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专门针对体重相关行为的移动干预中的不平等:观察性研究的系统审查
Laura M König1,2, Cynthia C Forbes3, Heide Busse4,5
1Faculty of Psychology, University of Vienna, Vienna, Austria.
概括
移动卫生干预措施在接触贫困人口方面存在差异,年轻和富裕的个人更有可能参与. 需要进一步的研究,以确保所有群体的公平获取和有效性.
科学领域:
- 数字健康数字健康
- 公共卫生 公共卫生
- 卫生公平性健康公平性
背景情况:
- 移动健康 (mHealth) 干预措施对行为改变有希望,但可能会加剧健康差异.
- 现有证据通常来自临床试验,可能引入选择偏差.
- 了解移动健康的现实差异对于公平的健康结果至关重要.
研究的目的:
- 系统地审查饮食,体力活动和久坐行为的仅移动干预措施的吸收,参与和有效性的差异.
- 在PROGRESS-Plus框架内检查各种不平等指标之间的这些差异.
- 识别有关移动卫生领域社会不平等问题的研究缺口.
主要方法:
- 从创立到2023年11月,对五个数据库 (CINAHL,EMBASE,PsycINFO,PubMed,Web of Science) 的系统审查.
- 包括成人观察性研究,使用专门用于饮食,体力活动或久坐行为的移动干预措施.
- 基于PROGRESS-Plus框架中的不平等指标的结果分析.
主要成果:
- 包括87篇出版物 (88项研究),主要报道了干预措施的采用情况.
- 年龄较小和社会经济地位较高与使用率增加有关,但不一定与参与度或有效性有关.
- 关于其他不平等指标的证据是混合的,例如移民和性取向等因素的代表性不足.
结论:
- 移动卫生干预措施的社会不平等仍然存在,技术获取和数字素养等障碍影响了采用.
- 目前关于社会不平等的证据仍然混杂,需要进一步调查,而不仅仅是年龄和社会经济地位.
- 迫切需要进行研究来解决潜在的不平等问题,以防止移动健康扩大健康差距.
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