公平框架在基于理论的健康行为干预中的应用:一个范围审查
Katherine S Gallagher1, Kristefer Stojanovski2, Kristen Ogarrio3
1Department of Health Policy and Management, Celia Scott Weatherhead School of Public Health and Tropical Medicine, Tulane University, New Orleans, USA.
International journal for equity in health
|March 20, 2025
概括
将健康公平纳入健康行为干预措施是至关重要的,但不是常见的做法. 加强培训可以改善干预设计,结果和健康公平.
科学领域:
- 公共卫生 公共卫生
- 健康 行为 科学 健康 行为 科学
- 卫生公平研究 卫生公平研究
背景情况:
- 健康行为理论为理解和修改行为变化提供了科学框架.
- 这些理论是开发有效的健康行为干预措施的基础.
- 解决健康差异需要将公平纳入干预设计.
研究的目的:
- 评估健康公平框架和方法在基于理论的健康行为干预措施中的整合.
- 了解卫生公平原则在干预开发中的普及和应用.
- 识别当前将健康公平纳入健康行为改变战略的现实实践中的差距.
主要方法:
- 根据PRISMA指南进行了范围审查.
- 研究了十种被广泛教授的健康行为理论.
- 在选了656篇论文后,从26项干预研究的数据进行了主题分析.
主要成果:
- 干预主要使用多层框架 (社会生态模型) 和基于社区的参与方法.
- 通过记录会议和反机制等实践整合社区生活经验,嵌入了公平.
- 更多的社区参与与接受度增加和干预结果改善相关.
结论:
- 将健康公平纳入行为干预措施至关重要,但未得到充分利用和理解.
- 需要加强培训,以有效地"在干预中培养公平".
- 改进的培训可以促进健康行为研究,教育和实践,实现更大的公平.
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