相称的普遍主义干预措施有效地解决了青少年的营养社会梯度:PRALIMAP-INÈS混合随机试验
A Y Omorou1, J Langlois2, P Böhme3
1University of Lorraine, APEMAC, Nancy, Metz, France; CHRU-Nancy, INSERM, University of Lorraine, CIC-1433 Clinical Epidemiology, Nancy, France.
Public health
|July 9, 2023
概括
一个比例的普遍主义干预有效地减少了青少年的营养社会梯度,表明公平的健康计划是可以实现的. 这项干预针对不同社会阶层的体重和其他营养结果.
科学领域:
- 公共卫生 公共卫生
- 营养流行病学 营养流行病学
- 健康 公平 卫生 公平
背景情况:
- 在青少年的营养和体重状况方面存在显著的社会梯度.
- 需要采取干预措施来解决青少年的健康不平等问题.
研究的目的:
- 评估一个比例的普遍主义干预措施在减少青少年营养社会梯度中的有效性.
- 评估对体重指数z-score (BMIz) 和其他营养指标的影响.
主要方法:
- 一个混合方法 (实验和准实验) 多中心试验,涉及985名青少年.
- 青少年被分为五个社会阶级,使用家庭富裕量表.
- 干预措施包括为所有人提供标准护理,并加强过重管理的社会适应护理.
主要成果:
- 在基线时观察到BMIz的显著社会梯度 (β = -0.09,P < 0.0001).
- 该干预措施在一年内显著降低了23.3%的权重社会梯度 (β = 0.021,P = 0.04).
- 在其他营养结果中,人们注意到了持续的改善.
结论:
- 相称的普遍主义干预措施有效地缓解了青少年的营养社会梯度.
- 这项研究支持实施公平健康计划和政策的可行性.
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