International journal of social determinants of health and health services最新文献_第8页

"What Works" to Support LGBTQ+ Young People's Mental Health: An Intersectional Youth Rights Approach. 支持 LGBTQ+ 青少年心理健康的 "有效方法"：交叉青少年权利方法》。

International journal of social determinants of health and health services Pub Date : 2024-04-01 Epub Date: 2024-02-22 DOI: 10.1177/27551938241230766

Elizabeth McDermott, Rachael Eastham, Elizabeth Hughes, Katherine Johnson, Stephanie Davis, Steven Pryjmachuk, Ceu Mateus, Felix McNulty, Olu Jenzen

{"title":"\"What Works\" to Support LGBTQ+ Young People's Mental Health: An Intersectional Youth Rights Approach.","authors":"Elizabeth McDermott, Rachael Eastham, Elizabeth Hughes, Katherine Johnson, Stephanie Davis, Steven Pryjmachuk, Ceu Mateus, Felix McNulty, Olu Jenzen","doi":"10.1177/27551938241230766","DOIUrl":"10.1177/27551938241230766","url":null,"abstract":"Despite overwhelming international evidence of elevated rates of poor mental health in LGBTQ+ youth compared to their cis-heterosexual peers, we know relatively little about effective mental health services for this population group. This study aims to produce the first early intervention model of \"what works\" to support LGBTQ+ youth with emerging mental health problems. Utilizing a mixed method case study, we collected data across 12 UK mental health service case study sites that involved: (a) interviews with young people, parents, and mental health practitioners (n = 93); (b) documentary analysis; (c) nonparticipant observation. The data analysis strategy was theoretical using the \"explanation-building\" analytical technique. Our analysis suggests an intersectional youth rights approach with 13 principles that must be enacted to provide good mental health services as advocated by the United Nations Convention on the Rights of the Child and World Health Organization. This approach should address the multiple forms of marginalization and stigmatization that LGBTQ+ youth may experience, enable informed independent decision-making, and uphold the right to freedom of safe self-expression. A rights-based approach to mental health services for LGBTQ+ young people is not prominent. This needs to change if we are to tackle this mental health inequality and improve the mental well-being of LGBTQ+ youth worldwide.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"108-120"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10955791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139934513","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

The Benefits of Cooperative Inquiry in Health Services Research: Lessons from an Australian Aboriginal and Torres Strait Islander Health Study. 合作调查在医疗服务研究中的益处：澳大利亚原住民和托雷斯海峡岛民健康研究的经验。

International journal of social determinants of health and health services Pub Date : 2024-04-01 Epub Date: 2023-12-25 DOI: 10.1177/27551938231221757

Toby Freeman, Tamara Mackean, Juanita Sherwood, Anna Ziersch, Kim O'Donnell, Judith Dwyer, Deborah Askew, Madison Shakespeare, Shane D'Angelo, Matthew Fisher, Annette Browne, Sonya Egert, Vahab Baghbanian, Fran Baum

{"title":"The Benefits of Cooperative Inquiry in Health Services Research: Lessons from an Australian Aboriginal and Torres Strait Islander Health Study.","authors":"Toby Freeman, Tamara Mackean, Juanita Sherwood, Anna Ziersch, Kim O'Donnell, Judith Dwyer, Deborah Askew, Madison Shakespeare, Shane D'Angelo, Matthew Fisher, Annette Browne, Sonya Egert, Vahab Baghbanian, Fran Baum","doi":"10.1177/27551938231221757","DOIUrl":"10.1177/27551938231221757","url":null,"abstract":"Health services research is underpinned by partnerships between researchers and health services. Partnership-based research is increasingly needed to deal with the uncertainty of global pandemics, climate change induced severe weather events, and other disruptions. To date there is very little data on what has happened to health services research during the COVID-19 pandemic. This paper describes the establishment of an Australian multistate Decolonising Practice research project and charts its adaptation in the face of disruptions. The project used cooperative inquiry method, where partner health services contribute as coresearchers. When the COVID-19 pandemic hit, data collection needed to be immediately paused, and when restrictions started to lift, all research plans had to be renegotiated with services. Adapting the research surfaced health service, university, and staffing considerations. Our experience suggests that cooperative inquiry was invaluable in successfully navigating this uncertainty and negotiating the continuance of the research. Flexible, participatory methods such as cooperative inquiry will continue to be vital for successful health services research predicated on partnerships between researchers and health services into the future. They are also crucial for understanding local context and health services priorities and ways of working, and for decolonising Indigenous health research.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"171-182"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10955798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139038271","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

Depression and Global Mental Health in the Global South: A Critical Analysis of Policy and Discourse. 全球南方的抑郁症与全球心理健康：对政策和言论的批判性分析》。

International journal of social determinants of health and health services Pub Date : 2024-04-01 Epub Date: 2023-12-17 DOI: 10.1177/27551938231220230

Gojjam Limenih, Arlene MacDougall, Marnie Wedlake, Elysee Nouvet

{"title":"Depression and Global Mental Health in the Global South: A Critical Analysis of Policy and Discourse.","authors":"Gojjam Limenih, Arlene MacDougall, Marnie Wedlake, Elysee Nouvet","doi":"10.1177/27551938231220230","DOIUrl":"10.1177/27551938231220230","url":null,"abstract":"Over the past two decades, depression has become a prominent global public health concern, especially in low- and middle-income countries (LMICs). The World Health Organization (WHO) and the Movement for Global Mental Health have developed international guidelines to improve mental health services globally, prioritizing LMICs. These efforts hold promise for advancing care and treatment for depression and other mental, neurological, and substance abuse disorders in LMICs. The intervention guides, such as the WHO's mhGAP-Intervention Guides, are evidence-based tools and guidelines to help detect, diagnose, and manage the most common mental disorders. Using the Global South as an empirical site, this article draws on Foucauldian critical discourse and document analysis methods to explore how these international intervention guides operate as part of knowledge-power processes that inscribe and materialize in the world in some forms rather than others. It is proposed that these international guidelines shape the global discourse about depression through their (re)production of biopolitical assumptions and impacts, governmentality, and \"conditions of possibility.\" The article uses empirical data to show nuance, complexity, and multi-dimensionality where binary thinking sometimes dominates, and to make links across arguments for and against global mental health. The article concludes by identifying several resistive discourses and suggesting reconceptualizing the treatment gap for common mental disorders.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"95-107"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10955781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138815238","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

Food Insecurity and Social Policy: A Comparative Analysis of Welfare State Regimes in 19 Countries. 粮食不安全与社会政策：19 个国家福利国家制度的比较分析》。

International journal of social determinants of health and health services Pub Date : 2024-04-01 Epub Date: 2023-12-12 DOI: 10.1177/27551938231219200

Seth A Berkowitz, Connor Drake, Elena Byhoff

{"title":"Food Insecurity and Social Policy: A Comparative Analysis of Welfare State Regimes in 19 Countries.","authors":"Seth A Berkowitz, Connor Drake, Elena Byhoff","doi":"10.1177/27551938231219200","DOIUrl":"10.1177/27551938231219200","url":null,"abstract":"We sought to determine whether a country's social policy configuration-its welfare state regime-is associated with food insecurity risk. We conducted a cross-sectional study of 2017 U.N. Food and Agriculture Organization individual-level food insecurity survey data from 19 countries (the most recent data available prior to COVID-19). Countries were categorized into three welfare state regimes: liberal (e.g., the United States), corporatist (e.g., Germany), or social democratic (e.g., Norway). Food insecurity probability, calibrated to an international reference standard, was calculated using a Rasch model. We used linear regression to compare food insecurity probability across regime types, adjusting for per-capita gross domestic product, age, gender, education, and household composition. There were 19,008 participants. The mean food insecurity probability was 0.067 (SD: 0.217). In adjusted analyses and compared with liberal regimes, food insecurity probability was lower in corporatist (risk difference: -0.039, 95% CI -0.066 to -0.011, p = .006) and social democratic regimes (risk difference: -0.037, 95% CI -0.062 to -0.012, p = .004). Social policy configuration is strongly associated with food insecurity risk. Social policy changes may help lower food insecurity risk in countries with high risk.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"76-86"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10954393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138815239","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

The Struggle to Regulate Precarious Work Arrangements to Minimize Their Adverse Effects on Health and Safety in Australia. 澳大利亚努力规范不稳定工作安排，以尽量减少其对健康和安全的不利影响。

International journal of social determinants of health and health services Pub Date : 2024-04-01 Epub Date: 2024-02-25 DOI: 10.1177/27551938241234753

Elsa Underhill, Michael Quinlan

引用次数: 0

Socioeconomic Patterns in the Frequency of Doctor Visits in Germany and Spain in Subjects With and Without Chronic Diseases. 德国和西班牙慢性病患者和非慢性病患者看病频率的社会经济模式。

International journal of social determinants of health and health services Pub Date : 2024-04-01 Epub Date: 2024-01-03 DOI: 10.1177/27551938231224708

Almudena Moreno, Lourdes Lostao, Stefanie Sperlich, Johannes Beller, Elena Ronda, Siegfried Geyer, Enrique Regidor

{"title":"Socioeconomic Patterns in the Frequency of Doctor Visits in Germany and Spain in Subjects With and Without Chronic Diseases.","authors":"Almudena Moreno, Lourdes Lostao, Stefanie Sperlich, Johannes Beller, Elena Ronda, Siegfried Geyer, Enrique Regidor","doi":"10.1177/27551938231224708","DOIUrl":"10.1177/27551938231224708","url":null,"abstract":"The objective of universal health care systems is to achieve equality in the use of health services at the same level of care need. This study evaluates the relationship of socioeconomic position with the frequency of doctor visits in subjects with and without chronic diseases in Germany and Spain. The dependent variables included number of consultations and if a medical consultation occurred. The socioeconomic factors were income and education. The magnitude of the relationship between socioeconomic position and medical consultation frequency was estimated by calculating the percentage ratio using binomial regression and by calculating the difference in consultations by analysis of the covariance, in the case of number of visits. Statistically significant findings according to education were not observed. The percentage ratio in the medical consultations among those with lower and higher income was 1.03 (95% confidence interval [CI] 1.01-2.88) in Germany and 1.11 (95% CI 1.03-1.20) in Spain among subjects with any of the studied chronic conditions. Also, in Germany the difference in the average number of consultations comparing lower income subjects with higher was 3.98 (95% CI 2.40-5.57) in those with chronic conditions. In both countries, there were no differences in the frequency of doctor visits according to education. However, a pro-inequality trend exists in favor of subjects with lower income.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"121-130"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139081133","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

Understanding Health Inequalities Research Capacities: Insights and Recommendations From Comparing Two High Income Settings. 了解健康不平等问题的研究能力：比较两个高收入环境的启示和建议》。

International journal of social determinants of health and health services Pub Date : 2024-04-01 Epub Date: 2024-02-04 DOI: 10.1177/27551938241230006

Lucinda Cash-Gibson, Joan Benach

{"title":"Understanding Health Inequalities Research Capacities: Insights and Recommendations From Comparing Two High Income Settings.","authors":"Lucinda Cash-Gibson, Joan Benach","doi":"10.1177/27551938241230006","DOIUrl":"10.1177/27551938241230006","url":null,"abstract":"Generating evidence on health inequalities (HI) is necessary to raise awareness of these issues, describe and monitor their evolution, analyze their causes, and inform interventions aiming to improve health equity. Yet not all cities and countries have the capacity to produce this type of research. Recent research provides new contextual and causal insights into this research production process, and in-depth understanding on why and how this type of research is produced in certain settings. This article aims to analyze two recent case studies that have uniquely explored this process in two high producers of HI research and high-income country settings to identify learning and distil recommendations, which may be insightful for other settings. Expanding and investing in this line of research is critical, particularly in places with lower HI research output and related capacity, in order to identify key contextual conditions and mechanisms that may enable or hinder this process. This new knowledge could guide the development of new HI research capacity strengthening strategies to foster this research in different settings, worldwide. More understanding is also needed on the relationship between HI research, policy, and action in order to tackle HI.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"163-170"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139682068","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 and Facilitators to Accessing Sexual and Reproductive Health Services Among Transgender People: A Meta-Synthesis. 变性人获得性与生殖健康服务的障碍和促进因素：元综合。

International journal of social determinants of health and health services Pub Date : 2024-01-01 Epub Date: 2023-07-20 DOI: 10.1177/27551938231187863

Mina Saadat, Afsaneh Keramat, Shayesteh Jahanfar, Ali Mohammad Nazari, Hadi Ranjbar, Zahra Motaghi

{"title":"Barriers and Facilitators to Accessing Sexual and Reproductive Health Services Among Transgender People: A Meta-Synthesis.","authors":"Mina Saadat, Afsaneh Keramat, Shayesteh Jahanfar, Ali Mohammad Nazari, Hadi Ranjbar, Zahra Motaghi","doi":"10.1177/27551938231187863","DOIUrl":"10.1177/27551938231187863","url":null,"abstract":"The availability and accessibility of sexual and reproductive health (SRH) services for transgender individuals are crucial. This population is deprived of health care due to rejection, stigma, gender-based discrimination, confidentiality, and violence. This review attempts to provide readers with an account of the fundamental problems that the transgender population faces regarding experiences of SRH. This meta-synthesis review applied the Social-Ecological Model (SEM) to address trans individuals' SRH factors. The databases were searched using \"SRH\" and \"transgender\" keywords. Fifty studies were finally selected. All studies were qualitative, including 36 semi-structured/ in-depth interviews, two focus group studies, and 12 interviews and focus group studies. The Social-Ecological Model application illustrates the impact of individual, interpersonal, institutional, and social factors on the condition of SRH among transgender individuals. This meta-synthesis reinforces multiple levels of factors that influence the SRH of transgender individuals. These include limited information, lack of awareness, low socioeconomic status, stigma and discrimination, and social deprivation. Interventions are urgently needed to provide better sexual and reproductive well-being for transgender individuals.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"40-51"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9835178","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

How Government Health Agencies Obscure the Impact of Environmental Pollution and Perpetuate Reductionist Framings of Disease: The Case of Leukemia. 政府卫生机构如何掩盖环境污染的影响并延续还原论的疾病框架：白血病案例。

International journal of social determinants of health and health services Pub Date : 2024-01-01 Epub Date: 2023-04-26 DOI: 10.1177/27551938231169119

Manuel Vallée

{"title":"How Government Health Agencies Obscure the Impact of Environmental Pollution and Perpetuate Reductionist Framings of Disease: The Case of Leukemia.","authors":"Manuel Vallée","doi":"10.1177/27551938231169119","DOIUrl":"10.1177/27551938231169119","url":null,"abstract":"Since the 1970s, environmental health researchers have documented environmental pollution's impacts on human health, which includes the bioaccumulation of industrial chemicals and how these toxicants contribute to disease. However, the relationship between disease and pollution is often difficult to discern in the disease information provided by dominant institutions. Previous scholarship has identified that print media, television news, online medical publishers, and medical associations consistently obscure the environmental causation frame. However, less has been said about disease information provided by public health agencies. To address this gap, I analyzed the leukemia information provided by Cancer Australia, the United States' National Institutes of Health, and the United Kingdom's National Health Service. My analysis shows that the disease information offered by these health agencies also obscures the environmental causation frame by failing to identify most toxicants that environmental health researchers have linked to leukemia and by emphasizing a biomedical framing of the medical condition. Beyond documenting the problem, this article also discusses the social consequences and sources of the problem.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"28-39"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9348998","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

An R Shiny Application (SDOH) for Predictive Modeling Using Regional Social Determinants of Health Survey Responses. 利用地区健康社会决定因素调查回复进行预测建模的 R Shiny 应用程序 (SDOH)。

International journal of social determinants of health and health services Pub Date : 2024-01-01 Epub Date: 2023-09-11 DOI: 10.1177/27551938231201011

Isuru Ratnayake, Sam Pepper, Aliyah Anderson, Alexander Alsup, Dinesh Pal Mudaranthakam

{"title":"An R Shiny Application (SDOH) for Predictive Modeling Using Regional Social Determinants of Health Survey Responses.","authors":"Isuru Ratnayake, Sam Pepper, Aliyah Anderson, Alexander Alsup, Dinesh Pal Mudaranthakam","doi":"10.1177/27551938231201011","DOIUrl":"10.1177/27551938231201011","url":null,"abstract":"Social determinants of health (SDoH) surveys are data sets that provide useful health-related information about individuals and communities. This study aims to develop a user-friendly web application that allows clinicians to get a predictive insight into the social needs of their patients before their in-patient visits using SDoH survey data to provide an improved and personalized service. The study used a longitudinal survey that consisted of 108,563 patient responses to 12 questions. Questions were designed to have a binary outcome as the response and the patient's most recent responses for each of these questions were modeled independently by incorporating explanatory variables. Multiple classification and regression techniques were used, including logistic regression, Bayesian generalized linear model, extreme gradient boosting, gradient boosting, neural networks, and random forests. Based on the area under the curve values, gradient boosting models provided the highest precision values. Finally, the models were incorporated into an R Shiny application, enabling users to predict and compare the impact of SDoH on patients' lives. The tool is freely hosted online by the University of Kansas Medical Center's Department of Biostatistics and Data Science. The supporting materials for the application are publicly accessible on GitHub.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"21-27"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10267823","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