晚期慢性呼吸干预的社会决定因素:一个范围审查
Lena Ly1,2,3, Amy Pascoe3, Jennifer Philip4,2
1Faculty of Medicine, Dentistry, and Health Sciences, University of Melbourne, Melbourne, Australia lyl2@student.unimelb.edu.au.
概括
在晚期慢性呼吸道疾病干预中,报告健康的社会决定因素 (SDH) 是有限的. 这影响了对不同人群的干预可访问性,参与度和有效性的理解.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 健康的社会决定因素 (SDH),如收入,教育和种族,对健康结果至关重要.
- 关于SDH如何在高级慢性呼吸道疾病的复杂干预中报告的清晰度有限.
- 了解SDH对子群体的可访问性,参与度和有效性的影响尚不清楚.
研究的目的:
- 对肺部康复 (PR),为肺部健康唱歌 (SLH) 和多组件息护理干预 (MPCI) 的SDH报告进行范围审查.
- 通过PubMed和现有的系统性审查的数据,评估这些干预措施中的SDH报告.
主要方法:
- 使用了范围审查方法.
- 搜索了PubMed和三个相关研究的系统评论.
- 包括在2000年至2022年期间发表的351个PR,8个SLH和35个MPCI研究.
主要成果:
- 性是最频繁报告的SDH (跨干预类型超过75%).
- 社会阶层是最小的报告 (0.3%在公关研究).
- 很大一部分研究报告没有SDH (5.1%PR,25.0%SLH,8.6%MPCI).
- 大多数研究来自高收入国家.
结论:
- 在PR,SLH和MPCI中报告SDH不足.
- 社会障碍对临床试验参与度和干预有效性的影响仍然不清楚.
- 需要进一步的研究,以确保所有人群的公平结果.
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