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促进中老年人体力活动干预措施的公平性影响:制定合作性公平性再分析策略。

Equity-Specific Effects of Interventions to Promote Physical Activity among Middle-Aged and Older Adults: Development of a Collaborative Equity-Specific Re-Analysis Strategy.

机构信息

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.

出版信息

Int J Environ Res Public Health. 2019 Sep 1;16(17):3195. doi: 10.3390/ijerph16173195.

Abstract

Reducing social inequalities in physical activity (PA) has become a priority for public health. However, evidence concerning the impact of interventions on inequalities in PA is scarce. This study aims to develop and test the application of a strategy for re-analyzing equity-specific effects of existing PA intervention studies in middle-aged and older adults, as part of an international interdisciplinary collaboration. This article aims to describe (1) the establishment and characteristics of the collaboration; and (2) the jointly developed equity-specific re-analysis strategy as a first result of the collaboration. To develop the strategy, a collaboration based on a convenience sample of eight published studies of individual-level PA interventions among the general population of adults aged ≥45 years was initiated (UK, = 3; The Netherlands, = 3; Belgium, = 1; Germany, = 1). Researchers from these studies participated in a workshop and subsequent e-mail correspondence. The developed strategy will be used to investigate social inequalities in intervention adherence, dropout, and efficacy. This will allow for a comprehensive assessment of social inequalities within intervention benefits. The application of the strategy within and beyond the collaboration will help to extend the limited evidence regarding the effects of interventions on social inequalities in PA among middle-aged and older adults.

摘要

减少体力活动(PA)方面的社会不平等已成为公共卫生的重点。然而,关于干预措施对 PA 不平等影响的证据很少。本研究旨在制定和测试一种策略,以重新分析中年和老年人中现有的 PA 干预研究的公平特定效果,作为国际跨学科合作的一部分。本文旨在描述:(1)合作的建立和特点;(2)共同制定的公平特定重新分析策略,作为合作的第一个成果。为了制定该策略,我们以 45 岁及以上成年人的一般人群中进行的八项个体层面 PA 干预的已发表研究为基础,开展了一项基于方便样本的合作(英国,n=3;荷兰,n=3;比利时,n=1;德国,n=1)。来自这些研究的研究人员参加了一个研讨会和随后的电子邮件交流。开发的策略将用于调查干预依从性、脱落和疗效方面的社会不平等。这将允许对干预效益中的社会不平等进行全面评估。该策略在合作内外的应用将有助于扩展关于干预措施对中年和老年人 PA 中社会不平等影响的有限证据。

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