Associations between national viral hepatitis policies/programmes and country-level socioeconomic factors: a sub-analysis of data from the 2013 WHO viral hepatitis policy report
Identifieur interne : 000B21 ( Main/Exploration ); précédent : 000B20; suivant : 000B22Associations between national viral hepatitis policies/programmes and country-level socioeconomic factors: a sub-analysis of data from the 2013 WHO viral hepatitis policy report
Auteurs : Jeffrey V. Lazarus [Espagne] ; Ida Sperle ; Kelly Safreed-Harmon [Espagne] ; Charles Gore [Royaume-Uni] ; Beatriz Cebolla [Allemagne] ; Alexander Spina [Autriche, Suède]Source :
- BMC Public Health [ 1471-2458 ] ; 2017.
Abstract
As more countries worldwide develop national viral hepatitis strategies, it is important to ask whether context-specific factors affect their decision-making. This study aimed to determine whether country-level socioeconomic factors are associated with viral hepatitis programmes and policy responses across WHO Member States (MS).
WHO MS focal points completed a questionnaire on national viral hepatitis policies. This secondary analysis of data reported in the
This analysis included 119 MS. MS were more likely to have routine viral hepatitis surveillance and to have a national strategy and/or policy/guidelines for preventing infection in healthcare settings if they were in the higher binary categories for income level, HDI, health expenditure and physician density. In multivariable analyses, the only significant finding was a positive association between having routine surveillance and being in the higher binary HDI category (adjusted odds ratio 26; 95% confidence interval 2.0–340).
Countries with differing socioeconomic status indicators did not appear to differ greatly regarding the existence of key national policies and programmes. A more nuanced understanding of the multifaceted interactions of socioeconomic factors, health policy, service delivery and health outcomes is needed to support country-level efforts to eliminate viral hepatitis.
Url:
DOI: 10.1186/s12889-017-4549-4
PubMed: 28743246
PubMed Central: 5527394
Affiliations:
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report</title><author><name sortKey="Lazarus, Jeffrey V" sort="Lazarus, Jeffrey V" uniqKey="Lazarus J" first="Jeffrey V" last="Lazarus">Jeffrey V. Lazarus</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0674 042X</institution-id><institution-id institution-id-type="GRID">grid.5254.6</institution-id><institution>CHIP, Department of Infectious Diseases, Rigshospitalet,</institution><institution>University of Copenhagen,</institution></institution-wrap>Oester Allé 56, 5th Floor, DK-2100 Copenhagen, Oe Denmark</nlm:aff><wicri:noCountry code="subfield">Oe Denmark</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1937 0247</institution-id><institution-id institution-id-type="GRID">grid.5841.8</institution-id><institution>Barcelona Institute for Global Health (ISGlobal), Hospital Clínic,</institution><institution>University of Barcelona,</institution></institution-wrap>Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Barcelona</wicri:regionArea></affiliation></author><author><name sortKey="Sperle, Ida" sort="Sperle, Ida" uniqKey="Sperle I" first="Ida" last="Sperle">Ida Sperle</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0674 042X</institution-id><institution-id institution-id-type="GRID">grid.5254.6</institution-id><institution>CHIP, Department of Infectious Diseases, Rigshospitalet,</institution><institution>University of Copenhagen,</institution></institution-wrap>Oester Allé 56, 5th Floor, DK-2100 Copenhagen, Oe Denmark</nlm:aff><wicri:noCountry code="subfield">Oe Denmark</wicri:noCountry></affiliation></author><author><name sortKey="Safreed Harmon, Kelly" sort="Safreed Harmon, Kelly" uniqKey="Safreed Harmon K" first="Kelly" last="Safreed-Harmon">Kelly Safreed-Harmon</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1937 0247</institution-id><institution-id institution-id-type="GRID">grid.5841.8</institution-id><institution>Barcelona Institute for Global Health (ISGlobal), Hospital Clínic,</institution><institution>University of Barcelona,</institution></institution-wrap>Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Barcelona</wicri:regionArea></affiliation></author><author><name sortKey="Gore, Charles" sort="Gore, Charles" uniqKey="Gore C" first="Charles" last="Gore">Charles Gore</name><affiliation wicri:level="3"><nlm:aff id="Aff3">World Hepatitis Alliance, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>World Hepatitis Alliance, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Cebolla, Beatriz" sort="Cebolla, Beatriz" uniqKey="Cebolla B" first="Beatriz" last="Cebolla">Beatriz Cebolla</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Independent consultant, Cologne, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Independent consultant, Cologne</wicri:regionArea><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion></affiliation></author><author><name sortKey="Spina, Alexander" sort="Spina, Alexander" uniqKey="Spina A" first="Alexander" last="Spina">Alexander Spina</name><affiliation wicri:level="1"><nlm:aff id="Aff5"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2224 6253</institution-id><institution-id institution-id-type="GRID">grid.414107.7</institution-id><institution>Centre for Infectious Disease Epidemiology,</institution><institution>Austrian Agency for Health and Food Safety (AGES),</institution></institution-wrap>Vienna, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Vienna</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff6"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1791 8889</institution-id><institution-id institution-id-type="GRID">grid.418914.1</institution-id><institution>European Programme for Intervention Epidemiology Training (EPIET),</institution><institution>European Centre for Disease Prevention and Control (ECDC),</institution></institution-wrap>Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Stockholm</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p id="Par1">As more countries worldwide develop national viral hepatitis strategies, it is important to ask whether context-specific factors affect their decision-making. This study aimed to determine whether country-level socioeconomic factors are associated with viral hepatitis programmes and policy responses across WHO Member States (MS).</p></sec><sec><title>Methods</title><p id="Par2">WHO MS focal points completed a questionnaire on national viral hepatitis policies. This secondary analysis of data reported in the <italic>2013 Global Policy Report on the Prevention and Control of Viral Hepatitis in WHO Member States</italic> used logistic regression to examine associations between four survey questions and four socioeconomic factors: country income level, Human Development Index (HDI), health expenditure and physician density.</p></sec><sec><title>Results</title><p id="Par3">This analysis included 119 MS. MS were more likely to have routine viral hepatitis surveillance and to have a national strategy and/or policy/guidelines for preventing infection in healthcare settings if they were in the higher binary categories for income level, HDI, health expenditure and physician density. In multivariable analyses, the only significant finding was a positive association between having routine surveillance and being in the higher binary HDI category (adjusted odds ratio 26; 95% confidence interval 2.0–340).</p></sec><sec><title>Conclusion</title><p id="Par4">Countries with differing socioeconomic status indicators did not appear to differ greatly regarding the existence of key national policies and programmes. A more nuanced understanding of the multifaceted interactions of socioeconomic factors, health policy, service delivery and health outcomes is needed to support country-level efforts to eliminate viral hepatitis.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Stanaway, Jd" uniqKey="Stanaway J">JD Stanaway</name></author><author><name sortKey="Flaxman, Ad" uniqKey="Flaxman A">AD Flaxman</name></author><author><name sortKey="Naghavi, M" uniqKey="Naghavi M">M Naghavi</name></author><author><name sortKey="Fitzmaurice, C" uniqKey="Fitzmaurice C">C Fitzmaurice</name></author><author><name sortKey="Vos, T" uniqKey="Vos T">T Vos</name></author><author><name sortKey="Abubakar, I" uniqKey="Abubakar I">I Abubakar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schweitzer, A" uniqKey="Schweitzer A">A Schweitzer</name></author><author><name sortKey="Horn, J" uniqKey="Horn J">J Horn</name></author><author><name sortKey="Mikolajczyk, Rt" uniqKey="Mikolajczyk R">RT Mikolajczyk</name></author><author><name sortKey="Krause, G" uniqKey="Krause G">G Krause</name></author><author><name sortKey="Ott, Jj" uniqKey="Ott J">JJ Ott</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Buor, D" uniqKey="Buor D">D Buor</name></author><author><name sortKey="Bream, K" uniqKey="Bream K">K Bream</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fidler, Mm" uniqKey="Fidler M">MM Fidler</name></author><author><name sortKey="Soerjomataram, I" uniqKey="Soerjomataram I">I Soerjomataram</name></author><author><name sortKey="Bray, F" uniqKey="Bray F">F Bray</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Khan, Ur" uniqKey="Khan U">UR Khan</name></author><author><name sortKey="Sengoelge, M" uniqKey="Sengoelge M">M Sengoelge</name></author><author><name sortKey="Zia, N" uniqKey="Zia N">N Zia</name></author><author><name sortKey="Razzak, Ja" uniqKey="Razzak J">JA Razzak</name></author><author><name sortKey="Hasselberg, M" uniqKey="Hasselberg M">M Hasselberg</name></author><author><name sortKey="Laflamme, L" uniqKey="Laflamme L">L Laflamme</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lou, Lx" uniqKey="Lou L">LX Lou</name></author><author><name sortKey="Chen, Y" uniqKey="Chen Y">Y Chen</name></author><author><name sortKey="Yu, Ch" uniqKey="Yu C">CH Yu</name></author><author><name sortKey="Li, Ym" uniqKey="Li Y">YM Li</name></author><author><name sortKey="Ye, J" uniqKey="Ye J">J Ye</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kickbusch, I" uniqKey="Kickbusch I">I Kickbusch</name></author><author><name sortKey="Gleicher, D" uniqKey="Gleicher D">D Gleicher</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>Autriche</li><li>Espagne</li><li>Royaume-Uni</li><li>Suède</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement></list><tree><noCountry><name sortKey="Sperle, Ida" sort="Sperle, Ida" uniqKey="Sperle I" first="Ida" last="Sperle">Ida Sperle</name></noCountry><country name="Espagne"><noRegion><name sortKey="Lazarus, Jeffrey V" sort="Lazarus, Jeffrey V" uniqKey="Lazarus J" first="Jeffrey V" last="Lazarus">Jeffrey V. Lazarus</name></noRegion><name sortKey="Safreed Harmon, Kelly" sort="Safreed Harmon, Kelly" uniqKey="Safreed Harmon K" first="Kelly" last="Safreed-Harmon">Kelly Safreed-Harmon</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Gore, Charles" sort="Gore, Charles" uniqKey="Gore C" first="Charles" last="Gore">Charles Gore</name></region></country><country name="Allemagne"><noRegion><name sortKey="Cebolla, Beatriz" sort="Cebolla, Beatriz" uniqKey="Cebolla B" first="Beatriz" last="Cebolla">Beatriz Cebolla</name></noRegion></country><country name="Autriche"><noRegion><name sortKey="Spina, Alexander" sort="Spina, Alexander" uniqKey="Spina A" first="Alexander" last="Spina">Alexander Spina</name></noRegion></country><country name="Suède"><noRegion><name sortKey="Spina, Alexander" sort="Spina, Alexander" uniqKey="Spina A" first="Alexander" last="Spina">Alexander Spina</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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