Eliminating Health Disparities through Action on the Social Determinants of Health: A Systematic Review of Home Visiting in the United States, 2005-2015
Eliminating Health Disparities through Action on the Social Determinants of Health: A Systematic Review of Home Visiting in the United States, 2005-2015
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DOI：
10.1111/phn.12268
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发表时间：
2017-01-01
影响因子：
2.1
通讯作者：
Elliott, Lynn T.
中科院分区：
文献类型：
--
作者：
Abbott, Laurie S.;Elliott, Lynn T.
目的：本系统的文献综述的目的是在具有代表性的少数族裔样本的实验和准实验研究中，综合以家访成分设计的跨学科干预的结果。设计和样本：这项系统性综述的设计被调整为包括实验和准实验定量研究。措施：预先确定的纳入标准是：(A)具有试验性或准试验性定量设计的研究，(B)作为研究组成部分的家访，(C)包括针对健康和/或安全问题的预防研究干预战略，(D)在美国进行，(E)具有一个或多个种族/少数民族的代表性(至少占总样本量的30%)，(F)全文可用，以及(G)在2005年1月至2015年12月期间发表在同行评议期刊上。结果：纳入综述文献39篇。共有20项一级预防研究、5项二级预防研究和14项三级预防干预研究。结论：护士的社区和家访干预可以通过使健康差距的高危人群避免受伤、维持健康以及预防和管理现有疾病，为减轻健康的社会决定因素提供有效的手段。
Objective: The purpose of this systematic literature review was to synthesize the results of transdisciplinary interventions designed with a home visit component in experimental and quasi-experimental studies having representative samples of racial and ethnic minorities. Design and Sample: The design of this systematic review was adapted to include both experimental and quasi-experimental quantitative studies. Measures: The predetermined inclusion criteria were studies (a) having an experimental or quasi-experimental quantitative design, (b) having a home visit as a research component, (c) including a prevention research intervention strategy targeting health and/or safety issues, (d) conducted in the United States, (e) having representation (at least 30% in the total sample size) of one or more racial/ethnic minority, (f) available in full text, and (g) published in a peer-reviewed journal between January, 2005 and December, 2015. Results: Thirty-nine articles were included in the review. There were 20 primary prevention, 5 secondary prevention, and 14 tertiary prevention intervention studies. Conclusions: Community and home visitation interventions by nurses can provide an effective means for mitigating social determinants of health by empowering people at risk for health disparities to avoid injury, maintain health, and prevent and manage existing disease.