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低收入和健康素养:一个系统的范围审查
Krisztina Gero1, Insa Backhaus-Hoven2, Annika Höhmann1
1Institute of Medical Sociology, Centre for Health and Society, Medical Faculty and University Hospital, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Archives of public health = Archives belges de sante publique
|November 26, 2025
概括
经济弱势群体往往面临较低的健康素养,影响医疗保健的获取. 干预措施必须解决贫困问题.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生公平研究 卫生公平研究
- 健康的社会决定因素
背景情况:
- 在获得医疗保健和医疗保健结果方面,社会不平等仍然存在.
- 健康素养,包括识别医疗需求和护理可用性,是关键因素.
- 本综述探讨了经济劣势与健康素养之间的联系.
研究的目的:
- 确定经济弱势群体是否面临较低健康素养的风险.
- 确定潜在的干预目标,以改善医疗保健准入和公平.
主要方法:
- 在2022年5月和2024年11月对MEDLINE (Ovid) 的系统文献搜索.
- 包括来自高收入国家的同行评审原始研究 (英语/德语;2000-2024年).
- 在各种健康素养指标上,比较了低收入群体与高收入群体.
主要成果:
- 在大多数情况下,在低收入和有限的健康素养之间发现了一致的关联.
- 这包括一般,精神,疾病特定 (如癌症,口腔健康) 和电子健康素养.
- 患有慢性疾病的个人可能有更高的特定疾病知识,无论收入如何,但可比性受到不一致的分类的限制.
结论:
- 提高人口的健康素养需要针对贫困人口的策略.
- 未来的研究应该使用纵向方法调查其他社会决定因素,如教育和职业.
- 了解因果途径对于开发有效的干预措施至关重要.
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