改善移民健康素养的干预措施
Annika Baumeister1, Angela Aldin2, Digo Chakraverty3
1Center for Life Ethics/Hertz Chair TRA 4, University of Bonn, Bonn, Germany.
The Cochrane database of systematic reviews
|November 14, 2023
概括
健康素养干预措施可能会提高移民的自我效能和知识,但对长期健康结果的证据有限. 需要进一步的研究来评估不同人群和医疗保健系统的有效性.
科学领域:
- 公共卫生 公共卫生
- 卫生识字研究 研究 卫生识字研究
- 移民健康研究研究.
背景情况:
- 健康素养 (HL) 对自主健康决策和公平的健康结果至关重要.
- 移民人口面临更高的风险,有限的健康素养.
- 有针对性的干预措施对于改善移民的健康素养至关重要.
研究的目的:
- 评估移民健康素养干预措施的有效性.
- 为了确定干预措施是否给女性移民和男性移民带来不同的结果.
主要方法:
- 随机对照试验 (RCT) 和集群RCT的系统审查和元分析.
- 在多个数据库 (CENTRAL,MEDLINE,Embase,PsycInfo,CINAHL) 和试验注册表中进行了搜索.
- 评估结果包括健康素养,生活质量,知识,健康结果,行为,自我效能,服务使用和不良事件.
主要成果:
- 自主管理计划 (SMP) 和健康素养技能培养课程 (HLSBC) 显示了提高自我效能和知识的潜力.
- 视听教育 (AVE) 可能会提高抑郁素养和医疗服务使用.
- 关于长期影响和基于性别的差异影响的证据在大多数干预措施中仍然有限或不确定.
结论:
- 卫生素养干预措施,特别是SMP和HLSBC,显示出改善移民健康素养和自我效能的某些方面的适度确定性.
- 需要在不同的医疗保健环境中使用经过验证的工具进行更强大,更长期的研究.
- 进一步的研究应侧重于性别特异性影响和综合性结果测量.
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