ABSTRACT Gender equity in the health workforce is crucial for achieving the Sustainable Development Goals. However, persistent inequities undermine workers' well‐being, service delivery, and health system sustainability. This study examines how gender norms and hierarchical structures shape working conditions across Nepal's healthcare workforce. Drawing on 66 qualitative interviews and three stakeholder meetings with Female Community Health Volunteers (FCHVs), nurses, and doctors working in decentralized and centralized settings, we demonstrate how feminization, undervaluation, and the care–cure divide produce inequities in recognition, pay, autonomy, and career progression. FCHVs provide essential community health services for minimal remuneration. Nurses face high workloads and constrained advancement, and women physicians encounter gendered barriers to leadership and decision‐making. Reconceptualizing decent work as a continuum ranging from unpaid to professional roles, we argue that health workforce equity is fundamental to broader health equity by shaping service quality, equitable access, and sustainable care. Gender‐transformative and equity‐oriented labor policies are required to strengthen health systems and advance SDG 3 (health), SDG 5 (gender equality), and SDG 8 (decent work).
ABSTRACT This cross‐sectional secondary data analysis aimed to examine the association between the number of chronic diseases and health‐related quality of life (HRQOL) in middle‐aged women and to determine whether sleep duration moderated this association. Data from 3062 women aged 46–70 years were obtained from the 2019 and 2021 Korea National Health and Nutrition Examination Surveys. Complex‐samples t ‐tests, analysis of variance, and multiple regression analyses were conducted. A significant moderating effect of sleep duration was observed for the > 9 h/day group compared with the > 6–7 h/day reference group ( p = 0.016), with a stronger negative association between the number of chronic diseases and HRQOL in this group. Participants in the > 6–7 h/day and > 7–8 h/day groups reported significantly higher HRQOL than those sleeping ≤ 5, > 8–9, and > 9 h/day ( p < 0.001), and a greater number of chronic diseases was associated with lower HRQOL ( p < 0.001). These findings suggest that sleep duration, particularly sleep duration of more than 9 h, may be considered when evaluating the association between the number of chronic diseases and HRQOL among middle‐aged women.
The cross-sectional study aimed to assess the family resilience among kidney transplant recipients, identify different profiles through latent profile analysis, and explore influencing factors based on the Double ABC-X model. Kidney transplant recipients who underwent surgery at two tertiary grade A hospitals in Jilin and Liaoning provinces, China, between January 2021 and October 2025 were recruited by convenience sampling. Data were collected using the Family Resilience Questionnaire, Self-Efficacy for Chronic Disease 6-Item Scale, Family APGAR Index, Perceived Social Support Scale, and other relevant instruments. Latent profile analysis was employed to identify potential profiles of family resilience, and both univariate analysis and multinomial logistic regression analysis were used to investigate influencing factors. The 620 recipients exhibited an overall moderate to high level of family resilience. Three profiles were identified: low-level (11.5%), moderate-level (41.8%), and high-level (46.8%). Family structure type, family APGAR, perceived social support, adaptive and maladaptive cognitive emotion regulation strategies, and resignation were significant influencing factors (p < 0.05). Understanding these profiles and the influencing factors may help healthcare providers design family interventions aimed at enhancing family resilience.
