Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, 0130 Oslo, Norway.
Intervention Centre, Oslo University Hospital, 4950 Oslo, Norway.
Int J Environ Res Public Health. 2023 Dec 27;21(1):36. doi: 10.3390/ijerph21010036.
Social inequalities in health, health literacy, and quality of life serve as distinct public health indicators, but it remains unclear how and to what extent they are applied and combined in the literature. Thus, the characteristics of the research have yet to be established, and we aim to identify and describe the characteristics of research that intersects social inequality in health, health literacy, and quality of life. We conducted a scoping review with systematic searches in ten databases. Studies applying any design in any population were eligible if social inequality in health, health literacy, and quality of life were combined. Citations were independently screened using Covidence. The search yielded 4111 citations, with 73 eligible reports. The reviewed research was mostly quantitative and aimed at patient populations in a community setting, with a scarcity of reports specifically defining and assessing social inequality in health, health literacy, and quality of life, and with only 2/73 citations providing a definition for all three. The published research combining social inequality in health, health literacy, and quality of life is heterogeneous regarding research designs, populations, contexts, and geography, where social inequality appears as a contextualizing variable.
社会健康不平等、健康素养和生活质量是不同的公共卫生指标,但目前尚不清楚这些指标在文献中是如何应用和结合的,以及应用和结合的程度如何。因此,研究的特征尚待确定,我们旨在确定和描述交叉研究健康不平等、健康素养和生活质量的特点。我们进行了范围综述,并在十个数据库中进行了系统搜索。如果健康不平等、健康素养和生活质量相结合,则符合任何设计在任何人群中应用的研究都符合条件。引文由 Covidence 独立筛选。检索结果得到 4111 条引文,其中有 73 条符合条件的报告。综述研究主要是定量的,针对社区环境中的患者人群,只有少数报告明确界定和评估健康不平等、健康素养和生活质量,并且只有 73 条引文中的 2 条为所有三个指标提供了定义。结合健康不平等、健康素养和生活质量的已发表研究在研究设计、人群、背景和地理位置方面存在异质性,社会不平等似乎是一个背景变量。