解决与酒精有关的危害的全社区和跨部门干预措施:范围审查
Ulla Walmisley1, Michelle De Jong1, Asha George1
1School of Public Health, University of the Western Cape, Bellville, South Africa.
Global public health
|June 25, 2024
概括
这项研究审查了以社区为基础的干预措施,以减少酒精危害,在低收入和中等收入国家 (LMIC) 发现很少. 需要更多的研究来支持针对LMIC量身定制的,社区驱动的战略.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 卫生政策 卫生政策
背景情况:
- 酒精的危害构成了全球健康的重大威胁,不成比例地影响了年轻人.
- 低收入和中等收入国家 (LMIC) 面临着越来越多的酒精行业目标.
- 需要综合的证据,以社区层面的干预LMIC.
研究的目的:
- 绘制有关全社区和跨部门酒精危害减轻干预措施的现有文献.
- 为了比较高收入国家 (HIC) 和LMIC实施的干预措施.
- 确定有效干预的推动因素和障碍因素.
主要方法:
- 对1325篇文章进行了系统的文献搜索和选,结果包括了61篇研究.
- 关于地理位置,跨部门行动,结果,障碍和推动因素的数据提取.
- 基于国家收入水平 (HIC与LMIC) 的干预措施分类.
主要成果:
- 大多数研究 (53) 来自HIC,只有8项来自LMIC.
- HIC干预通常针对青少年,并将社区行动与其他策略相结合.
- 低低收入国家干预缺乏政策,学校或出口参与等特定组件,并且不针对青少年.
结论:
- 有效的干预需要明确的重点,政治支持,当地领导力和社区动机.
- 可持续性,干预复杂性和多部门参与是关键的挑战.
- 学习议程对于在各种环境中试点,扩展和维持社区驱动的酒精危害减轻至关重要.
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