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Articles 54511 - 54540 of 1738428
Full-Text Articles in Entire DC Network
The Negative Impact Sleep Loss Has On Mental Health, Kaden Sayler
The Negative Impact Sleep Loss Has On Mental Health, Kaden Sayler
Psychology Student Publications
Many teenagers struggle with chronic sleep deprivation due to busy schedules, social media, and late-night habits. Research shows that lack of sleep severely affects adolescents’ mental health, increasing risks of depression, anxiety, poor attention, and impaired brain development. This paper highlights how modern factors like screen time and “social jetlag†worsen the issue, warning that sleep deprivation is a hidden but serious threat to teens’ well-being.
The Effect Of Cognitive Behavioral Therapy On Anxiety, Lauren Schauer
The Effect Of Cognitive Behavioral Therapy On Anxiety, Lauren Schauer
Psychology Student Publications
Anxiety is a very common mental health disorder that many individuals struggle with every day. Cognitive behavioral therapy is structured to make individuals aware of their thinking and behavioral patterns and how they can take control. This paper explores how effective cognitive behavioral therapy is on each type of the most common anxiety disorders.
Is It Our Phones? Examining The Relationship Between Social Media, Mass Shooters And Dark Fandoms In America, Marilyn Gago
Is It Our Phones? Examining The Relationship Between Social Media, Mass Shooters And Dark Fandoms In America, Marilyn Gago
Psychology Student Publications
This paper explores the complex relationship between media consumption, online communities, and mass shootings in America. It examines the sensationalized portrayal of crime through social media and traditional news, and how they can contribute to dark online communities and the glorification of mass shooters.
Lasting Love: First Sight Or Friends To Lovers, Rylee Lunnie
Lasting Love: First Sight Or Friends To Lovers, Rylee Lunnie
Psychology Student Publications
This article will explore the origins of romantic relationships, specifically, the “love at first sight†phenomenon compared to gradual love through friendship. This instant attraction, common in literature and film, may feel powerful and convincing, but some psychologists have doubted its accuracy. We’ll look at empirical evidence and psychological theories to perhaps determine whether “love at first sight†or relationships grounded in deep friendships are more likely to create lasting love.
Effects Of Exercise On Mental Health And Well-Being On College Students, Keira Kitzmann
Effects Of Exercise On Mental Health And Well-Being On College Students, Keira Kitzmann
Psychology Student Publications
This paper shows the effects of exercise on mental health and well-being on college students. College students’ mental health is an important issue because it greatly affects their academic success and performance. Overall, exercise can improve the well-being of college students and increase mental health.
How Does Childhood Trauma Increase The Risk Of Developing Depression In Adulthood?, Ella Heydmann
How Does Childhood Trauma Increase The Risk Of Developing Depression In Adulthood?, Ella Heydmann
Psychology Student Publications
Childhood trauma is a common but often overlooked experience that can leave lasting effects on psychological and biological development. Research shows that exposure to abuse or neglect in early life can alter the brain structure, stress-response systems, and emotional regulation, which can increase vulnerability to depression and anxiety in adulthood. Furthermore, evidence suggests that the impact of trauma may reach across generations through behavioral mechanisms. Despite these risks, resilience and protective factors, such as early intervention, can minimize long-term consequences and help promote recovery. Understanding these mechanisms is crucial for developing effective prevention strategies to reduce the lasting effects of …
How Do Childhood Experiences Influence Risk-Taking Behavior In Adolescence?, Sidney Zimmerman
How Do Childhood Experiences Influence Risk-Taking Behavior In Adolescence?, Sidney Zimmerman
Psychology Student Publications
This paper explores how positive and adverse childhood experiences influence adolescents’ risk-taking behaviors. It explains that positive experiences often lead to healthy, growth-promoting risks, while adverse experiences can increase impulsivity and unhealthy risk-taking. Overall, it emphasizes that early life experiences shape how young people approach challenges and make decisions during adolescence.
Managing For Global Sustainability, Maria Assunta C. Cuyegkeng
Managing For Global Sustainability, Maria Assunta C. Cuyegkeng
Journal of Management for Global Sustainability
No abstract provided.
University Living Labs For Sustainability: Governance, Pedagogy, And Global North-South Patterns, Skilty C. Labastilla
University Living Labs For Sustainability: Governance, Pedagogy, And Global North-South Patterns, Skilty C. Labastilla
Journal of Management for Global Sustainability
This scoping review examines how 72 higher education institutions (HEIs) operationalize sustainability through living labs (LLs), synthesizing evidence from 89 studies published between 2010 and 2025. Using Arksey and O’Malley’s (2005) framework, the review maps how LLs coordinate governance, pedagogy, operational experimentation, and stakeholder engagement, comparing 63 Global North (GN) and 26 Global South (GS) cases. GN LLs feature formalized governance and resource-intensive infrastructures linking curriculum, operations, and data-driven experimentation. GS LLs operate under resource constraints but exhibit strong community embedding, participatory co-production, and socio-ecological responsiveness. Institutionalization depends on hybrid configurations where bottom-up experimentation aligns with top-down authority. Observed governance, …
On Lethality: Toward A More Complete Definition And Formation Of The Lethality Framework, John M. Hinck, Robert S. Hinck, Jayson A. Altieri, David R. Jarnot
On Lethality: Toward A More Complete Definition And Formation Of The Lethality Framework, John M. Hinck, Robert S. Hinck, Jayson A. Altieri, David R. Jarnot
The US Army War College Quarterly: Parameters
This article argues lethality should be conceptualized as a holistic and regenerative process in which adversarial militaries prepare for, adapt to, and sustain the application of force in conflict. Whereas the literature on lethality is widening to include the human war fighter, attempts to define and measure lethality have proven problematic—a struggle this article seeks to remedy. Drawing on historical, doctrinal, and interdisciplinary perspectives, the authors argue that lethality includes the capacity to kill and elements of learning and adaptation. The proposed lethality framework offers policy and military practitioners a model for assessing and operationalizing lethality in military education, leadership …
Assessing Smooth Muscle Cell Death In Elastase-Treated Mouse Aortas, Bebel B. Trani
Assessing Smooth Muscle Cell Death In Elastase-Treated Mouse Aortas, Bebel B. Trani
Mechanical Engineering and Materials Science Independent Study
No abstract provided.
Endocrine Disruptors, Insulin Resistance, And Diabetes, Meri̇ç Coşkun, Ethem Turgay Ceri̇t, Tuğba Barlas, Alev Eroğlu Altinova
Endocrine Disruptors, Insulin Resistance, And Diabetes, Meri̇ç Coşkun, Ethem Turgay Ceri̇t, Tuğba Barlas, Alev Eroğlu Altinova
Turkish Journal of Medical Sciences
Endocrine-disrupting chemicals (EDCs) are compounds that interfere with hormone synthesis, secretion, metabolism, or excretion. Evidence indicates that increased exposure to EDCs is associated with insulin resistance and, most notably, type 2 diabetes worldwide. This suggests a diabetogenic effect that is independent of obesity, underscoring the complex mechanisms and broad impact of EDCs on metabolic health. Key pathways include hormone mimicry and antagonism, altered hormone metabolism, inflammatory responses, and mitochondrial dysfunction. This review summarises the mechanisms through which EDCs contribute to these conditions and evaluates the epidemiological and experimental evidence supporting these associations.
Endocrine Disrupting Chemicals And Adrenal Gland, Gülay Şi̇mşek Bağir, Melek Eda Ertörer
Endocrine Disrupting Chemicals And Adrenal Gland, Gülay Şi̇mşek Bağir, Melek Eda Ertörer
Turkish Journal of Medical Sciences
Endocrine disrupting chemicals (EDCs) are exogenous compounds that have hormone-like effects inside the body. Endocrine disruptors can affect adrenal glands in humans and animals. Adrenocortical dysfunction related to chemical exposure has been reported in the literature.The human adrenal gland is crucial for the synthesis of steroid hormones (glucocorticoids, mineralocorticoids, and androgens) and amino acid-derived hormones (epinephrine and norepinephrine). All steps in the adrenocortical steroidogenesis pathway are potential targets for chemical inhibition, including the adrenocorticotropic hormone receptor, steroidogenic acute regulatory protein, mitochondrial cytochrome P450 (CYP) enzymes (CYP11A1, CYP17, CYP21, CYP11B1, and CYP11B2), and 3-hydroxysteroid dehydrogenase D4,5 isomerase. EDCs either inhibit the …
Endocrine Disruptors And Pregnancy, Betül Yi̇ği̇t Yalçin, Gamze Bi̇li̇k Oyman, Ayşe Kubat Üzüm
Endocrine Disruptors And Pregnancy, Betül Yi̇ği̇t Yalçin, Gamze Bi̇li̇k Oyman, Ayşe Kubat Üzüm
Turkish Journal of Medical Sciences
Sensitivity to endocrine disruptors is higher in early life. In pregnant women, endocrine disruptor chemicals can be passed to the baby through the placenta or through breast milk during lactation, leading to long-term and permanent adverse effects. These endocrine disruptors may cause adverse effects in women such as infertility, implantation defects, premature birth, spontaneous abortions, gestational hypertension, gestational diabetes. Exposure to endocrine disruptors in the intrauterine period may result in adverse effects on the reproductive system, metabolic changes, low birth weight, retardation in mental and physical development and also may be associated with congenital malformations. It is of great importance …
The Influence Of Endocrine Disrupters On Gut Microbiota, Kader Ugur
The Influence Of Endocrine Disrupters On Gut Microbiota, Kader Ugur
Turkish Journal of Medical Sciences
Endocrine disruptors (EDs) are closely associated with the second brain, the microbiota-derived enteric nervous system, commonly referred to as the gut microbiota. The microbiota plays a crucial role in human health and the development of diseases. In today’s industrialized world, the presence of EDs in air, water, and soil leads to primary human exposure through dermal contact and ingestion. The impact of these EDs on the microbiota remains unclear. EDs that disrupt the balance of the gut microbiota may contribute to a range of disorders, including metabolic (obesity, diabetes mellitus), cardiovascular (vascular stenosis, cerebrovascular disease), reproductive (infertility, ovarian and testicular …
Endocrine-Disrupting Chemicals And Thyroid Cancer, Özge Baş Aksu, Mustafa Şahi̇n
Endocrine-Disrupting Chemicals And Thyroid Cancer, Özge Baş Aksu, Mustafa Şahi̇n
Turkish Journal of Medical Sciences
Environmental endocrine-disrupting chemicals (EDCs) have emerged as a critical global health concern because of their role in various diseases, including thyroid cancer. Defined as exogenous substances that disrupt endocrine system functions, EDCs can affect multiple generations through mechanisms such as hormone receptor modulation, altered hormone synthesis, and epigenetic modifications.The increasing global incidence of thyroid cancer has heightened interest in environmental factors, with EDC exposure recognized as a significant contributor. Compounds such as heavy metals, persistent organic pollutants, per- and polyfluoroalkyl substances, and bisphenol A play crucial roles in disrupting thyroid homeostasis. Emerging evidence underscores the synergistic effects of multiple EDC …
Endocrine-Disrupting Chemicals In Metabolic Bone Diseases, Including Osteoporosis, Betül Gündüz, Eli̇f Kiliç Kan, Ayşegül Atmaca
Endocrine-Disrupting Chemicals In Metabolic Bone Diseases, Including Osteoporosis, Betül Gündüz, Eli̇f Kiliç Kan, Ayşegül Atmaca
Turkish Journal of Medical Sciences
Endocrine disruptors are chemical substances widely utilized across various industrial sectors. Due to their structural similarity to natural ligands, they bind to receptors and influence the endocrine system via agonist–antagonist mechanisms. Exposure occurs through the consumption of contaminated food and water, inhalation of polluted air and dust, and dermal contact. Owing to their dynamic remodeling capacity, bones represent potential targets for endocrine-disrupting chemicals. These chemicals can disrupt bone formation, skeletal development, hormonal regulation, and calcium metabolism. Sensitivity to endocrine-disrupting chemicals is greatest during the prenatal and early postnatal periods. This review summarizes the effects of endocrine-disrupting chemicals on bone tissue.
Design, Synthesis And Biological Activities Of N-Substituted Phthalimide Derivative, Beaula Mangundah
Design, Synthesis And Biological Activities Of N-Substituted Phthalimide Derivative, Beaula Mangundah
Honors Theses
Phthalimides are a group of compounds among bicyclic non-aromatic nitrogen heterocycles that have gained recognition for their bioactivity across various fields, notably anti-cancer, anti-microbial, anti-oxidant, and anti-inflammatory. This study discusses the synthesis of a novel phthalimide derivative and provides an analysis of its biological activity. It was conducted through a Boric acid Imide synthesis and yielded a successful derivative using hexylamine. The product was evaluated in vitro for antimicrobial, anticoagulant, and anti-inflammatory properties using Kirby-Bauer disk diffusion, clotting time, hemolysis inhibition, and protein denaturation assays. It showed mild anticoagulant and anti-inflammatory activity.
A Hybrid Deterrence Model For Countering China, Lucas Ziller
A Hybrid Deterrence Model For Countering China, Lucas Ziller
The US Army War College Quarterly: Parameters
This article argues that the United States deterrence-by-denial strategy is insufficient to deter China from attempting forcible unification with Taiwan, due to its neglect of ideological and psychological drivers in the Chinese Communist Party’s decision-making calculus. Unlike existing military-centric models, it introduces a hybrid deterrence framework that integrates denial and punishment across domains, coordinated by a Joint Interagency Organization. The article offers a practical model for deterring ideologically motivated adversaries through synchronized, multidomain planning based on coercion theory, behavioral deterrence literature, and strategic documents from US and Chinese sources.
Parameters Winter 2025-26, Usawc Press
Parameters Winter 2025-26, Usawc Press
The US Army War College Quarterly: Parameters
Welcome to the Winter 2025–26 issue of Parameters. We open with an In Focus commentary: “Responsibly Pursuing Generative Artificial Intelligence (GenAI) for the War Fighter” by A. Blair Wilcox and C. Anthony Pfaff. The issue also features two forums (Indo-Pacific Deterrence and Considerations for Modern Warfare) and the inaugural Strategic Competition Corner.
Security Implications Of The China-Russia-North Korea Triangle, Brian G. Carlson
Security Implications Of The China-Russia-North Korea Triangle, Brian G. Carlson
The US Army War College Quarterly: Parameters
This article analyzes the evolving strategic dynamics within the China-Russia-North Korea triangle and their implications for global security. It argues that while the strengthened Russia–North Korea relationship poses risks for China’s global strategy and its major economic partnerships, for now, China also derives some benefits from these close ties and considers the risks to be manageable. Drawing on recent diplomatic developments, military cooperation, and regional responses, the article offers a nuanced assessment of how this alignment affects European and Indo-Pacific theaters. The analysis provides US policymakers with insight into the risks of opportunistic aggression and the strategic calculations driving these …
China’S Securitization Of Agricultural Imports: A Case Of Economic Statecraft Mixed Successes, Gustavo Ferreira, Bert Cramer
China’S Securitization Of Agricultural Imports: A Case Of Economic Statecraft Mixed Successes, Gustavo Ferreira, Bert Cramer
The US Army War College Quarterly: Parameters
This article argues that the People’s Republic of China’s agricultural import diversification from 1995–2023 reflects a strategic effort to reduce reliance on US and allied suppliers while prioritizing national food security. Unlike prior studies focused on production or consumption, this analysis centers on trade patterns of high-value, strategically critical commodities. Using trade data and policy documents, it assesses shifts in supplier dependency, notably toward Brazil. This research offers policy and military practitioners insights into how food security intersects with economic statecraft, revealing vulnerabilities and strategic choices in global supply chains relevant to deterrence and resilience planning.
Book Reviews, Usawc Press
Book Reviews, Usawc Press
The US Army War College Quarterly: Parameters
No abstract provided.
Degrees Of Rate Control And Autodiff-Driven Direct Sensitivity Analysis In Heterogeneous Catalysis, Olajide H. Bamidele, Sina Behtash, Mubarak Bello, Andreas Heyden
Degrees Of Rate Control And Autodiff-Driven Direct Sensitivity Analysis In Heterogeneous Catalysis, Olajide H. Bamidele, Sina Behtash, Mubarak Bello, Andreas Heyden
Faculty Publications
Despite the wide application and benefits of the degree of rate control (DRC) analysis, several details remain argued, particularly about the conservation of DRCs at transient (TR) and steady-state (SS) conditions, especially for complex reaction networks. This work argues that previous proofs about the conservation properties of DRCs have been incomplete, and we provide new mathematical proofs at TR and SS conditions. In addition, we use both analytical (automatic differentiation) and numerical (finite difference) approaches to compute DRCs for the case study of ethane hydrogenolysis (EH) over Pt(111). This work confirms that at both TR and SS conditions, the sum …
Student Voices On Trauma And Resilience: A Critical Phenomenological Study Of Gun Violence And College Student Experiences, Lucia Helena Garcia
Student Voices On Trauma And Resilience: A Critical Phenomenological Study Of Gun Violence And College Student Experiences, Lucia Helena Garcia
Dissertations
This study posits that gun violence in the United States is a public health crisis and that colleges and universities must actively collaborate to develop and implement solutions to address and prevent this crisis, which affects communities and students. Gun violence can and does lead to disruptions in educational access, travel and safety, as well as have longstanding impacts on mental health. While extensive research exists that is focused on the impact of community and gun violence exposure on K-12 students, the impact of community violence and gun violence exposure on emerging adults in university settings is limited and remains …
Co-Production Of A Mobile Application For Parents Of Acutely Ill Children Under Five: ‘Ipoorly Child Symptom Checker, Sarah Neill, Amy Rathbone, John Downey, Monica Lakhanpaul, Matt Carey
Co-Production Of A Mobile Application For Parents Of Acutely Ill Children Under Five: ‘Ipoorly Child Symptom Checker, Sarah Neill, Amy Rathbone, John Downey, Monica Lakhanpaul, Matt Carey
School of Nursing and Midwifery
Acutely ill children under five years of age are frequent and increasing users of urgent and emergency care services despite there being no increase in acuity of presenting illnesses. This raises concerns about parents’ level of knowledge and confidence in assessing the severity of symptoms of acute illness, despite the abundance of digital information available. MethodBuilding on prior work to co-develop the content for a mobile app for parents of acutely ill children, we co-designed the iPoorly child symptom checker app using an experience based co-design methodology with seven parent and seven health professional patient and public involvement representatives. The …
Towards Science-Based Quantitative Conservation Management Plan Add-Ons For All Alaskan Squirrel Species: Current And Future Distributions, Conservation Management, Contaminant Exposure, And Their Role In Alaska Native Communities, Moriz Steiner
Biological Sciences
Squirrels are widespread in Alaska, yet a science-based conservation management plan (CMP) is absent at the state level. Squirrels are killed year-round with no bag limits, while population metrics remain unknown and conservation statuses disputed. This thesis proposes modern tools and approaches as addons for long-term, sustainable, holistic CMPs for all Alaskan squirrel species in a changing climate. Chapter 1 provides an overview of squirrels' current roles and uses in Alaska alongside existing management practices and regulations. Chapters 2 and 3 conduct thorough conservation assessments by analyzing and predicting current and future distributions of squirrel species across Alaska and a …
Clinical Outcomes Of Patients With Unsuccessful Mechanical Thrombectomy Versus Best Medical Management Of Medium Vessel Occlusion Stroke In The Middle Cerebral Artery Territory, Tobias D Faizy, Vivek Yedavalli, Hamza Adel Salim, Dhairya A Lakhani, Basel Musmar, Nimer Adeeb, Muhammed Amir Essibayi, Motaz Daraghma, Kareem El Naamani, Nils Henninger, Sri Hari Sundararajan, Anna Luisa Kuhn, Jane Khalife, Sherief Ghozy, Luca Scarcia, Leonard Ll Yeo, Benjamin Yq Tan, Robert W Regenhardt, Jeremy Josef Heit, Nicole M Cancelliere, Aymeric Rouchaud, Jens Fiehler, Sunil A Sheth, Ajit S Puri, Christian Dyzmann, Marco Colasurdo, Leonardo Renieri, João Pedro Filipe, Pablo Harker, Răzvan Alexandru Radu, Mohamad Abdalkader, Piers Klein, Thomas R Marotta, Julian Spears, Takahiro Ota, Ashkan Mowla, Pascal Jabbour, Arundhati Biswas, Frédéric Clarençon, James E Siegler, Thanh N Nguyen, Ricardo Varela, Amanda Baker, David Altschul, Nestor Gonzalez, Markus A Möhlenbruch, Vincent Costalat, Benjamin Gory, Christian Paul Stracke, Constantin Hecker, Gaultier Marnat, Hamza Shaikh, Christoph J Griessenauer, David S Liebeskind, Alessandro Pedicelli, Andrea Maria Alexandre, Illario Tancredi, Erwah Kalsoum, Max Wintermark, Boris Lubicz, Aman B Patel, Vitor Mendes Pereira, Adam A Dmytriw, Adrien Guenego, Mad-Mt Investigators
Clinical Outcomes Of Patients With Unsuccessful Mechanical Thrombectomy Versus Best Medical Management Of Medium Vessel Occlusion Stroke In The Middle Cerebral Artery Territory, Tobias D Faizy, Vivek Yedavalli, Hamza Adel Salim, Dhairya A Lakhani, Basel Musmar, Nimer Adeeb, Muhammed Amir Essibayi, Motaz Daraghma, Kareem El Naamani, Nils Henninger, Sri Hari Sundararajan, Anna Luisa Kuhn, Jane Khalife, Sherief Ghozy, Luca Scarcia, Leonard Ll Yeo, Benjamin Yq Tan, Robert W Regenhardt, Jeremy Josef Heit, Nicole M Cancelliere, Aymeric Rouchaud, Jens Fiehler, Sunil A Sheth, Ajit S Puri, Christian Dyzmann, Marco Colasurdo, Leonardo Renieri, João Pedro Filipe, Pablo Harker, Răzvan Alexandru Radu, Mohamad Abdalkader, Piers Klein, Thomas R Marotta, Julian Spears, Takahiro Ota, Ashkan Mowla, Pascal Jabbour, Arundhati Biswas, Frédéric Clarençon, James E Siegler, Thanh N Nguyen, Ricardo Varela, Amanda Baker, David Altschul, Nestor Gonzalez, Markus A Möhlenbruch, Vincent Costalat, Benjamin Gory, Christian Paul Stracke, Constantin Hecker, Gaultier Marnat, Hamza Shaikh, Christoph J Griessenauer, David S Liebeskind, Alessandro Pedicelli, Andrea Maria Alexandre, Illario Tancredi, Erwah Kalsoum, Max Wintermark, Boris Lubicz, Aman B Patel, Vitor Mendes Pereira, Adam A Dmytriw, Adrien Guenego, Mad-Mt Investigators
Faculty, Staff and Student Publications
Background: Current randomized controlled trials are investigating the efficacy and safety of mechanical thrombectomy (MT) in patients with medium vessel occlusion (MeVO) stroke. Whether best medical management (MM) is more efficient than unsuccessful vessel recanalization during MT remains unknown.
Methods: This was a retrospective cohort study using data from 37 academic centers across North America, Asia, and Europe between September 2017 and July 2021. Only patients with occlusion of the distal branches (M2 and M3) of the middle cerebral artery territory were included. Unsuccessful MT was defined as a modified Thrombolysis in Cerebral Infarction score of 0-2a. Propensity score matching …
Unmasking Oral Health Stigma: A Qualitative Scoping Review, J Doughty, J Booth, M Smith, K Saini, M Paisi, A Rodriguez, A Levine, C Bedos, V Muirhead, C Martins De Barros, C Freeborn
Unmasking Oral Health Stigma: A Qualitative Scoping Review, J Doughty, J Booth, M Smith, K Saini, M Paisi, A Rodriguez, A Levine, C Bedos, V Muirhead, C Martins De Barros, C Freeborn
Peninsula Dental School
INTRODUCTION: Health-related stigma can limit access to care, impair adherence to treatment, and negatively impact mental health and quality-of-life. Oral health stigma, defined as stigma arising from oral conditions that diverge from sociocultural norms, operates through labelling, stereotyping, othering, and exclusion. Oral health stigma can lead to shame, diminished self-confidence, and avoidance of dental care, creating a self-perpetuating cycle of poor oral health and reinforcing internalised and anticipated stigma. While previous research has explored the social implications of oral appearance, little is known about the broader concept of oral health stigma or strategies to mitigate it.
METHODS: This scoping review …
Unraveling The Drivers Of Inequality In Maternal Healthcare Utilization In Indonesia: A Decomposition Analysis, Wji Wahyuningsih, Kemal N. Siregar, Syifa Nurhakiki
Unraveling The Drivers Of Inequality In Maternal Healthcare Utilization In Indonesia: A Decomposition Analysis, Wji Wahyuningsih, Kemal N. Siregar, Syifa Nurhakiki
Jurnal Ekonomi Kesehatan Indonesia
This study assessed socioeconomic inequalities in maternal healthcare utilization in Indonesia and identifies key factors driving these inequalities. We used data from 2013 and 2023 Indonesian Health Surveys, comprised of a total unweighted sample of 15,638 and 9,923 women aged 15-49 in the 2013 and 2023, respectively. Concentration index (CI) measured wealth-based inequality, and decomposition analysis identified primary drivers of inequalities in maternal healthcare access. Overall maternal healthcare service utilization has increased, but significant inequalities persist. Antenatal care showed minimal improvement, with the CI rising from 0.059 to 0.079, indicating a persistent higher socioeconomic distribution. Facility-based deliveries improved, with the …