The study of social inequalities in child and adolescent health in Spain
The study of social inequalities in child and adolescent health in Spain
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DOI：
10.1016/j.gaceta.2013.12.009
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发表时间：
2014-08-01
期刊：
影响因子：
1.9
通讯作者：
Rajmil, Luis
中科院分区：
文献类型：
--
作者：
Font-Ribera, Laia;García-Continente, Xavier;Rajmil, Luis
目的：确定和描述西班牙开展的关于儿童和青少年健康中社会不平等的研究，特别强调社会决定因素。方法：2012年7月，我们在PubMed、Medes、Scope us和Cochrane数据库中进行了系统的综述。我们纳入了2000至2012年间发表的关于西班牙儿童和青少年健康方面的社会不平等的研究。共有2147篇摘要由两名研究人员审阅，80篇稿件由三名研究人员全面审阅。评估了偏倚的风险。结果：共有83%的研究是横断面研究，研究最多的年龄段是13-15岁。确定了20多个个体或群体决定因素。最常被分析的决定因素是母亲或父亲最有利的教育水平和职业。在分析教育和职业的研究中，有38%没有定义决定因素。在所有决定因素和所有年龄组的牙齿健康中都检测到了社会不平等(9%的研究具有高偏见风险)。在肥胖、体力活动和心理健康方面也发现了社会不平等，并带有一些决定因素。年龄较小的儿童的具体数据缺失。在使用卫生服务方面没有发现社会不平等，不包括牙科护理。很少有研究对移民进行分析，其中42%的研究有很高的偏见风险。结论：社会决定因素的测量存在广泛的多样性，缺乏对学龄前儿童的研究和纵向设计的研究。这项研究的结果证实了健康某些方面的社会不平等。(C)2013年战略和预算问题国际会议。由Elsevier Espana，S.L.出版，版权所有。
Objective: To identify and describe studies on social inequalities in child and adolescent health conducted in Spain with special emphasis on social determinants.Methods: In July 2012, we conducted a systematic review in the PubMed, MEDES, SCOPUS and COCHRANE databases. We included studies on social inequalities in child and adolescent health in Spain published between 2000 and 2012. A total of 2147 abstracts were reviewed by two researchers and 80 manuscripts were fully reviewed by three researchers. Risk of bias was assessed. Seventy-two articles were finally included.Results: A total of 83% of the studies were cross-sectional and the most frequently studied age group consisted of 13-15-year-olds. More than 20 individual or group determinants were identified. The most frequently analyzed determinants were the most advantaged educational level and occupation of the mother or the father. In 38% of the studies analyzing education and occupation, there was no definition of the determinant. Social inequalities were detected in dental health with all determinants and in all age groups (9% of studies with a high risk of bias). Social inequalities were also detected in obesity, physical activity and mental health with some determinants. Specific data were missing for younger children. No social inequalities were found in the use of health services, excluding dental care. Few studies analyzed immigration and 42% of them had a high risk of bias.Conclusion: Wide diversity was found in the measurement of social determinants, with a lack of studies in preschoolers and of studies with longitudinal designs. The results of this study confirm social inequalities in some aspects of health. (C) 2013 SESPAS. Published by Elsevier Espana, S.L. All rights reserved.