Articles

Social inequalities in breast cancer screening: evaluating written communications with immigrant Haitian women in Montreal

The province of Quebec (Canada) has implemented a breast cancer screening program to diagnose this cancer at an early stage. The strategy is to refer women 50 to 69 years old for a mammogram every two years by...

Authors: Marie-France Raynault, Christelle Féthière and Dominique Côté

Patterns of informal family care during acute hospitalization of older adults from different ethno-cultural groups in Israel

Informal caregiving during hospitalization of older adults is significantly related to hospital processes and patient outcomes. Studies in home settings demonstrate that ethno-cultural background is related to...

Authors: Ksenya Shulyaev, Nurit Gur-Yaish, Efrat Shadmi and Anna Zisberg

Income-related inequalities in unmet dental care needs in Spain: traces left by the Great Recession

Dental health is an important component of general health. Socioeconomic inequalities in unmet dental care needs have been identified in the literature, but some knowledge gaps persist. This paper tries to ide...

Authors: Rosa M. Urbanos-Garrido

Intersectionality and health-related stigma: insights from experiences of people living with stigmatized health conditions in Indonesia

Health-related stigma is a complex phenomenon, the experience of which intersects with those of other adversities arising from a diversity of social inequalities and oppressive identities like gender, sexualit...

Authors: Sarju Sing Rai, Ruth M. H. Peters, Elena V. Syurina, Irwanto Irwanto, Denise Naniche and Marjolein B. M. Zweekhorst

A cross sectional study of unmet need for health services amongst urban refugees and asylum seekers in Thailand in comparison with Thai population, 2019

Although the Thai government has introduced policies to promote the health of migrants, it is still the case that urban refugees and asylum seekers (URAS) seem to be neglected. This study aimed to explore the ...

Authors: Rapeepong Suphanchaimat, Pigunkaew Sinam, Mathudara Phaiyarom, Nareerut Pudpong, Sataporn Julchoo, Watinee Kunpeuk and Panithee Thammawijaya

Prices of medicines for the management of pain, diabetes and cardiovascular diseases in private pharmacies and the national health insurance in Tanzania

High price is a major challenge limiting access to essential medicines especially among the poorest families in developing countries. The study aims to compare the prices of medicines used in the management of...

Authors: Rashid Bakari Kirua, Mary Justin Temu and Amani Thomas Mori

Why do some countries do better or worse in life expectancy relative to income? An analysis of Brazil, Ethiopia, and the United States of America

While in general a country’s life expectancy increases with national income, some countries “punch above their weight”, while some “punch below their weight” – achieving higher or lower life expectancy than wo...

Authors: Toby Freeman, Hailay Abrha Gesesew, Clare Bambra, Elsa Regina Justo Giugliani, Jennie Popay, David Sanders, James Macinko, Connie Musolino and Fran Baum

Mobile primary health care clinics for Indigenous populations in Australia, Canada, New Zealand and the United States: a systematic scoping review

Mobile clinics have been used to deliver primary health care to populations that otherwise experience difficulty in accessing services. Indigenous populations in Australia, Canada, New Zealand, and the United ...

Authors: Hannah Beks, Geraldine Ewing, James A. Charles, Fiona Mitchell, Yin Paradies, Robyn A. Clark and Vincent L. Versace

Socio-economic and demographic factors associated with reproductive and child health preventive care in Mozambique: a cross-sectional study

Reproductive and child health interventions are essential to improving population health in Africa. In Mozambique, although some progress on reproductive and child health has been made, knowledge of social ine...

Authors: Chanvo Daca, Miguel San Sebastian, Carlos Arnaldo and Barbara Schumann

Fakes and chemicals: indigenous medicine in contemporary Kenya and implications for health equity

Access to effective biomedical treatments for humans and livestock in Kenya is far from universal. Indigenous healing has a significant role to play in contemporary society in Kenya, yet access is not the only...

Authors: Olivia Howland

Recommendation for response to the COVID-19 pandemic: Korean context of “distancing in daily life,” considering vulnerable population

While the coronavirus disease 2019 (COVID-19) pandemic is an ongoing worldwide, including South Korea (hereinafter Korea), it is impossible to predict the duration of the pandemic. To stop the spread of COVID-...

Authors: Ja Young Kim, Jin-Ok Han and Heeyoung Lee

Inequities in mental health and mental healthcare between international immigrants and locals in Chile: a narrative review

Mental health in a context of international migration is a particularly pressing issue, as migration is recognised as a social determinant of physical and mental health. As Chile is increasingly becoming a rec...

Authors: Alice Blukacz, Báltica Cabieses and Niina Markkula

The effect of objective income and perceived economic resources on self-rated health

Several studies have demonstrated that self-rated health status is affected by socioeconomic variables. However, there is little knowledge about whether perceived economic resources affect people’s health. The...

Authors: Catia Cialani and Reza Mortazavi

Identifying the determinants of health insurance coverage among Peruvian women of reproductive age: an assessment based on the national Peruvian demographic survey of 2017

Like many other Latin America- and Caribbean countries, Peru has introduced a tax-financed health insurance scheme called “Sistema Integral de Salud (SIS)” to foster progress towards Universal Health Coverage....

Authors: Eduardo Ramos Rosas, Volker Winkler, Stephan Brenner and Manuela De Allegri

Maternal health challenges experienced by adolescents; could community score cards address them? A case study of Kibuku District– Uganda

Approximately 34.8% of the Ugandan population is adolescents. The national teenage pregnancy rate is 25% and in Kibuku district, 17.6% of adolescents aged 12–19 years have begun child bearing. Adolescents moth...

Authors: Rebecca R. Apolot, Moses Tetui, Evelyne B. Nyachwo, Linda Waldman, Rosemary Morgan, Christine Aanyu, Aloysius Mutebi, Suzanne N. Kiwanuka and Elizabeth Ekirapa

Feasibility, acceptability and initial outcome of implementing community scorecard to monitor community level public health facilities: experience from rural Bangladesh

Engaging communities in health facility management and monitoring is an effective strategy to increase health system responsiveness. Many developing countries have used community scorecard (CSC) to encourage c...

Authors: Shehrin Shaila Mahmood, Sabrina Rasheed, Asiful Haidar Chowdhury, Aazia Hossain, Mohammad Abdus Selim, Shahidul Hoque and Abbas Bhuiya

Do community scorecards improve utilisation of health services in community clinics: experience from a rural area of Bangladesh

The government of Bangladesh initiated community clinics (CC) to extend the reach of public health services and these facilities were planned to be run through community participation. However, utilisation of ...

Authors: S. M. A. Hanifi, Aazia Hossain, Asiful Haidar Chowdhury, Shahidul Hoque, Mohammad Abdus Selim, Shehrin Shaila Mahmood and Abbas Bhuiya

Influence of community scorecards on maternal and newborn health service delivery and utilization

The community score card (CSC) is a participatory monitoring and evaluation tool that has been employed to strengthen the mutual accountability of health system and community actors. In this paper we describe ...

Authors: Elizabeth Ekirapa Kiracho, Noel Namuhani, Rebecca Racheal Apolot, Christine Aanyu, Aloysuis Mutebi, Moses Tetui, Suzanne N. Kiwanuka, Faith Adong Ayen, Dennis Mwesige, Ahmed Bumbha, Ligia Paina and David H. Peters

Limited access to family-based addiction prevention services for socio-economically deprived families in Switzerland: a grounded theory study

Families living in poor socio-economic circumstances, already confronted with social and health inequalities, are often not reached by family-based addiction prevention services. Besides quantitative models an...

Authors: Andreas Pfister, Nikola Koschmieder and Sabrina Wyss

Theory driven analysis of social class and health outcomes using UK nationally representative longitudinal data

Social class is frequently used as a means of ranking the population to expose inequalities in health, but less often as a means of understanding the social processes of causation. We explored how effectively ...

Authors: Welcome Wami, Gerry McCartney, Mel Bartley, Duncan Buchanan, Ruth Dundas, Srinivasa Vittal Katikireddi, Rich Mitchell and David Walsh

An overview of reviews on strategies to reduce health inequalities

Governments are incentivized to develop and implement health action programs focused on equity to ensure progress with effective strategies or interventions.

Authors: Nathaly Garzón-Orjuela, Daniel Felipe Samacá-Samacá, Silvia Catalina Luque Angulo, Carmen Verônica Mendes Abdala, Ludovic Reveiz and Javier Eslava-Schmalbach

“Crazy person is crazy person. It doesn’t differentiate”: an exploration into Somali views of mental health and access to healthcare in an established UK Somali community

Mental health conditions have been shown to disproportionately affect those from Black, Asian and Minority Ethnic (BAME) communities. Somali communities globally have relatively high levels of mental illness, ...

Authors: Catherine Linney, Siyan Ye, Sabi Redwood, Abdi Mohamed, Abdullahi Farah, Lucy Biddle and Esther Crawley

One country, two crises: what Covid-19 reveals about health inequalities among BAME communities in the United Kingdom and the sustainability of its health system?

There has been mounting evidence of the disproportionate involvement of black, Asian and minority ethnic (BAME) communities by the Covid-19 pandemic. In the UK, this racial disparity was brought to the fore by...

Authors: Akaninyene Otu, Bright Opoku Ahinkorah, Edward Kwabena Ameyaw, Abdul-Aziz Seidu and Sanni Yaya

Changes in self-rated health and quality of life among Syrian refugees migrating to Norway: a prospective longitudinal study

Forced migrants can be exposed to various stressors that can impact their health and wellbeing. How the different stages in the migration process impacts health is however poorly explored. The aim of this stud...

Authors: Jasmin Haj-Younes, Elisabeth Marie Strømme, Jannicke Igland, Bernadette Kumar, Eirik Abildsnes, Wegdan Hasha and Esperanza Diaz

State-society nexus in Brazil and Venezuela and its effect on participatory governance efforts in health and other sectors

Participatory governance is about state and society jointly responsible for political decisions and services. The origins and trajectory of participatory governance initiatives are determined by the socio-poli...

Authors: Qamar Mahmood and Carles Muntaner

Projected impact of diabetes on the Costa Rican healthcare system

Costa Rica, similar to many other Latin American countries is undergoing population aging at a fast pace. As a result of the epidemiological transition, the prevalence of diabetes has increased. This condition...

Authors: Carolina Santamaría-Ulloa and Melina Montero-López

Inequality in healthcare use among older people in Colombia

Since the early 1990s, Colombia has made great strides in extending healthcare coverage to its population. In order to measure the impact of these efforts, it is important to assess whether the introduction of...

Authors: Jorge Garcia-Ramirez, Zlatko Nikoloski and Elias Mossialos

How to adapt sexual and reproductive health services to the needs and circumstances of trans people— a qualitative study in Colombia

People living a trans-life require access to equitable healthcare services, policies and research that address their needs. However, trans people have experienced different forms of violence, discrimination, s...

Authors: Mariana Calderón-Jaramillo, Ángel Mendoza, Natalia Acevedo, Luz Janeth Forero-Martínez, Sandra Marcela Sánchez and Juan Carlos Rivillas-García

Communities on the move: community participation in health in rural territories of Buenaventura District in Colombia

Social and community participation is a fundamental component of the development of renewed primary healthcare (PHC). With the recognition of health as a right, such participation is a significant part of the ...

Authors: Laura Catalina Blandón-Lotero and Marta Cecilia Jaramillo-Mejía

Horizontal inequity in the use and access to health care in Uruguay

In 2007 Uruguay began a reform in the health sector towards the construction of a National Integrated Health System (SNIS), based on public insurance with private and public provision. The main objective of th...

Authors: Cecilia González and Patricia Triunfo

“Got to build that trust”: the perspectives and experiences of Aboriginal health staff on maternal oral health

In Australia, models of care have been developed to train antenatal care providers to promote oral health among pregnant women. However, these models are underpinned by Western values of maternity care that do...

Authors: Ariana C. Kong, Mariana S. Sousa, Lucie Ramjan, Michelle Dickson, Joanne Goulding, Kylie Gwynne, Folau Talbot, Nathan Jones, Ravi Srinivas and Ajesh George

Realigning global health governance: WHO at a crossroads

Authors: Irene Torres, Osvaldo Artaza, Barbara Profeta, Cristina Alonso and JaHyun Kang

A qualitative analysis of vaccine decision makers’ conceptualization and fostering of ‘community engagement’ in India

Globally, and in India, research has highlighted the importance of community engagement in achieving national vaccination goals and in promoting health equity. However, community engagement is not well-defined...

Authors: Tapati Dutta, Beth E. Meyerson, Jon Agley, Priscilla A. Barnes, Catherine Sherwood-Laughlin and Jill Nicholson-Crotty

Addressing the caste system in U.S. healthcare in the era of COVID-19

In healthcare, we find an industry that typifies the unique blend of racism, classism, and other forms of structural discrimination that comprise the U.S. caste system—the artificially-constructed and legally-...

Authors: Karthik Sivashanker, Cheri Couillard, Jennifer Goldsmith, Normella Walker and Sunil Eappen

Adaptation and validation of social accountability measures in the context of contraceptive services in Ghana and Tanzania

Changes in the values, attitudes, and interactions of both service users and health care providers are central to social accountability processes in reproductive health. However, there is little consensus on h...

Authors: Victoria Boydell, Petrus S. Steyn, Joanna Paula Cordero, Ndema Habib, My Huong Nguyen, Dela Nai and Donat Shamba

Ethics, pandemic and environment; looking at the future of low middle income countries

COVID-19 which started in Wuhan, China and swiftly expanded geographically worldwide, including to Low to Middle Income Countries (LMICs). This in turn raised numerous ethical concerns in preparedness, knowled...

Authors: Faouzia Tanveer, Ali Talha Khalil, Muhammad Ali and Zabta Khan Shinwari

Representation of gender in migrant health studies – a systematic review of the social epidemiological literature

Gender as a social construct contributes to determine who migrates and which migration-related risks and opportunities emerge in all phases of the migration trajectory. Simultaneously, migration influences the...

Authors: Lisa Wandschneider, Stephanie Batram-Zantvoort, Oliver Razum and Céline Miani

Health of refugees and migrants from former Soviet Union countries in the Russian Federation: a narrative review

This narrative review was conducted to synthesize and summarize available up-to-date evidence on current health status, including both non-communicable diseases and infectious diseases, of migrants and refugee...

Authors: Nataliia Bakunina, Artyom Gil, Vitaly Polushkin, Boris Sergeev, Margarita Flores, Igor Toskin, Viktoriya Madyanova and Ruslan Khalfin

Responsiveness of health care services towards the elderly in Tanzania: does health insurance make a difference? A cross-sectional study

Responsiveness has become an important health system performance indicator in evaluating the ability of health care systems to meet patients’ expectations. However, its measurement in sub-Saharan Africa remain...

Authors: Paul Joseph Amani, Malale Tungu, Anna-Karin Hurtig, Angwara Denis Kiwara, Gasto Frumence and Miguel San Sebastián

Socioeconomic inequalities in women’s access to health care: has Ecuadorian health reform been successful?

Over the last 12 years, Ecuador has implemented comprehensive health sector reform to ensure equitable access to health care services according to need. While there have been important achievements in terms of...

Authors: Edy Quizhpe, Miguel San Sebastian, Enrique Teran and Anni-Maria Pulkki-Brännström

Contribution of psychosocial factors to socioeconomic inequalities in mortality among older Australian men: a population-based cohort study

Among older people, the extent to which psychosocial factors explain socioeconomic inequalities in mortality is debated. We aimed to investigate the potential mediating effect of psychosocial factors on socioe...

Authors: Saman Khalatbari-Soltani, Fiona Stanaway, Erin Cvejic, Fiona M. Blyth, Vasi Naganathan, David J. Handelsman, David G. Le Couteur, Markus J. Seibel, Louise M. Waite and Robert G. Cumming

Correction to: Assessing inequalities and regional disparities in child nutrition outcomes in India using MANUSH – a more sensitive yardstick

An amendment to this paper has been published and can be accessed via the original article.

Authors: Ayushi Jain and Satish B. Agnihotri

Sex differences in the management of persons with dementia following a subnational primary care policy intervention

The influence of sex and gender on the risk of dementia, its clinical presentation and progression is increasingly being recognized. However, current dementia strategies have not explicitly considered sex and ...

Authors: Nadia Sourial, Geneviève Arsenault-Lapierre, Eva Margo-Dermer, Mary Henein and Isabelle Vedel

Typology of organizational innovation components: building blocks to improve access to primary healthcare for vulnerable populations

Achieving equity of access to primary healthcare requires organizations to implement innovations tailored to the specific needs and abilities of vulnerable populations. However, designing pro-vulnerable innova...

Authors: Mélanie Ann Smithman, Sarah Descôteaux, Émilie Dionne, Lauralie Richard, Mylaine Breton, Vladimir Khanassov and Jeannie L. Haggerty

Landscapes of care and despair for rural youth – a qualitative study in the northern Swedish ‘periphery’

This study emerges as a response to the lack of youth perspectives when it comes to discussions about access to and experiences of health and social services in rural areas. It subsequently contributes to the ...

Authors: Frida Jonsson, Isabel Goicolea, Monica Christianson, Dean B. Carson and Maria Wiklund

Using implementation science to mitigate worsening health inequities in the United States during the COVID-19 pandemic

With the threat of coronavirus disease 2019 (Covid-19) enduring in the United States, effectively and equitably implementing testing, tracing, and self-isolation as key prevention and detection strategies rema...

Authors: Tyler A. Jacobson, Lauren E. Smith, Lisa R. Hirschhorn and Mark D. Huffman

Unmet mental health needs in the general population: perspectives of Belgian health and social care professionals

An unmet mental health need exists when someone has a mental health problem but doesn’t receive formal care, or when the care received is insufficient or inadequate. Epidemiological research has identified bot...

Authors: Eva Rens, Geert Dom, Roy Remmen, Joris Michielsen and Kris Van den Broeck

Does healthcare inequity reflect variations in peoples’ abilities to access healthcare? Results from a multi-jurisdictional interventional study in two high-income countries

Primary healthcare services must respond to the healthcare-seeking needs of persons with a wide range of personal and social characteristics. In this study, examined whether socially vulnerable persons exhibit...

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

Building a sanitary vulnerability map from open source data in Argentina (2010-2018)

Designing public health policies to target the needs of specific places requires highly granular data. When geographic health statistics from official sources are absent or lacking in spatial detail, Sanitary ...

Authors: Germán Federico Rosati, Tomás Alberto Olego and H. Antonio Vazquez Brust

Gender disparities in clinical practice: are there any solutions? Scoping review of interventions to overcome or reduce gender bias in clinical practice

Authors: Lorena Alcalde-Rubio, Ildefonso Hernández-Aguado, Lucy Anne Parker, Eduardo Bueno-Vergara and Elisa Chilet-Rosell