Social Health Inequalities in the Czech Republic

Epidemiology ◽  
2006 ◽  
Vol 17 (Suppl) ◽  
pp. S386-S387
Author(s):  
H Slachtova ◽  
H Tomaskova ◽  
D Skybova ◽  
P Polaufova ◽  
I Tomasek ◽  
...  
Keyword(s):  
Czech Republic ◽  
Health Inequalities ◽  
Social Health ◽  
The Czech Republic ◽  
Social Health Inequalities

scholarly journals Evaluating the effect of income support policies on social health inequalities (SHIs) at birth in Montreal and Brussels using a contextualised comparative approach and model family method: a study protocol

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e024015
Author(s):  
Mouctar Sow ◽  
Myriam De Spiegelaere ◽  
Marie-France Raynault
Keyword(s):  
Health Inequalities ◽  
Social Assistance ◽  
Social Health ◽  
Administrative Databases ◽  
Comparative Approach ◽  
Income Support ◽  
Poverty Level ◽  
Social Health Inequalities ◽  
The Impact ◽  
Model Family

IntroductionAssessing the effects of social policies on social health inequalities (SHIs) is a complex issue. Variations in social policy between countries or regions provide natural experiments in policy implementation to perform comparative research. Comparisons are most enlightening when: the object of the evaluation is well defined (types of policies, population groups); the context of policy is analysed (history, implementation); the impact of policy on household poverty is outlined in detail; the influence of various factors (other than poverty) on SHI is taken into consideration.Methods and analysisThis study aims to understand how income support policies (ISPs) in Brussels and Montreal influence the poverty level of households receiving social assistance, and how they are associated with SHI at birth. Two cases studies will be carried out from a comparative perspective. The analysis includes four stages : (1) The model family method will be used to compare ISPs and their impact on disposable income and poverty of households receiving social assistance in both regions. (2) Statistical analysis of administrative databases will enable the description and comparison of SHI in adverse pregnancy outcomes across the two regions. (3) Analysis of databases and documents will allow for description of various factors which are likely to interact with poverty and influence SHI at birth. (4) Based on the Diderichsen model, results from the previous stages will be used to formulate hypotheses about the mechanisms by which ISPs contribute to increasing or reducing SHI at birth in both regions.Ethics and disseminationThis research was approved by the Human Research Ethics Committee for Health research of Université de Montréal. In Belgium, the access to linked databases was approved by the Commission for the Protection of Privacy. Databases de-identified according to Belgian and Canadian legislation will be used. Results will be disseminated in scientific publications and will be shared with policy makers and field actors through collaborations with local organisations in Brussels and Montreal.

scholarly journals TheorTheoretical Implications for the Analysis of Social Health Inequalities: A Discussionetical Implications for the Analysis of Social Health Inequalities: A Discussion

2019 ◽  
pp. 15-25
Author(s):  
Cristina Barboza-Solís DDS, MSc, PhD ◽  
Juan Pablo Sáenz-Bonilla MSc ◽  
Romain Fantin MSc ◽  
Ingrid Gómez-Duarte MD, MSc, PhD ◽  
Karol Rojas-Araya NP
Keyword(s):  
Public Health ◽  
Latin America ◽  
Health Inequalities ◽  
Social Determinants ◽  
Historical Background ◽  
Social Health ◽  
World Health ◽  
Health Determinants ◽  
Social Health Inequalities ◽  
A Priority

Social health inequalities (or inequities) continue to represent a great challenge for public health research worldwide. Since 1991, the World Health Organization established that the study and analysis of health inequalities represented a priority for all countries. To better guide methodological and practical implications of health inequalities, research on this topic should present a solid theoretical model, able to impact future public health policies.  Previous studies of health inequalities in Latin America are often inspired from abroad experiences, encouraging the reproduction of mainly European theoretical positions and methodologies. However, especially when it comes to  this topic, it is known the important role of the social context and culture, playing an important role in promoting differences in health outcomes. From this perspective, to operationalize the different social determinants in health, a critical perspective and thoughtful analysis of the context is mandatory.  In order to provide a critical analysis and useful tools for both research and health decision making, we recommend that the theoretical and methodological approaches used in social health inequalities research must be well adapted to the specific contexts; that health social stratification must be assessed as a priority; that individual and the wider health determinants must be well characterized; and that the theoretical justification of the methodological decisions made in the studies and the selected measures must be explicit and should answer specific hypotheses.  This research provides a brief historical background, to share the basis for the conceptual evolution of social health inequalities; the main underlying concepts related to the definition of health inequalities (social determinants, equity, justice, stratification and social gradient in health); and some recommendations for the future perspectives of health inequalities research in Latin America.

scholarly journals Conceptualization of Roma in Policy Documents Related to Social Inclusion and Health in the Czech Republic

2020 ◽  
Vol 17 (21) ◽  
pp. 7739
Author(s):  
Lenka Slepickova ◽  
Daniela Filakovska Bobakova
Keyword(s):  
Czech Republic ◽  
Health Inequalities ◽  
Social Inclusion ◽  
Public Discourse ◽  
Economic Benefits ◽  
Individual Responsibility ◽  
The Political ◽  
Negative Stereotypes ◽  
Policy Documents ◽  
The Czech Republic

In the Czech Republic, a number of strategy papers and policy documents are guiding the direction of Roma inclusion, including in the area of health. The conceptualization of Roma and how mainstream political and public discourse operate with the term “Roma” contribute to a mistakenly homogenous and harmful image of Roma that conforms to negative stereotypes. The aim of our study was to examine the conceptualization of Roma in policy documents related to social inclusion and health in the Czech Republic. Relevant political, strategic and project documents were selected for analysis. Emphasis is placed in them on individual responsibility in relation to health, while structural conditions and discrimination are mentioned less often. Roma are described in relation to health primarily as people who should be educated. More emphasis is placed on the economic benefits of eliminating health inequalities than on citizens’ rights and the importance of inclusion. When “participation” or “empowerment” is mentioned, it is done vaguely, usually in addition to references to completely non-participatory practices. The majority is the primary actor in the field of eliminating health inequalities, as it defines the “path” that Roma need to be shown or determines what is needed to “stimulate” citizens. Although the political discourse concerning Roma has shifted more towards human rights, equity and combating discrimination in the Czech Republic, subtle forms of anti-Gypsyism still seem to be present.

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