Abstract:
INTRODUCTION:If an intervention is not well spatially targeted, appropriate levels of uptake, efficacy, long-term compliance and improved health outcomes are unlikely to be attained. Effective health interventions should seek to achieve not only absolute improvements in health but also to reduce inequity. There is often a disparity whereby preventative interventions are more likely to be successful amongst the more affluent, a process which has been coined the 'inverse prevention law'. Physical inactivity is known to be socially patterned and disproportionately prevalent in disadvantaged communities yet there is a lack of clear evidence on which interventions have the potential to influence inequity. Walking groups have been found to have multiple health benefits and increase physical activity. In England the major facilitator is a not for profit organisation which has 70,000 regular walkers and is lay led with 10,000 volunteers. The aim of this study was to evaluate the extent to which walking groups operated in those places with the greatest health need and whether consequently the scheme has the potential to influence health inequity. METHOD:The work used a spatial approach whereby geographical variations in walking group provision within the 326 local authorities in England (mean population 163,410) were linked to health and socio-economic measures of population need. RESULTS:Generally, greater need was not associated with higher provision of the walking group intervention. Although the magnitude of differences was small, provision of the intervention tended to be poorest in those local authorities with the greatest health need, as measured by our indicators. CONCLUSIONS:Without targeting those areas with greater health and socio-economic need, there is a concern that walking groups may not be set up in areas that need them most. There is therefore a potential that this intervention could, albeit in a small way, widen inequity between local authorities. However small-scale and well-intentioned, interventions need to be evaluated for their potential impact on inequity.
journal_name
Int J Equity Healthjournal_title
International journal for equity in healthauthors
Hanson S,Jones Adoi
10.1186/s12939-015-0256-xsubject
Has Abstractpub_date
2015-10-29 00:00:00pages
106issn
1475-9276pii
10.1186/s12939-015-0256-xjournal_volume
14pub_type
杂志文章abstract:BACKGROUND:Breast cancer stands as the leading cause of cancer related mortality in women worldwide. Mammography screening has the potential to improve prognosis by reducing stage at diagnosis. Socioeconomic inequalities in mammography cancer screening have been widely reported. The influence of organised programs on s...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0811-3
更新日期:2018-07-03 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:Although health equity issues at regional, national and international levels are receiving increasing attention, health equity issues at the local level have been virtually overlooked. Here, we describe here a comprehensive equity assessment carried out by the Hôpital Albert Schweitzer-Haiti (HAS) in 2003. H...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-6-7
更新日期:2007-08-01 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::This editorial provides an overview of a thematic series that brings attention to the persistently deficient and unequal access to sexual and reproductive health services for young women in sub-Saharan Africa. It represents an effort to analyze the multifaceted relationship between laws, policies and access to service...
journal_title:International journal for equity in health
pub_type: 社论
doi:10.1186/s12939-020-1157-1
更新日期:2020-03-17 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 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: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:In 2014 the World Health Organization (WHO) launched the "End TB Strategy", setting new ambitious goals for elimination of tuberculosis (TB). In contrast with previous efforts to control TB, the new strategy adopted the protection and promotion of human rights in TB prevention and care as a core pillar. This...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-0928-z
更新日期:2019-06-03 00:00:00
abstract::There is a global trend towards the use of ad hoc participation processes that seek to engage grassroots stakeholders in decisions related to municipal infrastructure, land use and services. We present the results of a scholarly literature review examining 14 articles detailing specific cases of these processes to con...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-015-0252-1
更新日期:2015-11-20 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:Lack of access to health care is a persistent condition for most African indigents, to which the common technical approach of targeting initiatives is an insufficient antidote. To overcome the standstill, an integrated technical and political approach is needed. Such policy shift is dependent on political su...
journal_title:International journal for equity in health
pub_type: 杂志文章,评审
doi:10.1186/1475-9276-12-91
更新日期:2013-11-15 00:00:00
abstract:INTRODUCTION:It is well known that lower income is associated with poorer health, but poverty has several dimensions other than income. In the current study, we investigated the associations between multidimensional poverty and health variables. METHODS:Using micro data obtained from a nationwide population survey in ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-014-0128-9
更新日期:2014-12-19 00:00:00
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 l...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-9-13
更新日期:2010-05-25 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:BACKGROUND:The evaluation of geographical healthcare accessibility in residential areas provides crucial information to public policy. Traditional methods - such as Physician Population Ratios (PPR) or shortest travel time - offer only a one-dimensional view of accessibility. This paper developed an improved indicator:...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0411-z
更新日期:2016-08-02 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::In the debate on 'Third options' for health care delivery in low- and middle-income countries it is proposed that self-help should play a larger role. Self-help is expected to contribute towards improving population health outcomes and reducing government health care expenditure. We review scope and limitations of sel...
journal_title:International journal for equity in health
pub_type: 社论
doi:10.1186/1475-9276-3-1
更新日期:2004-04-15 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:Financial stress is a barrier to successful smoking cessation and a key predictor of relapse. Little is known about the financial situation of low-income Australian daily smokers. This study aims to describe and investigate associations between the financial functioning, tobacco use and quitting behaviours o...
journal_title:International journal for equity in health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12939-017-0643-6
更新日期:2017-08-30 00:00:00
abstract:BACKGROUND:Family planning and maternal care services have become increasingly available in West Africa but the level of non-use remains high. This unfavorable outcome may be partly due to the unaffordability of reproductive health care services. METHODS:Using the Demographic Health Survey data from Burkina Faso, Nige...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01167-7
更新日期:2020-03-27 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: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:Effective implementation can maximise the beneficial impacts of health services. It is therefore important to review implementation in the context of Indigenous populations, who suffer some of the greatest disadvantage within developed countries. This paper analyses Aboriginal and Torres Strait Islander (her...
journal_title:International journal for equity in health
pub_type: 杂志文章,评审
doi:10.1186/s12939-016-0337-5
更新日期:2016-03-10 00:00:00
abstract:BACKGROUND:People experiencing homelessness are often marginalized and are known to face barriers to accessing acceptable and respectful healthcare services. This study examines the experience of accessing hospital-based services of persons experiencing homelessness or vulnerable housing in southeastern Ontario and con...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-1004-4
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:Comparing the distribution of all cause or cause-specific child mortality in countries by income and its progress over time has not been rigorously monitored, and hence remains unknown. We therefore aimed to analyze child mortality disparities between countries with respect to income level and progression fo...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-1102-3
更新日期:2019-12-31 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: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:Record numbers of people, across the world, are forced to be displaced because of conflict or other violations of their human rights, thus becoming refugees. Often, refugees not only have a higher burden of disease but also compromised access to healthcare, as they face many barriers, such as limited knowled...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0694-8
更新日期:2017-11-10 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