Felicia M Knaul
Biographic Data
| ID | 328980 |
|---|---|
| NAME | Felicia M Knaul |
| GIVEN NAMES | Felicia M |
| FAMILY NAME | Knaul |
| SIGNATURE | KNAUL F M |
| AFFILIATIONS | University of Miami |
| ORCID | 0000-0002-0512-4788 |
| VERIFIED | Yes |
| TOTAL WORKS | 23 |
| TOTAL CITATIONS | 29 |
| AUTHOR COUNT | 23 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1996 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 2 |
Health effects associated with exposure of children to physical violence, psychological violence and neglect
The health toll of child maltreatment or violence against children (VAC) has not yet been comprehensively evaluated. Here, in our systematic review and meta-analyses, we focused on the health impacts of physical violence, psychological violence and neglect during childhood. Utilizing the Burden of Proof methodology, which generates conservative measures of association while accounting for heterogeneity between input studies, we evaluated 35 assoc…
The health effects associated with physical, sexual and psychological gender-based violence against men and women
The health impacts of exposure to physical, sexual or psychological gender-based violence (GBV) against men and women are substantial yet not well delineated. We systematically reviewed and meta-analysed 40 studies to evaluate the associations between GBV (including but not limited to intimate partner violence) and eight health outcomes: sexually transmitted infections excluding HIV, maternal abortion and miscarriage, HIV/AIDS, major depressive d…
Caregiving for China’s one-child generation
INTRODUCTION: The introduction, strict enforcement and recent exit of China's one-child policy (OCP) resulted in China's demographical changes, and, alongside its epidemiological transition, disproportionately impacted caregiving needs and demands on women. This study examines women's caregiving responsibilities in contemporary China and evaluates how the OCP affected them. METHODS: We simulated the female population aged 25-54 years in 2020 in C…
Palliative care need in the Eastern Mediterranean Region and human resource requirements for effective response
Integration of palliative care into health care systems is considered an ethical responsibility, yet no country in the Eastern Mediterranean Region (EaMReg) has achieved integration. Data on palliative care need and cost are crucial forEaMReg health care planners and implementers in the region. Using data from the Lancet Commission on Palliative Care and Pain Relief, we estimated the number of people in each EaMReg country who needed palliative c…
Increase of catastrophic and impoverishing health expenditures in Mexico associated to policy changes and the Covid-19 pandemic
Background: In 2003, the Mexican Congress approved a major reform to provide health care services to the poor population through the public insurance scheme Seguro Popular. This program was dismantled in 2019 as part of a set of health system reforms and substituted with the Health Institute for Welfare (INSABI). These changes were implemented during the initial phases of the coronavirus (COVID-19) pandemic. We aimed to examine the impact of thes…
The Perilous Mix of Populism and Pandemics
Populist leaders have consistently rejected evidence-based policies in responding to the ongoing COVID-19 pandemic. They acted later and with less intensity than non-populists in implementing public health measures such as physical distancing, lockdowns, and developing public health data sets. We describe the responses of ten large countries with populist leadership at the onset of the pandemic (Brazil, Hungary, India, Mexico, the Philippines, Po…
A partisan pandemic
INTRODUCTION: To present an analysis of the Brazilian health system and subnational (state) variation in response to the COVID-19 pandemic, based on 10 non-pharmaceutical interventions (NPIs). MATERIALS AND METHODS: We collected daily information on implementation of 10 NPI designed to inform the public of health risks and promote distancing and mask use at the national level for eight countries across the Americas. We then analyse the adoption o…
Harvesting Health Knowledge
South Florida agricultural regions, home to Latinx immigrant farmworkers, report higher rates of late-stage breast cancer diagnosis than national, state, and county-level averages. We conducted a community-based qualitative study on the needs, health knowledge gaps, barriers to breast cancer screening, and the role of community health workers (CHWs) in supporting the community's access to early detection services. We conducted three CHW focus gro…
Redefining Palliative Care—A New Consensus-Based Definition
CONTEXT: The International Association for Hospice and Palliative Care developed a consensus-based definition of palliative care (PC) that focuses on the relief of serious health-related suffering, a concept put forward by the Lancet Commission Global Access to Palliative Care and Pain Relief. OBJECTIVE: The main objective of this article is to present the research behind the new definition. METHODS: The three-phased consensus process involved he…
Rapid Identification and Investigation of an HIV Risk Network Among People Who Inject Drugs –Miami, FL, 2018
Prevention of HIV outbreaks among people who inject drugs remains a challenge to ending the HIV epidemic in the United States. The first legal syringe services program (SSP) in Florida implemented routine screening in 2018 leading to the identification of ten anonymous HIV seroconversions. The SSP collaborated with the Department of Health to conduct an epidemiologic investigation. All seven acute HIV seroconversions were linked to care (86% with…
Solving the Global Crisis in Access to Pain Relief
Annually, more than 61 million people worldwide experience about 6 billion days of serious health-related suffering that could be alleviated with access to palliative care and pain relief. However, palliative care is limited or nonexistent in most parts of the world. The access abyss is so stark that 50% of the world’s poorest populations live in countries that receive only 1% of the opioid analgesics distributed worldwide. By contrast, the riche…
Alleviating the access abyss in palliative care and pain relief—an imperative of universal health coverage
Health-system reform and universal health coverage in Latin America
Women and Health
Redesigning Primary Care to Tackle the Global Epidemic of Noncommunicable Disease
Noncommunicable diseases (NCDs) have become the major contributors to death and disability worldwide. Nearly 80% of the deaths in 2010 occurred in low- and middle-income countries, which have experienced rapid population aging, urbanization, rise in smoking, and changes in diet and activity. Yet the health systems of low- and middle-income countries, historically oriented to infectious disease and often severely underfunded, are poorly prepared f…
The quest for universal health coverage
I am a woman who lives with breast cancer
I am a woman, and I am a woman who lives with breast cancer, and I am a woman who lives with breast cancer in Mexico.** I was inspired by the following from Austveg: “In the preface to her book The
Breast cancer in Mexico
Breast cancer is a serious threat to the health of women globally, and an unrecognised priority in middle-income countries. This paper presents data from Mexico. It shows that breast cancer accounts for more deaths than cervical cancer since 2006. It is the second cause of death for women aged 30–54 and affects all socio-economic groups. Data on detection, although under-reported, show 6,000 new cases in 1990, and a projected increase to over 16,…
Comprehensive reform to improve health system performance in Mexico
Youth Education and Work in Mexico
Determinants of Medical Employment in Urban Mexico
This study examines unemployment and underemployment of physicians in urban Mexico. The framework is relevant to countries with substantial increases in physician supply. Based on surveys from 1986 and 1993, the study analyses physician performance in the labour market as a function of ascription (social origin and gender), achievement (quality of medical education and specialization) and contextual variables (policy environments). By comparing t…
Trends in medical employment
OBJECTIVES: This study examined the extreme medical unemployment and underemployment in the urban areas of Mexico. The conceptual and methodological approach may be relevant to many countries that have experienced substantial increases in the supply of physicians during the last decades. METHODS: On the basis of 2 surveys carried out in 1986 and 1993, the study analyzed the performance of physicians in the labor market as a function of ascription…
Cuidado infantil y empleo femenino en México
Este trabajo analiza la oferta y organización del cuidado infantil público en México y presenta una serie de consideraciones en lo referente a la formulación de políticas futuras al respecto. La investigación se concentra en la evolución de las políticas públicas que regulan la provisión de cuidado infantil para los hijos de la mujer trabajadora en el sector formal, por medio del Instituto Mexicano del Seguro Social (IMSS). Los datos sobre la evo…
Youth Education and Work in Mexico
The Perilous Mix of Populism and Pandemics
Populist leaders have consistently rejected evidence-based policies in responding to the ongoing COVID-19 pandemic. They acted later and with less intensity than non-populists in implementing public health measures such as physical distancing, lockdowns, and developing public health data sets. We describe the responses of ten large countries with populist leadership at the onset of the pandemic (Brazil, Hungary, India, Mexico, the Philippines, Po…
Harvesting Health Knowledge
South Florida agricultural regions, home to Latinx immigrant farmworkers, report higher rates of late-stage breast cancer diagnosis than national, state, and county-level averages. We conducted a community-based qualitative study on the needs, health knowledge gaps, barriers to breast cancer screening, and the role of community health workers (CHWs) in supporting the community's access to early detection services. We conducted three CHW focus gro…
Redesigning Primary Care to Tackle the Global Epidemic of Noncommunicable Disease
Noncommunicable diseases (NCDs) have become the major contributors to death and disability worldwide. Nearly 80% of the deaths in 2010 occurred in low- and middle-income countries, which have experienced rapid population aging, urbanization, rise in smoking, and changes in diet and activity. Yet the health systems of low- and middle-income countries, historically oriented to infectious disease and often severely underfunded, are poorly prepared f…
Breast cancer in Mexico
Breast cancer is a serious threat to the health of women globally, and an unrecognised priority in middle-income countries. This paper presents data from Mexico. It shows that breast cancer accounts for more deaths than cervical cancer since 2006. It is the second cause of death for women aged 30–54 and affects all socio-economic groups. Data on detection, although under-reported, show 6,000 new cases in 1990, and a projected increase to over 16,…
Health effects associated with exposure of children to physical violence, psychological violence and neglect
The health toll of child maltreatment or violence against children (VAC) has not yet been comprehensively evaluated. Here, in our systematic review and meta-analyses, we focused on the health impacts of physical violence, psychological violence and neglect during childhood. Utilizing the Burden of Proof methodology, which generates conservative measures of association while accounting for heterogeneity between input studies, we evaluated 35 assoc…
Cuidado infantil y empleo femenino en México
Este trabajo analiza la oferta y organización del cuidado infantil público en México y presenta una serie de consideraciones en lo referente a la formulación de políticas futuras al respecto. La investigación se concentra en la evolución de las políticas públicas que regulan la provisión de cuidado infantil para los hijos de la mujer trabajadora en el sector formal, por medio del Instituto Mexicano del Seguro Social (IMSS). Los datos sobre la evo…
Cuidado infantil y empleo femenino en México
Este trabajo analiza la oferta y organización del cuidado infantil público en México y presenta una serie de consideraciones en lo referente a la formulación de políticas futuras al respecto. La investigación se concentra en la evolución de las políticas públicas que regulan la provisión de cuidado infantil para los hijos de la mujer trabajadora en el sector formal, por medio del Instituto Mexicano del Seguro Social (IMSS). Los datos sobre la evo…
Trends in medical employment
OBJECTIVES: This study examined the extreme medical unemployment and underemployment in the urban areas of Mexico. The conceptual and methodological approach may be relevant to many countries that have experienced substantial increases in the supply of physicians during the last decades. METHODS: On the basis of 2 surveys carried out in 1986 and 1993, the study analyzed the performance of physicians in the labor market as a function of ascription…
Youth Education and Work in Mexico
Determinants of Medical Employment in Urban Mexico
This study examines unemployment and underemployment of physicians in urban Mexico. The framework is relevant to countries with substantial increases in physician supply. Based on surveys from 1986 and 1993, the study analyses physician performance in the labour market as a function of ascription (social origin and gender), achievement (quality of medical education and specialization) and contextual variables (policy environments). By comparing t…
Comprehensive reform to improve health system performance in Mexico
I am a woman who lives with breast cancer
I am a woman, and I am a woman who lives with breast cancer, and I am a woman who lives with breast cancer in Mexico.** I was inspired by the following from Austveg: “In the preface to her book The
Breast cancer in Mexico
Breast cancer is a serious threat to the health of women globally, and an unrecognised priority in middle-income countries. This paper presents data from Mexico. It shows that breast cancer accounts for more deaths than cervical cancer since 2006. It is the second cause of death for women aged 30–54 and affects all socio-economic groups. Data on detection, although under-reported, show 6,000 new cases in 1990, and a projected increase to over 16,…
The quest for universal health coverage
Health-system reform and universal health coverage in Latin America
Women and Health
Redesigning Primary Care to Tackle the Global Epidemic of Noncommunicable Disease
Noncommunicable diseases (NCDs) have become the major contributors to death and disability worldwide. Nearly 80% of the deaths in 2010 occurred in low- and middle-income countries, which have experienced rapid population aging, urbanization, rise in smoking, and changes in diet and activity. Yet the health systems of low- and middle-income countries, historically oriented to infectious disease and often severely underfunded, are poorly prepared f…
Alleviating the access abyss in palliative care and pain relief—an imperative of universal health coverage
Rapid Identification and Investigation of an HIV Risk Network Among People Who Inject Drugs –Miami, FL, 2018
Prevention of HIV outbreaks among people who inject drugs remains a challenge to ending the HIV epidemic in the United States. The first legal syringe services program (SSP) in Florida implemented routine screening in 2018 leading to the identification of ten anonymous HIV seroconversions. The SSP collaborated with the Department of Health to conduct an epidemiologic investigation. All seven acute HIV seroconversions were linked to care (86% with…
Solving the Global Crisis in Access to Pain Relief
Annually, more than 61 million people worldwide experience about 6 billion days of serious health-related suffering that could be alleviated with access to palliative care and pain relief. However, palliative care is limited or nonexistent in most parts of the world. The access abyss is so stark that 50% of the world’s poorest populations live in countries that receive only 1% of the opioid analgesics distributed worldwide. By contrast, the riche…
Redefining Palliative Care—A New Consensus-Based Definition
CONTEXT: The International Association for Hospice and Palliative Care developed a consensus-based definition of palliative care (PC) that focuses on the relief of serious health-related suffering, a concept put forward by the Lancet Commission Global Access to Palliative Care and Pain Relief. OBJECTIVE: The main objective of this article is to present the research behind the new definition. METHODS: The three-phased consensus process involved he…
A partisan pandemic
INTRODUCTION: To present an analysis of the Brazilian health system and subnational (state) variation in response to the COVID-19 pandemic, based on 10 non-pharmaceutical interventions (NPIs). MATERIALS AND METHODS: We collected daily information on implementation of 10 NPI designed to inform the public of health risks and promote distancing and mask use at the national level for eight countries across the Americas. We then analyse the adoption o…
Harvesting Health Knowledge
South Florida agricultural regions, home to Latinx immigrant farmworkers, report higher rates of late-stage breast cancer diagnosis than national, state, and county-level averages. We conducted a community-based qualitative study on the needs, health knowledge gaps, barriers to breast cancer screening, and the role of community health workers (CHWs) in supporting the community's access to early detection services. We conducted three CHW focus gro…
Palliative care need in the Eastern Mediterranean Region and human resource requirements for effective response
Integration of palliative care into health care systems is considered an ethical responsibility, yet no country in the Eastern Mediterranean Region (EaMReg) has achieved integration. Data on palliative care need and cost are crucial forEaMReg health care planners and implementers in the region. Using data from the Lancet Commission on Palliative Care and Pain Relief, we estimated the number of people in each EaMReg country who needed palliative c…
Increase of catastrophic and impoverishing health expenditures in Mexico associated to policy changes and the Covid-19 pandemic
Background: In 2003, the Mexican Congress approved a major reform to provide health care services to the poor population through the public insurance scheme Seguro Popular. This program was dismantled in 2019 as part of a set of health system reforms and substituted with the Health Institute for Welfare (INSABI). These changes were implemented during the initial phases of the coronavirus (COVID-19) pandemic. We aimed to examine the impact of thes…
The Perilous Mix of Populism and Pandemics
Populist leaders have consistently rejected evidence-based policies in responding to the ongoing COVID-19 pandemic. They acted later and with less intensity than non-populists in implementing public health measures such as physical distancing, lockdowns, and developing public health data sets. We describe the responses of ten large countries with populist leadership at the onset of the pandemic (Brazil, Hungary, India, Mexico, the Philippines, Po…
Caregiving for China’s one-child generation
INTRODUCTION: The introduction, strict enforcement and recent exit of China's one-child policy (OCP) resulted in China's demographical changes, and, alongside its epidemiological transition, disproportionately impacted caregiving needs and demands on women. This study examines women's caregiving responsibilities in contemporary China and evaluates how the OCP affected them. METHODS: We simulated the female population aged 25-54 years in 2020 in C…
Health effects associated with exposure of children to physical violence, psychological violence and neglect
The health toll of child maltreatment or violence against children (VAC) has not yet been comprehensively evaluated. Here, in our systematic review and meta-analyses, we focused on the health impacts of physical violence, psychological violence and neglect during childhood. Utilizing the Burden of Proof methodology, which generates conservative measures of association while accounting for heterogeneity between input studies, we evaluated 35 assoc…
The health effects associated with physical, sexual and psychological gender-based violence against men and women
The health impacts of exposure to physical, sexual or psychological gender-based violence (GBV) against men and women are substantial yet not well delineated. We systematically reviewed and meta-analysed 40 studies to evaluate the associations between GBV (including but not limited to intimate partner violence) and eight health outcomes: sexually transmitted infections excluding HIV, maternal abortion and miscarriage, HIV/AIDS, major depressive d…
Medicine (19 works) · Environmental health (15 works) · Economic growth (12 works) · Health care (11 works) · Political science (11 works) · Nursing (10 works) · Population (10 works) · Economics (9 works) · Public health (9 works) · Business (6 works)