Research on Health Disparities in the Global Population

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Health Policy".

Deadline for manuscript submissions: 31 December 2025 | Viewed by 6523

Special Issue Editors


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Guest Editor
Department of Family Medicine, University of Texas Medical Branch, Galveston, TX 77555-1123, USA
Interests: healthcare; health disparities; social determinants of health; structural racism; underserved; underrepresented; minority; segregation

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Guest Editor
Department of Sociology, University at Albany, State University of New York, Albany, NY 12222, USA
Interests: health disparities; social determinants of health; minority; segregation; built environment; discrimination

Special Issue Information

Dear Colleagues,

The World Health Organization defines Social Determinants of Health (SDoH) as the array of non-medical factors that influence health outcomes. These determinants are deeply rooted in the environmental contexts of an individual’s birth, growth, employment, residence, and aging. Beyond individual circumstances, SDoH encompass broader elements such as economic policies, societal development goals, prevailing social norms, and the overarching political landscape. Health disparities often arise from systemic inequities that disproportionately impact specific populations along the spectra of various sociodemographic dimensions, such as education, income, gender identity, disability status, and ethnic background. Such health disparities, which stem from unfavorable SDoH, are not inevitable. They are preventable and, with targeted improvements, can be addressed to diminish health inequalities. In light of this, we invite submissions on pertinent topics and research questions that reflect diverse international perspectives, cultural backgrounds, and societal structures for this Special Issue.

We are pleased to invite you to submit your paper for the consideration of publication if your research falls into one of the following categories:

  1. Systemic reviews, scoping reviews, or meta-analyses of existing health disparity issues and tools to measure health disparities such as the Social Equity Index;
  2. Original research using either quantitative, qualitative, or mixed methods to investigate health disparities driven by SDoH across a wide range of diseases, health behaviors, disabilities, and healthcare access levels and provide actionable recommendations;
  3. Comparative effectiveness studies or program assessments that examine the health outcomes of equity-based interventions and discuss lessons learned from the intervention;
  4. Policy analyses or critical perspectives on current trends and ongoing variations in health disparities and inequalities affecting vulnerable populations, discussing ways to facilitate accountability to reduce modifiable disparities.

Clinical trials or patient case reports are also welcome if they engage stakeholders and have the potential to reduce the burden of disease on vulnerable populations. This Special Issue aims to use these findings to raise awareness and understanding of which groups are most vulnerable and help motivate increased efforts to intervene at the local, national, and global levels to best address health disparities and inequalities.

We look forward to receiving your contributions.

Dr. Wei-Chen Lee
Dr. Tse-Chuan Yang
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

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Keywords

  • disparity
  • equity
  • social determinants of health
  • segregation
  • social inclusion
  • non-discrimination policy
  • underserved
  • underrepresented
  • discrimination
  • implicit bias
  • health services
  • health outcomes
  • global health
  • international health

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Published Papers (2 papers)

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Research

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22 pages, 1194 KiB  
Article
Urban Spillover, Health Disparities, and Community Strengths in Small Towns in Central Texas
by Ya-Ching Huang, Valerie Zapien, Yanyan Chen, Sara Le, Ashton Cumberbatch and Carmen Valdez
Healthcare 2025, 13(5), 501; https://doi.org/10.3390/healthcare13050501 - 26 Feb 2025
Viewed by 637
Abstract
Background: Small-town residents face healthcare inequities that result in poorer outcomes compared to those living in urban areas. These disparities are deeply rooted in socioeconomic and demographic factors as well as in access to healthcare services. This study aimed to explore health [...] Read more.
Background: Small-town residents face healthcare inequities that result in poorer outcomes compared to those living in urban areas. These disparities are deeply rooted in socioeconomic and demographic factors as well as in access to healthcare services. This study aimed to explore health disparities and community strengths within small towns in Williamson County, Central Texas, intensified by urban spillover. Methods: A qualitative study was designed using the Social Determinants of Health Model as the conceptual framework. We conducted eight in-depth interviews with local stakeholders. Each interview lasted 60–90 min and was audio-recorded, transcribed verbatim, and subjected to thematic analysis by trained researchers. Results: The participants reported that significant population growth, via individuals drawn from the rapidly expanding cities in proximity to their small towns, dramatically impacts lives. Eight main themes emerged: (1) low levels of community and professional health literacy and a lack of healthcare navigation support in schools and community-based support systems; (2) limited funding for healthcare services and limited capacity to support access to them; (3) limited access to food that can support healthy dietary patterns; (4) inadequate transportation services; (5) substance use, violence, and crime; (6) stressful community dynamics and an environment that negatively influences individual and community well-being; (7) financial instability and unreliable and insufficient infrastructure; and (8) community strengths and potential resources. Conclusions: Our findings reveal critical healthcare disparities in these small towns. Harnessing funding support and community unity is vital for developing equitable healthcare solutions and improving the well-being of residents in these rapidly evolving locales. Full article
(This article belongs to the Special Issue Research on Health Disparities in the Global Population)
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17 pages, 2320 KiB  
Systematic Review
Healing the Whole: An International Review of the Collaborative Care Model between Primary Care and Psychiatry
by Veronica Hernandez, Lucy Nasser, Candice Do and Wei-Chen Lee
Healthcare 2024, 12(16), 1679; https://doi.org/10.3390/healthcare12161679 - 22 Aug 2024
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Abstract
The collaborative care model (CCM) was created to improve the delivery of mental health care and is reported to improve access, enhance treatment outcomes, and reduce healthcare costs. To understand the impacts of the CCM on symptom management, diverse populations, and sustainability in [...] Read more.
The collaborative care model (CCM) was created to improve the delivery of mental health care and is reported to improve access, enhance treatment outcomes, and reduce healthcare costs. To understand the impacts of the CCM on symptom management, diverse populations, and sustainability in healthcare systems, a systematic review was conducted. Several databases were searched for articles assessing the CCM. The inclusion criteria limited the studies to those (1) published between January 2008 and January 2024; (2) written in the English language; (3) analyzing adult patients; (4) analyzing symptom improvement in major depressive disorder, generalized anxiety disorder, or post-traumatic stress disorder; and (5) fitting the given definition of a CCM. We identified 9743 articles. Due to missing information or duplication, 4702 were excluded. The remaining articles were screened, yielding 468 articles for full-text analysis, of which 16 articles met the inclusion criteria. Of these articles, five primarily focused on individual patient outcomes, five focused on specific populations, and six reviewed system impacts; eleven articles studied US populations and five studied international populations. An analysis revealed that in 12 of the final articles, the CCM led to a statistically significant improvement in anxiety and depression symptoms with viable implementation and sustainability strategies. The CCM is an effective method for improving patient symptoms and can be potentially affordable in healthcare systems. Full article
(This article belongs to the Special Issue Research on Health Disparities in the Global Population)
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