COVID-19 vaccine exclusion based on legal residence is unwise and unethical
(Source: Journal of Public Health Policy)
Source: Journal of Public Health Policy - May 3, 2021 Category: Health Management Source Type: research

Conscientious objection and LGBTQ discrimination in the United States
AbstractGiven recent legal developments in the United States, now is a critical time to draw attention to how ‘conscientious objection’ is sometimes used by health care providers to discriminate against the LGBTQ community. We review legal developments from 2019 and present several cases where health care providers used conscientious objection in ways that discriminate against the LGBTQ community, resul ting in damaged trust by this underserved population. We then discuss two important conceptual points in this debate. The first involves the interpretation of discrimination (provider versus patient-centered views), and...
Source: Journal of Public Health Policy - April 27, 2021 Category: Health Management Source Type: research

From “learning from the field” to jointly driving change
We describe global, regional, and national case studies that facilitate full participation to achieve more equitable health outcomes. By concluding with concret e recommendations, we hope to contribute to these shared goals: to correct power imbalances between health authorities and the people that they intend, and are expected, to serve. The authors are all members of the working group. (Source: Journal of Public Health Policy)
Source: Journal of Public Health Policy - April 27, 2021 Category: Health Management Source Type: research

Association between marijuana use and nonmedical prescription opioid use in the United States: are we shifting from one epidemic to another?
This study aims to examine the association of marijuana use among patients on prescription pain relievers in a retrospective cross-sectional study using zero-inflated negative binomial regression. The recipients of prescription pain medicines were identified using National Survey on Drug Use and H ealth (2015–2017). Irrespective of the state marijuana laws, marijuana use days were 34% higher and odds of having zero days of marijuana use were 73% lower in those using nonmedical prescription opioids vs. not (IRR = 1.34,p <  0.0001; OR = 0.27,p <  0.0001, respectively). In the absence of consequential ...
Source: Journal of Public Health Policy - April 20, 2021 Category: Health Management Source Type: research

The amazing numbers of the World Congress on Public Health
(Source: Journal of Public Health Policy)
Source: Journal of Public Health Policy - April 20, 2021 Category: Health Management Source Type: research

Universal coverage and strategy of primary health care. The Cuban experience
(Source: Journal of Public Health Policy)
Source: Journal of Public Health Policy - March 5, 2021 Category: Health Management Source Type: research

Together with the public health world
(Source: Journal of Public Health Policy)
Source: Journal of Public Health Policy - March 5, 2021 Category: Health Management Source Type: research

Attention to the Tripartite ’s one health measures in national action plans on antimicrobial resistance
AbstractThe WHO, FAO, and OIE (the Tripartite) promote One Health (OH) as the guiding frame for national responses to antimicrobial resistance (AMR). Little is known, however, about how much national action plans (NAPs) on AMR actually rely on the OH measures outlined by the Tripartite. The paper investigates attention to OH through a systematic content analysis of 77 AMR NAPs to discern regional and income patterns in the integration of these OH measures. Our findings suggest that (1) AMR NAPs almost universally address the three key sectors of OH, namely, human, animal, and environmental health; (2) AMR NAPs primarily ap...
Source: Journal of Public Health Policy - February 17, 2021 Category: Health Management Source Type: research

Prescription drug monitoring program policy reform: human and veterinary practitioner prescribing in West Virginia, 2008 –2020
The objectives of this study were to conduct time series modeling to describe the PDMP policy reform impact on prescribing rates for human and veterinary providers. We obtained data from the WV PDMP for 2008 through 2020 for the number of opioid prescriptions filled and providers. We estimated prescribing rates for human and veterinary providers separately based upon the top five opioids prescribed by veterinarians. We estimated temporal effects using a Bayesian log-normal time series model for humans and veterinarians separately. Throughout the study period prescribing rates increased significantly for veterinarians, and ...
Source: Journal of Public Health Policy - February 12, 2021 Category: Health Management Source Type: research

Prevalence and predictors of vaccine hesitancy among expectant mothers in Enugu metropolis, South-east Nigeria
This study determined the prevalence and correlates of vaccine hesitancy among pregnant women attending a university teaching hospital in Enugu metropolis, South-east Nigeria using cross-sectional survey and parent attitudes about childhood vaccines (PACV) questionnaire. We dichotomised the 256 expectant mother participants into hesitant and non-hesitant categories using median PACV and sub-scale scores. Overall, 31.6% of participants were hesitant. About 17.6%, 14.8%, and 30.9% of mothers were hesitant due to their vaccination behaviour, beliefs about vaccine safety and efficacy, and general attitudes and trust of service...
Source: Journal of Public Health Policy - February 10, 2021 Category: Health Management Source Type: research

Urban mobile food truck policies: reducing disparities and building a culture of health in the United States
AbstractWe undertook this study knowing that for people throughout the Midwest who live in low-income urban neighborhoods, finding and affording healthy foods continues to be a problem. People with less money are not only forced to spend it on food, but have so limited options for avoiding purchase of foods with high levels of fat, salt, and sugar. A review of the literature shows that very little is known about how mobile food trucks can increase availability and affordability of healthy foods in low-income neighborhoods in the United States. We compared municipal codes regulating mobile food truck operators and evaluated...
Source: Journal of Public Health Policy - February 10, 2021 Category: Health Management Source Type: research

Re-envisioning EPA and its work in the post-Trump era: perspectives from EPA employees
AbstractThe Trump administration has severely curtailed the work of the United States Environmental Protection Agency (EPA). The EPA has rolled back environmental protections, lost ground on addressing climate change and environmental justice, and shed large numbers of experienced staff. All of this has accelerated a longer-term decline in EPA resources, expertise, and authority. Here, we present perspectives of EPA employees and retirees on reconfiguring and strengthening the agency to address current and future environmental health problems, based on qualitative data obtained through 100 semi-structured interviews with 7...
Source: Journal of Public Health Policy - February 10, 2021 Category: Health Management Source Type: research

Men ’s Sheds in Scotland: the potential for improving the health of men
AbstractRecent policy focus is on the ‘non-obvious’ role of community-based organisations in tackling causes of poor health, such as social exclusion. Men’s Sheds are a type of community-based organisation offering health and wellbeing benefits to men, despite this not being the explicit reason they exist. A qualitative study was conducted in Scotland to identify sustainability challenges that impact on the ability of Sheds to become a formal healthcare service. Findings showed that a reliance on ageing and retired volunteers to undertake operational tasks and generate income to fund activities affected the ability o...
Source: Journal of Public Health Policy - February 4, 2021 Category: Health Management Source Type: research

Public health matters: why is Latin America struggling in addressing the pandemic?
This article examines how Argentina, Brazil, Chile, Colombia, Mexico, and Peru addressed the COVID-19 pandemic and the effectiveness of these policy responses from the date each country declared a sanitary emergency, between middle and late March 2020 to the most recent available measurement on 23  September 2020. To analyze how governments responded to the COVID-19 pandemic in these six Latin American countries, we use an index of government response, created by the University of Oxford. To explore the effects of these governmental mitigation policies on reducing social mobility, we use Goo gle mobility reports. We also ...
Source: Journal of Public Health Policy - January 28, 2021 Category: Health Management Source Type: research

Governmental actions to address COVID-19 misinformation
AbstractSince COVID-19 emerged, a plethora of misinformation has undermined the public ’s ability to identify reliable sources of accurate information. To identify the range of methods governments used to address COVID-19 misinformation, we conducted a content analysis of international media and evaluated government actions in light of international law, which protects freedom of ex pression and calls on governments to guarantee this fundamental right even during a pandemic or other emergency. We identified five categories of government activities: (1) disseminating and increasing access to accurate information; (2) rest...
Source: Journal of Public Health Policy - January 28, 2021 Category: Health Management Source Type: research