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Impact of social determinants of health on Self-Perceived Resilience: An Exploratory Study of Two Cohorts of Adults with Congenital Heart Disease

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Congenital Heart Disease 2024年第1期19卷 33-48页

作者： Albert Osom Krysta S.Barton Katie Sexton Lyndia Brumback Joyce P.Yi-Frazier Abby R.Rosenberg Ruth Engelberg Jill M.Steiner Department of Biostatistics University of WashingtonSeattleWA98195USA Biostatistics Epidemiology and Analytics for Research(BEAR)Core Seattle Children’s Research InstituteSeattleWA98101USA College of Medicine University of WashingtonSeattleWA98195USA Center for Clinical and Translational Research Seattle Children’s Research InstituteSeattleWA98101USA Department of Psychosocial Oncology and Palliative Care Dana-Farber Cancer InstituteDepartment of MedicineBoston Children’s HospitalBostonMA02215USA Department of Pediatrics Harvard Medical SchoolBostonMA02215USA Division of Pulmonary Critical Care and Sleep MedicineDepartment of Medicine&Cambia Palliative Care Center of ExcellenceUniversity of WashingtonHarborview Medical CenterSeattleWA98104USA Division of Cardiology Department of Medicine&Cambia Palliative Care Center of ExcellenceUniversity of WashingtonSeattleWA98195USA

social determinants of health(SDOH)affect quality of *** investigated SDOH impacts on self-perceived resilience among people with adult congenital heart disease(ACHD).Secondary analysis of data from two com-plementary studies:a survey study conducted May 2021–June 2022 and a qualitative study conducted June 2020–August *** was assessed through CD-RISC10 score(range 0–40,higher scores reﬂect greater self-perceived resilience)and interview *** and SDOH(education,employment,living situa-tion,monetary stability,ﬁnancial dependency,area deprivation index)data were collected by healthcare record review and *** used linear regression with robust standard errors to analyze survey data and performed a thematic analysis of interview *** participants(N=127)mean age was 42±14 years;51%were female,87%*** was moderate(75%)or complex(25%);41%functional class C or ***(mean 30±7)varied by monetary stability:compared to people with difﬁculty paying bills,resilience was 15.0 points higher(95%CI:6.9–23.1,phealthcare access and *** stability may be important for supporting self-perceived resi-lience in *** knowledge can inform the development of resilience interventions for this population.

关键词： social determinants of health adult congenital heart disease resilience ﬁnancial stability

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social determinants of health in Understanding the Socio-Economic Impacts of Covid-19 Pandemic in Bangladesh

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health 2022年第12期14卷 1299-1306页

作者： Jeba Anika Ajmain Fayak Al Nasif Department of Sociology University of Dhaka Dhaka Bangladesh Department of Communication Disorders University of Dhaka Dhaka Bangladesh

social determinants of health are some indicating factors such as income, education, class, gender, and race that influence the socio-economic status of people living in a society. Coronavirus affects the social, economic, and also political sectors of people all over the world. In Bangladesh, during the Covid-19 pandemic, people of all ages and classes have faced social and economic crises based on the social determinants of health. Higher-class families had the facility of advanced medical services rather than the lower and lower-middle classes. This article aims to show the relationship between the social determinants of health and the socio-economic impact of the Covid-19 pandemic in Bangladesh. This paper presents some secondary data to describe the socio-economic impact of Covid-19 and the functions of the social determinants of health in this case.

关键词： social determinants of health Socio-Economic Impact Covid-19 Pandemic

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“I Felt Defeated. I Felt Helpless”: social determinants of health Influencing the Cancer Survivorship of a Young Latina Mother

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Journal of Cancer Therapy 2022年第7期13卷 440-449页

作者： Adriena Hernandez Clara L. Reyes Isela Garcia Rebecca L. Palacios Department of health Promotion Sciences The University of Arizona Tucson AZ USA Department of Public health Sciences New Mexico State University Las Cruces NM USA

social determinants of health (SDOH) contribute to cancer disparities among young Latina women (<50 years) residing in the counties along the US-Mexico border. These SDOH are particularly burdensome to young Latina mo... 详细信息

social determinants of health (SDOH) contribute to cancer disparities among young Latina women (determinants of cancer outcomes in Hispanics (i.e., socioeconomic, healthcare, cultural context, and psychosocial). Findings provide direction for cultural adaptations of evidence-based programs.

关键词： Cancer Survivors Latinas social determinants of health U.S.-Mexico Border

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Impact of social determinants of health on the Choice and Use of Long Acting Reversible Contraceptives

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Advances in Reproductive Sciences 2020年第3期8卷 166-174页

作者： Dani Zoorob Connor McNamee Margaret Reilly Lindsey Loss James VanHook College of Medicine and Life Sciences The University of Toledo Toledo Ohio USA

Modern women have increased options for birth control with the development of Long Acting Reversible Contraceptives (LARCs). These methods are reliable, easy to use, and require less daily maintenance while providing contraception for an extended period of time. However, despite the surge of LARCs as contraceptive options, the prevalence of unintended pregnancies is still alarmingly high in the United States. As LARCs are the most effective reversible method of birth control at preventing pregnancy, and therefore the potential social, financial, and medical complications associated, we examined whether social determinants of health play a role in LARC usage. While parity and marriage do not seem to affect LARC utilization, increased research is needed to determine the effects of race. Age can affect the type of LARC implemented, as younger women prefer implants to intrauterine devices (IUDs). Insurance coverage was an apparent influencer of LARC usage, as low out-of-pocket costs translate to increased utilization. This is linked to socioeconomic status (SES), as lower SES is associated with decreased access to healthcare in general. Increased research is needed in order to draw conclusions about the effects of education, intimate partner violence, geographic location, and other SDH on LARC usage.

关键词： social determinants of health Long Acting Reversible Contraceptives Intrauterine Devices Disparities Race Family Planning

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The social determinants of health and the Role of the health Care System: A Case Study of the Significance of Good Governance in Public Hospitals in South Africa

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health 2016年第12期8卷 1288-1306页

作者： Adam Fusheini John Eyles Jane Goudge Centre for health Policy/MRC health Policy Research Group School of Public Health Faculty of Health Sciences University of the Witwa-tersrand Johannesburg South Africa Department of health Policy Planning and Management School of Public Health University of Health and Allied Sciences Ho Ghana School of Geography and Earth Sciences McMaster University Hamilton Canada

Increasingly international and national policies are being directed at actions for the social determinants of health and for an integrated approach to health care provision, not only in terms of institutional cooperation but also stakeholder involvement. A key component of both these policies is the development of good governance principles in all health care agencies and organizations. A neglected dimension in these debates has been the role of the public hospital which remains a vital and expensive dimension of service provision. In a case study of a public hospital in South Africa, this paper charts the readiness of its management principles and activities to provide quality health care linked to population health and to contribute to the non-medical determinant of health. Using Taylor’s principles of good governance, we conclude that there is a mixture of good and not so good governance activity. The paper concludes by examining the external constraints on the public hospital and by providing suggestions for future activities.

关键词： social determinants of health healthcare System Public Hospitals Governance and Governance Principles South Africa

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Neighborhood predictors of short sleep duration and bedtime irregularity among children in the United States: results from the 2019-2020 National Surveyof Children's health

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World Journal of Pediatrics 2024年第1期20卷 73-81页

作者： Ying Dai Jianghong Liu School of Nursing University of Pennsylvania418 Curie Blvd.Room 426Claire M.Fagin HallPhiladelphiaPA19104-6096USA

Background Environmental factors may contribute to short sleep duration and irregular bedtime in *** factors and children's sleep duration and bedtime regularity remain a less investigated *** aim of this study was to investigate the national and state-level proportions of children with short sleep duration and irregular bedtime and their neighborhood *** A total of 67,598 children whose parents completed the National Survey of Children's health in 2019-2020 were included in the ***-weighted Poisson regression was used to explore the neighborhood predictors of children's short sleep duration and irregular *** The prevalence of short sleep duration and irregular bedtime among children in the United States(US)was 34.6%[95%confidence interval(CI)=33.8%-35.4%]and 16.4%(95%CI=15.6%-17.2%)in 2019-2020,*** neighborhoods,supportive neighborhoods,and neighborhoods with amenities were found to be protective factors against children's short sleep duration,with risk ratios ranging between 0.92 and 0.94,Phealth,especially for children from minority racial/ethnic groups.

关键词： Child National Survey of Children's health Neighborhood.Sleep social determinants of health

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Impact of payment source, referral site, and place of residence on outcomes after allogeneic transplantation in Mexico

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World Journal of Transplantation 2024年第2期14卷 76-87页

作者： Andrés Gómez-De León Yesica A López-Mora Valeria García-Zárate Ana Varela-Constantino Sergio U Villegas-De Leon Xitlaly J González-Leal Raúl del Toro-Mijares Anna C Rodríguez-Zúñiga Juan F Barrios-Ruiz Victor Mingura-Ledezma Perla R Colunga-Pedraza Olga G Cantú-Rodríguez César H Gutiérrez-Aguirre Luz Tarín-Arzaga Elías E González-López David Gómez-Almaguer Hematology Service Universidad Autónoma de Nuevo LeónFacultad de Medicina y Hospital Universitario Dr.JoséEleuterio GonzálezMonterrey 64460Nuevo LeónMexico Hemato-logy Service Clínica Gómez AlmaguerMonterrey 64710Nuevo LeónMexico Hematology Service Instituto Tecnológico de Estudios Superiores de MonterreyTec SaludEscuela de Medicina Ignacio SantosMonterrey 64710Nuevo LeónMexico

BACKGROUND The impact of social determinants of health in allogeneic transplant recipients in low-and middle-income countries is poorly *** observational study analyzes the impact of place of residence,referring institution,and transplant cost coverage(out-of-pocket vs government-funded vs private insurance)on outcomes after allogeneic hematopoietic stem cell transplantation(alloHSCT)in two of Mexico's largest public and private *** To evaluate the impact of social determinants of health and their relationship with outcomes among allogeneic transplant recipients in *** In this retrospective cohort study,we included adolescents and adults≥16 years who received a matched sibling or haploidentical transplant from *** were selected without regard to their diagnosis and were sourced from both a private clinic and a public University Hospital in *** payment groups were compared:Out-of-pocket(OOP),private insurance,and a federal Universal healthcare program“Seguro Popular”.Outcomes were compared between referred and institution-diagnosed patients,and between residents of Nuevo Leon and *** outcomes included overall survival(OS),categorized by residence,referral,and payment *** outcomes encompassed early mortality,event-free-survival,graft-versus-host-relapse-free survival,and non-relapse-mortality(NRM).Statistical analyses employed appropriate tests,Kaplan-Meier method,and Cox proportional hazard regression *** software included SPSS and R with tidycmprsk *** Our primary outcome was overall *** included 287 patients,n=164 who lived out of state(57.1%),and n=129 referred from another institution(44.9%).The most frequent payment source was OOP(n=139,48.4%),followed by private insurance(n=75,26.1%)and universal coverage(n=73,25.4%).No differences in OS,event-free-survival,NRM,or graft-versus-host-relapse-free survival were observed for patients dia

关键词： Hematopoietic cell transplant social determinants of health Geography Haploidentical Out-of-pocket Financial toxicity Survival health services and outcomes Hematopoietic malignancy Aplastic anemia

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Cardiovascular diseases in European ethnic minorities: Beyond the traditional cardiovascular risk factors

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World Journal of Cardiology 2024年第3期16卷 98-103页

作者： Mohamed Bamoshmoosh Department of Cardiology University of Science and TechnologyAden 0Yemen Department of Cardiology Fanfani Clinical Research InstituteFlorence 50100Italy

This editorial is intended to be a reflection on cardiovascular disease(CVD)burden in European ethnic *** some European countries,ethnic minority realities,due to their recent appearance,are still to be studied in *** experience of several European countries,where the migration processes started earlier,even more than a century ago,can help by being an *** studies have shown that major differences in CVD burden exist not only between countries,but also within the same country when considering different social strata and ethnic *** CV risk factors underlying heart disease have been well *** epidemiological studies have helped us understand that the underlying causes of heart disease as well as the behaviors that can help prevent them are the *** are now well aware that CVD should be treated by considering a holistic *** is why the social determinants(SDs)of health that may worsen the disease burden or that,vice versa,may improve the treatment,and even more significantly,the prognosis of a patient’s illness should be taken into *** ethnic minority patients,this holistic,hermeneutic approach is of *** SDs of health that influence CVDs have been identified but their relevance for the health of ethnic minorities has not yet been clearly *** some European countries,most ethnic minorities are largely also religious *** a few studies have evaluated the role of religion,which is an important SD that affects the probability of having CV risk factors and ***,particularly those belonging to the second generation,seem to be the weak *** we believe that these young people are really citizens of their country of birth,then a way of recognizing their belonging to the community starts from a will to better understand their condition,in order to assist them while they grow physically and *** about safeguarding the health of this population

关键词： Cardiovascular diseases Cardiovascular risk factors European ethnic minorities social determinants of health

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Sociodemographic determinants associated with breastfeeding in term infants with low birth weight in Latin American countries

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World Journal of Clinical Pediatrics 2024年第1期13卷 141-149页

作者： Carlos Javier Avendaño-Vásquez Magda Liliana Villamizar-Osorio Claudia Jazmin Niño-Peñaranda Judith Medellín-Olaya Nadia Carolina Reina-Gamba School of Nursing Antonio Nariño UniversityBogotá111511Colombia School of Nursing Universidad Cooperativa de ColombiaBucaramanga 102536Colombia School of Nursing Universidad Nacional de ColombiaColombia 111511Colombia

BACKGROUND A progressive decrease in exclusive breastfeeding(BF)is observed in Latin America and the Caribbean compared with global *** possibility of being breastfed and continuing BF for>6 months is lower in low birth weight than in healthy-weight *** To identify factors associated with BF maintenance and promotion,with particular attention to low-and middle-income countries,by studying geographic,socioeconomic,and individual or neonatal health *** A scoping review was conducted in 2018 using the conceptual model of social determinants of health published by the Commission on Equity and health Inequalities in the United *** extracted data with common characteristics were synthesized and categorized into two main themes:(1)Sociodemographic factors and proximal determinants involved in the initiation and maintenance of BF in low-birth-weight term infants in Latin America;and(2)individual characteristics related to the self-efficacy capacity for BF maintenance and adherence in low-birth-weight term *** This study identified maternal age,educational level,maternal economic capacity,social stratum,exposure to BF substitutes,access to BF information,and quality of health services as mediators for maintaining *** Individual self-efficacy factors that enable BF adherence in at-risk populations should be analyzed for better health outcomes.

关键词： Breastfeeding Low birth weight Latin America Self-efficacy social determinants of health

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Six-year trends and intersectional correlates of meeting 24-Hour Movement Guidelines among South Korean adolescents:Korea Youth Risk Behavior Surveys,2013-2018

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Journal of Sport and health Science 2023年第2期12卷 255-265页

作者： Eun Young Lee Asaduzzaman Khan Riaz Uddin Eva Lim Lauren George School of Kinesiology and health Studies Queen’s UniversityKingstonON K7L3N6Canada Department of Gender Studies Queen’s UniversityKingstonON K7L3N6Canada School of health and Rehabilitation Sciences The University of QueenslandBrisbaneQLD 4072Australia Active healthy Kids Bangladesh(AHKBD) Dhaka 1206Bangladesh Institute for Physical Activity and Nutrition(IPAN) School of Exercise and Nutrition SciencesDeakin UniversityGeelongVIC 3220Australia Faculty of health Sciences Queen’s UniversityKingstonON K7L3N6Canada

Background:Grounded in intersectionality theory,this study examined the 6-year prevalence trend and correlates in meeting Canada’s 24-Hour Movement Guidelines(Guidelines hereafter)in a nationally representative adolescent samples of South Korea(officially the Republic of Korea).Methods:Self-reported,annually repeated cross-sectional data collected between 2013 and 2018 were used(n=372,433,12-17 years old,47.9%females).Adolescents were categorized as meeting or not meeting different sets of physical activity,screen time(ST),and sleep recommendations within the Guidelines,separately for weekdays and weekend *** correlates included sex and social class(i.e.,family economic status,parental education level,and academic performance).Multiple logistic regression analyses were ***:Overall,the proportion of adolescents meeting physical activity,ST,and sleep recommendations were 5.3%,60.3%,and 10.2%on weekdays and 5.3%,28.2%,and 46.4%on weekend days,*** 2013 and 2018,no substantial changes were observed for meeting the physical activity or sleep recommendation,while meeting the ST recommendation was markedly lower in *** proportion of meeting all 3 recommendations were 0.5%for weekdays and 0.8%for weekend ***,compared to female adolescents,male adolescents were consistently associated with more favorable patterns of meeting different sets of recommendations,regardless of social *** females only,social class appeared to be not important or even detrimental in meeting different sets of *** male,compounded with social class,was associated with meeting the ST ***:Less than 1%of Korean adolescents met the overall ***-based analysis and intervention may be important in promoting healthy active lifestyles among South Korean adolescents.

关键词： Intersectionality theory Physical activity Sedentary behavior Sleep social determinants of health

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