International journal of social determinants of health and health services最新文献_第7页

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

Parkinson's Disease Psychosis and the Marketing of Pimavanserin. 帕金森病精神病与 Pimavanserin 的营销。

International journal of social determinants of health and health services Pub Date : 2024-04-09 DOI: 10.1177/27551938241231531

Daisy Daeschler, A. Fugh-Berman

{"title":"Parkinson's Disease Psychosis and the Marketing of Pimavanserin.","authors":"Daisy Daeschler, A. Fugh-Berman","doi":"10.1177/27551938241231531","DOIUrl":"https://doi.org/10.1177/27551938241231531","url":null,"abstract":"In 2016, Nuplazid (pimavanserin) became the first FDA-approved treatment for Parkinson's Disease Psychosis (PDP). We explored the possibility that PDP was a term created to market Nuplazid. We examined trends in perceptions of psychosis in Parkinson's disease from the 1990s to 2020 through MEDLINE search term frequency, neurology textbooks, guidance from professional societies, Acadia annual reports, sponsored websites, and a sponsored meeting held by the National Institutes of Health (NIH). We analyzed continuing medical education (CME) activities on PDP and analyzed the connection between payments by the manufacturer of pimavanserin and prescriptions. Our analysis of nine sponsored CME activities reveals misleading themes, including: PDP is common, progressive, and not always drug-induced; there is no such thing as a benign hallucination, and psychotic symptoms always worsen; PDP increases mortality; and competing treatments are ineffective or dangerous while pimavanserin is safe and effective for treating PDP. Industry-sponsored CME was used to disseminate inaccurate and misleading marketing messages on psychosis related to Parkinson's disease. Some professional societies and some textbooks also resisted the PDP label. Reframing PDP as a unique condition is a typical example of condition branding. The establishment of PDP expanded the use of pimavanserin and is likely to have resulted in many avoidable deaths.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":"107 9","pages":"27551938241231531"},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140725036","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

United States' Nursing Home Finances: Spending, Profitability, and Capital Structure. 美国养老院财务状况：支出、盈利能力和资本结构。

International journal of social determinants of health and health services Pub Date : 2024-04-01 Epub Date: 2023-12-19 DOI: 10.1177/27551938231221509

Charlene Harrington, Richard Mollot, Robert Tyler Braun, Dunc Williams

{"title":"United States' Nursing Home Finances: Spending, Profitability, and Capital Structure.","authors":"Charlene Harrington, Richard Mollot, Robert Tyler Braun, Dunc Williams","doi":"10.1177/27551938231221509","DOIUrl":"10.1177/27551938231221509","url":null,"abstract":"Little is known about nursing home (NH) financial status in the United States even though most NH care is publicly funded. To address this gap, this descriptive study used 2019 Medicare cost reports to examine NH revenues, expenditures, net income, related-party expenses, expense categories, and capital structure. After a cleaning process for all free-standing NHs, a study population of 11,752 NHs was examined. NHs had total net revenues of US$126 billion and a profit of US$730 million (0.58%) in 2019. When US$6.4 billion in disallowed costs and US$3.9 billion in non-cash depreciation expenses were excluded, the profit margin was 8.84 percent. About 77 percent of NHs reported US$11 billion in payments to related-party organizations (9.54% of net revenues). Overall spending for direct care was 66 percent of net revenues, including 27 percent on nursing, in contrast to 34 percent spent on administration, capital, other, and profits. Finally, NHs had long-term debts that outweighed their total available financing. The study shows the value of analyzing cost reports. It indicates the need to ensure greater accuracy and completeness of cost reports, financial transparency, and accountability for government funding, with implications for policy changes to improve rate setting and spending limits.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"131-142"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10955796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138815240","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

Introduction to Issue 54:2. 第 542 期导言。

International journal of social determinants of health and health services Pub Date : 2024-04-01 Epub Date: 2024-03-06 DOI: 10.1177/27551938241237001

Joan Benach, Carles Muntaner

引用次数: 0

Scoping Review to Identify Social Determinants of Maternal Health in Morocco. 确定摩洛哥产妇保健的社会决定因素的范围审查。

International journal of social determinants of health and health services Pub Date : 2024-04-01 Epub Date: 2023-11-30 DOI: 10.1177/27551938231217589

Chaimae Moujahid, Jack E Turman, Hiba Houradi, Loubna Amahdar

{"title":"Scoping Review to Identify Social Determinants of Maternal Health in Morocco.","authors":"Chaimae Moujahid, Jack E Turman, Hiba Houradi, Loubna Amahdar","doi":"10.1177/27551938231217589","DOIUrl":"10.1177/27551938231217589","url":null,"abstract":"To understand the mechanism of health inequities and their influence on maternal health, the Commission on Social Determinants of Health (CSDH) provides a framework to identify structural and intermediate causes of health inequity. This review maps and describes the current socioeconomic determinants of maternal health in Morocco according to the CSDH framework. A scoping study was carried out from six databases (Springer, Web of Science, Pubmed, Science Direct, Jstor, and Cochrane library) based on quantitative and qualitative research done since 1990. Structural factors such as women's employment and economic status, education level, culture, and gender equity were influenced by intermediary factors such as place of residence, age at marriage, maternal age at childbirth, and parity (either alone or in conjunction with other variables). Together these factors worked to influence maternal health service usage or affected maternal health outcomes. Power dynamics were identified in a variety of social situations that impacted access to health care for women across socioeconomic categories. Studies reveal how social determinants impact maternal health in Morocco. Addressing these determinants is required for sustainably improving maternal and infant health in Morocco.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"151-162"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464792","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

Barriers to Elderly Health Care in the Occupied Palestinian Territories. 巴勒斯坦被占领土老年人保健面临的障碍。

International journal of social determinants of health and health services Pub Date : 2024-04-01 Epub Date: 2023-11-28 DOI: 10.1177/27551938231217413

Carol El Jabari, Inad Nawajah, Adel T Takruri, Sahar Hassan

{"title":"Barriers to Elderly Health Care in the Occupied Palestinian Territories.","authors":"Carol El Jabari, Inad Nawajah, Adel T Takruri, Sahar Hassan","doi":"10.1177/27551938231217413","DOIUrl":"10.1177/27551938231217413","url":null,"abstract":"This study examined different barriers to the access and utilization of primary health care services by the elderly in the occupied Palestinians territories. We collected quantitative data from a larger convenience sample of a national survey of 1299 persons in the occupied Palestinian territories (oPt) that examined the effects of Israel's colonization and its effects on health care delivery between October 2021 and February 2022. The research tool was based on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) questionnaire. The data was obtained from 76 elderly participants with a mean age of 68.33 years standard deviation (SD = 7.09 years). The majority (75%) reported having at least one chronic health issue and having limited access to health care. They had all finished at least six years of education. The participants claimed having health insurance, while 47.4 percent reported paying for out-of-pocket expenses and medical care was a burden. Access and affordability of health care was a problem for 70 percent of participants. Older persons and their families face access to care issues created by political, geographic, and economic barriers. Poor incomes, war-like conditions, a weak health care system, and a lack of comprehensive care delivery all impact their health.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"143-150"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138453245","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

A European Salk Institute Could Ensure Accessible and Affordable Medicines. 欧洲索尔克研究所可确保药物的可及性和可负担性。

International journal of social determinants of health and health services Pub Date : 2024-04-01 Epub Date: 2024-02-20 DOI: 10.1177/27551938241232239

Wim De Ceukelaire, Tim Joye

{"title":"A European Salk Institute Could Ensure Accessible and Affordable Medicines.","authors":"Wim De Ceukelaire, Tim Joye","doi":"10.1177/27551938241232239","DOIUrl":"10.1177/27551938241232239","url":null,"abstract":"Many researchers, consumer groups, activists and civil society organizations agree that the pharmaceutical sector has been left too much to the private sector, which is solely driven by a profit motive. Therefore, it is imperative to take a bold initiative to turn the idea of medicine, pharmaceutical products, and health technology as a common good into a reality. We propose to establish a European institute that can oversee an ambitious research portfolio. This institute can provide research grants or do in-house research but, in any case, any intellectual property rights emanating from the research will have to be shared in the interest of the public good. A collective knowledge pool, where all results and technological knowledge are gathered and shared, will likewise be part of the institute. Any final product developed within the Institute will be subject to an open license. We ensure that all necessary data and information remain public and that know-how about the production of a medicine can be passed on to those who need it. Finally, this institute should have a focus on production and distribution. Price, quality, availability and even working conditions of the staff will be criteria in any bidding process.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"183-190"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914218","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