Abstract:
BACKGROUND:The 1986 Ottawa Charter for Health Promotion coincided with a preponderance of research, worldwide, on the social determinants of health and health inequities. Despite the establishment of a 'health inequities knowledge base', the precise roles for municipal governments in reducing health inequities at the local level remain poorly defined. The objective of this study was to monitor thematic trends in this knowledge base over time, and to track scholarly prescriptions for municipal government intervention on local health inequities. METHODS:Using meta-narrative mapping, four bodies of scholarly literature - 'health promotion', 'Healthy Cities', 'population health' and 'urban health' - that have made substantial contributions to the health inequities knowledge base were analyzed over the 1986-2006 timeframe. Article abstracts were retrieved from the four literature bodies using three electronic databases (PubMed, Sociological Abstracts, Web of Science), and coded for bibliographic characteristics, article themes and determinants of health profiles, and prescriptions for municipal government interventions on health inequities. RESULTS:1004 journal abstracts pertaining to health inequities were analyzed. The overall quantity of abstracts increased considerably over the 20 year timeframe, and emerged primarily from the 'health promotion' and 'population health' literatures. 'Healthy lifestyles' and 'healthcare' were the most commonly emphasized themes in the abstracts. Only 17% of the abstracts articulated prescriptions for municipal government interventions on local health inequities. Such interventions included public health campaigns, partnering with other governments and non-governmental organizations for health interventions, and delivering effectively on existing responsibilities to improve health outcomes and reduce inequities. Abstracts originating from Europe, and from the 'Healthy Cities' and 'urban health' literatures, were most vocal regarding potential avenues for municipal government involvement on health inequities. CONCLUSIONS:This study has demonstrated a pervasiveness of 'behavioural' and 'biomedical' perspectives, and a lack of consideration afforded to the roles and responsibilities of municipal governments, among the health inequities scholarly community. Thus, despite considerable research activity over the past two decades, the 'health inequities knowledge base' inadequately reflects the complex aetiology of, and solutions to, population health inequities.
journal_name
Int J Equity Healthjournal_title
International journal for equity in healthauthors
Collins PA,Hayes MVdoi
10.1186/1475-9276-9-13subject
Has Abstractpub_date
2010-05-25 00:00:00pages
13issn
1475-9276pii
1475-9276-9-13journal_volume
9pub_type
杂志文章abstract:INTRODUCTION:Health care financing reforms in both China and Vietnam have resulted in greater financial difficulties in accessing health care, especially for the rural poor. Both countries have been developing rural health insurance for decades. This study aims to evaluate and compare equity in access to health care in...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-11-10
更新日期:2012-02-29 00:00:00
abstract:BACKGROUND:China is experiencing environmental issues and related health effects due to its industrialization and urbanization. The health effects associated with air pollution are not just a matter of epidemiology and environmental science research, but also an important social science issue. Literature about the rela...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0719-y
更新日期:2018-02-05 00:00:00
abstract:BACKGROUND:The phenomenon of inequitable healthcare utilization in rural China interests policymakers and researchers; however, the inequity has not been actually measured to present the magnitude and trend using nationally representative data. METHODS:Based on the National Health Service Survey (NHSS) in 1993, 1998, ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-12-34
更新日期:2013-05-20 00:00:00
abstract:BACKGROUND:The recent economic and financial crisis in Portugal urged the Portuguese Government in April 2011 to request financial assistance from the troika austerity bail out program to get aid for its government debt. The troika agreement included health reforms and austerity measures of the National Health Service ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0679-7
更新日期:2017-10-25 00:00:00
abstract:BACKGROUND:The actual distribution of stroke and myocardial infarction (MI) associated with social economic status (SES) among the Chinese population is unclear. We aim to understand the development of disparity in stroke and myocardial infarction (MI) across different income groups in Chinese population. METHODS:Data...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-0986-2
更新日期:2019-06-11 00:00:00
abstract:BACKGROUND:Given the persistence of Indigenous health inequities across national contexts, many countries have adopted strategies to improve the health of Indigenous peoples. Governmental recognition of the unique health needs of Indigenous populations is necessary for the development of targeted programs and policies ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-1149-1
更新日期:2020-07-31 00:00:00
abstract:INTRODUCTION:The prevalence of Community Treatment Orders (CTOs) in the Western world has generated considerable discussion regarding best practices in the outpatient treatment of the seriously mentally ill. Although problems encountered by ethnic minority communities in the various health care systems have been studie...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-014-0069-3
更新日期:2014-09-06 00:00:00
abstract:BACKGROUND:Aggregate urban health statistics mask inequalities. We described maternity care in vulnerable slum communities in Mumbai, and examined differences in care and outcomes between more and less deprived groups. METHODS:We collected information through a birth surveillance system covering a population of over 2...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-8-21
更新日期:2009-06-05 00:00:00
abstract:BACKGROUND:Childhood immunization is one of the most cost-effective interventions for child health. Still, many children are not able to receive completed immunization status. Wealth - related inequality in immunization is considered a major reason for equitable coverage of immunization in Pakistan. Therefore, we exami...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0837-6
更新日期:2018-08-17 00:00:00
abstract:BACKGROUND:The purpose of this article is to describe an interventional project in a University Hospital. It explains the adjustments that were made to provide good care for patients with intellectual and developmental disabilities in an acute care setting in Western Switzerland. It is not the exposition of the results...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-0948-8
更新日期:2019-03-18 00:00:00
abstract:BACKGROUND:While psychosocial theory claims that socioeconomic status (SES), acting through social comparisons, has an important influence on susceptibility to disease, materialistic theory says that socioeconomic position (SEP) and related access to material resources matter more. However, the relative role of SEP ver...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0566-2
更新日期:2017-05-04 00:00:00
abstract:BACKGROUND:Despite free healthcare to pregnant women and children under the age of six, access to healthcare has failed to secure better child health outcomes amongst all children of the country. There is growing evidence of socioeconomic gradient on child health outcomes METHODS:The objectives of this study were to m...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-10-13
更新日期:2011-04-04 00:00:00
abstract::Overcoming continuing polarization regarding judicial enforcement of health rights in Latin America requires clarifying divergent normative and political premises, addressing the lack of reliable empirical data, and establishing the conditions for fruitful inter-sectoral, inter-disciplinary dialogue. ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-1005-3
更新日期:2019-07-04 00:00:00
abstract:BACKGROUND:With the adoption of the Sustainable Development Goals (SDGs), there is a renewed commitment of tackling the varied challenges of undernutrition, particularly stunting (SDG 2.2). Health equity is also a priority in the SDG agenda and there is an urgent need for disaggregated analyses to identify disadvantage...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-1046-7
更新日期:2019-10-15 00:00:00
abstract:BACKGROUND:An important health issue in urban areas is how changes arising from the regeneration of city-areas affect social determinants of health and equity. This paper examines the impacts attributable to a new fish market and to delays in the regeneration of a port area in a deteriorated region of the Bay of Pasaia...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0424-7
更新日期:2016-09-15 00:00:00
abstract:BACKGROUND:In 2002 Afghanistan's Ministry of Public Health (MoPH) and its development partners initiated a new paradigm for the health sector by electing to Contract-Out (CO) the Basic Package of Health Services (BPHS) to non-state providers (NSPs). This model is generally regarded as successful, but literature is scar...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0847-4
更新日期:2018-10-05 00:00:00
abstract:BACKGROUND:Like most Central European countries Slovakia has experienced a period of socioeconomic changes and at the same time a decline in the mortality rate. Therefore, the aim is to study socioeconomic factors that changed over time and simultaneously contributed to regional differences in mortality. METHODS:The a...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0404-y
更新日期:2016-07-19 00:00:00
abstract:INTRODUCTION:Despite the relentless efforts to reduce infant and child mortality with the introduction of the National Expanded Programmes on Immunization (EPI) in 1974, major disparities still exist in immunizations coverage across different population sub-groups. In Kenya, for instance, while the proportion of fully ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-015-0154-2
更新日期:2015-02-27 00:00:00
abstract:BACKGROUND:Inequity in use of physician services has been detected even within health care systems with universal coverage of the population through public insurance schemes. In this study we analyse and compare inequity in use of physician visits (GP and specialists) in Norway based on data from the Surveys of Living ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-10-25
更新日期:2011-06-15 00:00:00
abstract:BACKGROUND:In 2003, Médecins Sans Frontières, the provincial government, and the provincial health authority began a community project to guarantee financial access to primary health care in Karuzi province, Burundi. The project used a community-based assessment to provide exemption cards for indigent households and a ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-8-36
更新日期:2009-10-24 00:00:00
abstract:BACKGROUND:Significant health disparities persist regarding new and late Human Immunodeficiency Virus (HIV) diagnoses among sub-Saharan African (SSA) communities in Australia. Personal/cultural beliefs and practices influence HIV (risk, prevention, testing) within Australia and during visits to home countries. METHOD:...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0772-6
更新日期:2018-05-21 00:00:00
abstract:BACKGROUND:Previous studies suggested that the racial differences in U.S. suicide rates are decreasing, particularly for African Americans, but the cause behind the temporal variations has yet to be determined. This study aims to investigate the long-term trends in suicide mortality in the U.S. between 1983 and 2012 an...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0400-2
更新日期:2016-07-13 00:00:00
abstract:BACKGROUND:Our research group advanced a health insurance theory to explain Canada's cancer care advantages over America. The late Barbara Starfield theorized that Canada's greater primary care-orientation also plays a critically protective role. We tested the resultant Starfield-Gorey theory by examining the effects o...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-015-0246-z
更新日期:2015-10-29 00:00:00
abstract:BACKGROUND:Disparities in prostate cancer (PCa) outcomes and their links to socioeconomic status (SES) have been intensively studied. A relatively low incidence rate and a high proportion of late-stage diagnosis have been documented in studies of Asian populations. For the past 20 years, the trend in the growth of PCa ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0792-2
更新日期:2018-06-15 00:00:00
abstract:INTRODUCTION:A key element of the global drive to universal health coverage is ensuring access to needed health services for everyone, and to pursue this goal in an equitable way. This requires concerted efforts to reduce disparities in access through understanding and acting on barriers facing communities with the low...
journal_title:International journal for equity in health
pub_type: 杂志文章,评审
doi:10.1186/s12939-015-0181-z
更新日期:2015-06-09 00:00:00
abstract:INTRODUCTION:We simulate and analyze Total Health Expenditure (THE) in financial sources and other economic indicators (such as THE per capita, GDP, etc.) in a province of China from 2002 to 2012 on System Dynamics. METHODS:Based on actual data and certain mathematical methods, we use system dynamic software to constr...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-015-0203-x
更新日期:2015-08-27 00:00:00
abstract:BACKGROUND:Regulation of the medical tourism and public health sectors overlap in many instances, raising questions of how patient safety, economic growth, and health equity can be protected. The case of Guatemala is used to explore how the regulatory challenges posed by medical tourism should be dealt with in countrie...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0866-1
更新日期:2018-09-20 00:00:00
abstract:BACKGROUND:A growing body of literature has demonstrated that higher social capital is associated with improved health conditions. However, some research indicated that the association between social capital and health was substantially attenuated after adjustment for material deprivation. Studies exploring the associa...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-8-2
更新日期:2009-02-15 00:00:00
abstract:BACKGROUND:The demographic shift and epidemiologic transition in Brazil have drawn attention to ways of measuring population health that complement studies of mortality. In this paper, we investigate regional differences in healthy life expectancy based on information from the National Health Survey (PNS), 2013. METHO...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0432-7
更新日期:2016-11-17 00:00:00
abstract:BACKGROUND:Health inequalities disproportionally affect indigenous people in Guatemala. Previous studies have noted that the disadvantageous situation of indigenous people is the result of complex and structural elements such as social exclusion, racism and discrimination. These elements need to be addressed in order t...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0367-z
更新日期:2016-05-13 00:00:00