健康の変更可能な決定因子の定義に関するコンセンサスの達成: デルフィの研究
Sebastian Stannard1,2, Kim Alipio2, Ann Berrington3
1NIHR Applied Research Collaboration Wessex, Southampton, UK.
BMJ public health
|February 19, 2026
まとめ
変更可能な健康決定因子のコンセンサス定義が確立されました. 変更可能な要因は,効果的な健康研究と政策のための文脈とシステムの依存性を考慮して,個人または集団レベルで介入することによって変更することができます.
科学分野:
- 公衆衛生は公衆衛生である.
- 健康を決定する要因
- インターディシピナリな研究
背景:
- "変更可能な危険因子"という用語は広く使用されていますが,医療文献では普遍的な定義はありません.
- 改変性を理解することは,健康と幸福に影響を与える要因を特定するために不可欠です.
- 既存の文献では,健康を決定する変更可能な要素の定義について明確なコンセンサスが欠けている.
研究 の 目的:
- "変更可能な"健康決定因子の定義と概念化について,学際的な専門家のコンセンサスに達する.
- 健康に関する研究と政策の翻訳を容易にするための共通の理解を確立する.
- 医療の文脈で"変更可能"という用語を取り巻く曖昧さに対処するために.
主な方法:
- 103人の学際的な専門家が参加したデルフィー研究が行われました.
- 声明は,初期基準に基づいて作成され,専門家からのフィードバックの2ラウンドを通じて精錬されました.
- 専門家の間で70%以上の合意がコンセンサスとして定義された.
主要な成果:
- 変更可能な健康決定因子の定義に関するコンセンサスが達成されました.
- 変更可能な健康決定因子は,介入 (個人/集団) を通じて潜在的に変化し,定量化可能なものと定義される.
- 修正可能性は文脈とシステムに依存しており,研究において透明な考慮が必要である.
結論:
- "変更可能な"健康決定因子のコンセンサスに基づく定義が確立されています.
- この共通の理解は,健康研究における学際的な協力を強化するために不可欠です.
- この発見は,研究成果を医療政策と実践により良く変換することを支持するものである.
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