Department of Social Epidemiology, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany.
Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany.
Int J Environ Res Public Health. 2019 Feb 1;16(3):420. doi: 10.3390/ijerph16030420.
Reducing social inequalities in health and health determinants, including physical activity (PA), is a major challenge for public health. PA-promoting interventions are increasingly implemented. Little is known, however, about the impact of these interventions on social inequalities. For prioritizing interventions most likely to be effective in reducing inequalities, studies of PA interventions need to conduct equity impact assessments. The aim of this article is to describe the development of a logic model framework for equity impact assessments of interventions to promote PA. The framework was developed within the prevention research network AEQUIPA-Physical activity and health equity: primary prevention for healthy ageing, informed by an equity-focused systematic review, expert interviews, exploratory literature searches, and joint discussions within the network. The framework comprises a general equity-focused logic model to be adapted to specific interventions. The intervention-specific equity-focused logic models illustrate the key elements relevant for assessing social inequalities in study participation, compliance with and acceptance of interventions, as well as the efficacy of interventions. Future work within AEQUIPA will reveal which key elements are most critical for the interventions' equity impacts. Equity impact assessments are beneficial for prioritizing interventions most likely to be effective in reducing health inequalities.
减少健康和健康决定因素方面的社会不平等，包括身体活动 (PA)，是公共卫生的主要挑战。越来越多地实施促进身体活动的干预措施。然而，对于这些干预措施对社会不平等的影响知之甚少。为了优先考虑最有可能有效减少不平等的干预措施，需要对身体活动干预措施进行公平性影响评估。本文的目的是描述一个用于促进身体活动干预措施公平性影响评估的逻辑模型框架的制定。该框架是在预防研究网络 AEQUIPA-Physical activity and health equity: primary prevention for healthy ageing 内制定的，该网络由一个关注公平性的系统评价、专家访谈、探索性文献搜索以及网络内的联合讨论提供信息。该框架包括一个通用的关注公平性的逻辑模型，可用于特定的干预措施。具体干预措施的关注公平性逻辑模型说明了与评估研究参与、干预措施的依从性和接受性以及干预措施的效果方面的社会不平等相关的关键要素。AEQUIPA 内的未来工作将揭示哪些关键要素对干预措施的公平性影响最为关键。公平性影响评估有助于优先考虑最有可能有效减少健康不平等的干预措施。
