Journal of Preventive Medicine and Public Health

Original Article

Identifying, Measuring, and Ranking Social Determinants of Health for Health Promotion Interventions Targeting Informal Settlement Residents: Farhad Nosrati Nejad, Mohammad Reza Ghamari, Seyed Hossein Mohaqeqi Kamal, Seyed Saeed Tabatabaee; J Prev Med Public Health. 2023;56(4):327-337. Published online June 26, 2023; DOI: https://doi.org/10.3961/jpmph.23.059

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Abstract PDF: Objectives
Considering the importance of social determinants of health (SDHs) in promoting the health of residents of informal settlements and their diversity, abundance, and breadth, this study aimed to identify, measure, and rank SDHs for health promotion interventions targeting informal settlement residents in a metropolitan area in Iran.
Methods
Using a hybrid method, this study was conducted in 3 phases from 2019 to 2020. SDHs were identified by reviewing studies and using the Delphi method. To examine the SDHs among informal settlement residents, a cross-sectional analysis was conducted using researcher-made questionnaires. Multilayer perceptron analysis using an artificial neural network was used to rank the SDHs by priority.
Results
Of the 96 determinants identified in the first phase of the study, 43 were examined, and 15 were identified as high-priority SDHs for use in health-promotion interventions for informal settlement residents in the study area. They included individual health literacy, nutrition, occupational factors, housing-related factors, and access to public resources.
Conclusions
Since identifying and addressing SDHs could improve health justice and mitigate the poor health status of settlement residents, ranking these determinants by priority using artificial intelligence will enable policymakers to improve the health of settlement residents through interventions targeting the most important SDHs.; Summary

Scoping Review

The Most Important Social Determinants of Slum Dwellers’ Health: A Scoping Review: Farhad Nosrati Nejad, Mohammad Reza Ghamari, Seyed Hossein Mohaqeqi Kamal, Seyed Saeed Tabatabaee, Raheleh Ganjali; J Prev Med Public Health. 2021;54(4):265-274. Published online July 8, 2021; DOI: https://doi.org/10.3961/jpmph.21.073

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Objectives
Given the importance of social determinants of health in promoting the health of slum residents, this study was conducted with the aim of identifying the main dimensions and components of these determinants.
Methods
This scoping review study was conducted according to the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews). A comprehensive search was performed of PubMed, ProQuest, Scopus, and Web of Science for articles conducted from 2010 to the end of 2019. Studies were selected based on inclusion criteria, with a special focus on studies dealing with the social determinants of physical and mental health or illness.
Results
Thirty-three articles were selected to extract information on the social determinants of health. After reviewing the articles, 7 main dimensions (housing, socioeconomic status of the family, nutrition, neighborhood characteristics, social support and social capital, occupational factors, and health behaviors) and 87 components were extracted as social determinants of health among slum dwellers.
Conclusions
This framework could be used by planners, managers, and policy-makers when making decisions affecting the health of these settlements’ residents due to the common characteristics of slums around the world, especially in developing countries.

Summary

Citations

Citations to this article as recorded by

Deprivation and Its Association with Child Health and Nutrition in the Greater Kampala Metropolitan Area of Uganda
Rornald Muhumuza Kananura, Peter Waiswa, Ronald Wasswa, Ties Boerma, Cauane Blumenberg, Abdoulaye Maiga
Journal of Urban Health.2024;[Epub] CrossRef
“For my safety and wellbeing, I always travel to seek health care in a distant facility”—the role of place and stigma in HIV testing decisions among GBMSM – BSGH 002
Edem Yaw Zigah, Gamji Rabiu Abu-Ba'are, Osman Wumpini Shamrock, Henry Delali Dakpui, Amos Apreku, Donte T. Boyd, LaRon E. Nelson, Kwasi Torpey
Health & Place.2023; 83: 103076. CrossRef
Identifying, Measuring, and Ranking Social Determinants of Health for Health Promotion Interventions Targeting Informal Settlement Residents
Farhad Nosrati Nejad, Mohammad Reza Ghamari, Seyed Hossein Mohaqeqi Kamal, Seyed Saeed Tabatabaee
Journal of Preventive Medicine and Public Health.2023; 56(4): 327. CrossRef
Do Community-based Livelihood Interventions Affect Sexual and Reproductive Health and Rights of Young People in Slum Areas of Uganda: a Difference-in-difference with Kernel Propensity Score Matching Analysis
Andre M. N. Renzaho, Joseph K. Kamara, Daniel Doh, Paul Bukuluki, Rashidul A. Mahumud, Moses Galukande
Journal of Urban Health.2022; 99(1): 164. CrossRef

Evaluation Studies

The Effect of Catastrophic Health Expenditure on the Transition to Poverty and the Persistence of Poverty in South Korea.: Eun Cheol Song, Young Jeon Shin; J Prev Med Public Health. 2010;43(5):423-435.; DOI: https://doi.org/10.3961/jpmph.2010.43.5.423

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134 Download
19 Crossref

Abstract PDF

OBJECTIVES
The low benefit coverage rate of South Korea's health security system has been continually pointed out. A low benefit coverage rate inevitably causes catastrophic health expenditure, which can be the cause of the transition to poverty and the persistence of poverty. This study was conducted to ascertain the effect of catastrophic health expenditure on the transition to poverty and the persistence of poverty in South Korea. METHODS: To determine the degree of social mobility, this study was conducted among the 6311 households that participated in the South Korea Welfare Panel Study in both 2006 and 2008. The effect of catastrophic health expenditure on the transition to poverty and the persistence of poverty in South Korea was assessed via multiple logistic regression analysis. RESULTS: The poverty rate in South Korea was 21.6% in 2006 and 20.0% in 2008. 25.1 - 7.3% of the households are facing catastrophic health expenditure. Catastrophic health expenditure was found to affect the transition to poverty even after adjusting for the characteristics of the household and the head of the household, at the threshold of 28% or above. CONCLUSIONS: 25.1% of the households in this study were found to be currently facing catastrophic health expenditure, and it was determined that catastrophic health expenditure is a cause of transition to poverty. This result shows that South Korea's health security system is not an effective social safety net. As such, to prevent catastrophic health expenditure and transition to poverty, the benefit coverage of South Korea's health security system needs to the strengthened.

Summary

Citations

Citations to this article as recorded by

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Journal of Health Informatics and Statistics.2017; 42(3): 232. CrossRef
Family Income Inequality and Medical Care Expenditure In Korea
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The Journal of the Korea Contents Association.2016; 16(8): 366. CrossRef
The Effect of Occurrence and Reoccurrence of Catastrophic Health Expenditure on Transition to Poverty and Persistence of Poverty in South Korea
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Health Policy and Management.2016; 26(3): 172. CrossRef
Association between chronic disease and catastrophic health expenditure in Korea
Jae-Woo Choi, Jong-Won Choi, Jae-Hyun Kim, Ki-Bong Yoo, Eun-Cheol Park
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Catastrophic Health Expenditures and Life Satisfaction: A Case in South Korea
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Journal of Family and Economic Issues.2015; 36(3): 369. CrossRef
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Social Science & Medicine.2014; 101: 28. CrossRef
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Asian Pacific Journal of Cancer Prevention.2014; 15(6): 2713. CrossRef
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