Öz
Objective:
Health inequalities represent a persistent global public health challenge, undermining equitable access to healthcare and contributing to disparities in health outcomes. This study aims to provide a comprehensive overview of global research trends in health inequalities between 2000 and 2023 using bibliometric analysis.
Method:
A total of 44,020 studies related to health inequalities were identified from the Web of Science database using the search terms "health AND (inequality OR equality OR disparity OR equity OR inequity)." Inclusion criteria limited the analysis to English-language, SSCI/SCI-indexed, original research articles. VOSviewer software was used to conduct mapping and visualization of the data.
Findings:
The findings reveal a steady increase in publications on health inequalities, with a significant peak in 2021. Influential authors such as Kawachi Ichiro and Jemal Ahmedin, and prominent institutions like Harvard University and the University of Michigan, were identified as key contributors. The United States emerged as the leading country in terms of publication volume and international collaboration. Keyword analyses highlighted contemporary themes such as COVID-19, accessibility, and vaccination. Additionally, citation analyses indicated that foundational studies like "Corporate Governance and Equity Prices" by Gompers (2003) remain highly influential.
Conclusion:
This study provides critical insights into global research trends, key contributors, and thematic focuses in health inequalities. The findings underscore the importance of this field within the academic landscape and offer valuable guidance for future interdisciplinary research and policy development aimed at reducing health disparities.
Anahtar Kelimeler
health inequality sustainable development bibliometric analysis
Kaynakça
- Bambra, C., Riordan, R., Ford, J., & Matthews, F. (2021). The COVID-19 pandemic and health inequalities. Journal of Epidemiology and Community Health, 75(9), 964–968.
- Bleich, S. N., Jarlenski, M. P., Bell, C. N., & LaVeist, T. A. (2012). Health inequalities: Trends, progress, and policy. Annual Review of Public Health, 33, 7–40.
- Bolton, G. E., & Ockenfels, A. (2000). ERC: A theory of equity, reciprocity, and competition. The American Economic Review, 90(1), 166–193.
- Bourhard, L., Albertini, M., Batista, R., & Montigny, J. de (2015). Research on health inequalities: A bibliometric analysis (1966–2014). Social Science & Medicine, 141, 100–108.
- Braveman, P. (2006). Health disparities and health equity: Concepts and measurement. Annual Review of Public Health, 27, 167–194.
- Carter-Pokras, O., & Baquet, C. (2002). What is a "Health Disparity"? Public Health Reports, 117(5), 426–434.
- Deaton, A. (2003). Health, inequality, and economic development. Journal of Economic Literature, 41(1), 113–158.
- Department of Health and Social Security. (1980). Inequalities in health: Report of a Research Working Group (Black Report). London: DHSS.
- Dhaliwal, D. S., Li, O. Z., Tsang, A., & Yang, Y. G. (2011). Voluntary nonfinancial disclosure and the cost of equity capital: The initiation of corporate social responsibility reporting. The Accounting Review, 86(1), 59–100.
- Diderichsen, F., Andersen, I., Manuel, C., Nybo Andersen, A. M., Bach, E., Baadsgaard, M., et al. (2012). Health inequality: determinants and policies. Scandinavian Journal of Public Health, 40(8), 12–105.
- Diebold, F. X., & Yılmaz, K. (2009). Measuring financial asset return and volatility spillovers, with application to global equity markets. The Economic Journal, 119(534), 158–171.
- Donthu, N., Kumar, S., Mukherjee, D., Pandey, N., & Lim, W. M. (2021). How to conduct a bibliometric analysis: An overview and guidelines. Journal of Business Research, 133, 285–296.
- Engels, F. (1993). The Condition of the Working Class in England. New York: Oxford University Press.
- Goesling, B., & Firebaugh, G. (2004). The trend in international health inequality. Population and Development Review, 30(1), 131–146.
- Gompers, P. A., Ishii, J. L., & Metrick, A. (2003). Corporate governance and equity prices. Quarterly Journal of Economics, 118(1), 107–155.
- Graham, H. (2004). Social determinants and their unequal distribution: Clarifying policy understandings. The Milbank Quarterly, 82(1), 101–124.
- Kawachi, I., Subramanian, S. V., & Almeida-Filho, N. (2002). A glossary for health inequalities. Journal of Epidemiology and Community Health, 56(9), 647–652.
- Kıdak, L. B., & Demir, H. (2018). Global Health Policies. In D. Tengilimoğlu (Ed.), Health Policy (pp. 159–179). Nobel Publishing.
- Mackenbach, J. P., Stirbu, I., Roskam, A. J., Schaap, M. M., Gwenn, M., Leinsalu, M., et al. (2008). Socioeconomic inequalities in health in 22 European countries. New England Journal of Medicine, 358(23), 2468–2481.
- Manor, O., Matthews, S., & Power, C. (1997). Comparing measures of health inequality. Social Science & Medicine, 45(5), 761–771.
- Marmot, M. (2005). Social determinants of health inequalities. The Lancet, 365(9464), 1099–1104.
- Marmot, M., Friel, S., Bell, R., Houweling, T. A., & Taylor, S. (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. World Health Organization.
- Masseria, C., Hernandez-Quevedo, C., & Allin, S. (2010). Health inequality: what does it mean and how we measure it? Pharmacoeconomics Outcomes Research, 10(2), 177–186.
- McCartney, G., Collins, C., & Mackenzie, M. (2013). What (or who) causes health inequalities: Theories, evidence and implications? Health Policy, 113(3), 221–227.
- McCartney, G., Popham, F., McMaster, R., & Cumbers, A. (2019). Defining health and health inequalities. Public Health, 172, 22–30.
- Murthy, V. H., Krumholz, H. M., & Gross, C. P. (2004). Participation in cancer clinical trials: Race-, sex-, and age-based disparities. JAMA, 291(22), 2720–2726.
- Shonkoff, J. P., Boyce, T., & McEwen, B. S. (2009). Neuroscience, molecular biology, and the childhood roots of health disparities: Building a new framework for health promotion and disease prevention. JAMA, 301(21), 2252–2259.
- Siegel, R., Ward, E., Brawley, O., & Jemal, A. (2011). Cancer statistics, 2011: The impact of eliminating socioeconomic and racial disparities on premature cancer deaths. CA: A Cancer Journal for Clinicians, 61(4), 212–236.
- Şimşek, H., & Kılıç, B. (2012). Basic Concepts Related to Health Inequalities. Turkish Journal of Public Health, 10(2), 116–127.
- Tekingündüz, S., Kurtuldu, A., & Işık Erer, T. (2016). Health Inequality and Ethics in Health Services. Aksaray University Journal of Economics and Administrative Sciences, 8(4), 32–43.
- Titmuss, R. M. (1958). Essays on the Welfare State. London: George Allen & Unwin.
- Welch, I., & Goyal, A. (2008). A comprehensive look at the empirical performance of equity premium prediction. The Review of Financial Studies, 21(4), 1455–1508.
- Williams, D. R., & Mohammed, S. A. (2009). Discrimination and racial disparities in health: Evidence and needed research. Journal of Behavioral Medicine, 32(1), 20–47.
- Woodward, A., & Kawachi, I. (2000). Why reduce health inequalities? Journal of Epidemiology & Community Health, 54(12), 923–929.
Sağlık Eşitsizlikleri Araştırmalarında Küresel Eğilimler: Kapsamlı Bir Bibliyometrik Analiz (2000–2023)
Öz
Amaç:
Sağlık eşitsizlikleri, sağlık hizmetlerine adil erişimi engelleyen ve sağlık sonuçlarında farklılıklara yol açan kalıcı bir küresel halk sağlığı sorunu olarak varlığını sürdürmektedir. Bu çalışma, 2000–2023 yılları arasındaki sağlık eşitsizlikleri konusundaki küresel araştırma eğilimlerini bibliyometrik analiz yöntemiyle kapsamlı bir şekilde ortaya koymayı amaçlamaktadır.
Yöntem:
Web of Science veri tabanında "health AND (inequality OR equality OR disparity OR equity OR inequity)" arama terimleri kullanılarak sağlık eşitsizlikleriyle ilgili toplam 44.020 çalışma tespit edilmiştir. İnceleme, yalnızca İngilizce yazılmış, SSCI/SCI indeksli, özgün araştırma makaleleri ile sınırlandırılmıştır. Veri haritalama ve görselleştirme işlemleri VOSviewer yazılımı ile gerçekleştirilmiştir.
Bulgular:
Elde edilen bulgular, sağlık eşitsizlikleri konusundaki yayınların yıllar içinde istikrarlı bir şekilde arttığını ve 2021 yılında önemli bir zirveye ulaştığını göstermektedir. Kawachi Ichiro ve Jemal Ahmedin gibi etkili yazarlar ile Harvard Üniversitesi ve Michigan Üniversitesi gibi önde gelen kurumlar, alana önemli katkılar sağlayan aktörler olarak öne çıkmıştır. Yayın hacmi ve uluslararası iş birliği açısından Amerika Birleşik Devletleri en önde gelen ülke olarak belirlenmiştir. Anahtar kelime analizleri, COVID-19, erişilebilirlik ve aşılanma gibi güncel temaların ön plana çıktığını göstermektedir. Ayrıca, atıf analizleri, Gompers’in (2003) “Corporate Governance and Equity Prices” adlı çalışması gibi kurucu nitelikteki yayınların halen yüksek etki gücüne sahip olduğunu ortaya koymuştur.
Sonuç:
Bu çalışma, sağlık eşitsizlikleri alanındaki küresel araştırma eğilimleri, önde gelen araştırmacılar ve tematik odaklar hakkında önemli bilgiler sunmaktadır. Bulgular, bu alanın akademik çalışmalardaki yerini ve önemini vurgulamakta, sağlık eşitsizliklerini azaltmaya yönelik gelecekteki disiplinlerarası araştırmalar ve politika geliştirme süreçleri için yol gösterici olmaktadır.
Anahtar Kelimeler
sağlık eşitsizlikleri sürdürülebilir kalkınma bibliyometrik analiz
Kaynakça
- Bambra, C., Riordan, R., Ford, J., & Matthews, F. (2021). The COVID-19 pandemic and health inequalities. Journal of Epidemiology and Community Health, 75(9), 964–968.
- Bleich, S. N., Jarlenski, M. P., Bell, C. N., & LaVeist, T. A. (2012). Health inequalities: Trends, progress, and policy. Annual Review of Public Health, 33, 7–40.
- Bolton, G. E., & Ockenfels, A. (2000). ERC: A theory of equity, reciprocity, and competition. The American Economic Review, 90(1), 166–193.
- Bourhard, L., Albertini, M., Batista, R., & Montigny, J. de (2015). Research on health inequalities: A bibliometric analysis (1966–2014). Social Science & Medicine, 141, 100–108.
- Braveman, P. (2006). Health disparities and health equity: Concepts and measurement. Annual Review of Public Health, 27, 167–194.
- Carter-Pokras, O., & Baquet, C. (2002). What is a "Health Disparity"? Public Health Reports, 117(5), 426–434.
- Deaton, A. (2003). Health, inequality, and economic development. Journal of Economic Literature, 41(1), 113–158.
- Department of Health and Social Security. (1980). Inequalities in health: Report of a Research Working Group (Black Report). London: DHSS.
- Dhaliwal, D. S., Li, O. Z., Tsang, A., & Yang, Y. G. (2011). Voluntary nonfinancial disclosure and the cost of equity capital: The initiation of corporate social responsibility reporting. The Accounting Review, 86(1), 59–100.
- Diderichsen, F., Andersen, I., Manuel, C., Nybo Andersen, A. M., Bach, E., Baadsgaard, M., et al. (2012). Health inequality: determinants and policies. Scandinavian Journal of Public Health, 40(8), 12–105.
- Diebold, F. X., & Yılmaz, K. (2009). Measuring financial asset return and volatility spillovers, with application to global equity markets. The Economic Journal, 119(534), 158–171.
- Donthu, N., Kumar, S., Mukherjee, D., Pandey, N., & Lim, W. M. (2021). How to conduct a bibliometric analysis: An overview and guidelines. Journal of Business Research, 133, 285–296.
- Engels, F. (1993). The Condition of the Working Class in England. New York: Oxford University Press.
- Goesling, B., & Firebaugh, G. (2004). The trend in international health inequality. Population and Development Review, 30(1), 131–146.
- Gompers, P. A., Ishii, J. L., & Metrick, A. (2003). Corporate governance and equity prices. Quarterly Journal of Economics, 118(1), 107–155.
- Graham, H. (2004). Social determinants and their unequal distribution: Clarifying policy understandings. The Milbank Quarterly, 82(1), 101–124.
- Kawachi, I., Subramanian, S. V., & Almeida-Filho, N. (2002). A glossary for health inequalities. Journal of Epidemiology and Community Health, 56(9), 647–652.
- Kıdak, L. B., & Demir, H. (2018). Global Health Policies. In D. Tengilimoğlu (Ed.), Health Policy (pp. 159–179). Nobel Publishing.
- Mackenbach, J. P., Stirbu, I., Roskam, A. J., Schaap, M. M., Gwenn, M., Leinsalu, M., et al. (2008). Socioeconomic inequalities in health in 22 European countries. New England Journal of Medicine, 358(23), 2468–2481.
- Manor, O., Matthews, S., & Power, C. (1997). Comparing measures of health inequality. Social Science & Medicine, 45(5), 761–771.
- Marmot, M. (2005). Social determinants of health inequalities. The Lancet, 365(9464), 1099–1104.
- Marmot, M., Friel, S., Bell, R., Houweling, T. A., & Taylor, S. (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. World Health Organization.
- Masseria, C., Hernandez-Quevedo, C., & Allin, S. (2010). Health inequality: what does it mean and how we measure it? Pharmacoeconomics Outcomes Research, 10(2), 177–186.
- McCartney, G., Collins, C., & Mackenzie, M. (2013). What (or who) causes health inequalities: Theories, evidence and implications? Health Policy, 113(3), 221–227.
- McCartney, G., Popham, F., McMaster, R., & Cumbers, A. (2019). Defining health and health inequalities. Public Health, 172, 22–30.
- Murthy, V. H., Krumholz, H. M., & Gross, C. P. (2004). Participation in cancer clinical trials: Race-, sex-, and age-based disparities. JAMA, 291(22), 2720–2726.
- Shonkoff, J. P., Boyce, T., & McEwen, B. S. (2009). Neuroscience, molecular biology, and the childhood roots of health disparities: Building a new framework for health promotion and disease prevention. JAMA, 301(21), 2252–2259.
- Siegel, R., Ward, E., Brawley, O., & Jemal, A. (2011). Cancer statistics, 2011: The impact of eliminating socioeconomic and racial disparities on premature cancer deaths. CA: A Cancer Journal for Clinicians, 61(4), 212–236.
- Şimşek, H., & Kılıç, B. (2012). Basic Concepts Related to Health Inequalities. Turkish Journal of Public Health, 10(2), 116–127.
- Tekingündüz, S., Kurtuldu, A., & Işık Erer, T. (2016). Health Inequality and Ethics in Health Services. Aksaray University Journal of Economics and Administrative Sciences, 8(4), 32–43.
- Titmuss, R. M. (1958). Essays on the Welfare State. London: George Allen & Unwin.
- Welch, I., & Goyal, A. (2008). A comprehensive look at the empirical performance of equity premium prediction. The Review of Financial Studies, 21(4), 1455–1508.
- Williams, D. R., & Mohammed, S. A. (2009). Discrimination and racial disparities in health: Evidence and needed research. Journal of Behavioral Medicine, 32(1), 20–47.
- Woodward, A., & Kawachi, I. (2000). Why reduce health inequalities? Journal of Epidemiology & Community Health, 54(12), 923–929.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Politikası, Sağlık Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Haziran 2025 |
| Gönderilme Tarihi | 9 Mayıs 2025 |
| Kabul Tarihi | 30 Haziran 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 6 Sayı: 2 |
