Articles

Community-based health financing: empirical evaluation of the socio-demographic factors determining its uptake in Awka, Anambra state, Nigeria

There is an increasing global concern of financing poor people who live in low- and middle-income countries. The burden of non-communicable diseases of these people is, by in large, connected to a lack of acce...

Authors: Felix O. Iyalomhe, Paul O. Adekola and Giuseppe T. Cirella

Study protocol for an evaluability assessment of an anti-human trafficking program

Human trafficking is a serious global challenge associated with a complex array of health inequities for individuals, families, and communities. Consequently, in addition to a conventional criminal justice app...

Authors: Christopher J. Wretman, Rebecca J. Macy, Amanda M. Stylianou, Anita S. Teekah, Elizabeth N. Ebright, Jeongsuk Kim, Jia Luo and Cynthia Fraga Rizo

Project20: interpreter services for pregnant women with social risk factors in England: what works, for whom, in what circumstances, and how?

Black and minority ethnic women and those with social risk factors such as deprivation, refugee and asylum seeker status, homelessness, mental health issues and domestic violence are at a disproportionate risk...

Authors: Hannah Rayment-Jones, James Harris, Angela Harden, Sergio A. Silverio, Cristina Fernandez Turienzo and Jane Sandall

Perceptions of adolescent pregnancy in the rural context and the Colombian armed conflict: a qualitative approach based on social determination of health

Adolescent pregnancy in rural areas is a persistent health problem that has still not properly been understood. Studies with qualitative perspectives that address this phenomenon as a complex social process, w...

Authors: Herlan Palacios-Perdomo and Naydú Acosta-Ramírez

Double jeopardy from the COVID-19 pandemic: risk of exposure and income loss in Portugal

Increasing evidence indicates that the first wave of the COVID-19 pandemic had immediate health and social impact, disproportionately affecting certain socioeconomic groups. Assessing inequalities in risk of e...

Authors: Ana Gama, Joana Alves, Daniela Costa, Pedro A. Laires, Patrícia Soares, Ana Rita Pedro, Marta Moniz, Luísa Solinho, Carla Nunes and Sónia Dias

COVID-19 mitigation for high-risk populations in Springfield Massachusetts USA: a health systems approach

Numerous reports have demonstrated the disproportionate impact that COVID-19 has had on vulnerable populations. Our purpose is to describe our health care system’s response to this impact.

Authors: Paul A. Pirraglia, Cristina Huebner Torres, Jessica Collins, Jane Garb, Marian Kent, Sarah Perez McAdoo, Yemisi Oloruntola-Coates, Jacob M. Smith and Abraham Thomas

An equity and efficiency integrated grid-to-level 2SFCA approach: spatial accessibility of multilevel healthcare

Equity of healthcare spatial access is essential for the health outcomes of medical investments and the welfare of populations, and efficiency of medical resource allocation is important for obtaining a supply...

Authors: Shaoyao Zhang, Xueqian Song and Jie Zhou

Exploring change over time in community mobilization domains: results from a maternity waiting home intervention in rural Zambia

Community mobilization (CM) is recommended as a best practice intervention for low resource settings to reduce maternal mortality. Measurement of process outcomes are lacking and little is known about how CM i...

Authors: Dana Beck, Philip T. Veliz, Michelle Munro-Kramer, Carol Boyd, Isaac Sakala, Nchimunya Chiboola and Jody Lori

Redistributive effects of health care out-of-pocket payments in Cameroon

The bulk of health care financing in Cameroon is derived from out-of-pocket payments. Given that poverty is pervasive, with a third of the population living below the poverty line, health care financing from o...

Authors: Augustin Ntembe, Regina Tawah and Elkanah Faux

Diverse community leaders’ perspectives about quality primary healthcare and healthcare measurement: Qualitative community-based participatory research

Healthcare quality measurements in the United States illustrate disparities by racial/ethnic group, socio-economic class, and geographic location. Redressing healthcare inequities, including measurement of and...

Authors: Kathleen A. Culhane-Pera, Shannon L. Pergament, Maiyia Y. Kasouaher, Andrew M. Pattock, Naima Dhore, Cindy N. Kaigama, Marcela Alison, Michael Scandrett, Mai See Thao and David J. Satin

The relative importance of households as a source of variation in child malnutrition: a multilevel analysis in India

Child malnutrition remains a major public health issue in India. Along with myriad upstream and social determinants of these adverse outcomes, recent studies have highlighted regional differences in mean child...

Authors: Anoop Jain, Justin Rodgers, Rockli Kim and S. V. Subramanian

Assessing demographic access to hip replacement surgery in the United Kingdom: a systematic review

Persisting evidence suggests significant socioeconomic and sociodemographic inequalities in access to medical treatment in the UK. Consequently, a systematic review was undertaken to examine these access inequ...

Authors: Sebastian Ryan-Ndegwa, Reza Zamani and Mohammad Akrami

Improving access to primary health care: a cross-case comparison based on an a priori program theory

Inequitable access to primary health care (PHC) remains a problem for most western countries. Failure to scale up effective interventions has been due, in part, to a failure to share the logic and essential el...

Authors: Catherine Spooner, Virginia Lewis, Cathie Scott, Simone Dahrouge, Jeannie Haggerty, Grant Russell, Jean-Frederic Levesque, Emilie Dionne, Nigel Stocks and Mark F. Harris

Identifying opportunities to engage communities with social mobilisation activities to tackle NCDs in El Salvador in the context of the global COVID-19 pandemic

Social mobilisation is potentially a key tool in the prevention of non-communicable diseases (NCDs) in fragile settings. This formative study addressed existing and potential social mobilisation mechanisms see...

Authors: Lizzie Caperon, Stella Arakelyan, Cinzia Innocenti and Alastair Ager

COVID-19 and the ageing workforce: global perspectives on needs and solutions across 15 countries

COVID-19 has a direct impact on the employment of older people. This adds to the challenge of ageism. The World Health Organization has started a worldwide campaign to combat ageism and has called for more res...

Authors: Sabrina Pit, Malcolm Fisk, Winona Freihaut, Fashola Akintunde, Bamidele Aloko, Britta Berge, Anne Burmeister, Adriana Ciacâru, Jürgen Deller, Rae Dulmage, Tae Hwa Han, Qiang Hao, Peter Honeyman, Peter C. Huber, Thomas Linner, Stefan Lundberg…

Concerns and priorities of Aboriginal and Torres Strait Islander peoples regarding food and nutrition: a systematic review of qualitative evidence

Aboriginal and Torres Strait Islander Australians experience persistent health and social inequities. Chronic conditions, many of which are diet-related, are leading contributors to the burden of disease and h...

Authors: Rebecca Christidis, Mark Lock, Troy Walker, Mikaela Egan and Jennifer Browne

Primary care-based interventions to address the financial needs of patients experiencing poverty: a scoping review of the literature

It is broadly accepted that poverty is associated with poor health, and the health impact of poverty has been explored in numerous high-income country settings. There is a large and growing body of evidence of...

Authors: Jane Parry, Meredith Vanstone, Michel Grignon and James R. Dunn

Leveraging open data to reconstruct the Singapore Housing Index and other building-level markers of socioeconomic status for health services research

Socioeconomic status (SES) is an important determinant of health, and SES data is an important confounder to control for in epidemiology and health services research. Individual level SES measures are cumberso...

Authors: Daniel Yan Zheng Lim, Ting Hway Wong, Mengling Feng, Marcus Eng Hock Ong and Andrew Fu Wah Ho

Inequalities in catastrophic health expenditures in conflict-affected areas and the Colombian peace agreement: an oaxaca-blinder change decomposition analysis

The present study analyzes inequalities in catastrophic health expenditures in conflict-affected regions of Meta, Colombia and socioeconomic factors contributing to the existence and changes in catastrophic ex...

Authors: Sebastián León-Giraldo, Juan Sebastián Cuervo-Sánchez, Germán Casas, Catalina González-Uribe, Noemi Kreif, Oscar Bernal and Rodrigo Moreno-Serra

Measuring health-related social deprivation in small areas: development of an index and examination of its association with cancer mortality

The small-area deprivation indices are varied across countries due to different social context and data availability. Due to lack of chronic disease-related social deprivation index (SDI) in Hong Kong, China, ...

Authors: Kailu Wang, Chi-Kin Law, Jiaying Zhao, Alvin Yik-Kiu Hui, Benjamin Hon-Kei Yip, Eng Kiong Yeoh and Roger Yat-Nork Chung

Covid-19 and pathways to health inequities for families in a socioeconomically disadvantaged area of Sweden – qualitative analysis of home visitors’ observations

Lack of control over life situations is an important social determinant that may negatively affect parental and child health. This study took place in an area of Stockholm, Sweden with high indications of soci...

Authors: Madelene Barboza, Anneli Marttila, Bo Burström and Asli Kulane

Inequalities in population health loss by multiple deprivation: COVID-19 and pre-pandemic all-cause disability-adjusted life years (DALYs) in Scotland

COVID-19 has caused almost unprecedented change across health, education, the economy and social interaction. It is widely understood that the existing mechanisms which shape health inequalities have resulted ...

Authors: Grant M. A. Wyper, Eilidh Fletcher, Ian Grant, Oliver Harding, Maria Teresa de Haro Moro, Diane L. Stockton and Gerry McCartney

Determinants of China’s health expenditure growth: based on Baumol’s cost disease theory

During the past four decades, China’s total health expenditure and health expenditure per capita have both experienced a dramatic increase in growth rate. This study aims to explore the determinants of health ...

Authors: Linan Wang and Yuqian Chen

Improving interagency service integration of the Australian Nurse Family Partnership Program for First Nations women and babies: a qualitative study

The Australian Nurse Family Partnership Program (ANFPP) is an evidence-based, home visiting program that offers health education, guidance, social and emotional support to first-time mothers having Aboriginal ...

Authors: Luciana Massi, Sophie Hickey, Sarah-Jade Maidment, Yvette Roe, Sue Kildea, Carmel Nelson and Sue Kruske

Cervical cancer screening programs and their context-dependent effect on inequalities in screening uptake: a dynamic interplay between public health policy and welfare state redistribution

While organized and opportunistic cervical cancer screening (CCS) programs implemented across the European Union have increased participation rates, barriers to socioeconomically deprived women remain substant...

Authors: Vincent De Prez, Vladimir Jolidon, Barbara Willems, Stéphane Cullati, Claudine Burton-Jeangros and Piet Bracke

‘It was hell in the community’: a qualitative study of maternal and child health care during health care worker strikes in Kenya

Health care workers in Kenya have launched major strikes in the public health sector in the past decade but the impact of strikes on health systems is under-explored. We conducted a qualitative study to invest...

Authors: Michael L. Scanlon, Lauren Y. Maldonado, Justus E. Ikemeri, Anjellah Jumah, Getrude Anusu, Sheilah Chelagat, Joann Chebet Keter, Julia Songok, Laura J. Ruhl and Astrid Christoffersen-Deb

Does higher health literacy lead to higher trust in public hospitals?

Does higher health literacy lead to higher trust in public hospitals? Existing literature suggests that this is the case since a positive association between the level of health literacy and the level of trust...

Authors: Maja Bertram, Urs Steiner Brandt, Rikke Klitten Hansen and Gert Tinggaard Svendsen

How equitable are the distributions of the physical activity and accessibility benefits of bicycle infrastructure?

Cycling for transport provides many health and social benefits – including physical activity and independent access to jobs, education, social opportunities, health care and other services (accessibility). How...

Authors: Christopher Standen, Melanie Crane, Stephen Greaves, Andrew T. Collins and Chris Rissel

Does social capital interact with economic hardships in influencing older adults’ health? A study from China

The importance of social and economic capital as predictors of health is widely documented, yet the complexity of interactions between them and effects on older people’s health is still unclear. Combining the ...

Authors: Lijuan Gu, Yang Cheng, David R. Phillips, Mark Rosenberg, Linsheng Yang, Li Wang and Hairong Li

Decolonizing health in Canada: A Manitoba first nation perspective

Global persistence of health inequities for Indigenous peoples is evident in ongoing discrepancies in health and standards of living. International literature suggests the key to transformation lies in Indigen...

Authors: Rachel Eni, Wanda Phillips-Beck, Grace Kyoon Achan, Josée G. Lavoie, Kathi Avery Kinew and Alan Katz

Gender, health and ageing in Fiji: a mixed methods analysis

Women are disadvantaged by ageing: older women are more likely than older men to suffer from ill-health, have less access to health care and suffer discrimination within the health care system. Globally, there...

Authors: Rebecca Dodd, Janani Shanthosh, Thomas Lung, Aporosa Robaigau, Mai Ling Perman, Eric Rafai, Roslyn Poulos, Anthony B. Zwi, Renu John and Anna Palagyi

PREparedness, REsponse and SySTemic transformation (PRE-RE-SyST): a model for disability-inclusive pandemic responses and systemic disparities reduction derived from a scoping review and thematic analysis

People with disabilities (PwD) have been facing multiple health, social, and economic disparities during the COVID-19 pandemic, stemming from structural disparities experienced for long time. This paper aims t...

Authors: Tiago S. Jesus, Sureshkumar Kamalakannan, Sutanuka Bhattacharjya, Yelena Bogdanova, Juan Carlos Arango-Lasprilla, Jacob Bentley, Michel D. Landry and Christina Papadimitriou

The evolution trend of availability of China’s community-based care services and its impact on the cognitive function of elderly people: 2008-2018

To address the challenge of the aging population, community-based care services (CBCS) have been developed rapidly in China as a new way of satisfying the needs of elderly people. Few studies have described th...

Authors: Zhang Yue, Nan Xiang, Huwei Li and Erpeng Liu

Effects of material hardship on depression among adults in South Korea: insights from by the Korea Welfare Panel Study 2008–2017

Low socioeconomic status deemed by income-based measures is a risk factor for depression. Material hardship is commonly used as a multidimensional socioeconomic indicator to identify the struggles that low-inc...

Authors: Soo Hyun Kang, Selin Kim, Eun-Cheol Park and Sung-In Jang

Factors associated with seasonal influenza and HPV vaccination uptake among different ethnic groups in Arab and Jewish society in Israel

Parents in the Arab population of Israel are known to be “pro-vaccination” and vaccinate their children at higher rates than the Jewish population, specifically against human papilloma virus (HPV) and seasonal...

Authors: Nour Abed Elhadi Shahbari, Anat Gesser-Edelsburg, Nadav Davidovitch, Shuli Brammli-Greenberg, Rami Grifat and Gustavo S. Mesch

Unequal availability of workplace policy for prevention of coronavirus disease 2019 across occupations and its relationship with personal protection behaviours: a cross-sectional survey

The evolving pandemic of coronavirus disease 2019 (COVID-19) has become a severe threat to public health, and the workplace presents high risks in terms of spreading the disease. Few studies have focused on th...

Authors: Kailu Wang, Eliza Lai Yi Wong, Kin Fai Ho, Annie Wai Ling Cheung, Emily Ying Yang Chan, Samuel Yeung Shan Wong and Eng Kiong Yeoh

Association between gender-based discrimination and medical visits and HIV testing in a large sample of transgender women in northeast Brazil

Gender-based discrimination remains a substantial barrier to health care access and HIV prevention among transgender women in Brazil. The aim of this study was to investigate the association between gender-bas...

Authors: Beo Oliveira Leite, Danielle Souto de Medeiros, Laio Magno, Francisco Inácio Bastos, Carolina Coutinho, Ana Maria de Brito, Maria Socorro Cavalcante and Inês Dourado

Does low income effects 5-year mortality of hepatocellular carcinoma patients?

In Korea, the universal health system offers coverage to all members of society. Despite this, it is unclear whether risk of death from hepatocellular carcinoma (HCC) varies depending on income. We evaluated t...

Authors: Dong Jun Kim, Ji Won Yoo, Jong Wha Chang, Takashi Yamashita, Eun-Cheol Park, Kyu-Tae Han, Seung Ju Kim and Sun Jung Kim

The institutional primary healthcare service quality and patients’ experiences in Chinese community health centres: results from the Greater Bay Area study, China

The goal of this paper was to assess the quality of primary healthcare services at community health centres (CHCs) from the demand (patient) and supplier (healthcare service institution) angles.

Authors: RuQing Liu, Leiyu Shi, YiFan Meng, Ning He, JingLan Wu, XinWen Yan and RuWei Hu

Visual impairment and blindness in the Xingu Indigenous Park – Brazil

Most estimates of visual impairment and blindness worldwide do not include data from specific minority groups as indigenous populations. We aimed to evaluate frequencies and causes of visual impairment and bli...

Authors: Arthur Gustavo Fernandes, Monica Alves, Roberta Andrade e Nascimento, Natalia Yumi Valdrighi, Rafael Cunha de Almeida and Celso Takashi Nakano

Equity and determinants in universal health coverage indicators in Iraq, 2000–2030: a national and subnational study

Equity is one of three dimensions of universal health coverage (UHC). However, Iraq has had capital-focused health services and successive conflicts and political turmoil have hampered health services around t...

Authors: Hiroko Taniguchi, Md Mizanur Rahman, Khin Thet Swe, Md Rashedul Islam, Md Shafiur Rahman, Nadia Parsell, Ashraf Hussain, Kenji Shibuya and Masahiro Hashizume

Have inequalities in completeness of death registration between states in India narrowed during two decades of civil registration system strengthening?

In India the number of registered deaths increased substantially in recent years, improving the potential of the civil registration and vital statistics (CRVS) system to be the primary source of mortality data...

Authors: Jayanta Kumar Basu and Tim Adair

Maternal mortality reduction: a need to focus actions on the prevention of hypertensive disorders of pregnancy

Maternal mortality (MM) reflects one of the most striking global health inequalities. Global figures of MM fell significantly from 1990 to 2017. The reduction was largely due to a 70% fall in haemorrhages, and...

Authors: José M. Belizán, Luz Gibbons and Gabriela Cormick

How George Floyd and COVID-19 are highlighting structural inequities for vulnerable women, children and adolescents

Authors: Kadi Toure, Etienne V. Langlois, Mehr Shah, Lori McDougall and Helga Fogstad

The pathways from perceived discrimination to self-rated health among the Chinese diaspora during the COVID-19 pandemic: investigation of the roles of depression, anxiety, and social support

Research indicates the adverse impacts of perceived discrimination on health, and discrimination inflamed by the COVID-19 pandemic, a type of social exclusion, could affect the well-being of the Chinese diaspo...

Authors: Youli Chen, Zicong Wang, Weizhen Dong, Jia Huei Chen Xu, Sizhe Ji Wu, Xiangyang Zhang and Chun Chen

Family doctor contract services and health-related quality of life among patients with chronic diseases in rural China: what is the role of socioeconomic status?

Few studies explored the relationship between the family doctor contract services (FDCS) and health-related quality of life (HRQOL) among patients with chronic diseases in rural China. This study aims to explo...

Authors: Zhixian Li, Jie Li, Peipei Fu, Yan Chen, Zhengyue Jing, Yemin Yuan, Shijun Yang, Chen Yan, Wenjuan Li, Jie Li, Zhen Gui and Chengchao Zhou

Sociodemographic inequities and active transportation in adults from Latin America: an eight-country observational study

Active transportation is a crucial sort of physical activity for developing sustainable environments and provides essential health benefits. This is particularly important in Latin American countries because t...

Authors: Gerson Ferrari, Juan Guzmán-Habinger, Javiera L. Chávez, André O. Werneck, Danilo R. Silva, Irina Kovalskys, Georgina Gómez, Attilio Rigotti, Lilia Yadira Cortés, Martha Cecilia Yépez García, Rossina G. Pareja, Marianella Herrera-Cuenca, Clemens Drenowatz, Carlos Cristi-Montero, Adilson Marques, Miguel Peralta…

Putting them on a strong spiritual path: Indigenous doulas responding to the needs of Indigenous mothers and communities

In the past few years, increasing numbers of Indigenous doula collectives have been forming across Canada. Indigenous doulas provide continuous, culturally appropriate support to Indigenous women during pregna...

Authors: Jaime Cidro, Caroline Doenmez, Stephanie Sinclair, Alexandra Nychuk, Larissa Wodtke and Ashley Hayward

Socioeconomic inequalities in physical activity in Brazil: a pooled cross-sectional analysis from 2013 to 2019

Information on socioeconomic inequalities in physical activity over time is sparse in low- to middle-income countries. In this study, we examined trends in physical activity educational inequalities in adults ...

Authors: Gerson Ferrari, Pedro Toteff Dulgheroff, Rafael M. Claro, Leandro F. M. Rezende and Catarina Machado Azeredo

‘Doing’ or ‘using’ intersectionality? Opportunities and challenges in incorporating intersectionality into knowledge translation theory and practice

Intersectionality is a widely adopted theoretical orientation in the field of women and gender studies. Intersectionality comes from the work of black feminist scholars and activists. Intersectionality argues ...

Authors: Christine Kelly, Danielle Kasperavicius, Diane Duncan, Cole Etherington, Lora Giangregorio, Justin Presseau, Kathryn M. Sibley and Sharon Straus