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Tackling the wider social determinants of health and health inequalities : evidence from systematic reviews.

机译:解决健康和健康不平等的更广泛的社会决定因素:系统评价的证据。

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摘要

Background udThere is increasing pressure to tackle the wider social determinants of health through the implementation of appropriate interventions. However, turning these demands for better evidence about interventions around the social determinants of health into action requires identifying what we already know and highlighting areas for further development. ududMethods udSystematic review methodology was used to identify systematic reviews (from 2000 to 2007, developed countries only) that described the health effects of any intervention based on the wider social determinants of health: water and sanitation, agriculture and food, access to health and social care services, unemployment and welfare, working conditions, housing and living environment, education, and transport. ududResults udThirty systematic reviews were identified. Generally, the effects of interventions on health inequalities were unclear. However, there is suggestive systematic review evidence that certain categories of intervention may impact positively on inequalities or on the health of specific disadvantaged groups, particularly interventions in the fields of housing and the work environment. ududConclusion udIntervention studies that address inequalities in health are a priority area for future public health research.
机译:背景 ud通过实施适当的干预措施来应对更广泛的健康问题社会决定因素,压力越来越大。但是,要想获得有关围绕健康的社会决定因素进行干预的更好证据的这些要求,就必须确定我们已经知道的知识,并强调需要进一步发展的领域。 ud udMethods ud系统评价方法用于识别系统评价(仅2000年至2007年,仅发达国家),这些评价基于更广泛的健康决定因素(水和卫生,农业与食品,获取的机会)描述了任何干预措施的健康影响卫生和社会护理服务,失业和福利,工作条件,住房和居住环境,教育和交通。 ud ud结果 ud确定了三十项系统评价。一般而言,干预措施对健康不平等的影响尚不清楚。但是,有系统的建议性审查证据表明,某些类别的干预措施可能会对不平等或特定弱势群体的健康产生积极影响,特别是在住房和工作环境领域的干预措施。 ud ud结论 ud解决健康不平等问题的干预研究是未来公共卫生研究的重点领域。

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