综述社会经济地位变化与健康之间的关系
Caroline Barakat1, Theodore Konstantinidis1
1Faculty of Health Sciences, Ontario Tech University, 2000 Simcoe St. N, Oshawa, ON L1G 0C5, Canada.
概括
社会经济地位 (SES) 的变化显著影响健康. 持续高的SES与最好的健康有关,而向上流动性显示出积极的影响,但向下流动性的影响尚不清楚.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 卫生经济学 卫生经济学
背景情况:
- 社会经济地位 (SES) 是健康结果的关键决定因素.
- 了解SES变化如何影响健康对于公共卫生干预至关重要.
- 关于SES变化和健康的现有文献需要综合,以确定知识差距.
研究的目的:
- 系统地审查和综合现有关于社会经济地位 (SES) 变化对各种健康结果的影响的研究.
- 确定SES变化及其与健康相关性的不同指标.
- 为未来的健康和SES研究方向提供基于证据的见解.
主要方法:
- 在Medline,Cochrane图书馆和CINAHL进行了全面的文献搜索.
- 纳入标准侧重于研究SES变化和健康结果的纵向或横截面研究.
- 文章质量由两名独立审稿人使用Downs和Black检查清单进行评估.
主要成果:
- 该综述包括11篇文章,分析了最初识别的2719项研究.
- 确定了八个SES变化指标:教育,职业,经济安全,收入充足度,房屋所有权,汽车所有权,医疗保险和婚姻状况.
- 持续高的SES与最佳健康结果相关;上升的SES流动性 (低至高) 显示出积极的健康影响,而下降的流动性 (高至低) 影响是不一致的.
结论:
- 社会经济地位 (SES) 的变化明显影响个人健康.
- 需要进一步研究SES变化对成人健康,弹性和发展的影响.
- 未来的研究应该调查单个SES指标及其纵向健康影响.
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