health inequalities broadly parallel those identified by economists with regards to the u-shaped curve of income and wealth inequalities across the 20th and 21st centuries. The article argues that-as with income inequalities-health inequalities generally decreased across the twentieth century through to the early 1980s. They then started to increase and accelerated further from 2010, particularly in the United Kingdom and the United States. The article sets out four distinct policy periods that shaped the evolution of trends in health inequalities: the Interbellum Era, 1920-1950; the Trente Glorieuse, 1950-1980; Neoliberalism, 1980-2010; and the Crisis Age, 2010-present. The u-shaped curve of health inequalities over this period suggests that social policies, health care access, and political incorporation have driven changes over time. Taking this long view of changes in health inequalities emphasizes the importance of politics and policy for future health improvement.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"199-205"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11157973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337898","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

Cambodia's Imminent Graduation from Least Developed Country Status: What Will be the Impact of the TRIPS Agreement on Access to HIV and Hepatitis C Medicines in Cambodia? 柬埔寨即将脱离最不发达国家地位：与贸易有关的知识产权协议》将对柬埔寨获取艾滋病和丙型肝炎药物产生什么影响？

International journal of social determinants of health and health services Pub Date : 2024-07-01 Epub Date: 2024-04-02 DOI: 10.1177/27551938241242602

Brigitte Tenni, Joel Lexchin, Sovath Phin, Deborah Gleeson

{"title":"Cambodia's Imminent Graduation from Least Developed Country Status: What Will be the Impact of the TRIPS Agreement on Access to HIV and Hepatitis C Medicines in Cambodia?","authors":"Brigitte Tenni, Joel Lexchin, Sovath Phin, Deborah Gleeson","doi":"10.1177/27551938241242602","DOIUrl":"10.1177/27551938241242602","url":null,"abstract":"Cambodia has experienced exponential economic growth in recent years and is expected to graduate from least developed country (LDC) status within the next decade. Membership of the World Trade Organization (WTO) will require Cambodia to grant product and process patents for pharmaceuticals upon LDC graduation. This study aims to measure the impact of the WTO Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) on the price of HIV and hepatitis C medicine in Cambodia once it graduates from LDC status and is obliged to make patents available for pharmaceutical products and processes. Using scenarios based on likely outcomes of accession to the TRIPS Agreement, it measures the impact on the price of the HIV treatment program and compares that impact with the hepatitis C treatment program. Graduation from LDC status would be expected to result in a modest increase in the cost of the antiretroviral (ARV) treatment program and very large increases in the cost of the direct acting antivirals (DAA) treatment program. If annual treatment budgets remain constant, patent protection could see 1,515 fewer people living with HIV able to access ARV treatment and 2,577 fewer people able to access DAA treatment (a drop in treatment coverage of 93%).","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"295-308"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11157998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337896","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

Labor Pains: Work-Related Barriers to Access to Health Care for People Living with HIV in Hyderabad, India. 劳动的痛苦：在印度海得拉巴，艾滋病病毒感染者在获得医疗服务时遇到的与工作有关的障碍。

International journal of social determinants of health and health services Pub Date : 2024-07-01 Epub Date: 2024-03-31 DOI: 10.1177/27551938241234223

Sameena Azhar, Casey Dean, Riya Lerner, Sabitha Gandham, Ganesh Oruganti, Vijay Yeldandi

引用次数: 0

Working Conditions, Worker Rights, and Managerial Domination During the COVID-19 Pandemic: Assessing Their Toll on Precariously Employed Workers and Family Well-Being. COVID-19 大流行期间的工作条件、工人权利和管理支配：评估其对危险就业工人和家庭福祉的影响》。

International journal of social determinants of health and health services Pub Date : 2024-07-01 Epub Date: 2024-05-30 DOI: 10.1177/27551938241253789

Patricia O'Campo, Virginia Gunn, Melissa Perri, Pearl Buhariwala, Elham Rasoulain, Maryam Daneshvardfard, Rachel W Ma, Wayne Lewchuck, Sherry Baron, Theo Bodin, Carles Muntaner

{"title":"Working Conditions, Worker Rights, and Managerial Domination During the COVID-19 Pandemic: Assessing Their Toll on Precariously Employed Workers and Family Well-Being.","authors":"Patricia O'Campo, Virginia Gunn, Melissa Perri, Pearl Buhariwala, Elham Rasoulain, Maryam Daneshvardfard, Rachel W Ma, Wayne Lewchuck, Sherry Baron, Theo Bodin, Carles Muntaner","doi":"10.1177/27551938241253789","DOIUrl":"10.1177/27551938241253789","url":null,"abstract":"Precarious Employment (PE) is characterized by job, income, and benefit insecurities. Studies surrounding PE and well-being have been predominantly quantitative, leaving a gap in rich descriptions of employment experiences. We recruited a sample of 40 adults aged 25-55 who were involved in PE during the beginning of the COVID-19 pandemic or lost employment due to the pandemic. Semi-structured interviews were administered. Employment and income insecurities were common and had negative impacts on the well-being of participants and their families. Uncertainty about future employment prospects and job and income loss resulted in chronic distress. Other insecurities-access to benefits, violation of worker rights, worker safety-was also reported as impacting well-being. The COVID-19 pandemic deepened insecurities, hardships, and distress among workers with PE conditions. Given the myriad insecurities experienced by those engaged in PE, the focus of precarious work research should also include working conditions, violation of worker rights, and managerial domination.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"233-246"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11157980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141176730","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

Impact of Political Violence on Health: The Case of Academics for Peace in Turkey. 政治暴力对健康的影响：土耳其和平学者案例。

International journal of social determinants of health and health services Pub Date : 2024-07-01 Epub Date: 2024-01-15 DOI: 10.1177/27551938231226361

Aslı Davas, Feride Aksu Tanık

{"title":"Impact of Political Violence on Health: The Case of Academics for Peace in Turkey.","authors":"Aslı Davas, Feride Aksu Tanık","doi":"10.1177/27551938231226361","DOIUrl":"10.1177/27551938231226361","url":null,"abstract":"This study examines the profound impact of political violence and repression on the mental and physical health of Academics for Peace (AfP) in Turkey. The research combines quantitative and qualitative data to explore the interplay between violence, stigmatization, and health outcomes among the affected academics. This study particularly focuses on the aftermath of the State of Emergency in Turkey in 2016, which led to the dismissal of thousands of academics. We employ the World Health Organization's definition of violence to understand the broad nature of violent acts, encompassing power dynamics and systemic repression. The findings highlight the extensive physical and mental health consequences faced by AfP due to political violence. The prevalence of diagnosed mental illness among respondents is notably high, indicating that exposure to trauma, threats, and repression leads to severe mental distress. Anxiety, depression, post-traumatic stress disorder, and musculoskeletal diseases are among the common health issues reported. The research underscores how political violence disrupts psychosocial pillars including safety and security, bonds and networks, justice, roles and identities, and existential meaning, and explores how these disruptions contribute to communal mental health deterioration. It also identifies the impact on well-being of economic losses, uncertainties, and isolation from social and academic networks.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"285-294"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139473156","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

Capitalizing on Hope: Questionable Marketing Approval and Pricing of a New ALS Drug. 利用希望：一种 ALS 新药令人质疑的市场审批和定价。

International journal of social determinants of health and health services Pub Date : 2024-04-22 DOI: 10.1177/27551938241247778

Matthew B. Flynn, James F Flynn, Ana M. Palacios

{"title":"Capitalizing on Hope: Questionable Marketing Approval and Pricing of a New ALS Drug.","authors":"Matthew B. Flynn, James F Flynn, Ana M. Palacios","doi":"10.1177/27551938241247778","DOIUrl":"https://doi.org/10.1177/27551938241247778","url":null,"abstract":"Regulatory agencies must balance patient demands to access new treatments for fatal diseases with limited treatment options while ensuring drug safety and efficacy. However, questionable U.S. regulatory actions resulted in the early approval of AMX0035 to treat amyotrophic lateral sclerosis (ALS) by reconvening advisory commissions to obtain positive decisions and designating the drug as a new molecular entity. Data from one randomized clinical trial suggests minimal delays in disease progression and longer survivability, but debate remains about the lack of confirmatory evidence of effectiveness owing to study limitations. A patient's decision-making process details the experience of using the drug, including perspectives on access, cost, effectiveness, and adverse effects. In line with the \"nichebuster\" business model, the drugmaker, Amylyx Pharmaceuticals, is charging US$158,000/year/patient and thus forecast to turn a profit on a drug with debatable clinical effectiveness prior to completing a Phase 3 trial. Early marketing approval, despite community demands, is unnecessary and may have reduced access because of the end of a compassionate use program, and the high price tag results in restricted coverage and high out-of-pocket costs. Also, the drug's key ingredients are available as a generic and a supplement.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":"39 24","pages":"27551938241247778"},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140676010","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 Legacy of President Lázaro Cárdenas for Health Care Reform in Today's Mexico. 拉萨罗-卡德纳斯总统留给当今墨西哥医疗改革的遗产。

International journal of social determinants of health and health services Pub Date : 2024-04-22 DOI: 10.1177/27551938241245675

Carole H Browner, Gustavo Leal Fernández, Héctor Javier Sánchez-Pérez

引用次数: 0

Gender Violence During the Three Ages of Life and the Impact of the Covid-19 Pandemic: A Review. 人生三个年龄段的性别暴力与 Covid-19 大流行病的影响：回顾。

International journal of social determinants of health and health services Pub Date : 2024-04-22 DOI: 10.1177/27551938241247776

Gaetano Di Donna, P. Di Lorenzo, C. I. Aquino, M. Marisei, Claudia Casella, Daniela Surico, Massimo Niola, Maurizio Guida

{"title":"Gender Violence During the Three Ages of Life and the Impact of the Covid-19 Pandemic: A Review.","authors":"Gaetano Di Donna, P. Di Lorenzo, C. I. Aquino, M. Marisei, Claudia Casella, Daniela Surico, Massimo Niola, Maurizio Guida","doi":"10.1177/27551938241247776","DOIUrl":"https://doi.org/10.1177/27551938241247776","url":null,"abstract":"Children, women, and older people suffer different types of violence, which appears to have been exacerbated during the COVID-19 pandemic and the relative lockdown. The aim of this study is to analyze the literature about gender violence and abuse in the different ages of life and during the COVID-19 lockdown. Data were obtained from an electronic literature search using various online sources such as PubMed, Google Scholar, Science Direct and Web of Science. The terms \"child abuse\" were the most frequently used, followed in frequency by \"gender violence,\" \"femicide,\" and, lastly, \"elderly abuse.\" The first studies considered gender-based violence as a purely physical problem, then, progressively, the analysis focused on the psychological point of view of the issue. There was a greater number of studies in 2020 about violence in comparison with previous years. The social and scientific attention to gender-based violence appeared to be very poor, especially in the case of older people abuse. It is necessary to increase general attention to the topic to correctly identify each form of abuse and to be able to take care of the subjects most at risk.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":"12 9","pages":"27551938241247776"},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140677812","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