International journal of social determinants of health and health services最新文献_第9页

Inequalities in Consumption Expenditure on Pharmaceuticals: Evidence from Malaysia. 药品消费支出的不平等:来自马来西亚的证据。

International journal of social determinants of health and health services Pub Date : 2023-10-01 Epub Date: 2023-04-20 DOI: 10.1177/27551938231170831

Wei Chern Ang, Yong Kang Cheah

{"title":"Inequalities in Consumption Expenditure on Pharmaceuticals: Evidence from Malaysia.","authors":"Wei Chern Ang, Yong Kang Cheah","doi":"10.1177/27551938231170831","DOIUrl":"10.1177/27551938231170831","url":null,"abstract":"Pharmaceuticals play an important role in health improvements. This study is the first of its kind to examine the influences of household heads' sociodemographic characteristics and household profiles on pharmaceuticals expenditure among households of different income levels. The country of interest is a fast-growing developing country. Data from the Malaysian Household Expenditure Surveys 2014 and 2016 were used in the pooled cross-sectional analyses. Double-hurdle models were used to analyze consumption and amount decisions of pharmaceuticals. Analyses stratified by income were conducted. Results showed that households headed by younger adults (<60 years), males, less educated individuals, Bumiputera, and divorced/widowed adults were less likely to consume and spent less on pharmaceuticals compared with households headed by older adults (≥60 years), females, more educated individuals, non-Bumiputera, and single adults. These differentials varied across income groups. In conclusion, household heads' age, gender, educational levels, ethnicity, marital status, and household profiles are important determining factors of expenditure on pharmaceuticals among low-, middle- and high-income households.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"528-538"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9739077","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: 1

In-Depth Ethical Analysis of the COVID-19 Vaccine Rollout for Migrant Workers in the Gulf Countries. 海湾国家移民工人COVID-19疫苗推广的深入伦理分析

International journal of social determinants of health and health services Pub Date : 2023-10-01 Epub Date: 2023-05-22 DOI: 10.1177/27551938231177845

Barrak Alahmad, Dawoud AlMekhled, Katie Busalacchi, Wei-Chen Wang

{"title":"In-Depth Ethical Analysis of the COVID-19 Vaccine Rollout for Migrant Workers in the Gulf Countries.","authors":"Barrak Alahmad, Dawoud AlMekhled, Katie Busalacchi, Wei-Chen Wang","doi":"10.1177/27551938231177845","DOIUrl":"10.1177/27551938231177845","url":null,"abstract":"During the initial COVID-19 vaccine rollout, supplies were scarce, necessitating rationing. Gulf countries, hosting millions of migrant workers, prioritized nationals over migrants for vaccination. As it turned out, many migrant workers found themselves waiting behind nationals to get vaccinated for COVID-19. Here, we discuss the public health ethical concerns surrounding this approach and call for fair and inclusive vaccine allocation policies. First, we examine global justice through the lens of statism, where distributive justice applies only to sovereign state members, and cosmopolitanism, advocating equal justice distribution for all humans. We propose a cooperativist perspective, suggesting that new justice obligations can arise between people beyond national ties. In cases of mutually beneficial cooperation, such as migrant workers contributing to a nation's economy, equal concern for all parties is required. Second, the principle of reciprocity further supports this stance, as migrants significantly contribute to host countries' societies and economies. Additional ethical principles-equity, utilitarianism, solidarity, and nondiscrimination-are essentially violated when excluding non-nationals in vaccine distribution. Finally, we argue that prioritizing nationals over migrants is not only ethically indefensible, but it also fails to ensure full protection for nationals and hampers efforts to curb COVID-19 community spread.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"488-493"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10203856/pdf/10.1177_27551938231177845.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9523119","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: 1

Social Determinants of Health at the End of 2023: Decolonization, Global South, Mechanisms, Big Pharma, COVID 19 and Health Services. 2023年底健康的社会决定因素：非殖民化、全球南方、机制、大型制药、2019冠状病毒病和卫生服务。

International journal of social determinants of health and health services Pub Date : 2023-10-01 DOI: 10.1177/27551938231208953

Joan Benach, Carles Muntaner

引用次数: 0

Republican Rules of Reproduction and "Flipping the Script" on U.S. Health Care Reform. 共和党的生育规则和美国医疗改革的“翻动剧本”。

International journal of social determinants of health and health services Pub Date : 2023-10-01 Epub Date: 2023-06-29 DOI: 10.1177/27551938231186002

Rodney Loeppky

{"title":"Republican Rules of Reproduction and \"Flipping the Script\" on U.S. Health Care Reform.","authors":"Rodney Loeppky","doi":"10.1177/27551938231186002","DOIUrl":"10.1177/27551938231186002","url":null,"abstract":"Given the relatively conservative and marketized nature of U.S. health care reform, it remains unclear both why Republican resistance has been so intractable through much of the Affordable Care Act's (ACA's) tenure and why it has so suddenly receded into the background. This article seeks an explanatory mechanism to make sense of the ACA's changing historical fortunes, from enactment to the present. It argues that the Republican Party's \"rules of reproduction,\" a concept of historical sociology, best explains why the ACA met with such vociferous resistance and why that resistance has given way to surprising progress on coverage. It begins with a consideration of marketized U.S. health care, as well as the ACA's quest for expanded coverage-not structural rearrangement-as the basis for progressive change. Following this, I explore the \"rules of reproduction\" to explain Republican political actors' relentless attacks on the law. The final section considers how the historically-contingent COVID-19 event has dovetailed with ACA entrenchment, effectively \"flipping the script\" on Republican rules, making anti-Obamacare maneuvers far less politically palatable. It is in this political space that reform advocates have been able to seize opportunity and broaden access.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"557-567"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10631260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10055052","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: 1

On Examining Residential Segregation in Rural Gadag, Karnataka, India: The Case of the Banjara Tandas. 检视印度卡纳塔克邦加达格农村的居住隔离:以班加拉坦达斯为例。

International journal of social determinants of health and health services Pub Date : 2023-10-01 Epub Date: 2023-07-14 DOI: 10.1177/27551938231188043

Bevin Vijayan

{"title":"On Examining Residential Segregation in Rural Gadag, Karnataka, India: The Case of the Banjara Tandas.","authors":"Bevin Vijayan","doi":"10.1177/27551938231188043","DOIUrl":"10.1177/27551938231188043","url":null,"abstract":"Residential segregation of settlements on caste lines is common across Indian villages. Banjara settlements or tandas are an extreme form of residential segregation, rooted in colonial history and India's complex caste system, and an outcome of structural discrimination. This analysis examines the structural discrimination of tandas in the distribution of various infrastructure and compares it with the villages in proximity to it. A cross-sectional comparative study of infrastructure was conducted in Banjara tandas and villages in Gadag district, Karnataka, India. Composite scores were computed for various infrastructure and discriminant analysis done to classify tandas and villages. The villages have better physical infrastructure such as paved roads, multiple water supply sources, and better drains and amenities such as the community water filter, ration shop, veterinary center, milk society, banks, post office, and health facilities compared to tandas. Discriminant analysis indicated that social infrastructural indicators of health and education (Discriminant function coefficient -0.8689), followed by transportation (Discriminant function coefficient -0.3576) and water supply (Discriminant function coefficient -0.2939), are the most significant discriminating factors between tanda and villages. This disadvantage indicates structural discrimination that is a continuation of the stigma and labeling perpetrated upon them historically and the complex caste system in Indian societies.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"455-465"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9832283","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: 1

Canada and the pharmaceutical industry in the time of COVID-19. COVID-19时期的加拿大和制药业。

International journal of social determinants of health and health services Pub Date : 2023-10-01 Epub Date: 2023-08-13 DOI: 10.1177/27551938231195434

Joel Lexchin

{"title":"Canada and the pharmaceutical industry in the time of COVID-19.","authors":"Joel Lexchin","doi":"10.1177/27551938231195434","DOIUrl":"10.1177/27551938231195434","url":null,"abstract":"The COVID-19 pandemic showed the close relationship between the Canadian government and the pharmaceutical industry when it came to both domestic and international issues. Domestically, the government chose to prioritize advice about vaccine acquisition from a panel of heavily conflicted people; it signed contracts worth billions of dollars with companies for vaccines but the contents of contracts were largely kept secret. The government also committed over CAD$1 billion in funding for research on COVID-19 but without any requirement that any forthcoming intellectual property or diagnostic and therapeutic products had to be accessible and affordable in low- and middle-income countries (LMICs). On the international stage, Canada did not support the COVID-19 Technology Access Pool that aimed to provide a one-stop shop for scientific knowledge, data, and intellectual property to be shared equitably by the global community. It delayed donating vaccines to LMICs and bought vaccines from a facility designed mainly to provide vaccines to that group of countries. The government did not dismantle roadblocks that prevented a Canadian company from sending vaccines to Bolivia. Finally, it was ambiguous about whether it supported a patent waiver for COVID-19 technologies at the World Trade Organization.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"508-517"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10631262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9991165","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: 1

Understanding the Relationship Between Decreases in Social Security Benefits and Intergenerational Inequalities in Mental Health. 了解社会保障福利减少与心理健康代际不平等之间的关系。

International journal of social determinants of health and health services Pub Date : 2023-10-01 Epub Date: 2023-07-04 DOI: 10.1177/27551938231185948

Julija Simpson, Clare Bambra, Heather Brown

{"title":"Understanding the Relationship Between Decreases in Social Security Benefits and Intergenerational Inequalities in Mental Health.","authors":"Julija Simpson, Clare Bambra, Heather Brown","doi":"10.1177/27551938231185948","DOIUrl":"10.1177/27551938231185948","url":null,"abstract":"It is well-established that mental health follows similar patterns across generations. However, little is known how structural factors, such as those related to social security reforms, may impact this relationship. Our aim was to quantify the strength of association in mental health between parents and their adolescent children, and to explore how much of this correlation is explained by decreases in benefits. We used data from U.K. Household Longitudinal Study (2009-2019) from which we matched youth data to their parents, and split the sample into single- and dual-parent households. To estimate the intergenerational correlations, we estimated a series of unit- and rank-based regression models of standardized and time-averaged mental health measures for adolescents and their parents. Our findings suggest that there are statistically significant intergenerational associations in mental health between parents and children for both single- and dual-parent households, with the relationship being stronger for single-mother households. Benefit losses explain a small proportion of this association, for both single-mother and dual-parent households. Nevertheless, they are negatively associated with the mental health of adolescents in dual-parent households-independently of both adolescent and parental characteristics. Such negative effects should be considered when designing and evaluating future social security benefit policies.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"403-413"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10631259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10128494","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: 1

Is Neoliberalism Killing Us? A Cross Sectional Study of the Impact of Neoliberal Beliefs on Health and Social Wellbeing in the Midst of the COVID-19 Pandemic. 新自由主义正在杀死我们吗?新自由主义信仰对COVID-19大流行期间健康和社会福利影响的横断面研究

International journal of social determinants of health and health services Pub Date : 2023-07-01 DOI: 10.1177/00207314221134040

Kiffer G Card, Kirk J Hepburn

{"title":"Is Neoliberalism Killing Us? A Cross Sectional Study of the Impact of Neoliberal Beliefs on Health and Social Wellbeing in the Midst of the COVID-19 Pandemic.","authors":"Kiffer G Card, Kirk J Hepburn","doi":"10.1177/00207314221134040","DOIUrl":"https://doi.org/10.1177/00207314221134040","url":null,"abstract":"Neoliberal ideology is linked to poorer collective health and well-being. At the individual level, however, neoliberal beliefs may actually promote self-efficacy, self-esteem, and self-reliance. We examined the effects of three beliefs underlying neoliberalism-(a) Personal Wherewithal, (b) Natural Competition, and (c) Anti-Government Interference-to understand the unique pathways by which neoliberalism affects health and well-being at the individual level. Participants were recruited using paid advertisements on social media in May/June 2020. Multivariable regression identified associations between each of the three identified neoliberal beliefs and participants' (a) self-rated physical health, (b) number of health diagnoses, (c) life satisfaction, (d) loneliness, and (e) social trust of family, close friends/partners, coworkers, neighbors, and strangers. Among 2632 respondents, personal wherewithal was associated with better health, life satisfaction, and social well-being (perhaps by promoting self-efficacy and self-reliance to undertake healthy behaviors), while anti-government beliefs were associated with worse life satisfaction and social well-being (perhaps by reducing benefits inherent in collective action and social connection). Those hoping to reduce the negative effects of neoliberalism on collective well-being must contend with the reinforcing effect that personal wherewithal might have in shaping the perceived benefits of neoliberalism among those with these beliefs.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":"53 3","pages":"363-373"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3d/be/10.1177_00207314221134040.PMC9605858.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9735029","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

Inequalities and Effect of Non-Biological Factors on Perinatal Mortality in Uttar Pradesh. 北方邦围产期死亡率的不平等和非生物因素的影响。

International journal of social determinants of health and health services Pub Date : 2023-07-01 DOI: 10.1177/27551938231168066

Bal Govind Chauhan, Pradeep Kumar, Sampurna Kundu

引用次数: 0

Why is Success of South Korea's Covid-19 Response Fading? 韩国应对新冠疫情的成功为何正在消退?

International journal of social determinants of health and health services Pub Date : 2023-07-01 DOI: 10.1177/27551938231165154

Seung Yeun Hong, Ji Hye Lim

引用次数: 0