现实世界的公共卫生干预表明了研究证据如何为计划扩展提供信息
Melanie Crane1,2, Karen Lee1,2, Luke Wolfenden3
1Sydney School of Public Health, The University of Sydney, New South Wales 2006, Australia.
Health promotion international
|September 23, 2024
概括
在扩大规模之前接受研究测试的针对肥胖的公共卫生干预措施显示出更大的积极健康影响. 然而,研究途径并不能保证这些干预措施的长期可持续性.
科学领域:
- 公共卫生 公共卫生
- 健康 行为干预 干预
- 肥胖问题研究研究
背景情况:
- 基于证据的公共卫生干预措施需要严格的有效性和有效性测试.
- 针对肥胖和相关行为的现实干预措施对于改善公共卫生至关重要.
- 了解干预措施的特征及其研究途径对于优化公共卫生战略至关重要.
研究的目的:
- 对肥胖的现实世界公共卫生干预措施的特征进行调查.
- 在这些干预措施扩大之前,确定研究测试 (有效性和有效性试验) 的范围.
- 为了比较那些遵循研究途径的干预措施与那些没有.
主要方法:
- 确定了90项人口健康干预措施,重点关注身体活动,营养或与肥胖相关的行为.
- 收集有关干预特征和结果的公开可用的数据.
- 根据它们是否遵循使用单变量逻辑回归的研究途径,评估干预措施之间的差异.
主要成果:
- 三分之二 (60) 的干预报告遵循研究途径.
- 有研究途径的干预措施更有可能是健康教育,由研究机构开发,并在北美提供.
- 这些干预措施也更有可能对人口健康产生积极影响 (OR:2.72;95% CI:1.04-7.14).
- 研究途径并没有增加干预可持续性的可能性.
结论:
- 基于其研究途径的干预措施的组织和环境背景存在显著差异.
- 扩大规模的研究途径与对人口健康结果产生更大的积极影响有关.
- 未来的研究应该探索影响扩大公共卫生干预措施可持续性的因素.
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