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 participatory, co-design approach using the He Pikinga Waiora (HPW) Implementation Framework; the study presents lessons learnt in addressing health inequities following this framework. METHODS:The partnership involved a university research team and a Māori community health provider. They engaged with other stakeholders and several cohorts of Māori men through a co-design process to adapt a 12-week lifestyle intervention. The co-design process was documented through meeting notes and interviews with partners. Two cohorts participated in separate single group pre-intervention/post-intervention designs with multi-method data collection. Key outcome measures included weight loss, self-reported health, physical activity, and nutrition. Post-intervention data collection included qualitative data. RESULTS:The co-design process resulted in a strong and engaged partnership between the university team and the provider. There were significant challenges in implementing the intervention including having two additional partner organisations dropping out of the partnership just after the initial implementation phase. However, a flexible and adaptable partnership resulted in developing two distinct lifestyle interventions run with 32 Māori men (in two different cohorts of 8 and 24). All but one in the first cohort completed the programme. The first cohort had a modest although statistically insignificant improvement in weight loss (d = 1.04) and body mass index (BMI; d = 1.08). The second cohort had a significant reduction in weight loss (d = 1.16) and BMI (d = 1.15). They also had a significant increase in health-related quality of life (d = 1.7) and self-rated health (d = 2.0). CONCLUSION:The HPW Framework appears to be well suited to advance implementation science for Indigenous communities in general and Māori in particular. The framework has promise as a policy and planning tool to evaluate and design interventions for chronic disease prevention in Indigenous communities. Despite this promise, there are structural challenges in developing and implementing interventions to address health inequities. TRIAL REGISTRATION:Retrospectively registered, Australia New Zealand Clinical Trials Registry, ACTRN12619001783112.
journal_name
Int J Equity Healthjournal_title
International journal for equity in healthauthors
Oetzel J,Rarere M,Wihapi R,Manuel C,Tapsell Jdoi
10.1186/s12939-020-01222-3subject
Has Abstractpub_date
2020-06-22 00:00:00pages
103issue
1issn
1475-9276pii
10.1186/s12939-020-01222-3journal_volume
19pub_type
杂志文章abstract:BACKGROUND:Underserved and low-income population are placed at a disadvantage for receiving necessary cancer screenings. This study aims to measure the rates of receiving three types of cancer screening services, Pap test, mammogram and colorectal cancer screening, among patients seen at U.S. health centers (HCs) to in...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-1153-5
更新日期:2020-03-27 00:00:00
abstract::BACKGROUND: Research on health equity which mainly utilises population-based surveys, may be hampered by serious selection bias due to a considerable number of invitees declining to participate. Sufficient information from all the non-responders is rarely available to quantify this bias. Predictors of attendance, magn...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-3-3
更新日期:2004-05-06 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::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: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: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:Over the last several decades, global efforts to end female genital mutilation/cutting (FGM/C) have intensified through combined efforts of international and non-governmental organizations, governments, and religious and civil society groups. One question asked by donors, program implementers and observers a...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0907-9
更新日期:2019-01-30 00:00:00
abstract:BACKGROUND:Around the world the life expectancy at birth has risen steadily over time. However, this increase in life years is not equally distributed among different social segments of the population. Studies have demonstrated that social groups living in deprived areas have a shorter life expectancy at birth in compa...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-10-36
更新日期:2011-08-26 00:00:00
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::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::This article aims to clarify the moral underpinning of the policy framework of Healthy Ageing. It is a policy adopted by the World Health Organization designed to operate in alignment with the United Nations (UN) framework of the Sustainable Development Goals (SDGs) and the urgency given for the achievement of Univers...
journal_title:International journal for equity in health
pub_type: 杂志文章,评审
doi:10.1186/s12939-019-0997-z
更新日期:2019-09-05 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:BACKGROUND:Japan's stagnant economy has produced increasing income disparities, and the effect of poverty on health and health-care utilization is a significant issue. Co-payments could be a trade-off for patients when seeking medical care and limit health-care utilization. We sought primary care physicians' experience...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0534-x
更新日期:2017-02-22 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:BACKGROUND:The importance of culture for food consumption is widely acknowledged, as well as the fact that culture-based resources ("cultural capital") differ between educational groups. Since current explanations for educational inequalities in healthy and unhealthy food consumption (e.g. economic capital, social capi...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0884-z
更新日期:2018-11-15 00:00:00
abstract:BACKGROUND:Aboriginal women are frequently called upon to support their families and other community members. At times, such supporting roles can be burdensome for these women. Many Aboriginal women live with chronic conditions. We explored the ways in which the women's caring roles impacted on how they maintained thei...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-1110-3
更新日期:2020-01-13 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: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:Despite recent progress in improving access to maternal health services, the utilization of these services remains inequitable among women in developing countries, and rural women are particularly disadvantaged. This study sought to measure i) disparities in the rates of institutional births between rural an...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-1025-z
更新日期:2019-08-09 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: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: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:Although government has implemented medical-aid policy that provides assistance to the poor with almost free medical services, there are low-income people who do not receive necessary medical services in Korea. The aim of this study is to highlight the characteristics of Medical-Aid enrollees, the poor not e...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-015-0257-9
更新日期:2015-11-14 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: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:PURPOSE:The purpose of this study was to identify female Hansen's disease experience in settlement village in Korea. METHOD:For this study, 11 participants in settlement village were purposively chosen. Data were collected through in-depth individual interviews from July to December 2015. Verbatim transcripts were ana...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01264-7
更新日期:2020-08-26 00:00:00
abstract:BACKGROUND:In Tak province, Thailand migrants and refugees from Myanmar navigate a pluralistic healthcare system to seek Tuberculosis (TB) care from a variety of government and non-governmental providers. This multi-methods qualitative study examined access to TB, TB/HIV and multidrug-resistant tuberculosis (MDR-TB) tr...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0391-z
更新日期:2016-07-07 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:INTRODUCTION:Many countries from the European region, which moved from a government financed and provided health system to social health insurance, would have had the risk of moving away from universal health coverage if they had followed a "traditional" approach. The Eastern European high-income countries studied in t...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0295-y
更新日期:2016-01-15 00:00:00
abstract:BACKGROUND:Medical specialization is a key feature of biomedicine, and is a growing, but weakly understood aspect of health systems in many low- and middle-income countries (LMICs), including India. Emergency medicine is an example of a medical specialty that has been promoted in India by several high-income country st...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0824-y
更新日期:2018-09-24 00:00:00