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社会生态因素对青少年(10-17 岁)饮酒与相关不良饮食行为的影响:系统评价和定性研究综合分析方案。

Socio-ecological influences on adolescent (aged 10-17) alcohol use and linked unhealthy eating behaviours: protocol for a systematic review and synthesis of qualitative studies.

机构信息

Institute of Health & Society, Baddiley-Clark Building, Newcastle University, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.

Health and Social Care Institute, 1.18 Constantine Building, Teesside University, Borough Road, Middlesbrough, TS1 3BX, UK.

出版信息

Syst Rev. 2017 Sep 2;6(1):180. doi: 10.1186/s13643-017-0574-8.

DOI:10.1186/s13643-017-0574-8
PMID:28865491
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5581482/
Abstract

BACKGROUND

Excess body weight and risky alcohol consumption are two of the greatest contributors to global disease. Health behaviours cluster in adolescence and track to adulthood. Very little is known about similar and contrasting influences on young people's eating behaviours and alcohol use. Whilst there are bodies of literature which explore the influences on young people's eating behaviour and alcohol consumption respectively, no qualitative studies have been identified with an explicit and concurrent focus on adolescent eating behaviours and alcohol consumption. This review will identify and synthesise qualitative research evidence to provide insight into common underlying factors which influence alcohol use and unhealthy eating behaviours amongst young people aged 10-17. This will involve bringing together two separate bodies of literature to enable analysis and comparison across two associated fields of study.

METHODS

We will conduct searches in MEDLINE, Scopus, PsycINFO, Sociological Abstracts (via ProQuest social science premium collection), CINAHL, ERIC, IBSS (via ProQuest social science premium collection), ASSIA (via ProQuest social science premium collection), and Web of Science Core Collection. Studies reporting primary data of any qualitative design, for example, ethnographic studies, studies that used a phenomenological or grounded theory approach, or participatory action research will be included in the review. Database searches will be supplemented with searches of Google Scholar, hand searches of key journals, and backward and forward citation searches of reference lists of identified papers. Search records will be independently screened by two researchers, with full text copies of potentially relevant papers retrieved for in-depth review against the inclusion criteria. Reporting of identified studies will be assessed using the Critical Appraisal Skills Programme (CASP) Qualitative Research Checklist. GRADE-CERQual will also be used to assess confidence in the findings arising from our review. Qualitative synthesis will involve three core phases: line-by-line coding of findings; development of descriptive themes; and development of analytical themes. Findings from papers will be examined for overlaps, similarities and differences.

DISCUSSION

This synthesis will interpret individual studies by identification of second-order constructs (interpretations offered by the original researchers) and third-order constructs (development of new interpretations beyond those offered in individual studies) by way of the development of a 'model structure' of shared influences upon both unhealthy eating behaviours and alcohol use. It is anticipated that this 'model structure' will aid subsequent co-design and piloting of a future intervention to help reduce health risk and social inequalities due to excess weight gain and alcohol consumption.

SYSTEMATIC REVIEW REGISTRATION

CRD42017060624 .

摘要

背景

超重和危险饮酒是导致全球疾病的两大主要因素。健康行为在青少年时期聚集,并一直持续到成年。对于年轻人的饮食行为和饮酒行为相似和相反的影响,我们知之甚少。虽然有大量文献分别探讨了年轻人饮食行为和饮酒消费的影响,但没有定性研究明确关注青少年饮食行为和饮酒消费。本综述将确定并综合定性研究证据,以深入了解影响 10-17 岁青少年饮酒和不健康饮食行为的共同潜在因素。这将涉及将两个独立的文献集合在一起,以便在两个相关研究领域进行分析和比较。

方法

我们将在 MEDLINE、Scopus、PsycINFO、Sociological Abstracts(通过 ProQuest 社会科学高级收集)、CINAHL、ERIC、IBSS(通过 ProQuest 社会科学高级收集)、ASSIA(通过 ProQuest 社会科学高级收集)和 Web of Science 核心合集进行检索。本综述将纳入报告任何定性设计原始数据的研究,例如,民族志研究、使用现象学或扎根理论方法的研究,或参与行动研究。数据库检索将辅以 Google Scholar 搜索、关键期刊的手工搜索以及已确定论文参考文献的回溯和前向引文搜索。两名研究人员将独立筛选检索记录,并检索可能相关论文的全文副本,以根据纳入标准进行深入审查。将使用批判性评价技能计划(CASP)定性研究清单评估确定研究的报告。还将使用 GRADE-CERQual 评估我们综述结果的可信度。定性综合将涉及三个核心阶段:逐行编码发现;发展描述性主题;以及发展分析性主题。将检查论文中的发现是否存在重叠、相似和差异。

讨论

通过识别二级结构(原始研究人员提供的解释)和三级结构(超越个别研究提供的新解释),对个体研究进行解释,通过发展一个共同影响不健康饮食行为和饮酒行为的“模型结构”。预计该“模型结构”将有助于随后共同设计和试点未来干预措施,以帮助减少因体重增加和饮酒导致的健康风险和社会不平等。

系统评价注册

CRD42017060624。

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