在人口健康干预中解释不同的社会经济影响:开发和应用新工具来分类干预剂需求
Kate Garrott1, David Ogilvie1, Jenna Panter1
1MRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
Lancet (London, England)
|November 24, 2023
概括
一个新的工具根据代理需求对人口健康干预 (PHI) 进行了分类,揭示了干预设计如何影响公平. 这有助于选择减少社会经济不平等并改善健康结果的干预措施.
科学领域:
- 公共卫生
- 医疗公平研究
- 干预科学
背景情况:
- 代理需求影响人口健康干预 (PHI) 的运作及其公平性.
- 社会经济因素影响了对高度主动性干预的资源需求.
- 缺乏分类代理需求的工具阻碍了系统的证据生成.
研究的目的:
- 开发和验证一种用于分类PHI的代理需求的工具.
- 评估代理需求,干预效率和公平性之间的关系.
主要方法:
- 代开发包括文献审查,干预行为者/行动的编码和专家反.
- 对9个数据库 (2010年1月至2020年8月) 进行饮食和体育活动的系统搜索.
- 在概念验证审查中对评审人员之间的可靠性评估和该工具的应用.
主要成果:
- 这是一个新的工具,包含20个类别,根据暴露,作用机制和参与来对药物需求进行分类.
- 对26个PHI (163个成分) 的应用显示了少数类别的度.
- 与干预权益相关的分类,而不是整体有效性.
结论:
- 在可行性评估中有效分类PHI代理需求和援助.
- 将代理需求与股权效应联系在一起有助于明智的干预设计和选择.
- 这种工具可以促进对公共卫生方面的干预机制和社会经济不平等的理解.
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