将公平的视角应用于基于证据的预防性干预:从实验评估中对子组发现的系统审查
Pamela R Buckley1, Charleen J Gust2, Sarah Gonzalez Coffin2
1Institute of Behavioral Science, University of Colorado Boulder, Boulder, CO, 483 UCB80309, USA. pamela.buckley@colorado.edu.
概括
基于证据的预防干预措施 (EBPIs) 很少包括针对少数群体青年的文化定制计划. 虽然EBPIs对这些群体显示出好处,但需要对不同人群的有效性进行更多研究.
科学领域:
- 公共卫生 公共卫生
- 健康差距 研究 研究 研究 研究
- 干预科学 干预科学
背景情况:
- 少数群体的人群经历了显著的行为健康差异.
- 基于证据的预防干预措施 (EBPIs) 对于解决这些不平等问题至关重要.
- 了解EBPI对不同群体的公平覆盖范围和利益至关重要.
研究的目的:
- 评估少数群体在EBPI中的代表性.
- 为了确定EBPI评估中是否进行子组影响分析.
- 检查EBPI是否在不同的人口群体中提供公平的利益.
主要方法:
- 从健康青年发展蓝图清算中心 (2010-2023) 系统审查了240个EBPI的高质量实验评估.
- 使用共识编码进行描述性分析,以评估文化定制干预措施的流行率,子组效应测试和差异效益.
- 根据种族,种族,经济劣势,性别,性认同,地点和出生状况对子组分析的评估.
主要成果:
- 很少有EBPI (31%) 是文化定制的;很少有针对非洲裔美国人/黑人 (4%) 或西班牙裔/拉丁裔 (1%) 青年.
- 很少测试种族 (25%) 和种族 (15%) 的子组影响;更少的分析包括经济劣势 (28%).
- 一般来说,EBPIs受益于种族和少数民族群体,随着时间的推移,报告子组测试的上升趋势.
结论:
- 文化定制的EBPI代表性不足,需要投资用于历史上边缘化人口的计划.
- 在EBPI评估中测试子组效应对于理解"什么适合谁"和"在哪些环境中"至关重要.
- 需要进一步的研究和试验来调查EBPI,以减轻健康差异并确保公平的利益.
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