在可修改的健康决定因素的定义上达成共识:Delphi研究
Sebastian Stannard1,2, Kim Alipio2, Ann Berrington3
1NIHR Applied Research Collaboration Wessex, Southampton, UK.
BMJ public health
|February 19, 2026
概括
建立了可修改的健康决定因素的共识定义. 可改变的因素可以通过个人或人口层面的干预来改变,考虑有效的健康研究和政策的背景和系统依赖性.
科学领域:
- 公共卫生 公共卫生
- 健康的决定因素 健康的决定因素
- 跨学科研究 跨学科研究
背景情况:
- "可修改的危险因素"一词被广泛使用,但在卫生文献中缺乏普遍的定义.
- 了解可变性对于识别影响健康和福祉的因素至关重要.
- 现有的文献缺乏关于定义可修改的健康决定因素的明确共识.
研究的目的:
- 在"可修改"的健康决定因素的定义和概念化方面达成跨学科专家共识.
- 建立一个共同的理解,以促进健康研究和政策翻译.
- 为了解决围绕健康背景中的"可修改"术语的模两可.
主要方法:
- 进行了一项德尔菲研究,涉及103名跨学科专家.
- 根据最初的标准制定了声明,并通过两轮专家反来改进.
- 共识被定义为在专家中达成70%或以上的共识.
主要成果:
- 在可修改的健康决定因素的定义上达成共识.
- 可修改的健康决定因素被定义为通过干预 (个人/人群) 可能发生变化并且可量化.
- 可修改性取决于环境和系统,需要在研究中进行透明的考虑.
结论:
- "可修改"的健康决定因素已经建立了一个基于共识的定义.
- 这种共同理解对于加强卫生研究的跨学科合作至关重要.
- 这些发现支持研究更好地转化为卫生政策和实践.
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