Vulnerability and Marginalized Populations

Wrigley, Anthony; Dawson, Angus

doi:10.1007/978-3-319-23847-0_7

Cited by 26 publications

(13 citation statements)

References 25 publications

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“…The following year in 1978 the Alma-Ata assertion during the International Conference on Primary Health Care (PHC) endorses that health is an ultimate human right and the fulfillment of the highest conceivable level of health is the most imperative universal social intent 149 . After all these 42 years of struggles of EM and PHC, even in rich countries, marginalized communities and the elderly population are suffering because of the high cost of medicines 147,150,151 . Additionally, many countries around the planet, especially of LMICs, suffer from poor access to EM and PHC [152][153][154][155][156][157] .…”

Section: Precision Medicine Benefits May Be Driven Towards Transnatiomentioning

confidence: 99%

Prospects and Challenges of Precision Medicine in Lower- and Middle-Income Countries: A Brief Overview

Haque

Islam

Sartelli

et al. 2019

Bangladesh J Med Sci

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The trend of NCDs in most LMIC countries is slowly but gradually follows that of in the developed countries. There are four significant diseases reported by WHO, which are equally common, such as CVDs, diabetes, cancer, and chronic respiratory disease that causes widespread early death & morbidity. Indeed, it incurs an overwhelming financial burden to most countries in the world. The rise of drug-resistant microbes is another major problem. To overcome this issue, precision medicine (PM) comes into play whereby individual variability in genes, environment, lifestyle, and nutrition of each person is considered for disease treatment & prevention. PM provides a personalized approach, the right treatment to the right people at the right time. Many wealthy countries in the West have started adopting PM though the initial cost is high, ultimately, in the long run, will reduce the healthcare cost by getting rid of the ineffective treatment strategies. However, the PM in LMICs is still at an early stage due to issues such as lack of populationspecific data, competency, expertise, and poor financial support. Bangladesh Journal of Medical Science Vol.19(1) 2020 p.32-47

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Section: Precision Medicine Benefits May Be Driven Towards Transnatiomentioning

confidence: 99%

Prospects and Challenges of Precision Medicine in Lower- and Middle-Income Countries: A Brief Overview

Haque

Islam

Sartelli

et al. 2019

Bangladesh J Med Sci

View full text Add to dashboard Cite

show abstract

“…[12][13][14] It is increasingly recognized that biased policy decisions tend to disadvantage and harm marginalized communities. 15 To prevent these harms, equity-oriented frameworks have been used to promote tailored and targeted public health interventions that aim to directly promote health and wellness among marginalized communities. [16][17][18][19] Yet, the implementation of these frameworks and programs requires the support of policy-makers and the institutions that empower them.…”

Section: Introductionmentioning

confidence: 99%

Do Canadians Support Tailored and Targeted Public Health Programs? A Discrete Choice Experiment

Card

Adshade

Hogg

et al. 2022

Preprint

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Background. We aimed to assess public support of tailored and targeted public health interventions for various marginalized communities.Methods. We conducted a discrete choice experiment using a web-based survey advertised to Facebook and Instagram users living in Canada, aged >16. Participants were asked to choose between funding two hypothetical public health programs. Each program was described by its purpose; expected increase in life expectancy; and target group. Demographically-weighted generalized linear mixed-effects models were constructed to identify program factors associated with program selection.Results. 23,889 exercises were completed by 3,054 participants. Selected programs were less likely to focus on prevention (vs. treatment). For each 1-year increase in the marginal years of life gained, there was a 15% increase in the odds of a program being selected. Interventions tailored to marginalized communities or targeting stigmatized health conditions were less likely to be selected compared with interventions targeted to the general population or targeting chronic health conditions. Noteworthy exceptions included an increased preference for interventions aligning with the perceived needs of marginalized communities (e.g. HIV and men who have sex with men).Conclusions. Stigmatizing perceptions of health conditions and key populations likely influence public health programming preferences of Canadians. Informational campaigns highlighting disparities experienced by marginalized populations may improve support for targeted and tailored interventions.

show abstract

Section: Introductionmentioning

confidence: 99%

Do Canadians Support Tailored And Targeted Public Health Programs? A Discrete Choice Experiment

Card

Adshade

Hogg

et al. 2021

Preprint

View full text Add to dashboard Cite

Background. We aimed to assess public support of tailored and targeted public health interventions for various marginalized communities. Methods. We conducted a discrete choice experiment using a web-based survey advertised to Facebook and Instagram users living in Canada, aged >16. Participants were asked to choose between funding two hypothetical public health programs. Each program was described by its purpose; expected increase in life expectancy; and target group. Demographically-weighted generalized linear mixed-effects models were constructed to identify program factors associated with program selection.Results. 23,889 exercises were completed by 3,054 participants. Selected programs were less likely to focus on prevention (vs. treatment). For each 1-year increase in the marginal years of life gained, there was a 15% increase in the odds of a program being selected. Interventions tailored to marginalized communities or targeting stigmatized health conditions were less likely to be selected compared with interventions targeted to the general population or targeting chronic health conditions. Noteworthy exceptions included an increased preference for interventions aligning with the perceived needs of marginalized communities (e.g. HIV and men who have sex with men). Conclusions. Stigmatizing perceptions of health conditions and key populations likely influence public health programming preferences of Canadians. Informational campaigns highlighting disparities experienced by marginalized populations may improve support for targeted and tailored interventions.

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Vulnerability and Marginalized Populations

Cited by 26 publications

References 25 publications

Prospects and Challenges of Precision Medicine in Lower- and Middle-Income Countries: A Brief Overview

Prospects and Challenges of Precision Medicine in Lower- and Middle-Income Countries: A Brief Overview

Do Canadians Support Tailored and Targeted Public Health Programs? A Discrete Choice Experiment

Do Canadians Support Tailored And Targeted Public Health Programs? A Discrete Choice Experiment

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