Department of Sociology, Lakehead University, 955 Oliver Road, Thunder Bay, ON P7B 5E1, Canada.
Indigenous Studies, Lakehead University, 955 Oliver Road, Thunder Bay, ON P7B 5E1, Canada.
Int J Environ Res Public Health. 2020 Jun 13;17(12):4227. doi: 10.3390/ijerph17124227.
Personal identification (PID) is an important, if often overlooked, barrier to accessing the social determinants of health for many marginalized people in society. A scoping review was undertaken to explore the range of research addressing the role of PID in the social determinants of health in North America, barriers to acquiring and maintaining PID, and to identify gaps in the existing research. A systematic search of academic and gray literature was performed, and a thematic analysis of the included studies ( = 31) was conducted. The themes identified were: (1) gaining and retaining identification, (2) access to health and social services, and (3) facilitating identification programs. The findings suggest a paucity of research on PID services and the role of PID in the social determinants of health. We contend that research is urgently required to build a more robust understanding of existing PID service models, particularly in rural contexts, as well as on barriers to accessing and maintaining PID, especially among the most marginalized groups in society.
个人身份识别(PID)是许多社会边缘化人群获取健康社会决定因素时一个重要但往往被忽视的障碍。本研究进行了范围综述,以探讨在北美的社会决定因素健康中 PID 所起作用的研究范围、获取和维持 PID 的障碍,并确定现有研究中的空白。对学术和灰色文献进行了系统检索,并对纳入的研究(=31)进行了主题分析。确定的主题包括:(1)获得和保留身份识别,(2)获得卫生和社会服务,以及(3)促进身份识别计划。研究结果表明,PID 服务以及 PID 在社会决定因素健康中的作用方面的研究非常有限。我们认为,迫切需要开展研究,以更深入地了解现有的 PID 服务模式,特别是在农村环境中,以及了解获取和维持 PID 的障碍,特别是在社会中最边缘化的群体中。