较低社会经济地位的人群中的健康行为干预:对行为改变技术和有效性的范围审查
Loes van den Bekerom1, Laurens C van Gestel2, Jan W Schoones3
1Health Campus The Hague/Department of Public Health and Primary Care, Leiden University Medical Center, The Hague/Leiden, the Netherlands.
Health psychology and behavioral medicine
|June 21, 2024
概括
了解行为改变技术 (BCT) 对于解决社会经济健康不平等至关重要. 目前的研究往往未能具体说明BCT,阻碍了对社会经济地位较低 (SEP) 人群的有效健康干预措施的开发.
科学领域:
- 公共卫生 公共卫生
- 健康行为研究 研究健康行为研究
- 健康 公平 卫生 公平
背景情况:
- 改变行为干预措施可能会无意中加剧社会经济健康差异.
- 了解不同社会经济地位 (SEP) 的干预有效性至关重要.
- 本综述考察了行为改变技术 (BCT) 以及它们在SEP分层的各种健康行为中所报告的有效性.
研究的目的:
- 在针对身体活动,健康饮食,吸烟和酒精消费的干预中描述报告的行为改变技术 (BCT).
- 评估与社会经济地位 (SEP) 相关的这些BCT报告的有效性.
- 识别健康行为研究中关于BCT和SEP的报告和方法的差距.
主要方法:
- 在12个电子数据库中进行了系统的范围审查.
- 包括151项符合资格标准的研究.
- 研究被编码为健康行为结果,SEP操作,BCT类型和数量,以及有效性.
主要成果:
- 在衡量和定义低社会经济地位 (SEP) 方面存在显著的变化.
- 研究很少确定使用的特定BCT,排除了对其有效性的系统评估.
- 干预的有效性主要由总体结果来评估,对SEP调节效应的分析有限.
结论:
- 不一致的SEP操作和缺乏BCT规范阻碍了低SEP组的证据综合.
- 未来的研究必须明确定义SEP,并系统地报告BCT,以推进有效的健康行为改变策略.
- 关于BCT和SEP的标准化报告对于开发有针对性和公平的健康干预措施至关重要.
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