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Advancing Health Equity: Challenges and Opportunities

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Global Health".

Deadline for manuscript submissions: closed (31 July 2025) | Viewed by 2260

Special Issue Editor


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Guest Editor
Arthur Labatt Family School of Nursing, Faculty of Health Sciences, The University of Western Ontario, London, ON N6A 3K7, Canada
Interests: advancing health equity; mental health; substance use; women and violence and indigenous health
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Special Issue Information

Dear Colleagues,

Health inequalities exist globally, are persistent, and, in some cases, are growing. Many of these inequalities are the result of social, political, and economic disadvantages. Such inequalities affect peoples' chances of achieving and maintaining good health over their lifetimes. Where inequalities in health outcomes or in access to the resources that support health are systematic (that is, the patterns of difference are consistently observable between population groups) and can plausibly be avoided or ameliorated by collective action, they may be deemed unjust and inequitable. When there is health equity, every person has a fair and just opportunity to attain their full health potential, regardless of social position or socially determined circumstances. Achieving health equity requires valuing everyone equally with focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and both social and structural determinants of health, thereby eliminating disparities in health and health care.

This Special Issue of the International Journal of Environmental Research and Public Health (IJERPH) focuses on the current state of knowledge related to advancing health equity—the challenges and the opportunities. New research papers, reviews, case reports, and conference papers are welcome. Other acceptable manuscript types include methodological papers, position papers, brief reports, and commentaries.

Here are some examples of topics that could be addressed in this Special Issue:

  • COVID-19 and the lessons learned regarding equitable health preparedness and prevention;
  • Strategies for addressing health disparities and promoting health equity, including individual, organizational, and systems-level approaches;
  • Equity-oriented approaches in health care (e.g., cultural safety/humility, trauma- and violence-informed care, and harm reduction/substance use health), particularly for populations marginalized by inequity;
  • Digital health, information management, artificial intelligence, and health equity;
  • The impact of intersecting factors, such as age, race/racialization, gender, sexuality, education, and socioeconomic status, on health outcomes;
  • Equity-integrated knowledge mobilization strategies, including community-based and population health approaches. 

Dr. Victoria Smye
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

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. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • health equity
  • social justice
  • intersectionality
  • social and structural determinants of health
  • sustainable development goals
  • cultural safety
  • cultural humility
  • trauma- and violence-informed care
  • harm reduction/substance use health
  • health care
  • digital health/information science

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Published Papers (2 papers)

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Research

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14 pages, 712 KB  
Article
The Need for Culturally Responsive Nutritional Counselling for Pregnant Aboriginal and Torres Strait Islander Women in Australia
by Lina Jalloub, Stephanie Gilbert, Clare Collins, Marc T. P. Adam, Mieka Thorogood, Tahlia Smith, Janinne Gliddon, Serena St Clair, Nicole Turner, Rhonda Marriott, Roz Walker, Kym M. Rae and on behalf of Deadly Diets Indigenous Steering Committee
Int. J. Environ. Res. Public Health 2025, 22(7), 1043; https://doi.org/10.3390/ijerph22071043 - 30 Jun 2025
Viewed by 502
Abstract
Access to high-quality, culturally responsive nutrition advice during pregnancy is necessary for optimal health outcomes for mothers and babies. Evidence indicates that age, education and access to trained healthcare practitioners have a positive correlation with healthy food intake and positive outcomes. There are [...] Read more.
Access to high-quality, culturally responsive nutrition advice during pregnancy is necessary for optimal health outcomes for mothers and babies. Evidence indicates that age, education and access to trained healthcare practitioners have a positive correlation with healthy food intake and positive outcomes. There are limited studies that discuss the importance of providing culturally responsive nutrition advice to pregnant Indigenous women. Therefore, this paper investigates the sources from which Indigenous women access nutrition information, assesses its adequacy in meeting needs, and identifies the effective ways to deliver this information. This study took place in Queensland (QLD), New South Wales (NSW), and Western Australia (WA), which were chosen to represent diverse cultural communities. A total of 103 participants were recruited, including Indigenous women and healthcare practitioners. Focus groups were audio-recorded, transcribed and analysed. Participants indicated that pregnant women are highly interested in improving their nutrition knowledge during pregnancy and actively seek information from their healthcare practitioners and dietitians. Findings suggested dissatisfaction with the information received, as it failed to address their needs. Results of this paper call for an urgent increased presence of community dietitians in antenatal clinics dedicated to Indigenous pregnant women as an additional way to provide families with the information they need for healthy pregnancies. Full article
(This article belongs to the Special Issue Advancing Health Equity: Challenges and Opportunities)
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Review

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25 pages, 1928 KB  
Review
Governance in Crisis: A Mixed-Methods Analysis of Global Health Governance During COVID-19
by Kadria Ali Abdel-Motaal and Sungsoo Chun
Int. J. Environ. Res. Public Health 2025, 22(8), 1305; https://doi.org/10.3390/ijerph22081305 - 20 Aug 2025
Viewed by 1205
Abstract
Background: The COVID-19 pandemic exposed major structural deficiencies in global health governance, including stark inequities in vaccine access, intervention timing, and mortality outcomes. While economic resources played a role, the influence of governance performance remains insufficiently examined. This study addresses a significant gap [...] Read more.
Background: The COVID-19 pandemic exposed major structural deficiencies in global health governance, including stark inequities in vaccine access, intervention timing, and mortality outcomes. While economic resources played a role, the influence of governance performance remains insufficiently examined. This study addresses a significant gap by integrating governance metrics with pandemic response data to assess how governance quality, independent of income level, affected national outcomes. Although the Oxford COVID-19 Government Response Tracker (OxCGRT) dataset has been widely used to document policy responses, this study offers a novel contribution by linking these policy interventions with governance performance and evaluating their joint effect on health outcomes and vaccine equity. Methods: This mixed-methods study combines quantitative analysis of global datasets with a qualitative literature review. Quantitative data were mainly obtained from the Oxford COVID-19 Government Response Tracker (OxCGRT), the World Bank’s Worldwide Governance Indicators (WGIs), and World Bank/WHO databases. A governance performance index was constructed using two WGI components: Government Effectiveness and Regulatory Quality. Countries were grouped into high, medium, or low governance categories. Statistical tests included ANOVA, Kaplan Meier survival analysis, and multivariable OLS regression. The qualitative component reviewed 45 academic and institutional sources on governance performance during COVID-19. Results: Countries with high governance performance had earlier public health interventions, lower mortality, and broader vaccine coverage, independent of income level. Kaplan Meier analysis revealed faster school closures in these countries (p < 0.01). Multivariable regression showed governance remained a significant predictor after adjusting for income and health spending. Qualitative findings highlighted recurring weaknesses in legal enforceability, intergovernmental coordination, and global financing mechanisms. Conclusions: Governance performance had a decisive impact on pandemic outcomes. The COVID-19 crisis revealed the need for robust governance systems capable of responding to complex emergencies that extend beyond the health sector into institutional, economic, and social spheres. Full article
(This article belongs to the Special Issue Advancing Health Equity: Challenges and Opportunities)
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