Dietary inflammatory index and disability among older adults in Guangzhou: a cross-sectional analysis by Junbin Liao, Junbin Liao, Wenfeng Cai, Danrong Lin, Yuanyun Xiao, Yanxi Liu, Yahui Wang, Yuquan Zhong, Fan Xiao, Heng Fang, Yilu Yao, Yunfeng Lin, Jiewen Su, Siyu Sun, Bo Zhang, Yan Wang, Wei Zhu, Wei Zhu

“…Disability levels were assessed using the “Assessment Standard for Long-term Care Disability” from the Medical Insurance Bureau, including Activities of Daily Living (ADL), Cognitive Ability, and Sensory Perception and Communication Skills (SPCS). …”
Get full text

Health-related dimensions of fishers for sustainable commercial fisheries in the Atlantic Gulf of Guinea: Ecological and social assessments by Isa Oalekan Elegbede, Saud. M Al Jufaili, Toheeb Lekan Jolaosho, Babalola Tesleem, Awe Folalu Adekunle, Olarinmoye Oluwatosin Modupe, Salisu Monsuru Adekunle, Adedeji-Adenola Halimat

“…The findings revealed that fishers participating in the FOS certification program reported better health conditions, lower risks, and higher insurance coverage levels than their BAU counterparts. …”
Get full text

Exploring segmented assimilation theory in health education utilization and its influencing factors among internal migrants in China: insights from the 2017 China migrants dynamic... by Ting Xu, Ting Xu, Zeyu Wang, Tingting Wang, Jiahua Shi, Aiyong Zhu, Enhong Dong, Enhong Dong

“…Additionally, factors such as ethnicity, marital status, employment status, educational attainment, hukou type, health insurance type, time of access to healthcare, social integration, social participation, establishment of health records, and issues encountered in host and origin places significantly influenced HEU.DiscussionThis study highlights diverse assimilation patterns among Chinese internal migrants regarding HEU, consistent with the theory of segmented assimilation. …”
Get full text

Evaluation of needs and supply of emergency care in Kinshasa, Democratic Republic of Congo: a cross-sectional household survey by Lee Wallis, Peter Hodkinson, Ken Diango, John Yangongo, Vera Sistenich, Eric Mafuta

“…Most households were economically disadvantaged (70.0% lived with <US$100 per person per month) and had no health insurance (98.4%) in a country using a fee-for-service healthcare payment system. …”
Get full text

Exploring associations of financial well-being with health behaviours and physical and mental health: a cross-sectional study among US adults by Kai McKeever Bullard, Carla Mercado, Michele L F Bolduc, Desmond Banks, Courtni Andrews, Zoe R F Freggens, Rashid Njai

“…FWB associations with health service visits, biometric screenings, smoking status, body mass index and physical and mental conditions were tested using age-adjusted, sex-adjusted and health insurance coverage-adjusted linear regression analysis.Results In 2019, the mean FWB for US adults was 56.1 (range 14 (worse) to 95 (best)). …”
Get full text

Longer disease progression milestone-free time in people with amyotrophic lateral sclerosis treated versus not treated with intravenous edaravone: results from an administrative cl... by James D Berry, Melissa Hagan, Jeffrey Zhang, Ying Liu, Malgorzata Ciepielewska

“…Cases treated with IV edaravone and controls not treated with IV edaravone were propensity score matched for: age, sex, race, US region of residence, pre-index disease duration, insurance, riluzole prescription; and preindex claims for cardiovascular disease, artificial nutrition/gastrostomy tube, noninvasive ventilation and all-cause hospitalization. …”

Decomposing disparities in the utilization of basic public health services between locals and internal migrants in China: the role of social determinants by Xiaohui Zhai, Zhongliang Zhou, Sha Lai, Jieyu Wang, Yaxin Zhao, Guanping Liu, Zhichao Wang, Hongbin Fan, Yan Zhuang, Dantong Zhao, Dan Cao, Peter C. Coyte

“…The decomposition results indicated that the inequities in the establishment of health records between locals and internal migrants were mainly explained by whether people had heard of the National Basic Public Health Services Program (NBPHSP) (17.67%) and by health insurance (5.99%). The contributors to the inequities in health education between locals and internal migrants were community involvement (14.71%) and whether people had heard of the NBPHSP (13.89%). …”
Get full text

The impact of weight change on suicide mortality: a nationwide population-based cohort study of 2 million Koreans by Kyuho Kim, Jin-Hyung Jung, Yoo Hyun Um, Yu-Bae Ahn, Seung-Hyun Ko, Kyungdo Han, Jae-Seung Yun

“…In this study, we investigated the association between weight change and suicide mortality using a large-scale, population-based cohort from the Korean National Health Insurance Service database. Methods A total of 2,103,525 subjects aged ≥ 20 years who underwent a general health screening program twice in the 2-year interval between 2007 and 2009 were included. …”
Get full text

The economic burden of breast cancer in western Iran: a cross-sectional cost-of-illness study by Banafsheh Darvishi Teli, Meysam Behzadifar, Mania Beiranvand, Aziz Rezapour, Seyed Jafar Ehsanzadeh, Samad Azari, Ahad Bakhtiari, Payam Haghighatfard, Mariano Martini, Maryam Saran, Masoud Behzadifar

“…Conclusion Breast cancer imposes a substantial economic burden on patients and their families in Lorestan Province. Enhancing health insurance coverage, providing government subsidies for treatment, and improving healthcare infrastructure to offer advanced diagnostic and treatment options locally are critical steps to alleviate this burden. …”
Get full text

Utilisation of alcohol-related treatment after a first alcohol use disorder diagnosis in Hamburg, Germany by Jakob Manthey, Kilian Huß, Sven Buth, Ludwig Kraus, Anna Schranz, Carolin Kilian, Jürgen Gallinat, Ingo Schäfer, Bernd Schulte

“…Methods Linking individual-level data from three sources (statutory health insurance, pension funds, outpatient addiction care services) identified seven alcohol-related treatment types delivered in outpatient (brief psychiatric consultation; formal psychotherapy; pharmacotherapy; low-threshold counselling), inpatient (standard, somatic inpatient treatment; intensive inpatient treatment with somatic and psychosocial care), or either of the two settings (long-term rehabilitation treatment) during 2016–2021. …”
Get full text

Differences between frequent emergency department users in a secondary rural hospital and a tertiary suburban hospital in central Japan: a prevalence study by Makoto Kaneko, Masashi Okubo, Michael D Fetters, Machiko Inoue, Allison K Cullen Furgal, Benjamin F Crabtree

“…Objectives Although frequent emergency department (ED) use is a global issue, little research has been conducted in a country like Japan where universal health insurance is available. The study aims to (1) document the proportion of ED visits that are by frequent users and (2) describe the differences in characteristics of frequent ED users and other ED users including expenditures between a secondary and a tertiary hospital.Design A prevalence study for a period of 1 year.Setting A secondary hospital and a tertiary hospital in central Japan.Participants All patients who presented to the EDs.Primary outcome measures We defined frequent ED user as a patient who visited the ED≥5 times/year. …”
Get full text

Unpacking Performance Factors of Innovation Systems and Studying Germany’s Attempt to Foster the Role of the Patient Through a Market Access Pathway for Digital Health Applications... by Sara Gehder, Moritz Goeldner

“…The German Digital Healthcare Act, introduced in 2019, offers a model by enabling digital health applications (DiGAs) to be reimbursed by statutory health insurance, improving market access and patient empowerment. …”
Get full text

Patient and provider factors associated with follow-up for positive depression screens in adults: a retrospective review of University of Utah primary and specialty care clinics by Tess Battiola, Tanner Ellison, Danica Dummer, Rachel Weir, Katie Kaput, Deepika Reddy

“…Factors associated with lower rates of follow-up included male patients (gender; p=0.013), older patients (age group; p=0.016), non-White patients (ethnicity; p<0.0001), non-English (primary language; p<0.0001), lack of insurance (p<0.0001), older providers (p=0.027), male providers (p=0.0037) and attending-level providers (p<0.0001).Conclusions Significant discrepancies in follow-up for positive depression screens in the ambulatory setting exist, particularly among racial/ethnic minority groups and patients who are non-native English speakers. …”
Get full text

Patient “No-Show” Prior to Elective Primary Total Hip Arthroplasty Increases Risk of Postoperative Anemia by Jeffrey S. Mun, BA, Matthew W. Parry, MD, MS, Alex Tang, MD, Jesse J. Manikowski, MS, Cory Crinella, PA-C, John J. Mercuri, MD, MA

“…Age, smoking status, gender, race, body mass index, Charlson Comorbidity Index, and insurance status were independent predictors of missing clinical appointments. …”
Get full text

Treatment of e-cigarette use among hospitalised adolescents and young adults: a protocol for intervention development and evaluation of preliminary efficacy and implementation outc... by Delwyn Catley, Kimber P Richter, Karen Wilson, Shelbie Wooten, Melissa K Miller, Abbey Masonbrink

“…Only approved study team members will access participant data, and all data will be managed in accordance with institutional review board and Health Insurance Portability and Accountability Act (HIPAA) requirements. …”
Get full text

Cesarean delivery in Nigeria: prevalence and associated factors―a population-based cross-sectional study by Asa Auta, Emmanuel O Adewuyi, Vishnu Khanal, Samson J Tapshak, Yun Zhao

“…Greater odds of CS were equally associated with maternal obesity (AOR: 3.16, 95% CI 2.30 to 4.32), Christianity (AOR: 2.06, 95% CI 1.58 to 2.68), birth order of one (AOR: 3.86, 95% CI 2.66 to 5.56), husband’s secondary/higher education level (AOR: 2.07, 95% CI 1.29 to 3.33), health insurance coverage (AOR: 2.01, 95% CI 1.37 to 2.95) and ≥4 antenatal visits (AOR: 2.84, 95% CI 1.56 to 5.17).Conclusions The prevalence of CS was low, indicating unmet needs in the use of caesarean delivery in Nigeria. …”
Get full text

A Cross-Sectional Study on the Affordable Care Act from the Perspective of People Living with HIV: The Interplay between Knowledge, Stigma, Trust, and Attitudes by Christopher Kaperak, Sarah Elwood, Tamara Saint-Surin, Christopher Winstead-Derlega, Robert O. Brennan, Rebecca Dillingham, Kathleen A. McManus

“…Participants trusted HIV clinicians more than general clinicians and insurance companies. No association was found between having correct ACA knowledge and endorsing having enough information about the ACA to understand how it will impact their HIV care. …”
Get full text

Unveiling Sociocultural Barriers to Breast Cancer Awareness Among the South Asian Population: Case Study of Bangladesh and West Bengal, India by Fahmida Hamid, Tania Roy

“…Key obstacles include neglect of early symptoms, reluctance to communicate, societal stigma, financial fears, uncertainty about treatment costs, inadequate mental health support, and lack of comprehensive health insurance. To address these issues, we recommend context-specific solutions such as integrating BC education into middle and high-school curricula, providing updates through media channels like talk shows and podcasts, promoting family health budgeting, enhancing communication at cultural events and religious gatherings, offering installment payment plans from health care providers, encouraging regular self-examination, and organizing statewide awareness campaigns. …”
Get full text

Creation and study of emmer (<i>Triticum dicoccum</i>) × triticale hybrids by O. G. Silkova, Y. N. Ivanova, P. I. Stepochkin

“…Triticale (× Triticosecale Wittmack) is of great interest as an insurance crop that can ensure the stability of the gross harvest of feed and food grains at a lower cost. …”
Get full text

Health Disparities in Rheumatology in the United States by Wright GC, Zueger PM, Copley-Merriman C, Khan S, Costello J, Krumbach A, Reddy P, Tanjinatus O, Wells AF

“…Existing disparities in care access, quality of care received, and treatment outcomes among patients with rheumatic disease are not well understood.Methods: We conducted a targeted literature review to understand disparities in health outcomes, treatment patterns, and healthcare management faced by rheumatology patients in the United States, with a focus on rheumatoid arthritis (RA), psoriatic arthritis (PsA), and ankylosing spondylitis (AS).Results: The findings of this review indicate that disparities in RA, PsA, and AS affect several historically underserved populations, including underrepresented racial and ethnic groups, persons with lower socioeconomic status (SES), persons experiencing homelessness, and patients with Medicare or Medicaid insurance types. The disparities experienced by these populations include greater disease activity and severity, decreased or delayed access to specialist care, decreased likelihood of receiving advanced therapeutics, and worse clinical outcomes.Conclusion: To provide equitable healthcare for all patients with RA, PsA, and AS, multiple closely linked health disparities must be addressed. …”
Get full text