Madsen Jacob, Kanstrup Anne Marie, Josephsson Staffan
a Division of Health Studies, Department of Occupational Therapy , University College of Northern Denmark , Aalborg , Denmark ;
b Department of Communication , Aalborg University , Aalborg , Denmark ;
Scand J Occup Ther. 2016;23(1):1-12. doi: 10.3109/11038128.2015.1075065. Epub 2015 Aug 28.
Occupational science and therapy scholars have argued that research on inequality in health is needed. Simultaneously, a knowledge gap between how to understand and take action on health inequalities exists in occupational science and therapy.
To identify how inequality in health, high-risk areas of health, and engagement in health for low-income adult citizens have been described and conceptualized in contemporary occupational science and therapy literature.
A structured literature review of 37 publications in occupational science and therapy literature, published from 2004 to 2014.
The review revealed several descriptions and conceptualizations based on environmental, social, cultural, historical, and personal perspectives on occupation and already existing occupational science concepts. However, these descriptions were mainly based on assumptions regarding the relation between occupation and inequality in health, and statements on the need to explore this relation.
Basic theory and reasoning, as well as empirical studies, on inequality in health are missing in occupational science and therapy. Based on the findings and theoretical trends, the authors suggest a transactional perspective on occupation is a possible frame for understanding inequality in health and related issues.
职业科学与治疗领域的学者认为有必要开展关于健康不平等的研究。与此同时，职业科学与治疗领域在如何理解健康不平等以及如何针对健康不平等采取行动方面存在知识差距。
确定当代职业科学与治疗文献中对低收入成年公民的健康不平等、健康高风险领域以及健康参与情况是如何描述和概念化的。
对2004年至2014年发表的37篇职业科学与治疗文献进行结构化文献综述。
该综述揭示了基于职业的环境、社会、文化、历史和个人视角以及现有职业科学概念的若干描述和概念化。然而，这些描述主要基于关于职业与健康不平等之间关系的假设，以及关于探索这种关系必要性的陈述。
职业科学与治疗领域缺乏关于健康不平等的基础理论和推理以及实证研究。基于研究结果和理论趋势，作者认为职业的交互作用视角可能是理解健康不平等及相关问题的一个框架。
