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McDermott R, Douglas MJ, Haigh F, Takemon N, Green L. A systematic review of whether Health Impact Assessment frameworks support best practice principles. Public Health 2024; 233:137-144. [PMID: 38878738 DOI: 10.1016/j.puhe.2024.05.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2024] [Revised: 04/15/2024] [Accepted: 05/08/2024] [Indexed: 07/21/2024]
Abstract
OBJECTIVES Health Impact Assessment (HIA) is an evidence-based approach to assess the likely public health impacts of a policy or plan in any sector. Several HIA frameworks are available to guide practitioners doing a HIA. This systematic review sought to determine whether these support practitioners to meet best practice principles defined by the International Association for Impact Assessment. STUDY DESIGN This was a systematic review. METHODS Three complementary search strategies were used to identify frameworks in June 2022. We used three databases to find completed HIAs published in the last five years and hand-searched their reference lists for frameworks. We also searched 23 HIA repositories using Google's Advanced function and contacted HIA practitioners via two international mailing lists. We used a bespoke quality appraisal tool to assess frameworks against the principles. RESULTS The search identified 24 HIA frameworks. None of the frameworks achieved a 'good' rating for all best practice principles. Many identified the principles but did not provide guidance on how to meet them at all HIA steps. The highest number of frameworks were rated 'good' for ethical use of evidence and comprehensive approach to health (n = 15). Eight frameworks were rated as 'good' for participation, and two for equity. The highest number of frameworks rated 'poor' for sustainability (n = 11). CONCLUSIONS There is marked variation in the degree to which HIA frameworks support the best practice principles. HIA practitioners could select elements from different frameworks for practical guidance to meet all the best practice principles.
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Affiliation(s)
- R McDermott
- University of Edinburgh, Edinburgh, UK; Imperial College London, London, UK.
| | - M J Douglas
- Public Health Scotland and Glasgow University (School of Health & Wellbeing), UK
| | - F Haigh
- University of New South Wales, Sydney, Australia; Sydney Local Health District, Sydney, Australia
| | - N Takemon
- University of Edinburgh, Edinburgh, UK
| | - L Green
- Public Health Wales NHS Trust, UK; University of Maastricht, Maastricht, the Netherlands
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Mabry RM, Doctor HV, Khair MNN, Abdelgalil M, Rashidian A. Integrating health across the Sustainable Development Goals in the Eastern Mediterranean Region: Assessment of Voluntary National Reviews from 18 countries. PLOS GLOBAL PUBLIC HEALTH 2024; 4:e0003451. [PMID: 38990937 PMCID: PMC11239013 DOI: 10.1371/journal.pgph.0003451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2023] [Accepted: 06/13/2024] [Indexed: 07/13/2024]
Abstract
Voluntary National Reviews are the formal mechanism for countries to report on progress and share lessons learned on SDG implementation. We assessed the Voluntary National Reviews submitted by countries in the WHO Eastern Mediterranean Region to note the reported progress on Sustainable Development Goal (SDG) implementation, the review preparation process and how health is positioned and framed to identify priorities for accelerating progress on the health-related SDGs. We extracted quantitative and qualitative data from 26 Voluntary National Reviews from 18 countries submitted during the period 2016 to January 2022. We focused on three areas: SDG implementation, the review preparation process and the positioning of health in the reviews. Three assessors conducted the data extraction based on the agreed framework according to their language of expertise (Arabic, English and French). One assessor supervised the whole process for consistency. If there was a doubt in interpretation, it was discussed and agreed among the assessors. Countries have established a mechanism for SDG implementation under high-level leadership, engaged in multistakeholder consultations, aligned and mainstreamed SDGs to national plans, and created a monitoring and review mechanism. Countries reported use of national participatory approach for the report preparation. The prioritization of both health and well-being (SDG3) and economic growth (SDG8) in the reports is unique compared to other regional and global assessments. Health was often framed around disease and health care provision without linkages to societal inequities and structural challenges. The reports indicated good progress in SDG implementation. Addressing upstream issues and the determinants of health requires the health sector to take a more strategic approach in advocating for health and well-being. Further research is needed to demonstrate how to address synergies and trade-offs of policy choices and identify the co-benefits of addressing health in the context of fiscal instability and widening inequities in the region.
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Affiliation(s)
| | - Henry V Doctor
- Department of Science, Information and Dissemination, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt
| | - Mina N N Khair
- Department of Science, Information and Dissemination, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt
| | - Maha Abdelgalil
- WHO Health Emergency Programme, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt
| | - Arash Rashidian
- Department of Science, Information and Dissemination, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt
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Carignan S, Lindberg R, Tung GJ, Sullivan J, Stone C, Pollack Porter KM. Legislative Health Notes: Preliminary Learnings From Piloting a New Policy Analysis Tool. JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE 2024; 30:E135-E142. [PMID: 38603760 DOI: 10.1097/phh.0000000000001866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/13/2024]
Abstract
CONTEXT In 2018, the Health Impact Project (the Project) developed and tested a new health in all policies (HiAP) tool called "legislative health notes" to provide state and local legislators with peer-reviewed evidence, public health data, and local data that illustrate potential positive and negative health and equity effects of proposed bills. OBJECTIVES The Project sought to refine the health note methodology while piloting the tool in the Colorado and Indiana General Assemblies, and with the Council of the District of Columbia, and worked with affiliates to introduce them in North Carolina, Ohio, and California. DESIGN AND PARTICIPANTS External partners solicited feedback on health notes via semistructured interviews and surveys from legislators, legislative staff, and expert reviewers who were familiar with health notes in each of these jurisdictions. RESULTS Respondents shared that health notes were nonpartisan, were easy for nonexperts to understand, and would be more effective if delivered earlier in the legislative process. CONCLUSION In response to informant feedback, practitioners can explore adding high-level summaries, increasing focus on health equity implications and the potential to work with legislators during the policy formulation phase. Data from this pilot suggest that legislative health notes are a promising nonpartisan and standardized tool to better understand the health and equity implications of proposed legislation.
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Affiliation(s)
- Stefanie Carignan
- Author Affiliations: Health in All Policies Research Center (Ms Carignan) and Department of Health Policy and Management (Dr Pollack Porter), Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland; The Pew Charitable Trusts, Washington, District of Columbia (Ms Lindberg); Department of Health Systems, Management, and Policy, Colorado School of Public Health, University of Colorado, Aurora, Colorado (Dr Tung); Center on Budget and Policy Priorities, Washington, District of Columbia (Ms Sullivan); and Department of Health Policy and Management, Richard M. Fairbanks School of Public Health, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana (Dr Stone)
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Peek ME, Gottlieb LM, Doubeni CA, Viswanathan M, Cartier Y, Aceves B, Fichtenberg C, Cené CW. Advancing health equity through social care interventions. Health Serv Res 2023; 58 Suppl 3:318-326. [PMID: 38015863 PMCID: PMC10684037 DOI: 10.1111/1475-6773.14244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2023] Open
Abstract
OBJECTIVE To use evidence on addressing racism in social care intervention research to create a framework for advancing health equity for all populations with marginalized social identities (e.g., race, gender, and sexual orientation). Such groups have disproportionate social needs (e.g., food insecurity) and negative social determinants of health (SDOH; e.g., poverty). We recommend how the Agency for Healthcare Research and Quality (AHRQ) could advance health equity for marginalized populations through social care research and care delivery. DATA SOURCES AND STUDY SETTING This commentary is informed by a literature review of social care interventions that were affiliated with healthcare systems; input from health equity researchers, policymakers, and community leaders attending the AHRQ Health Equity Summit; and consensus of the authors. PRINCIPAL FINDINGS We recommend that AHRQ: (1) create an ecosystem that values research on SDOH and the effectiveness and implementation of social care interventions in the healthcare sector; (2) work with other federal agencies to (a) develop position statements with actionable recommendations about racism and other systems that perpetuate marginalization based on social identity and (b) develop aligned, complementary approaches to research and care delivery that address social marginalization; (3) advance both inclusive care delivery and inclusive research teams; (4) advance understanding of racism as a social determinant of health and effective strategies to mitigate its adverse impact on health; (5) advance the creation and scaling of effective strategies for addressing SDOH in healthcare systems, particularly in co-creation with community partners; and (6) require social care intervention researchers to use methods that advance our understanding of social health equity. CONCLUSIONS AHRQ, as a federal agency, could help advance health equity using a range of strategies, including using the agency's levers to ensure AHRQ stakeholders examine and address the unique experiences of socially marginalized populations in SDOH and social care intervention research.
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Affiliation(s)
- Monica E. Peek
- Section of General Internal Medicine, Chicago Center for Diabetes Translation Research, MacLean Center for Clinical Medical Ethics, Center for the Study of Race, Politics and CultureThe University of ChicagoChicagoIllinoisUSA
| | - Laura M. Gottlieb
- Social Interventions Research and Evaluation Network (SIREN), Center for Health and CommunityUniversity of California San FranciscoSan FranciscoCaliforniaUSA
| | - Chyke A. Doubeni
- The Ohio State University Wexner Medical Center, Family and Community MedicineThe Ohio State University College of MedicineColumbusOhioUSA
| | | | - Yuri Cartier
- Social Interventions Research and Evaluation Network (SIREN), Center for Health and CommunityUniversity of California San FranciscoSan FranciscoCaliforniaUSA
| | - Benjamin Aceves
- School of Public HealthSan Diego State UniversitySan DiegoCaliforniaUSA
| | - Caroline Fichtenberg
- Department of Family and Community Medicine, Social Interventions Research and Evaluation Network (SIREN), Center for Health and Community ResearcherUniversity of CaliforniaSan FranciscoCaliforniaUSA
| | - Crystal W. Cené
- Section of General Internal MedicineUniversity of CaliforniaSan DiegoCaliforniaUSA
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Tavares J, Santinha G, Rocha NP. Unlocking the WHO's Age-Friendly Healthcare Principles: Portugal's Quest and Recommendations. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:7039. [PMID: 37998270 PMCID: PMC10670962 DOI: 10.3390/ijerph20227039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Revised: 10/27/2023] [Accepted: 11/06/2023] [Indexed: 11/25/2023]
Abstract
Countries worldwide are grappling with a pressing demographic challenge characterized by a growing older population. This poses a significant healthcare dilemma, presenting challenges for healthcare systems and providers. To address these challenges, the World Health Organization (WHO) has devised a set of Age-Friendly Principles, aimed at optimizing healthcare provision for older people. This article delves into the current state of healthcare adaptation for older adults in Portugal and assesses the implementation of the WHO Principles. Case studies were conducted in three distinct regions of Portugal, involving semistructured interviews with key decision makers from both the healthcare sector and organizations wielding direct influence over health policies (n = 11). A comprehensive content analysis was conducted employing the webQDA software. The findings unveiled a noteworthy trend in which most interviewees displayed limited familiarity with the WHO Principles. Nevertheless, all interviewees acknowledged the need to adapt the healthcare system accordingly. Strengths were identified, primarily within the healthcare management system, but noteworthy gaps were also revealed, particularly in terms of facility preparedness and professional training. Interviewees proposed various interventions to enhance age-friendly healthcare provision; however, they concurrently pinpointed challenges related to human resources, infrastructure, and financial management. In their concluding recommendations, interviewees underscored the development of tools to facilitate the application and evaluation of the WHO Principles, as well as the development by the WHO of an accreditation system to encourage the application of the principles in healthcare providers across the world.
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Affiliation(s)
- Jéssica Tavares
- GOVCOPP, Department of Social, Political and Territorial Sciences, University of Aveiro, 3810-193 Aveiro, Portugal;
| | - Gonçalo Santinha
- GOVCOPP, Department of Social, Political and Territorial Sciences, University of Aveiro, 3810-193 Aveiro, Portugal;
| | - Nelson Pacheco Rocha
- IEETA, Department of Medical Sciences, University of Aveiro, 3810-193 Aveiro, Portugal
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Liu X, Liu Y, Xu Y, Song L, Huang Z, Zhu X, Zhang M. Current status and influencing factors of policy identification in health impact assessment: a case study of Zhejiang Province. Health Res Policy Syst 2023; 21:118. [PMID: 37932791 PMCID: PMC10626660 DOI: 10.1186/s12961-023-01064-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2023] [Accepted: 10/25/2023] [Indexed: 11/08/2023] Open
Abstract
BACKGROUND Health impact assessment (HIA) is a procedure, method and tool for evaluating the potential health impacts of policies, plans and construction projects, as well as the distribution of these impacts on population. Majority of international studies on health impact assessment have focussed on conceptual papers or case evaluations, neglecting participants' views on policies. METHODS A semi-structured interview with 30 health impact assessment experts was employed in this study, and the Nvivo software was utilized to analyse factors that influence policy identification. Subsequently, a multi-stage stratified random sampling method was adopted to survey 655 pilot staff members involved in health impact assessment in Zhejiang Province. Descriptive statistics were used to describe the current status and identify the factors influencing policy identification. In addition, hierarchical linear regression analysis and structural equation modelling were employed to determine the relationship between policy identification and influencing factors. RESULTS Statistically significant differences were found among participants in the level of identification of policies across three dimensions. The policy sentiment dimension had the highest score (4.137 ± 0.664), followed by policy cognition (4.075 ± 0.632) and policy evaluation (3.631 ± 0.797) dimensions. Subject trust had a positive impact on policy cognition (β = 0.503, P < 0.001), policy sentiment (β = 0.504, P < 0.001) and policy evaluation (β = 0.465, P < 0.001). Procedural justice had a positive impact on policy sentiment (β = 0.085, P < 0.01) and policy evaluation (β = 0.084, P < 0.05), but not policy cognition (β = 0.056, P > 0.05). Policy identification is influenced by age and average monthly salary among other factors. CONCLUSION These results highlight the importance of subjective trust and procedural justice in policy identification of health impact assessment. They provide valuable insights to developing interventions to overcome barriers to the implementation and enhancement of global identification of policies. Going forward, cross-sectoral synergies, enhanced international communication and training to increase participants' trust in the policy should be optimized to improve health impact assessment. Additional measures should be taken, such as ensuring seamless communication channels, embedding health impact assessment in administrative mechanisms, and establishing strong oversight and grievance mechanisms to improve fairness and transparency in the implementation and results of health impact assessment.
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Affiliation(s)
- Xiang Liu
- School of Public Health, Hangzhou Normal University, 2318 Yuhangtang Road, Hangzhou, 311121, China
| | - Yingzi Liu
- School of Public Health, Hangzhou Normal University, 2318 Yuhangtang Road, Hangzhou, 311121, China
| | - Yanyun Xu
- School of Public Health, Hangzhou Normal University, 2318 Yuhangtang Road, Hangzhou, 311121, China
| | - Liyuan Song
- School of Public Health, Hangzhou Normal University, 2318 Yuhangtang Road, Hangzhou, 311121, China
| | - Ziyue Huang
- School of Public Health, Hangzhou Normal University, 2318 Yuhangtang Road, Hangzhou, 311121, China
| | - Xingyu Zhu
- School of Public Health, Hangzhou Normal University, 2318 Yuhangtang Road, Hangzhou, 311121, China
| | - Meng Zhang
- School of Public Health, Hangzhou Normal University, 2318 Yuhangtang Road, Hangzhou, 311121, China.
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7
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Moreno-Reynosa MA, Missoni E. Políticas para la salud global en tiempo de pandemias: experiencia panamericana. Glob Health Promot 2023; 30:71-78. [PMID: 36732903 DOI: 10.1177/17579759221143099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Este artículo describe aportes ante escenarios pandémicos como el de la influenza del 2009 y el del SARS-CoV-2, de tres marcos analíticos de la Salud Global, la Diplomacia para la Salud Global, los Determinantes Sociales de la Salud y la Salud en Todas las Políticas, que pueden guiar la definición de políticas globales y nacionales en respuesta a las pandemias, aprovechando la experiencia panamericana. También, se proponen futuras direcciones para la gobernanza de autoridades nacionales y globales, cuya gestión corresponde a la Organización Mundial de la Salud, en colaboración con las nuevas configuraciones geopolíticas de cooperación, cuyo desafío actual es el éxito del mecanismo COVAX.
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Affiliation(s)
| | - Eduardo Missoni
- Center for Research in Social and Health Management, Bocconi University, Milano, Lombardia, Italy
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8
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Robinson M. Well-being economy in Australia: Progress, challenges and opportunities. Health Promot J Austr 2023. [PMID: 37385666 DOI: 10.1002/hpja.770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/21/2023] [Indexed: 07/01/2023] Open
Affiliation(s)
- Mark Robinson
- Institute for Social Science Research, University of Queensland, Brisbane, Queensland, Australia
- School of Health and Wellbeing, University of Glasgow, Glasgow, UK
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Murray TA. Health Equity and Sociopolitical Movements. J Nurs Educ 2023; 62:323-324. [PMID: 37279978 DOI: 10.3928/01484834-20230511-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- Teri A Murray
- Professor, Dean Emerita, Chief Diversity, and Inclusion Officer, Trudy Busch Valentine School of Nursing, Saint Louis University, Associate Editor, Journal of Nursing Education
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Schillinger D, Bullock A, Powell C, Fukagawa NK, Greenlee MC, Towne J, Gonzalvo JD, Lopata AM, Cook JW, Herman WH. The National Clinical Care Commission Report to Congress: Leveraging Federal Policies and Programs for Population-Level Diabetes Prevention and Control: Recommendations From the National Clinical Care Commission. Diabetes Care 2023; 46:e24-e38. [PMID: 36701595 PMCID: PMC9887620 DOI: 10.2337/dc22-0619] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Accepted: 10/04/2022] [Indexed: 01/27/2023]
Abstract
The etiology of type 2 diabetes is rooted in a myriad of factors and exposures at individual, community, and societal levels, many of which also affect the control of type 1 and type 2 diabetes. Not only do such factors impact risk and treatment at the time of diagnosis but they also can accumulate biologically from preconception, in utero, and across the life course. These factors include inadequate nutritional quality, poor access to physical activity resources, chronic stress (e.g., adverse childhood experiences, racism, and poverty), and exposures to environmental toxins. The National Clinical Care Commission (NCCC) concluded that the diabetes epidemic cannot be treated solely as a biomedical problem but must also be treated as a societal problem that requires an all-of-government approach. The NCCC determined that it is critical to design, leverage, and coordinate federal policies and programs to foster social and environmental conditions that facilitate the prevention and treatment of diabetes. This article reviews the rationale, scientific evidence base, and content of the NCCC's population-wide recommendations that address food systems; consumption of water over sugar-sweetened beverages; food and beverage labeling; marketing and advertising; workplace, ambient, and built environments; and research. Recommendations relate to specific federal policies, programs, agencies, and departments, including the U.S. Department of Agriculture, the Food and Drug Administration, the Federal Trade Commission, the Department of Housing and Urban Development, the Environmental Protection Agency, and others. These population-level recommendations are transformative. By recommending health-in-all-policies and an equity-based approach to governance, the NCCC Report to Congress has the potential to contribute to meaningful change across the diabetes continuum and beyond. Adopting these recommendations could significantly reduce diabetes incidence, complications, costs, and inequities. Substantial political resolve will be needed to translate recommendations into policy. Engagement by diverse members of the diabetes stakeholder community will be critical to such efforts.
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Affiliation(s)
- Dean Schillinger
- Division of General Internal Medicine, Center for Vulnerable Populations, San Francisco General Hospital, University of California San Francisco School of Medicine, San Francisco, CA
| | - Ann Bullock
- Division of Diabetes Treatment and Prevention, Indian Health Service, Rockville, MD
| | - Clydette Powell
- Division of Neurology, Department of Pediatrics, The George Washington University School of Medicine and Health Sciences, Washington, DC
| | - Naomi K. Fukagawa
- Beltsville Human Nutrition Research Center, U.S. Department of Agriculture Agricultural Research Service, Beltsville, MD
| | | | - Jana Towne
- Division of Diabetes Treatment and Prevention, Indian Health Service, Rockville, MD
| | - Jasmine D. Gonzalvo
- Center for Health Equity and Innovation, Purdue University/Eskenazi Health, Indianapolis, IN
| | - Aaron M. Lopata
- Maternal and Child Health Bureau, Health Resources and Services Administration, Rockville, MD
| | | | - William H. Herman
- Division of Metabolism, Endocrinology, and Diabetes, Departments of Internal Medicine and Epidemiology, University of Michigan, Ann Arbor, MI
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Fleming E, Bastos JL, Jamieson L, Celeste RK, Raskin SE, Gomaa N, McGrath C, Tiwari T. Conceptualizing inequities and oppression in oral health research. Community Dent Oral Epidemiol 2023; 51:28-35. [PMID: 36749670 DOI: 10.1111/cdoe.12822] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Revised: 11/07/2022] [Accepted: 11/16/2022] [Indexed: 02/08/2023]
Abstract
Major sociohistorical processes have profound effects on oral health, with impacts experienced through structural oppression manifested in policies and practices across the lifespan. Structural oppression drives oral health inequities and impacts population-level oral health. In this global perspective paper, we challenge old assumptions about oral health inequities, address misleading conceptualizations in their description and operation and reframe oral health through the lens of intersecting systems of oppression. Furthermore, we emphasize the need for oral health researchers to explore causal pathways through which oppression harms oral health and engage in social science concepts to understand the root causes of oral health inequities fully. Finally, we call on policymakers, dental scholars and decision makers to consider health equity in all policies and to take a systems-oriented approach to effectively address oral health inequities.
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Affiliation(s)
| | - João L Bastos
- Graduate Program in Public Health, Federal University of Santa Catarina, Florianópolis, Brazil
| | - Lisa Jamieson
- Australian Research Centre for Population Oral Health, The University of Adelaide, Adelaide, Australia
| | - Roger K Celeste
- Department of Preventive and Social Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Sarah E Raskin
- iCubed Initiative Oral Health Core, Douglas Wilder School of Government and Public Affairs, Virginia Commonwealth University, Virginia, USA
| | - Noha Gomaa
- Oral Diagnostic Sciences, Schulich School of Medicine and Dentistry, Western University, London, Canada
| | - Colman McGrath
- Applied Oral Sciences & Community Dental Care, University of Hong Kong, Hong Kong, Hong Kong
| | - Tamanna Tiwari
- School of Dental Medicine, University of Colorado Anschutz Medical Campus, Aurora, USA
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Jungwirth D, Haluza D. Sports and the Pandemic: The Impact of COVID-19 on Active Living and Life Satisfaction of Climbers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1964. [PMID: 36767332 PMCID: PMC9915532 DOI: 10.3390/ijerph20031964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 01/13/2023] [Accepted: 01/18/2023] [Indexed: 06/18/2023]
Abstract
The COVID-19 pandemic has resulted in significant changes in every aspect of our lives. Because of the measures imposed, people were only allowed to leave their homes for certain purposes, and all types of cultural and sports events were canceled. Climbers were greatly affected by these limited options for regular physical activity outside of the home environment. Little is known about the crisis' effects on the climbing community in German-speaking regions. Thus, we surveyed 1028 German-speaking climbers (mean age 34.6 years, SD 10.4; 50.4% females) from December 2020 to February 2021. A cross-sectional online survey collected data on climbing frequency and preferences as well as levels of life satisfaction, using the standardized Short Life Satisfaction Questionnaire for Lockdowns (SLSQL) before and during the crisis. Results showed that due to the pandemic, study subjects climbed less frequently, preferred outdoor locations to climb, and showed decreased life satisfaction scores (21%, (d = 0.87, p < 0.001). In conclusion, these findings highlighted that the COVID-19 pandemic had a negative effect on climbing sports activities and life satisfaction in this study sample. To preserve physical and mental health, indoor and outdoor sport activities should be continued as much as possible with reasonable hygiene concepts in place.
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13
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Green L, Ashton K, Bellis M, Clements T, Douglas M. Predicted and observed impacts of COVID-19 lockdowns: two Health Impact Assessments in Scotland and Wales. Health Promot Int 2022; 37:6823570. [DOI: 10.1093/heapro/daac134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Health Impact Assessment is a key approach used internationally to identify positive or negative impacts of policies, plans and proposals on health and well-being. In 2020, HIAs were undertaken in Scotland and Wales to identify the potential health and well-being impacts of the ‘stay at home’ and physical distancing measures implemented at the start of the coronavirus disease (COVID-19) pandemic. There is sparse evidence evaluating whether the impacts predicted in HIAs occur following policy implementation. This paper evaluates the impacts anticipated in the COVID-19 HIAs against actual observed trends. The processes undertaken were compared and predicted impacts were tabulated by population groups and main determinants of health. Routine data and literature evidence were collated to compare predicted and observed impacts. Nearly all health impacts anticipated in both HIAs have occurred in the direction predicted. There have been significant adverse impacts through multiple direct and indirect pathways including loss of income, social isolation, disruption to education and services, and psychosocial effects. This research demonstrates the value of prediction in impact assessment and fills a gap in the literature by comparing the predicted impacts identified within the HIAs with observed trends. Post-COVID-19 recovery should centre health and well-being within future policies and decisions. Processes like HIA can support this as part of a ‘health in all policies’ approach to improve the health and well-being of populations.
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Affiliation(s)
- Liz Green
- Policy and International Health, WHO Collaborating Centre on ‘Investment in Health and Well-being’, Public Health Wales , Number 2 Capital Quarter, Tyndall Street, Cardiff CF10 4BZ , UK
- Department of International Health, Care and Public Health Research Institute – CAPHRI, Maastricht University , Maastricht , The Netherlands
| | - Kathryn Ashton
- Policy and International Health, WHO Collaborating Centre on ‘Investment in Health and Well-being’, Public Health Wales , Number 2 Capital Quarter, Tyndall Street, Cardiff CF10 4BZ , UK
- Department of International Health, Care and Public Health Research Institute – CAPHRI, Maastricht University , Maastricht , The Netherlands
| | - Mark Bellis
- Policy and International Health, WHO Collaborating Centre on ‘Investment in Health and Well-being’, Public Health Wales , Number 2 Capital Quarter, Tyndall Street, Cardiff CF10 4BZ , UK
- Department of Public Health and Life Sciences, Bangor University , College Road, Bangor LL57 2DG , UK
| | - Timo Clements
- Department of Public Health and Life Sciences, Bangor University , College Road, Bangor LL57 2DG , UK
| | - Margaret Douglas
- Usher Institute, University of Edinburgh, Medical School , Teviot Place, Edinburgh EH8 9AG , UK
- Public Health Scotland , Gyle Square, Edinburgh EH12 9EB , UK
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Ewertowski T, Butlewski M. Managerial Perception of Risk in an Organization in a Post-COVID-19 Work Environment. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14978. [PMID: 36429696 PMCID: PMC9690575 DOI: 10.3390/ijerph192214978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 11/07/2022] [Accepted: 11/11/2022] [Indexed: 06/16/2023]
Abstract
The COVID-19 pandemic drew the attention of all industries and organizations to the importance of comprehensive preparation for various types of crises and disruptions. Without proper risk management for crisis situations, it is impossible to talk about organizational resilience, maintaining organizational continuity, or ensuring the company's ability to protect workers' lives and health in a crisis. While the COVID-19 pandemic is rapidly reshaping the work environment, significant challenges related to risk management are emerging. The purpose of this research paper is to examine the impact of a pandemic on the risk perception in an organization by managers of all three levels (strategic, operational, and line level) and to examine the impact of broadly understood risk management on organizational performance. For the examination of operational risk perception, empirical research was conducted in Polish enterprises. The methodology of the survey is based on a questionnaire of operational risk and risk management perception in a post-COVID-19 work environment. According to the survey results, risk management was generally perceived better than the level of operational risk, compared to the period before the pandemic. Therefore, a substantial improvement in risk management during the crisis allowed the surveyed organizations to cope with the pandemic, and even slightly enhance their performance. Organizations have been able to achieve their goals mainly by slightly reducing risk appetite and lowering the tolerable risk level threshold. Even so, organizations have improved their ability to adapt and seize opportunities.
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Green L, Ashton K, Parry-Williams L, Dyakova M, Clemens T, Bellis MA. Facilitators, Barriers and Views on the Role of Public Health Institutes in Promoting and Using Health Impact Assessment-An International Virtual Scoping Survey and Expert Interviews. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13367. [PMID: 36293948 PMCID: PMC9602578 DOI: 10.3390/ijerph192013367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Revised: 10/06/2022] [Accepted: 10/13/2022] [Indexed: 06/16/2023]
Abstract
Public health institutes have an important role in promoting and protecting the health and well-being of populations. A key focus of such institutes are the wider determinants of health, embracing the need to advocate for 'Health in All Policies' (HiAP). A valuable tool to support this is the health impact assessment. This study aims to support public health institutes to advocate more successfully for the use of health impact assessments and HiAP in order to promote and protect health, well-being and equity. During July 2021, a quantitative online survey was undertaken across international networks with 17 valid responses received. Semi-structured interviews were also administered with nine expert representatives and analysed thematically. In total, 64.7% (n = 11) of survey respondents were aware of health impact assessments and 47.1% (n = 8) currently conducted health impact assessments. It was noted that there are differing approaches to HIAs, with a need for a clear set of standards. Barriers to use included lack of knowledge, training and resources. Overall, 64.7% (n = 11) of survey respondents would like to do more to develop knowledge and capacity around health impact assessments. The results from this study can serve as a platform to help build knowledge, networks and expertise, to help support a 'Health in All Policies' approach and address inequalities which exist in all societies.
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Affiliation(s)
- Liz Green
- Policy and International Health, WHO Collaborating Centre on ‘Investment in Health and Well-Being’, Public Health Wales, Cardiff CF10 4BZ, UK
- Department of International Health, Care and Public Health Research Institute CAPHRI, Maastricht University, Duboisdomein 30, 6229 GT Maastricht, The Netherlands
| | - Kathryn Ashton
- Policy and International Health, WHO Collaborating Centre on ‘Investment in Health and Well-Being’, Public Health Wales, Cardiff CF10 4BZ, UK
- Department of International Health, Care and Public Health Research Institute CAPHRI, Maastricht University, Duboisdomein 30, 6229 GT Maastricht, The Netherlands
| | - Lee Parry-Williams
- Policy and International Health, WHO Collaborating Centre on ‘Investment in Health and Well-Being’, Public Health Wales, Cardiff CF10 4BZ, UK
| | - Mariana Dyakova
- Policy and International Health, WHO Collaborating Centre on ‘Investment in Health and Well-Being’, Public Health Wales, Cardiff CF10 4BZ, UK
| | - Timo Clemens
- Department of International Health, Care and Public Health Research Institute CAPHRI, Maastricht University, Duboisdomein 30, 6229 GT Maastricht, The Netherlands
| | - Mark A. Bellis
- Policy and International Health, WHO Collaborating Centre on ‘Investment in Health and Well-Being’, Public Health Wales, Cardiff CF10 4BZ, UK
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Middleton J, Davidovitch N, Barros H, Lopes H, Moreno JMM, Mason-Jones AJ, McCallum A, Reid J, Reintjes R, Sheek-Hussein M, Simon J, Wong BLH, Leighton L, Otok R. ASPHER Statement: Planning for Winter 2022-23. Public Health Rev 2022; 43:1605394. [PMID: 36267592 PMCID: PMC9578316 DOI: 10.3389/phrs.2022.1605394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Accepted: 09/20/2022] [Indexed: 11/13/2022] Open
Affiliation(s)
- John Middleton
- Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
- *Correspondence: John Middleton,
| | - Nadav Davidovitch
- School of Public Health, Ben Gurion University of the Negev, Beersheba, Israel
| | - Henrique Barros
- Institute of Public Health, University of Porto, Porto, Portugal
| | - Henrique Lopes
- Unit of Public Health, Institute of Health Sciences, Catolica University, Lisbon, Portugal
| | - Jose M. Martin Moreno
- Department of Preventive Medicine and Public Health, Medical School and INCLIVA, University of Valencia, Valencia, Spain
| | | | - Alison McCallum
- Centre for Population Health Sciences, Usher Institute, University of Edinburgh, Edinburgh, Scotland
| | - John Reid
- Department of Public Health and Wellbeing, University of Chester, Chester, United Kingdom
| | - Ralf Reintjes
- Department of Public Health, Hamburg University of Applied Sciences, Hamburg, Germany
| | - Mohamud Sheek-Hussein
- Institute of Public Health— College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
| | - Judit Simon
- Department of Health Economics, Center for Public Health, Medical University of Vienna, Vienna, Austria
| | - Brian Li Han Wong
- Department of International Health, Care and Public Health Research Institute – CAPHRI, Maastricht University, Maastricht, Netherlands
- The International Digital Health & AI Research Collaborative (I-DAIR), Geneva, Switzerland
| | - Lore Leighton
- Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
| | - Robert Otok
- Association of Schools of Public Health in the European Region (ASPHER), Brussels, Belgium
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Diallo T. Salud en Todas las Políticas: ¿una reactivación pos-COVID-19 sana y equitativa? Glob Health Promot 2022. [DOI: 10.1177/17579759221092269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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18
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Diallo T. La Santé dans toutes les politiques : pour une relance post-COVID-19 saine et équitable? Glob Health Promot 2022. [DOI: 10.1177/17579759221092261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Diallo T. Health in All Policies: for a healthy and equitable post COVID-19 recovery? Glob Health Promot 2022; 29:3-4. [PMID: 35708233 DOI: 10.1177/17579759221092258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Hu C, Tkebuchava T. Health in All Laws: A better strategy for global health. J Evid Based Med 2022; 15:10-14. [PMID: 35416434 DOI: 10.1111/jebm.12469] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Accepted: 03/18/2022] [Indexed: 01/11/2023]
Affiliation(s)
- Chunsong Hu
- Department of Cardiovascular Medicine, Hospital of Nanchang University, Jiangxi Academy of Medical Science, Nanchang University, Nanchang, Jiangxi, China
| | - Tengiz Tkebuchava
- Office of the President/CEO, Boston TransTec, LLC, Boston, Massachusetts
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McCartney G, Douglas M, Taulbut M, Katikireddi SV, McKee M. Tackling population health challenges as we build back from the pandemic. BMJ 2021; 375:e066232. [PMID: 34876411 PMCID: PMC8767543 DOI: 10.1136/bmj-2021-066232] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Gerry McCartney
- College of Social Sciences, University of Glasgow, Glasgow, UK
- Public Health Scotland, Glasgow, UK
| | - Margaret Douglas
- Usher Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK
- Public Health Scotland, Glasgow, UK
| | | | - S Vittal Katikireddi
- Public Health Scotland, Glasgow, UK
- MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK
| | - Martin McKee
- Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK
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