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Social Determinants of Health Inequities

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 August 2023) | Viewed by 3013

Special Issue Editor


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Guest Editor
Brown School, Washington University in Saint Louis, Campus Box 1196, 242 Goldfarb Hall, One Brookings Drive, St. Louis, MO 63130, USA
Interests: health equity; mental health; social determinants of health; diagnosis; measurement
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues, 

Estimates from existing studies indicate that social determinants of health account for between 30% and 55% of health outcomes. These studies also suggest that social and economic factors embedded in sectors other than healthcare contribute more to population health outcomes [1]. Indeed, the building blocks of good health are outside the healthcare system for the overwhelming majority of people. Therefore, social conditions such as context, resources, power, and privilege—often termed social determinants of health—are essential in the promotion of health. However, it is well-known that resources are not equitably distributed across the globe as people who have been historically marginalized bear a disproportionate burden of morbidity and premature mortality. 

Health equity means that everyone, regardless of their abilities, economic status, or race/ethnicity, has the opportunity to reach their optimal level of health. Addressing social determinants of health in different global contexts is essential in order to strive toward health equity. 

This Special Issue of International Journal of Environmental Research and Public Health (IJERPH) focuses on the health disparities and health inequalities in society. We will accept manuscripts from different disciplines including but not limited to public health, medicine, sociology, psychology, and criminal justice, covering a wide range of topics such as the following: 

  • Social determinants of health; 
  • Health equity; 
  • Racism; 
  • Structural violence; 
  • Environmental determinants; 
  • Education, job opportunities, and income; 
  • Food security and safety. 

All types of articles published in IJERPH are welcome for this Special Issue, including qualitative methods, survey studies, interventions, reviews, and case reports. 

References

[1] Social determinants of health. Available online: https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1 (accessed on 9 September 2022).

Dr. Darrell Hudson
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

  • social determinants of health
  • health equity
  • health inequities
  • structural violence
  • environmental determinants

Published Papers (1 paper)

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Research

18 pages, 606 KiB  
Article
Male Involvement in Family Planning Decisions in Malawi and Tanzania: What Are the Determinants?
by Godswill Nwabuisi Osuafor, Monica Ewomazino Akokuwebe and Erhabor Sunday Idemudia
Int. J. Environ. Res. Public Health 2023, 20(6), 5053; https://doi.org/10.3390/ijerph20065053 - 13 Mar 2023
Cited by 4 | Viewed by 2695
Abstract
The participation of males in joint spousal decisions is urgently needed in achieving the fundamental indicators of reproductive health. The low involvement of males in family planning (FP) decision-making is a major determining factor in low FP usage in Malawi and Tanzania. Despite [...] Read more.
The participation of males in joint spousal decisions is urgently needed in achieving the fundamental indicators of reproductive health. The low involvement of males in family planning (FP) decision-making is a major determining factor in low FP usage in Malawi and Tanzania. Despite this, there are inconsistent findings regarding the extent of male involvement and the determinants that aid male participation in FP decisions in these two countries. The objective of this study was to assess the prevalence of male involvement in FP decisions and its associated determinants within the household context in Malawi and Tanzania. We used data from the 2015–2016 Malawi and Tanzania Demographic and Health Surveys (DHSs) to examine the prevalence and the determinants inhibiting male involvement in FP decisions. The total sample size of 7478 from Malawi and 3514 males from Tanzania aged 15–54 years was employed in the analysis by STATA version 17. Descriptive (graphs, tables and means), bi-variate (chi-square) and logistic regression analyses (unadjusted (U) and adjusted odds ratio (AOR)) were performed to identify the determinants associated with male involvement in FP decisions. The mean age of respondents in Malawi was 32 years (±8 SD) and in Tanzania, 36 years (±6 SD), with the prevalence of male involvement in FP decisions being 53.0% in Malawi and 26.6% in Tanzania. Being aged 35–44 years [AOR = 1.81; 95% CI: 1.59–2.05] and 45–54 years [AOR = 1.43; 95% CI: 1.22–1.67], educated (secondary/higher) [AOR = 1.62; 95% CI: 1.31–1.99], having access to media information [AOR = 1.35; 95% CI: 1.21–1.51] and having a female head of household [AOR = 1.79; 95% CI: 1.70–1.90] were determinant factors of male involvement in FP decisions in Malawi. Primary education [AOR = 1.94; 95% CI: 1.39–2.72], having a middle wealth index ranking [AOR = 1.46; 95% CI: 1.17–1.81], being married [AOR = 1.62; 95% CI: 1.38–1.90] and working [AOR = 2.86; 95% CI: 2.10–3.88] were higher predictors of male involvement in FP decisions in Tanzania. Increasing the role of males in FP decisions and involvement in FP utilization may improve uptake and continuity of FP usage. Therefore, the findings from this cross-sectional study will support redesigning the ineffective strategic FP programs that accommodate socio-demographic determinants that may increase the likelihood of male involvement in FP decisions, especially in the grassroots settings in Malawi and Tanzania. Full article
(This article belongs to the Special Issue Social Determinants of Health Inequities)
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