{"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":"<p><p>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.</p>","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}
{"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":"<p><p>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.</p>","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}
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":"<p><p>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.</p>","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}
{"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":"<p><p>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.</p>","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}
{"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}
{"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}
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":"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}