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International journal of health services :
International journal of health services :

0020-7314

International journal of health services :/Journal International journal of health services :
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    A Celebration of Half a Century's Dedication to Relevance and Scholarship. A Note From the Founder and Editor-In-Chief, Professor Vicente Navarro

    Navarro, Vicente
    2页

    Relational Social Class, Self-Rated Health, and Mortality in the United States

    Eisenberg-Guyot, JerzyPrins, Seth J.
    14页
    查看更多>>摘要:Applying a relational class theory based on property ownership, authority, and credentials/skill, we analyzed the relationship between class, self-rated health (SRH), and mortality using the 1972-2016 General Social Survey. In a simple measure of class, we assigned respondents to worker, manager, petty bourgeois, or capitalist classes. In a complex measure, we subdivided workers (less-skilled/more-skilled), managers (low/high), and capitalists (small/large). Next, we estimated trends in class structure. Finally, after gender-stratification, we estimated the relationships between class, SRH, and mortality and, in sensitivity analyses, tested for class-by-race interaction. Class structure changed little over time, with workers constituting over half the population each decade. Concerning SRH, for the simple measure, managers, petty bourgeoisie, and capitalists reported better health than workers. For the complex measure, patterns were similar, although skilled workers reported better health than less-skilled workers, low managers, and petty bourgeoisie. Concerning mortality, for the simple measure, inequities were small among women; among men, only capitalists' hazard was lower than workers' hazard. For the complex measure, across genders, the hazards of less-skilled workers and petty bourgeoisie were highest, while skilled workers' hazard resembled that of managers and capitalists. Finally, we found some evidence that the relationship between class and mortality varied by race, although the estimates were imprecise.

    New Ways or Old Tricks? The World Bank's Gender Strategy and Its Implications for Health

    Power, Luke
    11页
    查看更多>>摘要:This paper provides a critical examination of the World Bank's document, "World Bank Group Gender Strategy: Gender Equality, Poverty Reduction, and Inclusive Growth." While the World Bank suggests that this paper is a distinction from past practices, others maintain that it is a continuation of previous neoliberal strategies. Thus, the aim of this analysis is to elucidate the implications of the proposed strategies on both gender equality and health equity. The analytical framework derives from both feminist political economy and the political economy of health literature. Within the document there is a direct emphasis on privatization and deregulation. Moreover, there is a clear re-articulation of both the state and female-citizenship: the former is presented as an "enabling agent," and the latter depoliticized. Accordingly, it is argued that the promotion of macroeconomic strategies leads to the exaggeration of gender inequalities due to the perpetuation and crystallization of social inequalities. This consequently leads to the entrenchment of health inequities. These health inequities are compounded by the promotion of a "reduced state" that focuses on constructing a "workfare" state and a citizen who is resigned to community politics. Thus, instead of promoting gender equality, this report reflects a tendency toward its perpetuation.

    Effects of Empowerment and Media Use by Women of Childbearing Age on Maternal Health Care Utilization in Developing Countries of Southeast Asia

    Sohn, MinsungJung, Minsoo
    12页
    查看更多>>摘要:Despite its importance to maternal health, women's empowerment in developing countries has yet to be adequately addressed. We investigated the effects of women's empowerment and media use on maternal antenatal care in Southeast Asian countries. The data originate from the Demographic and Health Surveys conducted in Southeast Asia between 2011 and 2014 (n = 35,905). We conducted Poisson regression and meta-analyses to examine communication inequalities in the media use for the relationships between women's empowerment and maternal health. Women who had decision-making authority for their own health care (incidence rate ratio [IRR] = 1.03, 95% CI = 1.01-1.05), household purchases (IRR = 1.02, 95% CI = 1.00-1.04), and visiting family or relatives (IRR = 1.05, 95% CI = 1.03-1.07) were more likely to receive health care than were study participants whose partners had the decision-making authority. When we added use of each type of media into the model, the women who read a newspaper daily (IRR = 1.10, 95% CI = 1.03-1.20), listened to the radio at least once a week (IRR = 1.02, 95% CI = 1.01-1.03), and watched television daily (IRR = 1.61, 95% CI = 1.55-1.67) were more likely to receive health care than those who did not use media at all. This study revealed that women's empowerment and their use of media were related to better maternal health care.

    A Systematic Review of the Discrimination Against Sexual and Gender Minority in Health Care Settings

    Yilmaz, SevilBuzlu, SevimBalik, Cemile Hurrem AyhanBilgin, Hiilya...
    18页
    查看更多>>摘要:The present systematic review aimed to determine discrimination experiences of sexual and gender minority (SGM) individuals and attitudes toward SGM among health care staff in health care settings. Following PRISMA guidelines, the review was conducted in 3 databases (PubMed, Cochrane Library, Science Direct) using keywords of sexual and gender minority, including "gay," "lesbian," "bisexual," "transgender," "LGB," "LGBT," "health care discrimination," "stigma," "homophobia," "transphobia," and "attitudes of healthcare professionals" from May to September 2016. Predetermined inclusion criteria were selected. Thirty quantitative studies were eligible for inclusion in this review. Discriminative behaviors experienced by SGM individuals were stigma, denial or refusal of health care, and verbal or physical abuse. Knowledge and educational levels, beliefs, and religion of health care providers affected their attitudes toward SGM patients and their homophobia level. These findings revealed that health care providers needed more education about SGM issues, and SGM-friendly policies should be created for improving health care for SGM individuals.

    US Nursing Home Violations of International and Domestic Human Rights Standards

    Harrington, CharleneMollot, RichardEdelman, Toby S.Wells, Janet...
    11页
    查看更多>>摘要:We present a review of the international covenants and conventions and U.S. domestic laws and regulations that are designed to protect nursing home residents in the United States. Based on a review of research studies, government reports, and news reports, we found extensive evidence of widespread and systematic abuse and neglect of nursing home residents in the United States that needs urgent government action to protect the basic human rights of residents.

    Physicians' Burnout (and That of Psychologists, Nurses, Magistrates, Researchers, and Professors) For a Control Program*

    Unger, Jean-Pierre
    9页
    查看更多>>摘要:Just as with burnout in other social sectors, burnout among physicians is acquiring epidemic proportions. After describing the pathology, this article covers the multidisciplinary aspects of its clinical management. As for prevention, the article describes the importance of the socially motivated, professionally oriented management of health care services, courts, universities, and schools for preventing burnout and contrasts such features with the characteristics of their industrial and commercial management.

    Prevalence and Expenses of Outpatient Opioid Prescriptions, With Associated Sociodemographic, Economic, and Work Characteristics

    Asfaw, AbayAlterman, ToniQuay, Brian
    13页
    查看更多>>摘要:Information on opioids obtained by workers is important for both health and safety. We examined the prevalence and total expenses of obtaining outpatient opioid prescriptions, along with associated sociodemographic, economic, and work characteristics, in national samples of U.S. workers. We used Medical Expenditure Panel Survey data (2007-2016) along with descriptive and multiple logistic regression. During the study period, an estimated 21 million workers (12.6%) aged 16 years or older obtained one or more outpatient opioid prescriptions, at an expense of $2.81 billion per year. Private health insurance covered half of the total opioid expenses for workers. The prevalence of obtaining opioid prescriptions was higher for women than for men, but men had higher opioid expenses. In addition, the prevalence of obtaining opioid prescriptions was higher for workers who were older; non-Hispanic white; divorced, separated, or widowed; and non-college-educated. There is an inverse relationship between family income and the likelihood of obtaining opioids. Compared to workers with private insurance, workers with public health insurance had higher expenses for opioid prescriptions. Finally, workers in occupations at higher risk for injury and illness - including construction and extraction; farming; service; and production, transportation, and material moving occupations - were more likely to obtain opioid prescriptions.

    Can The US Afford National Health Insurance: A Talk by Rashi Fein to A Conference on Health Security, Washington, DC, April 15, 1975

    Fein, Rashi
    5页

    Estimation of the Effects of Air Pollution on Hospitalization Expenditures for Asthma

    Zhang, FengyiLuo, LiWang, ZiyanZhang, Wei...
    10页
    查看更多>>摘要:This article aims to estimate the effects of air pollutants (PM2.5, PM10, SO2, and NO2) on the hospitalization expenses of adult patients admitted due to asthma. The data is sourced from the medical health database of a city in Southwest China, which involves approximately 14 million residents. A generalized additive model using a Poisson distribution was utilized to identify the effects of air pollution on the cost of hospitalization due to asthma. Hospital admissions were stratified by sex, age, season, and type of medical insurance to specialize the results. Air pollution significantly affects hospitalization expenses for asthma. These effects were more significant in the male, non-senior subgroups than in the female, senior subgroups. The difference also significantly existed in different insurance type subgroups. Air pollution has adverse effects on hospitalization expenses for asthma. Climate change is now deeply affecting the world in the aspects of economy and health. Based on our research, policymakers can establish more effective air pollution reduction policies and measures that can control the levels of ambient air pollutants, which help save health care resources and improve the welfare of the population by easing the climate change.