Abstract:
BACKGROUND:We aimed to determine the extent to which three core variables (school environment, peer group and family affluence) were associated with unhealthy behaviours and health outcomes among Tuscan adolescents. The unhealthy behaviours considered were smoking, alcohol consumption, sedentary lifestyle and irregular breakfast consumption; health outcomes were classified as self-reported health, multiple health complaints and life satisfaction. School environment was measured in terms of liking school, school pressure, academic achievement and classmate support; peer groups were evaluated in terms of the number of peers and frequency of peer contact. Family affluence was measured on a socioeconomic scale. METHODS:Data were taken from the Tuscan 2009/10 survey of "Health Behaviour in School-aged Children", a WHO cross-national survey. A binary logistic multiple regression (95% confidence intervals) was implemented. RESULTS:The total sample comprised 3291 school students: 1135 11-year-olds, 1255 13-year-olds and 901 15-year-olds. Peer group and school environment were associated with unhealthy behaviours such as smoking, alcohol consumption and sedentary lifestyle. Family affluence proved to have less impact on unhealthy behaviours, except in the case of adolescents living in low-income families. Poor health outcomes were directly related to a negative school environment. Regarding the influence of family affluence, the results showed higher odds of life dissatisfaction and poor self-reported health status in medium-income families, while low-income families had higher odds only with regard to life dissatisfaction. A consistent pattern of gender differences was found in terms of both unhealthy behaviours and health outcomes. CONCLUSIONS:Unhealthy behaviours are strongly related to the school environment and peer group. A negative school environment proved to have the strongest relation with poor health outcomes.
journal_name
Int J Equity Healthjournal_title
International journal for equity in healthauthors
Lazzeri G,Azzolini E,Pammolli A,Simi R,Meoni V,Giacchi MVdoi
10.1186/s12939-014-0083-5subject
Has Abstractpub_date
2014-09-25 00:00:00pages
83issue
1issn
1475-9276pii
s12939-014-0083-5journal_volume
13pub_type
杂志文章abstract:BACKGROUND:Street-level workers play a key role in public health policies in Africa, as they are often the ones to ensure their implementation. In Burkina Faso, the State formulated two different user-fee exemption policies for indigents, one for deliveries (2007), and one for primary healthcare (2009). The objective o...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0717-5
更新日期:2018-01-08 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:Dying at home is the most frequent preference of patients with advanced chronic conditions, their caregivers, and the general population. However, most deaths continue to occur in hospitals. The objective of this study was to analyse the socioeconomic inequalities in the place of death in urban areas of Medi...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01324-y
更新日期:2020-12-03 00:00:00
abstract:BACKGROUND:The strategy of health policy has been changed for improving the performances to meeting the increasing healthcare demands. However, limited evidences were found to prove that the bundled payment was valid for service delivering in public sector. This study was designed to evaluate the effectiveness of a bun...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0334-8
更新日期:2016-03-10 00:00:00
abstract:BACKGROUND: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 the reform was to universalize access to health services. METHODS:Data comes from the first National ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01237-w
更新日期:2020-10-26 00:00:00
abstract:BACKGROUND:Following the introduction of user fees in Cambodia, Health Equity Funds (HEF) were developed to enable poor people access to public health services by paying public health providers on their behalf, including non-medical costs for hospitalised beneficiaries (HEFB). The national scheme covers 3.1 million pre...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0803-3
更新日期:2018-06-25 00:00:00
abstract:BACKGROUND:The promotion of patient safety and drug safety through promotion of pharmacist's drug safety practice was among the most important aims of China's health delivery system reform, but regional inequity in pharmacist's drug safety practice was still serious in China. METHODS:The 2011 national patient safety a...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-11-38
更新日期:2012-08-06 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: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:INTRODUCTION:Immigrants are among the most vulnerable population groups in North America; they face multidimensional hurdles to obtain proper healthcare. Such barriers result in increased risk of developing acute and chronic conditions. Subsequently a great deal of burden is placed on the healthcare system. Community n...
journal_title:International journal for equity in health
pub_type: 杂志文章,评审
doi:10.1186/s12939-016-0298-8
更新日期:2016-01-15 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
abstract:BACKGROUND:Hypertension has become a global health challenge given its high prevalence and but low awareness and detection. Whether the actual prevalence of hypertension has been estimated is important, especially for the poor. This study aimed to measure tested prevalence and self-reported prevalence of hypertension a...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0796-y
更新日期:2018-06-15 00:00:00
abstract::Monitoring inequalities in healthcare is increasingly being recognized as a key first step in providing equitable access to quality care. However, the detailed sociodemographic data that are necessary for monitoring are currently not routinely collected from patients in many jurisdictions. We undertook a mixed methods...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-12-75
更新日期:2013-08-30 00:00:00
abstract:BACKGROUND:Resources for coronary revascularisations have increased substantially since the early 1990s in Finland. At the same time, ischaemic heart disease (IHD) mortality has decreased markedly. This study aims to examine how these changes have influenced trends in absolute and relative differences between socioecon...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0536-8
更新日期:2017-02-20 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: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:An integrated and comprehensive hospital/community based health programme is presented, aimed at reducing maternal and child mortality and morbidity. It is run as part of a general programme of health care at a rural hospital situated in northern Tanzania. The purpose was through using research and statistic...
journal_title:International journal for equity in health
pub_type: 社论
doi:10.1186/1475-9276-8-27
更新日期:2009-07-30 00:00:00
abstract:INTRODUCTION:Major efforts have been made to improve the health care system in Hunan province, China. The aims of this study were to assess whether and to what extent these efforts have impacted on gender and regional disparities of Tuberculosis (TB) incidence in recent years, especially for less developed areas. METH...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-13-32
更新日期:2014-04-27 00:00:00
abstract::The unifying theme of the papers in this series is a concern for understanding the everyday practice of governance in low- and middle-income country (LMIC) health systems. Rather than seeing governance as a normative health system goal addressed through the architecture and design of accountability and regulatory fram...
journal_title:International journal for equity in health
pub_type: 社论
doi:10.1186/s12939-017-0665-0
更新日期:2017-09-15 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: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 ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-12-11
更新日期:2013-01-24 00:00:00
abstract:BACKGROUND:Multimorbidity in primary care is a challenge not only for developing countries but also for low and medium income countries (LMIC). Health services in LMIC countries are being provided by both public and private health care providers. However, a critical knowledge gap exists on understanding the true extent...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01170-y
更新日期:2020-04-29 00:00:00
abstract:BACKGROUND:Like other African countries, Tanzania has in recent years, been implementing various exemptions and targeting programmes to protect and ensure equitable access to health care by poorer segments of the population. A body of evidence indicates that exemption policies, while potentially effective in principle,...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-12-80
更新日期:2013-09-26 00:00:00
abstract:BACKGROUND:Large inequalities of mortality by most cancers in general, by mouth and pharynx cancer in particular, have been associated to behaviour and geopolitical factors. The assessment of socioeconomic covariates of cancer mortality may be relevant to a full comprehension of distal determinants of the disease, and ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-7-14
更新日期:2008-06-04 00:00:00
abstract:BACKGROUND:In the 2011 Rio Political Declaration on Social Determinants of Health, World Health Organization (WHO) Member States pledged action in five areas crucial for addressing health inequities. Their pledges referred to better governance for health and development, greater participation in policymaking and implem...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0836-7
更新日期:2018-09-05 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: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:Everyone has the right to achieve the standard of health and well-being. Migrants are considered as vulnerable populations due to the lack of access to health services and financial protection in health. Several interventions have been developed to improve migrant population health, but little is known about...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-0970-x
更新日期:2019-05-06 00:00:00
abstract:BACKGROUND:Current evidence highlights that language discordant clinical encounters seriously compromise patient quality of care and health outcomes. We aimed to characterise patterns of interpreter service use in medical inpatient wards use and explore clinician experience of language discordance. METHODS:Participant...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0865-2
更新日期:2018-09-24 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