Abstract:
BACKGROUND:Aboriginal and Torres Strait Islander women experience higher rates of obesity, chronic disease, and are less active than non-Indigenous Australian women. Lifestyle programs designed to increase physical activity and encourage healthy eating are needed to ameliorate this disparity. The aim of this study was to identify participants' perceived barriers and enablers to attend group exercise classes as part of a 12-week fitness program. METHODS:To understand the factors that influence attendance, a mixed method process evaluation was undertaken in which a quantitative measure of attendance in the group exercise classes was used to identify cases for further qualitative investigation. Aboriginal and/or Torres Strait Islander women aged 18 to 64 years were recruited to a research trial of a fitness program. The 12-week program included two 60-minute group exercise classes per week, and four nutrition education workshops. Semi-structured interviews were conducted at program completion. Participants were stratified by attendance, and interviews from the highest and lowest 25 percentiles analysed. Rigour was strengthened through use of multiple data analysts, member checking and prolonged engagement in the field. RESULTS:Analyses of the post-program interviews revealed that participants enrolled in the program primarily for the perceived health benefits and all (with one exception) found the program met their needs and expectations. The atmosphere of classes was positive and comfortable and they reported developing good relationships with their fellow participants and program staff. Low attendees described more barriers to attendance, such as illness and competing work and family obligations, and were more likely to report logistical issues, such as inconvenient venue or class times. CONCLUSIONS:Attendance to the 'Aboriginal and Torres Strait Islander Women's Fitness Program' was primarily influenced by the participant's personal health, logistics and competing obligations. Low attendees reported more barriers during the 12-week period and identified fewer enabling factors than high attendees. TRIAL REGISTRATION:Australian New Zealand Clinical Trials Registry ACTRN12610000224022.
journal_name
Int J Equity Healthjournal_title
International journal for equity in healthauthors
Canuto KJ,Spagnoletti B,McDermott RA,Cargo Mdoi
10.1186/1475-9276-12-11subject
Has Abstractpub_date
2013-01-24 00:00:00pages
11issn
1475-9276pii
1475-9276-12-11journal_volume
12pub_type
杂志文章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:BACKGROUND:With the depth development of health care system reform in China, emergency medical services (EMS) is confronted with challenges as well as opportunities. This study aimed to analyze the equity of China's EMS needs, utilization, and resources distribution, and put forward proposal to improve the equity. MET...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0507-5
更新日期:2017-01-11 00:00:00
abstract:BACKGROUND:Healthy eating behaviour is an essential determinant of overall health. This behaviour is generally poor among people at risk of experiencing food insecurity, which may be caused by many factors including perceived higher costs of healthy foods, financial stress, inadequate nutritional knowledge, and inadequ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-1077-0
更新日期:2019-11-27 00:00:00
abstract:INTRODUCTION:Tobacco use in China is disproportionally distributed among rural and urban populations with rural people smoking more. While there is a wealth of evidence on the association between tobacco use among rural people and their lower socio-economic status (SES), how social structural factors contribute to rura...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-13-12
更新日期:2014-02-03 00:00:00
abstract:BACKGROUND:The aims of this study were to examine indicators of socioeconomic deprivation among secondary school students and to determine associations between household poverty, neighbourhood deprivation and health indicators. METHODS:Data were from a nationally representative sample of 8500 secondary school students...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0398-5
更新日期:2016-07-16 00:00:00
abstract:INTRODUCTION:Equity should be implicit within universal health coverage (UHC) however, emerging evidence is showing that without adequate focus on measurement of equity, vulnerable populations may continue to receive inadequate or inferior health care. This study undertakes a narrative review which aims to: (i) elucida...
journal_title:International journal for equity in health
pub_type: 杂志文章,评审
doi:10.1186/s12939-014-0072-8
更新日期:2014-10-10 00:00:00
abstract:BACKGROUND:Residential segregation can foster health inequality mechanisms by increasing stress related to neighborhood violence and disorder. AIMS:We studied the association between neighborhood violence and disorder and inequalities in anxiety between two groups of perinatal Israeli women (Jewish, Palestinian-Arab) ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01339-5
更新日期:2020-12-09 00:00:00
abstract:BACKGROUND:The theory of fundamental causes explains why health disparities persist over time, even as risk factors, mechanisms, and diseases change. Using an intersectional framework, we evaluated multifactorial discrimination as a fundamental cause of mental health disparities. METHODS:Using baseline data from the P...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0532-z
更新日期:2017-03-04 00:00:00
abstract::Despite being the wealthiest and one of the most technologically advanced countries in the world, the United States has the greatest number of Covid-19 cases and deaths. What accounts for this failure? The dismantling of the country's public health infrastructure has crippled contact tracing and exacerbated inequality...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01354-6
更新日期:2021-01-04 00:00:00
abstract:BACKGROUND:Opioid use is a severe problem in Iran. Despite methadone maintenance treatment (MMT) programs being one of the most important treatment strategies for reducing individual and public harms associated with opioid use, a large proportion of Iranian patients refuse to participate in such treatment programs. ME...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0787-z
更新日期:2018-06-11 00:00:00
abstract:OBJECTIVE:Self-rated health represents a reliable and important health measure related to general health and quality of life. This study aimed to identify the differences of health states of rural residents in a lower middle income setting in China and its associated factors. METHODS:A descriptive study of a stratifie...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0875-0
更新日期:2018-11-08 00:00:00
abstract:BACKGROUND:Hearing loss is a prevalent but neglected disease, especially in low- or middle-income countries. The role of Community Health Workers (CHWs) to deliver primary ear and hearing care has been explored in several studies from a technical standpoint, but understanding perceptions, barriers, and enablers of such...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01158-8
更新日期:2020-05-07 00:00:00
abstract:BACKGROUND:Despite the considerable changes in the provision of health care to prisoners in the UK there is little published literature that attempts to examine broader aspects of health and the impact of imprisonment on these, focusing instead on disease specific areas. This is surprising given that one of the main dr...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-10-21
更新日期:2011-05-25 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: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: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:BACKGROUND:Social isolation among older adults raises major issues for equity in healthcare in the context of the COVID-19 pandemic. MAIN TEXT:This commentary describes current challenges in preventing social isolation among older adults and proposes pathways to develop inclusive approaches to intervention in this vul...
journal_title:International journal for equity in health
pub_type: 信件
doi:10.1186/s12939-020-01360-8
更新日期:2021-01-08 00:00:00
abstract:BACKGROUND:Social marginalization and criminalization create health and safety risks for sex workers and reduce their access to health promotion and prevention services compared to the general population. Community empowerment-based interventions that prioritize the engagement of sex workers show promising results. Pee...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0655-2
更新日期:2017-08-30 00:00:00
abstract:: This review investigates the health of immigrants to Canada by critically examining differences in health status between immigrants and the native-born population and by tracing how the health of immigrants changes after settling in the country. Fifty-one published empirical studies met the inclusion criteria for thi...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-9-27
更新日期:2010-11-24 00:00:00
abstract:BACKGROUND:Despite the centrality of health personnel to the health of the population, the planning, production and management of human resources for health remains underdeveloped in many low- and middle-income countries (LMICs). In addition to the general shortage of health workers, there are significant inequalities ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0575-1
更新日期:2017-06-30 00:00:00
abstract:BACKGROUND: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 would be predicted by their per capita income. Discovering which conditions or policies contribute to ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01315-z
更新日期:2020-11-10 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:Mexico has undertaken important efforts to decrease maternal mortality. Health authorities have introduced intercultural innovations to address barriersfaced by indigenous women accessing professional maternal and delivery services. This study examines, from the perspective of indigenous women, the barriers ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-015-0289-1
更新日期:2015-12-23 00:00:00
abstract:BACKGROUND:Māori men have stark health inequities around non-communicable diseases. This study describes the case of a partnership attempting to develop and implement a culturally centred intervention through a collaborative partnership to potentially address the inequities. In particular, the partnership followed a pa...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01222-3
更新日期:2020-06-22 00:00:00
abstract:BACKGROUND:China has made remarkable progress in scaling up essential services during the last six decades, making health care increasingly available in rural areas. This was partly achieved through the building of a three-tier health system in the 1950s, established as a linked network with health service facilities a...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0541-y
更新日期:2017-05-23 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:Implementation of known effective interventions would necessitate the reduction of malaria burden by half by the year 2010. Identifying geographical disparities of coverage of these interventions at small area level is useful to inform where greatest scaling-up efforts should be concentrated. They also provi...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-6-5
更新日期:2007-07-04 00:00:00
abstract:BACKGROUND:Although cervical cancer is a leading cause of cancer related morbidity and mortality among women in Ethiopia, there is lack of information regarding the perception of the community about the disease. METHODS:Focus group discussions were conducted with men, women, and community leaders in the rural settings...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-11-83
更新日期:2012-12-29 00:00:00
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:UNLABELLED:BSTRACT: INTRODUCTION:Mexican-origin women in the U.S. living in colonias (new-destination Mexican-immigrant communities) along the Texas-Mexico border suffer from a high incidence of food insecurity and diet-related chronic disease. Understanding environmental factors that influence food-related behaviors ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-11-25
更新日期:2012-05-15 00:00:00