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Crisis volunteering during COVID-19 pandemic in India: youth responds to health and human rights crisis 印度 COVID-19 大流行期间的危机志愿服务:青年应对健康和人权危机
IF 1.2 Q4 HEALTH POLICY & SERVICES Pub Date : 2024-07-30 DOI: 10.1108/ijhrh-09-2023-0075
Sudha Shashwati, Sanjana Sarin, Umang Jain, Sanna Singh
PurposeThis study aims to explore the experiences of individuals in India who acted as informal crisis volunteers during the peak of the deadliest wave of the COVID-19 pandemic in the country.Design/methodology/approachAn exploratory, qualitative design was used, and data gathered via a qualitative survey in three focus areas, namely, motivation, challenges and coping mechanisms. The sample (n = 112) comprised individuals (mean age = 21.89 years) whose volunteering efforts during the second wave of the COVID-19 pandemic were extended as part of volunteer groups or individually, online or offline, for minimum of 10 consecutive days to four months. Descriptive statistics and qualitative content analysis (Mayring, 2000) were used to analyze the data.FindingsMost of the participants reported being inspired by social media activism to become crisis volunteers themselves. They also spoke of several human rights violations unfolding around them, namely, people denied right to health (availability and accessibility), rampant discrimination of various kinds and other systemic failures in crisis response by government bodies. Several reported undergoing extreme mental duress during the process, experiencing or witnessing harassment and dealing with corruption. A sense of collective identity and opportunities to engage in collective sense making and collective catharsis with fellow volunteers were reported as the most helpful coping mechanism.Originality/valueVery little is known about the experience of informal crisis volunteers who assisted the public health system in India in various capacities during the pandemic. This paper explores those experiences, sheds light on various human rights violations that took place during the time and provides a glimpse into the potential of technology and social media in organized altruistic efforts.
目的 本研究旨在探讨印度在 COVID-19 大流行病死亡人数最多的高峰期担任非正式危机志愿者的个人经历。样本(n = 112)由个人(平均年龄 = 21.89 岁)组成,他们在 COVID-19 第二波大流行期间作为志愿者团体的一部分或个人,在线或离线进行了至少连续 10 天至 4 个月的志愿服务。数据分析采用了描述性统计和定性内容分析(Mayring,2000 年)。他们还谈到了身边发生的几起侵犯人权事件,即人们被剥夺了健康权(可用性和可及性)、各种歧视猖獗以及政府机构在危机应对方面的其他系统性失误。一些人报告说,在这一过程中,他们承受了极大的精神压力,经历或目睹了骚扰,并与腐败打交道。据报告,最有帮助的应对机制是集体认同感,以及与其他志愿者一起进行集体感悟和集体宣泄的机会。 原创性/价值对于在大流行期间以各种身份协助印度公共卫生系统的非正式危机志愿者的经历,人们知之甚少。本文探讨了这些经历,揭示了当时发生的各种侵犯人权行为,并提供了技术和社交媒体在有组织的利他主义努力中的潜力。
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引用次数: 0
Attitudes of students toward domestic violence and children’s rights: a cross-sectional study and structural equation model analysis 学生对家庭暴力和儿童权利的态度:横断面研究和结构方程模型分析
IF 1.2 Q4 HEALTH POLICY & SERVICES Pub Date : 2024-07-24 DOI: 10.1108/ijhrh-11-2023-0091
Abdullah Sarman, Mukaddes Demir Acar
PurposeThis study aims to investigate the attitude of students toward domestic violence (DV) and children’s rights.Design/methodology/approachA quantitative cross-sectional descriptive questionnaire design method was used to collect data. The participants of the study were university levels of associate degree students in Eastern Turkey.FindingsResults showed that female students were more likely to approve of DV, and this difference was statistically significant. The structural equation modeling analysis revealed a positive and significant relationship between students' attitude toward children’s rights and their overall attitude toward DV.Originality/valueThis research suggests that the participants had a positive view of DV and a moderate attitude toward children’s rights. Therefore, it is recommended to enhance the attitude and awareness of future health professionals about children’s rights and DV.
本研究旨在调查学生对家庭暴力(DV)和儿童权利的态度。设计/方法/途径采用定量横截面描述性问卷设计法收集数据。研究对象为土耳其东部的大学副学士学位学生。结果研究结果表明,女学生更倾向于赞同家庭暴力,且这一差异具有统计学意义。结构方程模型分析表明,学生对儿童权利的态度与他们对家庭暴力的总体态度之间存在积极而重要的关系。因此,建议提高未来卫生专业人员对儿童权利和家庭暴力的态度和认识。
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引用次数: 0
Harmonizing public health with individual liberties: exploring the interplay of right to health, privacy, and autonomy during recent and future pandemics 协调公共卫生与个人自由:探讨近期和未来流行病期间健康权、隐私权和自主权的相互作用
IF 1.4 Q2 Social Sciences Pub Date : 2024-05-02 DOI: 10.1108/ijhrh-02-2024-0011
Amrit Pokhrel
PurposeThe purpose of publishing this viewpoint is to critically analyze the relationship between public health interventions and individual liberties, during recent and potential future pandemics. By exploring the interplay of the right to health, privacy, and autonomy, this viewpoint seeks to highlight the complexities and challenges faced by decision-makers in balancing collective well-being with the protection of individual rights. Through detailed discussions on lockdowns, contact tracing, and international border closures, this paper aims to foster a deeper understanding of how these measures impact fundamental human rights and proposes ways to achieve harmony in future pandemics and crises.Design/methodology/approachThe viewpoint has a qualitative approach, using critical analysis and examination of legal frameworks, scholarly literature, and real-world examples to explore the interplay between public health interventions and individual liberties during pandemics. It draws upon diverse sources, including international declarations, legal instruments, and empirical studies to elucidate the complexities of balancing collective well-being with the protection of fundamental human rights. Through in-depth discussions on lockdowns, contact tracing, and international border closures, this paper aims to provide a comprehensive understanding of the challenges and opportunities in harmonizing public health with individual liberties.FindingsThe findings of the viewpoint highlight the relationship between public health interventions and individual liberties during pandemics. It underscores the importance of balancing collective well-being with the protection of fundamental human rights, particularly the right to health, privacy, and autonomy. The analysis reveals the shortcomings of certain measures, such as restrictive lockdowns, border closure, and unchecked contact tracing in respecting individual rights. However, it also identifies opportunities for adopting an altruistic approach that upholds both public health imperatives and individual freedoms. Ultimately, the findings emphasize the need for a nuanced understanding and inclusive approach to crisis management.Research limitations/implicationsThis analysis predominantly addresses the COVID-19 pandemic, potentially limiting the generalizability of findings to other public health crises. It is limited by its focus primarily on legal frameworks and theoretical analysis, which may not fully capture the practical complexities and nuances of implementing public health measures. Furthermore, while proposing ways to achieve harmony between public health and individual liberties, practical challenges and potential trade-offs in implementation are not extensively explored. Future research could benefit from empirical studies and case analyses to better understand the real-world implications of balancing public health imperatives with individual rights.Practical implicationsThe viewpoint
目的发表本观点的目的是批判性地分析在最近和未来可能发生的流行病期间公共卫生干预与个人自由之间的关系。通过探讨健康权、隐私权和自主权之间的相互作用,本观点旨在强调决策者在平衡集体福祉和保护个人权利时所面临的复杂性和挑战。通过对封锁、联系人追踪和国际边境关闭的详细讨论,本文旨在加深对这些措施如何影响基本人权的理解,并提出在未来的大流行病和危机中实现和谐的方法。设计/方法/途径该观点采用定性方法,通过对法律框架、学术文献和现实世界中的实例进行批判性分析和研究,探讨大流行病期间公共卫生干预和个人自由之间的相互作用。它借鉴了各种资料来源,包括国际宣言、法律文书和实证研究,以阐明平衡集体福祉与保护基本人权的复杂性。通过对封锁、联系人追踪和国际边境关闭的深入讨论,本文旨在提供对协调公共卫生与个人自由之间的挑战和机遇的全面理解。它强调了平衡集体福祉与保护基本人权,特别是健康权、隐私权和自主权的重要性。分析揭示了某些措施在尊重个人权利方面的不足,如限制性封锁、关闭边境和不受限制的接触追踪。不过,分析也指出了采取利他主义方法的机会,这种方法既能维护公共卫生的需要,也能维护个人自由。最终,研究结果强调了对危机管理进行细致入微的理解和采取包容性方法的必要性。研究局限性/意义本分析主要针对 COVID-19 大流行,可能会限制研究结果对其他公共卫生危机的推广。它的局限性在于主要侧重于法律框架和理论分析,这可能无法完全反映实施公共卫生措施的实际复杂性和细微差别。此外,在提出实现公共卫生与个人自由之间和谐的方法的同时,并未广泛探讨实施过程中的实际挑战和潜在权衡。未来的研究可以从实证研究和案例分析中获益,从而更好地理解平衡公共卫生需要与个人权利的现实影响。实际意义包括决策者在实施公共卫生措施时需要优先考虑透明度、问责制和公民参与。通过培养信任、确保数据隐私和促进积极参与,当局可以减轻对侵犯个人自由的担忧,同时有效管理公共卫生威胁。此外,分析还强调了在决策过程中考虑不同观点和潜在权衡的重要性,以实现平衡和包容的危机管理方法。社会影响该观点的社会影响在于建立一个在尊重个人权利、促进信任和推动社区参与的情况下实施公共卫生措施的社会。通过优先考虑透明度、问责制和包容性,当局可以缓解社会紧张局势,促进大流行病期间的集体复原力。此外,在危机管理中坚持公平和公正的原则有助于解决差异问题,确保弱势群体不会受到过大的影响。总之,该观点主张建立一个既重视公共卫生又重视个人自由的社会框架,从而在面对未来的卫生危机时,促进建立一个更具凝聚力和复原力的社会。原创性/价值该观点的原创性和价值在于它全面探讨了大流行病期间公共卫生干预与个人自由之间的相互作用。通过综合法律框架、学术文献和现实世界的实例,该书对决策者在平衡集体福祉和保护基本人权时所面临的复杂性和挑战提出了独特见解。
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引用次数: 0
An unequal distribution of the human right to health: assessing ethnic health disparities in cardiometabolic disease prevalence among Hawaii’s houseless population 健康人权的不平等分配:评估夏威夷无房人口中心脏代谢疾病发病率的种族健康差异
IF 1.4 Q2 Social Sciences Pub Date : 2024-04-04 DOI: 10.1108/ijhrh-09-2023-0077
Nicholas Fancher, Bibek Saha, Kurtis Young, Austin Corpuz, Shirley Cheng, Angelique Fontaine, Teresa Schiff-Elfalan, Jill Omori
PurposeIn the state of Hawaii, it has been shown that certain ethnic minority groups, such as Filipinos and Pacific Islanders, suffer disproportionally high rates of cardiovascular disease, evidence that local health-care systems and governing bodies fail to equally extend the human right to health to all. This study aims to examine whether these ethnic health disparities in cardiovascular disease persist even within an already globally disadvantaged group, the houseless population of Hawaii.Design/methodology/approachA retrospective chart review of records from Hawaii Houseless Outreach and Medical Education Project clinic sites from 2016 to 2020 was performed to gather patient demographics and reported histories of type II diabetes, obesity, hyperlipidemia, hypertension and other cardiovascular disease diagnoses. Reported disease prevalence rates were compared between larger ethnic categories as well as ethnic subgroups.FindingsUnexpectedly, the data revealed lower reported prevalence rates of most cardiometabolic diseases among the houseless compared to the general population. However, multiple ethnic health disparities were identified, including higher rates of diabetes and obesity among Native Hawaiians and other Pacific Islanders and higher rates of hypertension among Filipinos and Asians overall. The findings suggest that even within a generally disadvantaged houseless population, disparities in health outcomes persist between ethnic groups and that ethnocultural considerations are just as important in caring for this vulnerable population.Originality/valueTo the best of the authors’ knowledge, this is the first comprehensive study focusing on ethnic health disparities in cardiovascular disease and the structural processes that contribute to them, among a houseless population in the ethnically diverse state of Hawaii.
目的 在夏威夷州,菲律宾人和太平洋岛民等少数族裔群体罹患心血管疾病的比例过高,这证明当地的医疗保健系统和管理机构未能平等地向所有人提供健康的人权。本研究旨在探讨,即使在夏威夷无房人口这一已经处于全球劣势的群体中,心血管疾病的这些种族健康差异是否仍然存在。设计/方法/途径对夏威夷无房人口外展和医疗教育项目诊所 2016 年至 2020 年的记录进行了回顾性病历审查,以收集患者的人口统计数据以及 II 型糖尿病、肥胖症、高脂血症、高血压和其他心血管疾病诊断的报告病史。数据显示,与普通人群相比,无家可归者报告的大多数心血管代谢疾病的患病率较低。然而,也发现了多种种族健康差异,包括夏威夷原住民和其他太平洋岛民的糖尿病和肥胖症发病率较高,菲律宾人和亚洲人的高血压发病率总体较高。研究结果表明,即使是在普遍处于不利地位的无房人口中,不同种族群体之间的健康结果仍存在差异,而且在照顾这一弱势群体时,种族文化因素也同样重要。 原创性/价值 据作者所知,这是第一项全面的研究,重点关注夏威夷种族多样化州无房人口在心血管疾病方面的种族健康差异,以及导致这些差异的结构性过程。
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引用次数: 0
Identification of key bottlenecks in human rights-based approach to family planning among HIV-infected women in a resource-restricted setting of Nepal 在尼泊尔资源有限的环境中,确定以人权为基础的艾滋病毒感染妇女计划生育方法的关键瓶颈
IF 1.4 Q2 Social Sciences Pub Date : 2024-03-26 DOI: 10.1108/ijhrh-03-2023-0017
Govinda Prasad Dhungana, Dwij Raj Bhatta, Wei-Hong Zhang
PurposeFamily planning (FP) services through the lens of human rights are not well known in Nepal. This study aims to assess Family Planning 2020: Rights and Empowerment Principles for Family Planning and identify factors affecting contraceptive use among HIV-infected women living in rural Far Western Nepal.Design/methodology/approachThis study conducted a cross-sectional survey using self-designed proforma. To assess the association between contraceptive use and independent variables, this study calculated adjusted odd ratio (AOR) with 95% confidence interval (CI) using statistical package for social sciences (SPSS) V.20.FindingsOnly 37.8% of participants had access to full range of contraceptive methods, and only 57.5% of participants received proper counseling. Agency/autonomy, transparency/accountability and voice/participation were practiced by 43.7%, 23.4% and 19.7% of participants, respectively. Husband’s support (AOR = 4.263; 95% CI: 1.640–11.086), availability of FP services in their locality (AOR = 2.497; 95% CI: 1.311–4.754), employment (AOR = 3.499; 95% CI: 1.186–10.328) and postpartum period (AOR = 0.103; 95% CI: 0.023–0.475) were significantly associated with contraceptive use.Research limitations/implicationsHealth-care providers’ and program managers’ perspectives were not examined.Practical implicationsFindings of this study will be useful for making strategic plan on human rights-based approach to FP.Social implicationsExpanding access to contraceptive information and services and strengthening autonomy, accountability and participation are key to human rights-based approach to FP.Originality/valueThis study identified that inadequate counselling, nonavailability of full range of contraceptive methods, low level of autonomy, accountability and participation were key bottlenecks in fulfilling human rights-based approach to FP.
目的 在尼泊尔,从人权角度提供计划生育(FP)服务并不广为人知。本研究旨在评估 2020 年计划生育:本研究采用自行设计的问卷进行横断面调查。为了评估避孕药具使用情况与自变量之间的关联,本研究使用社会科学统计软件包(SPSS)V.20 计算了调整后的奇数比(AOR)和 95% 的置信区间(CI)。分别有 43.7%、23.4% 和 19.7%的参与者实行了代理/自主、透明/问责和发言权/参与。丈夫的支持(AOR = 4.263;95% CI:1.640-11.086)、当地 FP 服务的可获得性(AOR = 2.497;95% CI:1.311-4.754)、就业(AOR = 3.499;95% CI:1.186-10.328)和产后(AOR = 0.103;95% CI:0.023-0.475)与避孕有显著关系。研究局限性/影响未对保健提供者和项目管理人员的观点进行研究。实际意义本研究的结果将有助于制定基于人权的计划生育战略计划。社会影响扩大获得避孕信息和服务的途径,加强自主性、问责制和参与性,是以人权为基础的计划生育方法的关键。原创性/价值本研究发现,咨询不足、无法获得全套避孕方法、自主性低、问责制和参与性低,是实现以人权为基础的计划生育方法的关键瓶颈。
{"title":"Identification of key bottlenecks in human rights-based approach to family planning among HIV-infected women in a resource-restricted setting of Nepal","authors":"Govinda Prasad Dhungana, Dwij Raj Bhatta, Wei-Hong Zhang","doi":"10.1108/ijhrh-03-2023-0017","DOIUrl":"https://doi.org/10.1108/ijhrh-03-2023-0017","url":null,"abstract":"\u0000Purpose\u0000Family planning (FP) services through the lens of human rights are not well known in Nepal. This study aims to assess Family Planning 2020: Rights and Empowerment Principles for Family Planning and identify factors affecting contraceptive use among HIV-infected women living in rural Far Western Nepal.\u0000\u0000\u0000Design/methodology/approach\u0000This study conducted a cross-sectional survey using self-designed proforma. To assess the association between contraceptive use and independent variables, this study calculated adjusted odd ratio (AOR) with 95% confidence interval (CI) using statistical package for social sciences (SPSS) V.20.\u0000\u0000\u0000Findings\u0000Only 37.8% of participants had access to full range of contraceptive methods, and only 57.5% of participants received proper counseling. Agency/autonomy, transparency/accountability and voice/participation were practiced by 43.7%, 23.4% and 19.7% of participants, respectively. Husband’s support (AOR = 4.263; 95% CI: 1.640–11.086), availability of FP services in their locality (AOR = 2.497; 95% CI: 1.311–4.754), employment (AOR = 3.499; 95% CI: 1.186–10.328) and postpartum period (AOR = 0.103; 95% CI: 0.023–0.475) were significantly associated with contraceptive use.\u0000\u0000\u0000Research limitations/implications\u0000Health-care providers’ and program managers’ perspectives were not examined.\u0000\u0000\u0000Practical implications\u0000Findings of this study will be useful for making strategic plan on human rights-based approach to FP.\u0000\u0000\u0000Social implications\u0000Expanding access to contraceptive information and services and strengthening autonomy, accountability and participation are key to human rights-based approach to FP.\u0000\u0000\u0000Originality/value\u0000This study identified that inadequate counselling, nonavailability of full range of contraceptive methods, low level of autonomy, accountability and participation were key bottlenecks in fulfilling human rights-based approach to FP.\u0000","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140209913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Digital technology and intentions to adopt digital e-health practices among health-care professionals 数字技术与医护专业人员采用数字电子保健做法的意向
IF 1.4 Q2 Social Sciences Pub Date : 2024-02-28 DOI: 10.1108/ijhrh-08-2023-0073
N. Abdelwahed, Mohammed A. Al Doghan, U. Saraih, B. Soomro
PurposeIn the present era, digital technology can be used responsibly to provide developed and developing countries with high-quality health-care services to nations. This study aims to explore Saudi Arabia’s intentions to adopt digital health-care practices.Design/methodology/approachTo be consistent with previous studies, this study used a quantitative methodology to collect the data from health-care professionals working in Saudi Arabia’s public and private health institutes. Consequently, this study’s findings are based on 306 valid samples.FindingsOn the one hand, the path analysis reveals that health-care professionals believe in perceptions relating to the use of e-health and technology (PEHT) and experiences regarding internet use (ERIU) and that these have positive and significant effects on attitudes toward the use of e-health and technology (ATEHT) and intentions to use e-health services (ITUES). On the other hand, barriers to using e-health (BUEH) negatively impact ATEHT and ITUES. Finally, ATEHT also has a positive and significant effect on ITUES.Practical implicationsThis study’s findings will help Saudi Arabia’s policymakers and the country’s health ministry to develop policies to provide e-services that health-care professionals can use to improve the quality of the country’s health care, patients’ human rights and social care. Furthermore, this study’s findings are helpful in developing attitudes and intentions toward either e-health or digital health to provide better health facilities to serve Saudi Arabia’s citizens.Originality/valueThis study empirically confirms among Saudi Arabia’s health-care professionals the PEHT, ERIU and BUEH toward ATEHT and ITUES.
目的 在当今时代,可以负责任地利用数字技术为发达国家和发展中国家提供高质量的医疗保健服务。为了与以往的研究保持一致,本研究采用了定量方法,从沙特阿拉伯公立和私立医疗机构的医护人员中收集数据。研究结果一方面,路径分析显示,医疗保健专业人员相信与使用电子健康和技术有关的认知(PEHT)和与互联网使用有关的经验(ERIU),这些对使用电子健康和技术的态度(ATEHT)和使用电子健康服务的意向(ITUES)有积极和显著的影响。另一方面,使用电子医疗的障碍(BUEH)对 ATEHT 和 ITUES 有负面影响。本研究的发现将有助于沙特阿拉伯的政策制定者和国家卫生部制定政策,提供医疗保健专业人员可用于提高国家医疗保健质量、患者人权和社会关怀的电子服务。此外,本研究的结果还有助于培养人们对电子医疗或数字医疗的态度和意向,从而提供更好的医疗设施为沙特阿拉伯公民服务。
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引用次数: 0
The effect of justice on hospital workers’ self-efficiency with the mediating role of job stress: a structural equation analysis approach 公正对医院员工自我效能的影响与工作压力的中介作用:结构方程分析法
IF 1.4 Q2 Social Sciences Pub Date : 2024-02-07 DOI: 10.1108/ijhrh-06-2023-0052
S. Moosavi, Mehran Ghalenoei, Aisa Maleki, R. Kalhor
PurposeThis study aims to investigate the effect of the Diamond Justice model on self-efficiency with the mediating role of job stress among the staff of Qazvin hospitals affiliated with Qazvin University of Medical Sciences. This study is a cross-sectional descriptive-analytical study conducted among the staff of Qazvin hospitals affiliated with Qazvin University of Medical Sciences in 2020.Design/methodology/approachSampling was performed using the structural equation method. Data collection tools included three sections: demographic information, justice and self-efficiency questionnaire and job stress questionnaire. Data were finally analyzed using SPSS software version 26 and AMOS version 23 at a significance level of 0.05.FindingsThe structural equation model’s standard estimation coefficients show that all existing paths are at a significant level. Finally, the regression analysis showed that justice is inversely related to stress level (ß = −0.185, p = 0.015). Justice is directly related with self-efficiency (ß = 0.282, p < 0.001).Originality/valueJustice, stress and self-efficacy have been measured in various studies among health workers. However, a fitting model showing these three variables’ interaction was necessary. Therefore, this study tries to conceptualize the multifaceted relationships of the components of these concepts by presenting a model.
目的本研究旨在调查钻石公正模型对自我效能的影响,以及工作压力对加兹温医科大学附属加兹温医院工作人员的中介作用。本研究是一项横断面描述性分析研究,研究对象是 2020 年加兹温医科大学附属医院的工作人员。数据收集工具包括三个部分:人口统计学信息、公正与自我效能问卷以及工作压力问卷。结果结构方程模型的标准估计系数显示,所有现有路径均处于显著水平。最后,回归分析表明,正义与压力水平成反比(ß = -0.185,p = 0.015)。公正与自我效能直接相关(ß = 0.282,p < 0.001)。然而,有必要建立一个显示这三个变量相互作用的拟合模型。因此,本研究试图通过提出一个模型来概念化这些概念各组成部分之间的多方面关系。
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引用次数: 0
The effect of justice on hospital workers’ self-efficiency with the mediating role of job stress: a structural equation analysis approach 公正对医院员工自我效能的影响与工作压力的中介作用:结构方程分析法
IF 1.4 Q2 Social Sciences Pub Date : 2024-02-07 DOI: 10.1108/ijhrh-06-2023-0052
S. Moosavi, Mehran Ghalenoei, Aisa Maleki, R. Kalhor
PurposeThis study aims to investigate the effect of the Diamond Justice model on self-efficiency with the mediating role of job stress among the staff of Qazvin hospitals affiliated with Qazvin University of Medical Sciences. This study is a cross-sectional descriptive-analytical study conducted among the staff of Qazvin hospitals affiliated with Qazvin University of Medical Sciences in 2020.Design/methodology/approachSampling was performed using the structural equation method. Data collection tools included three sections: demographic information, justice and self-efficiency questionnaire and job stress questionnaire. Data were finally analyzed using SPSS software version 26 and AMOS version 23 at a significance level of 0.05.FindingsThe structural equation model’s standard estimation coefficients show that all existing paths are at a significant level. Finally, the regression analysis showed that justice is inversely related to stress level (ß = −0.185, p = 0.015). Justice is directly related with self-efficiency (ß = 0.282, p < 0.001).Originality/valueJustice, stress and self-efficacy have been measured in various studies among health workers. However, a fitting model showing these three variables’ interaction was necessary. Therefore, this study tries to conceptualize the multifaceted relationships of the components of these concepts by presenting a model.
目的本研究旨在调查钻石公正模型对自我效能的影响,以及工作压力对加兹温医科大学附属加兹温医院工作人员的中介作用。本研究是一项横断面描述性分析研究,研究对象是 2020 年加兹温医科大学附属医院的工作人员。数据收集工具包括三个部分:人口统计学信息、公正与自我效能问卷以及工作压力问卷。结果结构方程模型的标准估计系数显示,所有现有路径均处于显著水平。最后,回归分析表明,正义与压力水平成反比(ß = -0.185,p = 0.015)。公正与自我效能直接相关(ß = 0.282,p < 0.001)。然而,有必要建立一个显示这三个变量相互作用的拟合模型。因此,本研究试图通过提出一个模型来概念化这些概念各组成部分之间的多方面关系。
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引用次数: 0
The assessment of national conduct in realizing the right to heath: using the framework of United Nations 评估各国在实现健康权方面的行为:利用联合国框架
IF 1.4 Q2 Social Sciences Pub Date : 2024-01-01 DOI: 10.1108/ijhrh-07-2023-0059
Fatemeh Kokabisaghi
Purpose Health is a human right and a fundamental building block of sustainable development, economic prosperity and poverty reduction. To realize people’s right to health, evaluating the situation of the right and its determinants is necessary. This paper aims to analyze Iran’s conduct in realizing its population’s right to health. Design/methodology/approach A qualitative case study design involving a structured review of relevant laws, policy documents, reports and academic literature was undertaken. The data were collected from electronic databases and the official Web pages of the United Nations (UN) and Iran’s Government and analyzed by a framework suggested by the UN. Findings Iran’s law and policies intend to combat health inequalities and to provide an adequate standard of living for everyone, particularly disadvantaged groups and individuals. However, not all laws and policies protecting disadvantaged groups are adequately implemented. There are disparities in health status and access to health care among different socio-economic groups. International economic sanctions and government policies decreased people’s ability to access the necessities of life including health care. Moreover, social determinants of health, such as cultural beliefs regarding women’s rights have not been addressed sufficiently in the country’s laws. Research limitations/implications This study includes a broad range of subjects and provides an overview of the health-care system of Iran. However, more detail is needed to describe every aspect of the right to health. It was not feasible to address them all in this paper and needs more research. In addition, as with the majority of qualitative studies, the design of the current study is subject to limitations. Firstly, the research quality of narrative reviews is dependent on the researcher’ skills and more easily can be influenced by his/her personal biases. Second, the rigor is more difficult to maintain, assess and demonstrate. Nevertheless, narrative studies often complement quantitative studies and are informative. Originality/value To fulfill the right to health, Iran should improve affordability and quality of care and the situation of the determinants of health. The gaps in people’s access to health care need to be identified, and all necessary means and scarce resources be allocated to remove access barriers and to improve the situation of disadvantaged people. The adoption of relatively low-cost targeted programs, the proper management of resources and the prevention of unnecessary costs are suggested.
目的 健康是一项人权,也是可持续发展、经济繁荣和减贫的基石。要实现人民的健康权,就必须评估健康权的状况及其决定因素。本文旨在分析伊朗在实现人民健康权方面的行为。 设计/方法/途径 采用定性案例研究设计,对相关法律、政策文件、报告和学术文献进行结构性审查。数据收集自电子数据库以及联合国和伊朗政府的官方网页,并根据联合国建议的框架进行分析。 研究结果 伊朗的法律和政策旨在消除健康方面的不平等,为每个人,尤其是弱势群体和个人提供适足的生活水平。然而,并非所有保护弱势群体的法律和政策都得到了充分执行。不同社会经济群体的健康状况和获得医疗保健的机会存在差异。国际经济制裁和政府政策削弱了人们获得包括医疗保健在内的生活必需品的能力。此外,健康的社会决定因素,如有关妇女权利的文化信仰,也没有在国家法律中得到充分解决。 研究局限性/启示 本研究涵盖了广泛的主题,概述了伊朗的医疗保健系统。然而,还需要更多细节来描述健康权的方方面面。本文无法对所有方面进行阐述,因此需要进行更多的研究。此外,与大多数定性研究一样,本研究的设计也存在局限性。首先,叙事评论的研究质量取决于研究者的技能,更容易受到其个人偏见的影响。其次,严谨性更难保持、评估和展示。不过,叙事研究往往是对定量研究的补充,并能提供信息。 原创性/价值 为实现健康权,伊朗应提高医疗服务的可负担性和质量,并改善健康决定因素的状况。需要找出人们在获得医疗保健方面存在的差距,并分配一切必要手段和稀缺资源,以消除获得医疗保健的障碍,改善弱势群体的状况。建议采取成本相对较低的有针对性的方案,妥善管理资源,避免不必要的费用。
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引用次数: 0
Redirecting to sustainable menstrual products – a holistic approach for improving public health 改用可持续的月经用品--改善公众健康的综合方法
IF 1.4 Q2 Social Sciences Pub Date : 2023-11-27 DOI: 10.1108/ijhrh-09-2023-0076
Prerna Ahuja, Navjit Singh
Purpose Access to good menstrual products is a human rights concern. It is essential for normalising the life during menstrual cycles by making available all the resources necessary for managing them. Sustainable menstrual products are the novel products which can improve the women menstrual lifestyles and reduce the discomfort associated with menstruation. However, these products are not readily adopted by the women due to their perception resulting from various factors. Hence, this study aims to figure out these perceptions, which can promote and hinder the adoption of these products. Design/methodology/approach A survey was conducted for the purpose of data collection. The study uses questionnaire as a research instrument to gain an insight on women health beliefs towards sustainable menstrual products. Data was collected from the women respondents through convenience sampling. Structural equation modelling was applied to analyse the data. Findings The findings suggest that women with appropriate knowledge had a positive perception towards the sustainable menstrual products, further leading to positive behaviour. It was also noted that marketing efforts through cues to action had an impact on their behavioural patterns. The policymakers and the marketers can focus on such prospects to advocate the use of sustainable menstrual products so that healthcare is improved. Originality/value To the best of the authors’ knowledge, this is the first study that provides a comprehensive framework for analysing the impact of women health beliefs towards behaviour of sustainable menstrual products. The study adds meaningful insights to the sustainable menstrual literature.
目的 获得优质月经用品是一项人权问题。通过提供管理月经周期所需的一切资源,使月经周期生活正常化至关重要。可持续经期产品是一种新型产品,可以改善妇女的经期生活方式,减少与经期有关的不适。然而,由于各种因素的影响,这些产品并没有被妇女们轻易采用。因此,本研究旨在弄清这些观念会促进还是阻碍这些产品的采用。 设计/方法/途径 为收集数据进行了一项调查。本研究使用问卷作为研究工具,以深入了解妇女对可持续经期产品的健康观念。数据是通过便利抽样从女性受访者中收集的。采用结构方程模型对数据进行分析。 研究结果 研究结果表明,拥有适当知识的妇女对可持续经期产品有积极的看法,并进一步导致了积极的行为。研究还注意到,通过行动提示进行的营销努力对她们的行为模式产生了影响。政策制定者和营销人员可以关注这些前景,倡导使用可持续经期产品,从而改善医疗保健。 原创性/价值 据作者所知,这是第一项为分析妇女的健康信念对可持续经期产品行为的影响提供全面框架的研究。该研究为可持续月经文献增添了有意义的见解。
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引用次数: 0
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International Journal of Human Rights in Healthcare
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