健康和淋病的社会决定因素:系统性审查
Chen X Chen1, Sarah K Rogers2, Rui Li3
1Indiana University School of Nursing, Indianapolis, Indiana.
The journal of pain
|May 24, 2024
概括
健康的社会决定因素 (SDoH) 显著影响经期障碍,创伤和缺乏教育加重了结果. 然而,关于社会经济地位等因素的证据仍然不清楚,需要更严格的研究.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 社会流行病学 社会流行病学
背景情况:
- 健康的社会决定因素 (SDoH) 对于理解健康差异至关重要.
- 淋病是广泛的生殖健康问题,影响了许多女性.
- 对于减少其对公共健康的影响来说,调查SDoH在经期障碍中至关重要.
研究的目的:
- 系统地审查和综合现有关于SDoH和经期障碍之间关联的文献.
- 确定研究缺口,并为未来的研究,政策和临床实践提供信息.
主要方法:
- 进行了全面的系统审查,搜索了多个数据库 (Medline,EMBASE,CINAHL,PsycINFO,Scopus,Google Scholar) 到2024年2月.
- 在选了2594个独特记录后,包括了166项研究.
- 数据提取和偏差风险评估由至少两名审稿人独立进行.
主要成果:
- 有证据表明,创伤经历,环境暴露,切割女性生殖器官,工作压力,缺乏月经教育和社会支持不足与更糟糕的经历有关.
- 失经症和SDoH因素之间的关联,如社会经济地位,位置,种族/种族,就业和宗教是模两可的.
- 几乎所有纳入的研究 (99.4%) 都表现出高或非常高的偏差风险.
结论:
- SDoH和更年障碍之间的关系是复杂的,通常是不一致的,被各种研究方法和人群所混.
- 需要更多高质量的研究来澄清这些关联并指导干预.
- 需要对创伤,月经教育和职业压力等因素给予临床关注.
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