通过生活经验为公平的非传染性疾病预防政策提供信息:对研究方法的范围审查
Christina Zorbas1, Jacqueline Monaghan2, Jennifer Browne2
1Global Centre for Preventive Health and Nutrition, Institute for Health Transformation, Deakin University, 1 Gheringhap Street, Geelong, VIC, 3220, Australia. c.zorbas@deakin.edu.au.
Health research policy and systems
|November 28, 2025
概括
经历过边缘化的人经常被排除在非传染性疾病 (NCD) 政策决策之外. 制定包容性NCD政策需要解决系统性障碍,并促进真正的社区参与,以获得公平的健康结果.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 健康 公平 卫生 公平
背景情况:
- 被边缘化的人群被系统地排除在政策决策之外.
- 参与生活经验对于公平的非传染性疾病 (NCD) 政策至关重要.
- 在非传染性疾病预防政策中纳入多样化的声音仍然不清楚.
研究的目的:
- 系统地审查如何将生活中的边缘化经验纳入NCD预防政策.
- 确定影响生活经验在NCD政策制定中的因素.
- 为公平的NCD政策制定提供最佳实践信息.
主要方法:
- 使用构造主义认识论和批判理论进行系统的范围审查.
- 搜索了Medline,学术搜索完整,CINAHL和全球健康数据库.
- 对影响生活经验纳入NCD预防政策的因素进行主题元分析.
主要成果:
- 49篇文章符合资格标准,重点是营养,一般非传染性疾病,体力活动,烟草,肥胖,心理健康和酒精.
- 主要在美国进行的研究 (67%),涉及多元种族社区,农村人口,第一民族人民和低收入个人.
- 包容性的关键因素:强有力的目的,文化安全的做法,解决权力不平衡,并共同创建影响机制.
结论:
- 在NCD政策中包括生活经验的最佳实践方法尚不发达.
- 需要国家领导和真正的社区支持来改善制度实践.
- 对社会变革角色的认识对于克服系统性排斥至关重要.
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