Pub Date : 2026-02-05DOI: 10.1186/s12939-026-02771-9
Tingting Qiu, Leiyu Shi, Wei Zhou, Jinsong Deng, Gang Sun
{"title":"From individual burden to social risk pooling: drivers of the declining out-of-pocket health expenditure share in China (2009-2024).","authors":"Tingting Qiu, Leiyu Shi, Wei Zhou, Jinsong Deng, Gang Sun","doi":"10.1186/s12939-026-02771-9","DOIUrl":"10.1186/s12939-026-02771-9","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":"25 1","pages":"33"},"PeriodicalIF":4.1,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12879468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146124921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-04DOI: 10.1186/s12939-026-02768-4
Badraldeen Alnoor, Papreen Nahar, Osama Abu Zied, James Fairhead
{"title":"Environmental and structural risk factors for mycetoma in the White Nile State, Sudan: an ethnographic study.","authors":"Badraldeen Alnoor, Papreen Nahar, Osama Abu Zied, James Fairhead","doi":"10.1186/s12939-026-02768-4","DOIUrl":"10.1186/s12939-026-02768-4","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":"42"},"PeriodicalIF":4.1,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12903350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146118881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-04DOI: 10.1186/s12939-026-02770-w
Liana J Petruzzi, Akhil Mandalapu, Bruce Mang, Eric Quan, Imelda Vetter, Joshua Collier, Ricardo Garay, Rishit Yokananth, Carmen R Valdez, Rebecca Cook, Tim Mercer
{"title":"How is academic medicine engaging with community health workers in the United States?: a systematic review.","authors":"Liana J Petruzzi, Akhil Mandalapu, Bruce Mang, Eric Quan, Imelda Vetter, Joshua Collier, Ricardo Garay, Rishit Yokananth, Carmen R Valdez, Rebecca Cook, Tim Mercer","doi":"10.1186/s12939-026-02770-w","DOIUrl":"10.1186/s12939-026-02770-w","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":"51"},"PeriodicalIF":4.1,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146118917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-02DOI: 10.1186/s12939-026-02758-6
Malak Abu Hashish, Sophie Bronstein, Jiancheng Ye
{"title":"Returning value to communities from the All of Us Research Program through the lens of social determinants of health and ethical, legal, and social implications.","authors":"Malak Abu Hashish, Sophie Bronstein, Jiancheng Ye","doi":"10.1186/s12939-026-02758-6","DOIUrl":"https://doi.org/10.1186/s12939-026-02758-6","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1186/s12939-026-02769-3
Ville Päivärinne, Jatta Salmela, Jouni Lahti, Olli Pietiläinen, Anni Karjala, Anne Kouvonen, Ossi Rahkonen, Tea Lallukka
{"title":"Life-course socioeconomic circumstances and changes in leisure-time physical activity among young and early midlife employees.","authors":"Ville Päivärinne, Jatta Salmela, Jouni Lahti, Olli Pietiläinen, Anni Karjala, Anne Kouvonen, Ossi Rahkonen, Tea Lallukka","doi":"10.1186/s12939-026-02769-3","DOIUrl":"https://doi.org/10.1186/s12939-026-02769-3","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146092809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1186/s12939-026-02761-x
Shunyu Tao, Birong Wu, Ning Yin, Jianyu Chen, Jiaqing Bu, Jun Chen, Sixin Chen, Wei Yan, Nan Zhou, Jiechen Zhang, Yong Cai, Ying Wang, Fan Hu
Background: Free mpox self-testing often requires disclosure of personal contact information (e.g., phone numbers or social media IDs). Among men who have sex with men (MSM), this requirement can function as an access gate with unequal impacts across socioeconomic and regional contexts. Using the Capability, Opportunity, Motivation-Behavior (COM-B) framework, we examined psychosocial and socioeconomic correlates of willingness to disclose among MSM in China.
Methods: We conducted an anonymous online cross-sectional survey (November 2023-March 2024) in six provincial regions representing three development tiers. MSM (n = 2,403) were recruited via community-based organizations using snowball sampling. Guided by the COM-B framework, we fitted hierarchical logistic regression models with sequential adjustment for sociodemographic, health, and behavioral covariates to estimate associations with disclosure willingness. Prespecified stratified analyses by education, income, and regional development assessed heterogeneity.
Results: Overall, 57.9% reported willingness to disclose contact information to obtain free mpox self-testing kits. COM-B factors were consistently associated with willingness across models: higher prevention self-efficacy (OR = 1.028, 95% CI: 1.009-1.046) and prior HIV voluntary counseling and testing (VCT) (OR = 1.535, 95% CI: 1.240-1.899) were positively associated with willingness, whereas greater healthcare-related concerns were negatively associated with it (OR = 0.983, 95% CI: 0.975-0.990). College education (OR = 1.542, 95% CI: 1.233-1.928) and higher income (≥ 6,001 CNY: OR = 1.349, 95% CI: 1.003-1.814) were positively associated. Compared with highly developed regions, MSM in moderately developed regions showed lower odds of willingness to disclose (OR = 0.607, 95% CI: 0.491-0.750). Subgroup analyses indicated that social support was more influential in less developed regions, while privacy- and discrimination-related concerns were more salient in moderately developed regions.
Conclusions: Requiring contact disclosure to access free self-testing can create inequitable barriers. Equity-oriented implementation should: (1) strengthen self-efficacy through peer-led practice and prompts; (2) reduce healthcare-related concerns via privacy-by-design (data minimization, transparent data-use, anonymous pickup); and (3) leverage HIV testing infrastructure. Moderately developed regions warrant priority attention given systematically lower willingness to disclose.
{"title":"Inequities in willingness to disclose contact information to access free mpox self-testing kits among MSM in China: a COM-B-informed multi-center study.","authors":"Shunyu Tao, Birong Wu, Ning Yin, Jianyu Chen, Jiaqing Bu, Jun Chen, Sixin Chen, Wei Yan, Nan Zhou, Jiechen Zhang, Yong Cai, Ying Wang, Fan Hu","doi":"10.1186/s12939-026-02761-x","DOIUrl":"https://doi.org/10.1186/s12939-026-02761-x","url":null,"abstract":"<p><strong>Background: </strong>Free mpox self-testing often requires disclosure of personal contact information (e.g., phone numbers or social media IDs). Among men who have sex with men (MSM), this requirement can function as an access gate with unequal impacts across socioeconomic and regional contexts. Using the Capability, Opportunity, Motivation-Behavior (COM-B) framework, we examined psychosocial and socioeconomic correlates of willingness to disclose among MSM in China.</p><p><strong>Methods: </strong>We conducted an anonymous online cross-sectional survey (November 2023-March 2024) in six provincial regions representing three development tiers. MSM (n = 2,403) were recruited via community-based organizations using snowball sampling. Guided by the COM-B framework, we fitted hierarchical logistic regression models with sequential adjustment for sociodemographic, health, and behavioral covariates to estimate associations with disclosure willingness. Prespecified stratified analyses by education, income, and regional development assessed heterogeneity.</p><p><strong>Results: </strong>Overall, 57.9% reported willingness to disclose contact information to obtain free mpox self-testing kits. COM-B factors were consistently associated with willingness across models: higher prevention self-efficacy (OR = 1.028, 95% CI: 1.009-1.046) and prior HIV voluntary counseling and testing (VCT) (OR = 1.535, 95% CI: 1.240-1.899) were positively associated with willingness, whereas greater healthcare-related concerns were negatively associated with it (OR = 0.983, 95% CI: 0.975-0.990). College education (OR = 1.542, 95% CI: 1.233-1.928) and higher income (≥ 6,001 CNY: OR = 1.349, 95% CI: 1.003-1.814) were positively associated. Compared with highly developed regions, MSM in moderately developed regions showed lower odds of willingness to disclose (OR = 0.607, 95% CI: 0.491-0.750). Subgroup analyses indicated that social support was more influential in less developed regions, while privacy- and discrimination-related concerns were more salient in moderately developed regions.</p><p><strong>Conclusions: </strong>Requiring contact disclosure to access free self-testing can create inequitable barriers. Equity-oriented implementation should: (1) strengthen self-efficacy through peer-led practice and prompts; (2) reduce healthcare-related concerns via privacy-by-design (data minimization, transparent data-use, anonymous pickup); and (3) leverage HIV testing infrastructure. Moderately developed regions warrant priority attention given systematically lower willingness to disclose.</p>","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146092821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-29DOI: 10.1186/s12939-025-02753-3
Dan Bi Kim, Jae Hyeok Lim, Jisu Ko, Min Jeong Joo, Eun-Cheol Park
{"title":"Association between social media usefulness, depression, and self-esteem among adults with disabilities: a longitudinal panel study.","authors":"Dan Bi Kim, Jae Hyeok Lim, Jisu Ko, Min Jeong Joo, Eun-Cheol Park","doi":"10.1186/s12939-025-02753-3","DOIUrl":"https://doi.org/10.1186/s12939-025-02753-3","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146085763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-29DOI: 10.1186/s12939-026-02767-5
Beryl Maritim, Rahab Mbau, Anita Musiega, Anne Musuva, Beatrice Amboko, Benjamin Tsofa, Caitlin Mazzilli, Ileana Vilcu, Ethan Wong, Felix Murira, Jacinta Nzinga, Matt Boxshall, Peter Mugo, Rose Nabi Deborah Karimi Muthuri, Wangari Ng'ang'a, Nirmala Ravishankar, Edwine Barasa
{"title":"\"Poverty is a social issue, not a mathematical problem\": examining the lessons for beneficiary identification from implementation of the UHC indigent program in Kenya.","authors":"Beryl Maritim, Rahab Mbau, Anita Musiega, Anne Musuva, Beatrice Amboko, Benjamin Tsofa, Caitlin Mazzilli, Ileana Vilcu, Ethan Wong, Felix Murira, Jacinta Nzinga, Matt Boxshall, Peter Mugo, Rose Nabi Deborah Karimi Muthuri, Wangari Ng'ang'a, Nirmala Ravishankar, Edwine Barasa","doi":"10.1186/s12939-026-02767-5","DOIUrl":"10.1186/s12939-026-02767-5","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":" ","pages":"40"},"PeriodicalIF":4.1,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12903745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146085690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A conceptual model for healthcare-seeking research and interventions in cutaneous leishmaniasis.","authors":"Sonali Dinushika Gunasekara, Nuwan Darshana Wickramasinghe, Kosala Gayan Weerakoon, Manoj Sanjeewa Fernando, Chandani Liyanage, Helen Philippa Price, Suneth Buddhika Agampodi, Thilini Chanchala Agampodi, Lisa Dikomitis","doi":"10.1186/s12939-026-02763-9","DOIUrl":"10.1186/s12939-026-02763-9","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":"25 1","pages":"45"},"PeriodicalIF":4.1,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12908400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146207010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-27DOI: 10.1186/s12939-025-02713-x
Diya Chowdhury, Joanie Sims-Gould, Heather McKay
{"title":"No short cuts: building trust in community-based research with ethnocultural groups.","authors":"Diya Chowdhury, Joanie Sims-Gould, Heather McKay","doi":"10.1186/s12939-025-02713-x","DOIUrl":"10.1186/s12939-025-02713-x","url":null,"abstract":"","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":"25 1","pages":"27"},"PeriodicalIF":4.1,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12837443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146062824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}