Heterogeneous treatment effects in social policy studies: An assessment of contemporary articles in the health and social sciences.
Heterogeneous treatment effects in social policy studies: An assessment of contemporary articles in the health and social sciences.
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DOI：
10.1016/j.annepidem.2022.04.009
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发表时间：
2022-06
影响因子：
5.6
通讯作者：
中科院分区：
文献类型：
--
作者：
社会政策是人口健康的重要决定因素，但可能对不同的人群产生不同的影响。评估社会政策的异质性治疗效果（HTEs）对于确定社会政策如何影响健康不公平至关重要。评估HTE的方法没有标准化。在社会政策和健康研究中，对高血压性疾病的评估频率和方法知之甚少。对2019年55篇关于社会政策对健康影响的文章进行了抽样评估，包括报告HTE的频率;报告HTE的亚组;评估HTE的先验意图规范的频率;以及用于评估HTE的方法。共有24项（44%）研究描述了某种形式的HTE评估，包括年龄，性别，教育，种族/民族和/或地理。在评估HTE的研究中，63%的研究事先指定了HTE评估，大多数（71%）使用了描述性方法，如分层; 21%使用了统计检验（例如，回归中的相互作用项）;并且没有研究使用数据驱动算法。虽然了解高新技术企业可以加强政策和实践为基础的努力，以减少不平等，这不是常规的研究实践。需要增加对相关亚组的HTE的评价。
Social policies are important determinants of population health but may have varying effects on subgroups of people. Evaluating heterogeneous treatment effects (HTEs) of social policies is critical to determine how social policies will affect health inequities. Methods for evaluating HTEs are not standardized. Little is known about how often and by what methods HTEs are assessed in social policy and health research. A sample of 55 articles from 2019 on the health effects of social policies were evaluated for frequency of reporting HTEs; for what subgroupings HTEs were reported; frequency of a priori specification of intent to assess HTEs; and methods used for assessing HTEs. A total of 24 (44%) studies described some form of HTE assessment, including by age, gender, education, race/ethnicity, and/or geography. Among studies assessing HTEs, 63% specified HTE assessment a priori, and most (71%) used descriptive methods such as stratification; 21% used statistical tests (e.g., interaction terms in a regression); and no studies used data-driven algorithms. Although understanding HTEs could enhance policy and practice-based efforts to reduce inequities, it is not routine research practice. Increased evaluation of HTEs across relevant subgroups is needed.
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