scholarly journals The incidence of tuberculosis and its relation to social inequalities: Integrative Review Study on PubMed Base

2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Maria Rita Bertolozzi ◽  
Renata Ferreira Takahashi ◽  
Francisco Oscar de Siqueira França ◽  
Paula Hino

Abstract Objective: to identify how the literature presents the relation between tuberculosis and social inequalities. Method: integrative review in which the combination of the descriptors “tuberculosis” and “social iniquity” guided the search for articles available in PubMed. A total of 274 articles were identified, and after reading the title and abstract, 13 studies were selected. The empirical material was analyzed according to the hermeneutics, highlighting the variables related to social inequalities, seeking to understand the main themes that embody the association between tuberculosis and social inequalities. Results: In general, the literature presents the social inequalities as factors that can interfere in the cure and/or control of the disease, such as age, income, unemployment, unskilled labor, access to health services, among others. Therefore, it does not include a deeper relationship between the organization of society and the production of the disease. Conclusion and implications for practice: A comprehensive understanding of tuberculosis disease is required, in order to expand interventions to support the control and elimination of the disease and, above all, the reduction of social inequalities. The understanding of tuberculosis as a disease enables expanding strategies to face it.

Author(s):  
Regina Celia Fiorati ◽  
Ricardo Alexandre Arcêncio ◽  
Larissa Barros de Souza

Objective to present a critical reflection upon the current and different interpretative models of the Social Determinants of Health and inequalities hindering access and the right to health. Method theoretical study using critical hermeneutics to acquire reconstructive understanding based on a dialectical relationship between the explanation and understanding of interpretative models of the social determinants of health and inequalities. Results interpretative models concerning the topic under study are classified. Three generations of interpretative models of the social determinants of health were identified and historically contextualized. The third and current generation presents a historical synthesis of the previous generations, including: neo-materialist theory, psychosocial theory, the theory of social capital, cultural-behavioral theory and the life course theory. Conclusion From dialectical reflection and social criticism emerge a discussion concerning the complementarity of the models of the social determinants of health and the need for a more comprehensive conception of the determinants to guide inter-sector actions to eradicate inequalities that hinder access to health.


2009 ◽  
pp. 103-117
Author(s):  
Ilaria Iseppato

- After a short description of the main sociological approaches to social inequalities, the article proposes a co-relational reading of social inequalities in access to health services. Even if Italian healthcare system ensures universalistic and public access to care, social and regional disparities persist. The application of digital technologies to healthcare, if embedded in social complexity, can help in tackling obstacles to access.Keywords: social inequalities; health divide; Italian healthcare system; access to care; digital divide; health literacy.


2016 ◽  
Vol 32 (suppl 2) ◽  
Author(s):  
Jose Manuel Santos de Varge Maldonado ◽  
Alexandre Barbosa Marques ◽  
Antonio Cruz

Abstract: Telemedicine has been seen as an important tool for facing the challenges of universal health systems. The goal of this article is to discuss the main challenges to its full dissemination in Brazil. Being a somewhat new area, there are not many scientific papers that systematize it. This article is an exploratory paper, as it aims to provide an overall perspective on the subject. From an economic point of view, telemedicine is a strategic area due to its an intrinsic potential of being a source for generating innovation, for requiring and incorporating technological breakthroughs from other areas, and for its interdisciplinary nature and dynamic inter-relations that drive different industries. From the social perspective, it has the potential to make access to health services democratic, by connecting remote regions with health services located in hospitals and centers of reference for prevention, diagnosis and treatment.


2020 ◽  
pp. 101053952096297
Author(s):  
Kyae Mhon Htwe

Childhood undernutrition is a major public health challenge in Myanmar. To reduce the prevalence of childhood undernutrition in Myanmar, it is important to understand the social determinants of under-5 undernutrition. This review aimed to identify the social determinants of undernutrition in under-5 children in rural areas of Myanmar. A systematic search strategy was conducted through databases- Medline (Ovid), PubMed, SCOPUS, ProQuest Central, Web of science, and POPLINE. The grey literatures from relevant websites were also searched. Keywords were identified and used to search the literature published from 2007 to 2020 in English. Thematic analysis was performed. Twenty-five publications met the selection criteria and were reviewed. Five major themes were identified as important social determinants of under-5 undernutrition in Myanmar—food insecurity, poverty, maternal factors, an unhealthy environment, and low access to health services. This review highlights the need for a systematic and multisectoral approach to address under-5 undernutrition in Myanmar. Investment in agriculture and rural infrastructure development, and women’s education and empowerment may be major contributors to improving the nutritional status of children in rural Myanmar. Findings from this study can be used to develop nutrition-related policies and programs to reduce childhood undernutrition and improve nutrition outcomes in rural Myanmar.


2020 ◽  
Vol 7 (1) ◽  
pp. 10
Author(s):  
Christine Stewart ◽  
Sharon L Bourke ◽  
Janet A Green ◽  
Elianna Johnson ◽  
Ligi Anish ◽  
...  

Background: Despite the rise in numbers of incarceration women, disparities between health care services and access exist. The health needs of incarcerated women is complex and influenced by multiple social determinants of health.Purpose: Explore the healthcare issues of incarcerated women within Australian Prisons.Methods: Integrative review of the literature.Results: Incarcerated women represent a small proportion of the prison population within Australia, however, health outcomes are significantly impacted. Socioeconomic status, abuse (physical, emotional, sexual), previous incarceration, generational factors are some of the factors impeding the health of incarcerated women. Mental health, chronic disease conditions, maternal and child factors are significant health concerns of this vulnerable population. There is a disparity in health access and programs to improve their health outcomes. This paper explores the challenges impacting the health of incarcerated women.Conclusions: Significant disparities exist in the access of health services available to incarcerated women. There needs to be more focus upon improving access to health services and health support programs to meet the complex health needs of incarcerated in Australia. Furthermore, there is a need for more primary health nurses to prevent and address the healthcare issues of this population.


2020 ◽  
Vol 9 (01) ◽  
Author(s):  
León Felipe Morales Ariza ◽  
José Antonio Morales Notario

The Mexican Constitution establishes that everyone has the right to health protection and therefore, the law itself will define the bases and modalities for all to have access to health services. However, not everyone has access to quality medical services despite being in the supreme regulation. The State must understand that any alteration to health generates social security problems, mainly due to its consequences. The right to health is inalienable and does not distinguish between the social, economic, cultural or racial status of the individual. And, by stablishing it as a constitutional regulation, it amounted to an obligation of the State, which must provide quality services for all the society.  There are cases in which the right to health is violated, such as obstetrics, where pregnant women suffer the consequences of bad practices, or where minors are involved and their human rights are violated. We must focus our attention in the fact that their neglect has serious consequences and their impact generates human conditions that affect the dignity of the human being.


1970 ◽  
pp. 52-55
Author(s):  
Rania Al-Abiad

Women in Lebanon often suffer from widespread discrimination that seems to inhibit their full participation in society. Discrimination manifests itself, for example, in the lack of full human rights and in scant provisions for educational opportunities. Other instances include under-representation in the political spheres and in decision-making positions, unequal access to health services, as well as subjugation to a patriarchal system of living. Many women feel that they are prohibited from freely expressing their ideas and their wishes, and fear being alienated from the social milieu in which they live. Moreover, even into the twenty first century, incidents of honor crimes still echo in the far outskirts of the country. While Lebanon is witnessing breakthroughs in many social, technological, economic, and other civic spheres, much remains to be done, when it comes to women.


2021 ◽  
pp. 723-744 ◽  
Author(s):  
Mária Éva Földes

This chapter offers an in-depth look at health politics and the social health insurance-based system in Hungary. It traces the development of the Hungarian healthcare system, characterized by seismic shifts from a Bismarckian, solidarity-based social health insurance to centrally planned healthcare pledging universal access to health services as a citizen’s right. After the fall of state socialism, Hungary returned to a social health insurance model, and since then the main policy efforts have focused on decentralization, strengthening of private provision and entrepreneurship, and financial consolidation of the health system. After the highly contested and ultimately failed attempt to introduce managed competition and user fees between 2006 and 2008, there has been a shift back to an increasingly centralized system with tax-based financing. As noted in the chapter, the consequences of recentralization for the solidarity, accessibility, affordability, and quality of healthcare in Hungary are still to be seen.


2020 ◽  
pp. 002087282096219
Author(s):  
Hadijah Mwenyango

About 70.8 million individuals are displaced worldwide, and of these, 25.9 million are refugees. Accessibility to health care is a central aspect of the well-being of refugees. This article examines the communication, institutional and socio-cultural challenges to access and use of health services among refugee women and children and conceptualises the social work position in tackling such issues. The study used mixed quantitative and qualitative methods. The findings indicate complex experiences of refuge and ongoing gendered oppression and vulnerability. This research proposes a rights-based social work approach to addressing impediments at micro, meso and macro levels.


2014 ◽  
Vol 32 (1) ◽  
pp. 3-24 ◽  
Author(s):  
Piotr Żuk

Abstract The purpose of the article is to illustrate the social order preferred by the Polish together with their assessment of the existing social inequalities. On the basis of the empirical material collected among the sample of 1000 respondents, the findings show manners of their definition of equity, perception of discrepancies between the ideal of equity and the existing real status, together with their assessment of the existing differences in the treatment of rich and poor people by various institutions (banks, police, hospitals, courts). The article also describes the causes of social inequalities as indicated by the respondents and their assessment of state policies in reference to them. The article concludes that 25 years after the collapse of “real socialism”, Polish society presents a firmly egalitarian awareness that is in conflict with the current market order.


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