International Journal for Equity in Health最新文献

英文中文

Global burden of leishmaniasis, 1990-2021: systematic analysis of the global burden of disease study. 1990-2021年全球利什曼病负担：全球疾病负担系统分析研究

IF 4.1 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal for Equity in Health

Pub Date : 2025-11-25 DOI: 10.1186/s12939-025-02691-0

Sijia Li, Tongtong Qiu, Na Zhao, Meng Liu, Xiaqin He, Xiaoqian Wang, Shan Jiang, Miaoyin Luo, Si Wang, Liming Zhang, Xiaoqin Wang

引用次数: 0

Determinants of depression help-seeking intentions in Xizang, China: leveraging the Andersen model for mental health services utilization improvement. 中国西藏省抑郁症求助意向的决定因素：利用Andersen模型改善心理健康服务利用

IF 4.1 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal for Equity in Health

Pub Date : 2025-11-25 DOI: 10.1186/s12939-025-02679-w

Ruixue Zhao, Yongzhu Lacuo, Zhaoyu Li, Zhaxi Dawa, Wenhua Wang

Background: Depression, a highly prevalent mental health disorder, exerts profound global and economic impacts. In China, rapid industrialization, post-COVID-19 challenges, and evolving social structures have collectively increased depression incidence. Despite evidence-based therapies, substantial treatment gaps persist, particularly due to low utilization of mental health services among individuals with depressive symptoms. Notably, research on help-seeking intentions in Xizang Autonomous Region's unique cultural context remains scarce. This gap hinders understanding of mechanisms underlying mental health service underutilization and the development of targeted interventions. Thus, this study aims to comprehensively explore factors influencing help-seeking intentions among Xizang residents.Method: A cross-sectional study was carried out in October and December 2023. Using systematic random sampling, 1,374 residents from the Shannan, Nyingchi, and Qamdo regions of Xizang were surveyed. Data collection was achieved through face-to-face interviews with structured questionnaires, grounded in the Andersen Behavioral Health Services Use Model. Statistical analyses encompassed descriptive statistics, univariate analyses, and binary logistic regression to discern significant influencing factors.Results: The results indicated that 748 (54.4%) of the participants manifested negative help-seeking intentions (i.e., a lower likelihood of seeking professional help for depression problems), while 626 (45.6%) exhibited positive intentions. Notably, among those meeting the Patient Health Questionnaire-9 (PHQ-9) criteria for moderate-to-severe depression (prevalence = 15.1%), only 34.3% (71/207) demonstrated help-seeking intentions. Multiple factors were significantly associated with help-seeking intentions. Predisposing factors included age (p < 0.05), gender (β = 0.27, p = 0.041), education level (p < 0.05), attitude towards depression (β = 0.13, p < 0.001), and perceived stigma (β=-0.09, p = 0.020). Key enabling/hindering factors were subsistence allowances (β=-0.64, p = 0.008), access to higher-level healthcare facilities (β = 0.49, p = 0.010), received family physician services (β = 0.76, p < 0.001), and geographical location (p < 0.001). For needs factors, both insomnia symptoms (p < 0.05) and depression symptoms (β=-0.06, p < 0.001) were significant. Among these, enabling factors had the most robust association, followed by predisposing and needs factors.Conclusions: These findings not only provide a comprehensive understanding of the determinants of depression help-seeking intentions among Xizang residents but also underscore the imperative for targeted interventions to surmount barriers to mental health service utilization in Xizang. Overall, this study accentuates the urgent necessity of formulating and implementing targeted interventions to dismantle the obstac

背景：抑郁症是一种非常普遍的精神健康障碍，对全球和经济产生深远影响。在中国，快速工业化、新冠疫情后的挑战和不断变化的社会结构共同增加了抑郁症的发病率。尽管有循证疗法，但仍然存在巨大的治疗差距，特别是由于抑郁症患者对精神卫生服务的利用率低。值得注意的是，在西藏自治区独特的文化背景下，对求助意向的研究仍然很少。这一差距阻碍了对精神卫生服务利用不足的机制的理解和制定有针对性的干预措施。因此，本研究旨在全面探讨影响西藏省居民求助意向的因素。方法：于2023年10月和12月进行横断面研究。采用系统随机抽样的方法，对西藏山南、林芝和昌都地区1374名居民进行了调查。数据收集是通过面对面的访谈和结构化的问卷，以安徒生行为健康服务使用模型为基础。统计分析包括描述性统计、单变量分析和二元逻辑回归来识别显著的影响因素。结果：748人（54.4%）表现出消极的求助意向（即对抑郁问题寻求专业帮助的可能性较低），626人（45.6%）表现出积极的求助意向。值得注意的是，在符合患者健康问卷-9 （PHQ-9）标准的中至重度抑郁症（患病率= 15.1%）中，只有34.3%（71/207）表现出寻求帮助的意愿。多种因素与求助意向显著相关。结论：本研究结果不仅对西藏省居民抑郁症求助意向的决定因素有了全面的了解，而且强调了有针对性的干预措施克服西藏省心理健康服务利用障碍的必要性。总体而言，本研究强调了制定和实施有针对性的干预措施以消除西藏省精神卫生保健获取障碍的紧迫性，从而有助于改善该地区的精神卫生状况。

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引用次数: 0

Racial and ethnic representation in concussion research: a call for methodological and analytical reform. 脑震荡研究中的种族和民族代表性：对方法和分析改革的呼吁。

IF 4.1 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal for Equity in Health

Pub Date : 2025-11-25 DOI: 10.1186/s12939-025-02692-z

Monica R Lininger, Eric S Cerino, Hayley J Root, Corey Oshikoya, Patricia M Kelshaw, Jessie R Oldham, Gillian Porter, Faith R Shannon, Erica Beidler

引用次数: 0

Setting priorities for healthcare interventions in Indonesia: a comprehensive conceptual framework. 确定印度尼西亚保健干预措施的优先事项：一个全面的概念框架。

IF 4.1 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal for Equity in Health

Pub Date : 2025-11-24 DOI: 10.1186/s12939-025-02668-z

Mohammed Alfaqeeh, Neily Zakiyah, Maarten J Postma, Auliya A Suwantika

引用次数: 0

Health terminators in working children: a critical ethnography. 劳动儿童中的健康终止者：一个关键的人种学。

IF 4.1 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal for Equity in Health

Pub Date : 2025-11-24 DOI: 10.1186/s12939-025-02707-9

Haleh Jafari, Nahid Dehghan Nayeri, Serge Brand, Nematollah Fazeli, Alireza Nikbakht Nasrabadi, Fatemeh Khoshnavay Fomani, Shokoh Varaei

Background: Multiple factors influence the health of working children, including cultural, behavioral, and environmental determinants. Identifying and understanding these factors is essential for developing effective interventions. This study aimed to identify and critically analyze the factors-termed "health terminators"-that undermine the physical and mental health of working children, considering cultural, behavioral, and environmental influences.

Methods: This study is the second part of a larger ethnographic research conducted in Tehran, employing a qualitative critical ethnographic design over four years. Data collection included prolonged participant observation in workplaces, homes, and schools, semi-structured interviews with children aged 10-18 and key informants, informal conversations, and analysis of documents and children's drawings. Data were coded and analyzed following Carspecken's framework, with triangulation, member checking, and peer debriefing used to ensure trustworthiness.

Results: Analysis generated 3,057 low-level codes, with approximately one thousand assigned to the main theme "health terminators," comprising five intermediate categories: cultural beliefs, self-harming behaviors, living in unhealthy environments, forgotten children, and social abandonment and vulnerability. Key issues identified included superstition, risky behaviors, neglect of preventive health measures, unsafe housing, educational and emotional neglect, and restricted access to health services.

Conclusions: Working children face multifaceted health risks driven by cultural, behavioral, and structural factors. Comprehensive, equity-oriented policies addressing physical needs, cultural beliefs, health behaviors, and environmental conditions are essential. Interventions such as culturally sensitive health education, improved living conditions, health insurance coverage, and social support can reduce vulnerability and promote equitable health outcomes, contributing to health justice for marginalized children.

背景：多种因素影响童工的健康，包括文化、行为和环境决定因素。识别和了解这些因素对于制定有效的干预措施至关重要。考虑到文化、行为和环境的影响，本研究旨在识别和批判性地分析被称为“健康终止者”的因素，这些因素破坏了童工的身心健康。方法：这项研究是在德黑兰进行的一项更大的民族志研究的第二部分，在四年的时间里采用了定性的关键民族志设计。数据收集包括在工作场所、家庭和学校进行长时间的参与者观察，对10-18岁儿童和关键线人进行半结构化访谈，非正式对话，以及对文件和儿童绘画的分析。数据按照Carspecken的框架进行编码和分析，使用三角测量、成员检查和同行汇报来确保可信度。结果：分析产生了3057个低级代码，其中大约1000个分配给主题“健康终结者”，包括五个中间类别：文化信仰、自我伤害行为、生活在不健康的环境中、被遗忘的儿童、社会遗弃和脆弱性。确定的主要问题包括迷信、危险行为、忽视预防保健措施、不安全的住房、教育和情感忽视以及获得保健服务的机会有限。结论：劳动儿童面临着文化、行为和结构因素驱动的多方面健康风险。针对物质需求、文化信仰、健康行为和环境条件的全面、面向公平的政策是必不可少的。对文化敏感的健康教育、改善生活条件、医疗保险覆盖面和社会支持等干预措施可以减少脆弱性，促进公平的健康结果，有助于为边缘化儿童伸张健康正义。

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引用次数: 0

Overcoming barriers to childhood vaccination in a First Nations community: the impact of a home visiting program on vaccine uptake. 在第一民族社区克服儿童接种疫苗的障碍：家访计划对疫苗摄取的影响。

IF 4.1 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal for Equity in Health

Pub Date : 2025-11-22 DOI: 10.1186/s12939-025-02698-7

Jessica Haight, Melissa Tremblay, Lakota Wood, Charlene Rattlesnake, Heather Downie

引用次数: 0

Equal access to treatment for hearing loss in Chile: do all people have the same opportunities to receive appropriate treatment? A scoping review. 智利听力损失治疗的平等机会：所有人都有同样的机会接受适当的治疗吗？范围审查。

IF 4.1 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal for Equity in Health

Pub Date : 2025-11-22 DOI: 10.1186/s12939-025-02697-8

Francesca Scandurra, Erica A Suzumura, Christina Schwarz, Michael Urban

Background: Over the past two decades, Chile has undertaken numerous initiatives to reform its healthcare system. However, health equity is influenced by factors beyond the healthcare system. Particularly in hearing health, the access to hearing loss treatment has been reported as hampered at many levels. This scoping review aimed to map the available evidence on hearing health to identify local determinants and barriers that may contribute to disparities in access to treatment for hearing loss in Chile.

Methods: The Joanna Briggs Institute guidance for scoping reviews was followed. The PCC mnemonic (Population, Concept, and Context) was used to guide the development of the search strategy. Searches were conducted in MEDLINE via PubMed, Cochrane and Science Direct databases, limited to publications from 2000 to June 2025, with no language nor type of publication restrictions, and was supplemented by manual search. Two independent reviewers screened all retrieved references, assessed the eligibility, and charted data of the eligible publications. Disagreements were solved through discussion with a third reviewer. Basic content analysis was used to identify the local determinants and barriers in access to hearing loss treatment, which were narratively described and presented along visual summary tools.

Results: Of the 940 unique records identified for screening, the full text of 135 publications were assessed and 50 were included in the review. The principal determinants of hearing care were identified as age, and type and degree of hearing loss. Individuals with severe to profound bilateral sensorineural hearing loss have access to appropriate treatment at any stage of their lives through publicly funded programs. However, youth and adults with mixed or conductive hearing loss do not have a clear pathway to rehabilitation. Barriers to accessing hearing care services in Chile included lower education and income levels, unemployment, limited awareness of treatment options, insufficient family or social support, and residing in remote areas.

Conclusion: Despite public health advancements in providing hearing loss treatment, gaps persist in certain populations. Reducing these disparities requires improving access to services, expanding hearing screening, and providing hearing technologies across all ages and for all types and degrees of hearing loss.

背景：在过去的二十年里，智利已经采取了许多举措来改革其医疗体系。然而，卫生公平受到卫生保健系统以外因素的影响。特别是在听力健康方面，据报告，获得听力损失治疗在许多层面受到阻碍。这项范围审查的目的是绘制关于听力健康的现有证据图，以确定可能导致智利听力损失治疗可及性差异的当地决定因素和障碍。方法：遵循乔安娜布里格斯研究所的范围评估指南。使用PCC助记符（人口、概念和上下文）来指导搜索策略的发展。检索通过PubMed、Cochrane和Science Direct数据库在MEDLINE中进行，限于2000年至2025年6月的出版物，没有语言和出版物类型限制，并辅以人工检索。两位独立的审稿人筛选了所有检索到的文献，评估了合格性，并绘制了符合条件的出版物的数据图表。分歧通过与第三位审稿人讨论解决。使用基本内容分析来确定获得听力损失治疗的当地决定因素和障碍，并通过视觉总结工具对其进行叙述和呈现。结果：在确定用于筛选的940份独特记录中，评估了135份出版物的全文，其中50份被纳入综述。听力保健的主要决定因素被确定为年龄、听力损失的类型和程度。患有严重到深度双侧感音神经性听力损失的个人在其生命的任何阶段都可以通过公共资助的项目获得适当的治疗。然而，青少年和成人混合性或传导性听力损失没有明确的康复途径。智利获得听力保健服务的障碍包括教育程度和收入水平较低、失业、对治疗方案的认识有限、家庭或社会支持不足以及居住在偏远地区。结论：尽管公共卫生在提供听力损失治疗方面取得了进展，但在某些人群中仍然存在差距。要缩小这些差距，就需要改善获得服务的机会，扩大听力筛查，并为所有年龄、所有类型和程度的听力损失提供听力技术。

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引用次数: 0

Mortality and barriers to healthcare among people experiencing homelessness in Paris: a mixed-methods study. 巴黎无家可归者的死亡率和获得保健的障碍：一项混合方法研究。

IF 4.1 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal for Equity in Health

Pub Date : 2025-11-22 DOI: 10.1186/s12939-025-02695-w

Eveline Cleynen, Brecht Ingelbeen, Adèle Lenormand, Julien Kerami, Christiana Nöstlinger

引用次数: 0

The collection and integration of data on migrants in health information systems: evidence from Ireland. 卫生信息系统中移民数据的收集和整合：来自爱尔兰的证据。

IF 4.1 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal for Equity in Health

Pub Date : 2025-11-22 DOI: 10.1186/s12939-025-02701-1

Deepanjali Vishwakarma, Soorej Jose Puthoopparambil, Anne MacFarlane, Jim Walsh, Alphonse Basogomba, Patrick O'Donnell, Ruth Armstrong, Ailish Hannigan

引用次数: 0

Conceptualising hardship areas in Sub-Saharan Africa: a scoping review. 撒哈拉以南非洲困难地区的概念化：范围审查。

IF 4.1 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal for Equity in Health

Pub Date : 2025-11-21 DOI: 10.1186/s12939-025-02694-x

Caroline M N Auma, Pauline Karing'u, Eli Harriss, Mike English, Jacquie Oliwa, Emelda A Okiro

引用次数: 0

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International Journal for Equity in Health

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