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年轻人健康概念化研究:系统评价和定性研究的主题综合方案。

Conceptualisation of health among young people: a protocol for systematic review and thematic synthesis of qualitative studies.

机构信息

School of Medicine, University of St Andrews, North Haugh, St Andrews, KY16 9TF, UK.

MRC/CSO Social and Public Health Sciences Unit, School of Health and Wellbeing, University of Glasgow, Clarice Pears Building, 90 Byres Road, Glasgow, G12 8TB, UK.

出版信息

Syst Rev. 2024 Jul 27;13(1):200. doi: 10.1186/s13643-024-02614-0.

DOI:10.1186/s13643-024-02614-0
PMID:39068481
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11283722/
Abstract

BACKGROUND

Self-reported health is a widely used health indicator in surveys and questionnaires. The measure gained attention when research identified its association with mortality in the 1970s and 1980s. The measure is also associated with morbidity and other health outcomes such as the utilisation of health services. Self-reported health is a particularly useful measure for young people because this age group is generally clinically healthy. However, it is known that many chronic conditions have long latency periods that are initiated early in life. Because of its predictive nature, self-reported health can be used to estimate young people's current and future health. Despite its widespread use, however, self-reported health remains a poorly understood concept. This paper presents the protocol for a systematic review that will identify and synthesise qualitative studies that investigate the factors that are considered by young people when they assess their health, and when they talk about health overall.

METHODS

The population of the review is young people aged 10-24 years, with or without health conditions. We will search the databases of MEDLINE (Ovid®), PsycINFO (APA PsycNet), ProQuest Sociology Collection, and Web of Science Core Collection™. We will also utilise techniques of reference checking and forward citation searching, as this strategy has been shown to result in a higher number of high-quality studies in social science systematic reviews. Google Scholar and Google Search were used during preliminary searches; Google Scholar will be utilised for forward citation searching. We will include studies written in English, German, or Finnish; there will be no lower date limit. One reviewer will screen all citations. A second reviewer will independently screen a sample of 20% of the abstracts. Data will be extracted by one researcher, two other researchers will independently review all data extracted, and quality appraisal will be completed by the first reviewer. We will utilise the Quality Framework for the appraisal of included articles and thematic synthesis of qualitative studies.

DISCUSSION

The results of this systematic review will improve the understanding of the factors that are considered during the self-assessments of health; this will improve the interpretation of the results of quantitative research. Also, an improved understanding of the conceptualisation of health will inform the development of health policies and interventions that support young people's health.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO CRD42022367519.

摘要

背景

自我报告的健康状况是调查和问卷调查中广泛使用的健康指标。这项指标在 20 世纪 70 年代和 80 年代的研究中发现其与死亡率有关后,引起了人们的关注。该指标还与发病率和其他健康结果(如卫生服务的利用)有关。自我报告的健康状况对于年轻人来说是一个特别有用的指标,因为这个年龄段的人通常在临床上是健康的。然而,众所周知,许多慢性疾病都有很长的潜伏期,这些疾病在生命早期就开始了。由于其预测性质,自我报告的健康状况可用于估计年轻人当前和未来的健康状况。然而,尽管自我报告的健康状况被广泛使用,但它仍然是一个理解不深的概念。本文介绍了一项系统评价的方案,该方案将确定并综合调查年轻人在评估自身健康状况以及总体健康状况时所考虑因素的定性研究。

方法

本综述的研究对象为 10-24 岁的年轻人,无论是否患有健康状况。我们将检索 MEDLINE(Ovid®)、PsycINFO(APA PsycNet)、ProQuest 社会学集合和 Web of Science Core Collection™数据库。我们还将利用参考文献检查和正向引文搜索技术,因为这种策略已被证明可以在社会科学系统评价中获得更多高质量的研究。在初步搜索中使用了 Google Scholar 和 Google Search;将在 Google Scholar 中进行正向引文搜索。我们将包括用英语、德语或芬兰语撰写的研究;没有下限日期。一位审查员将筛选所有引用。另一位审查员将独立筛选 20%的摘要样本。数据将由一名研究人员提取,另外两名研究人员将独立审查所有提取的数据,质量评估将由第一名审查员完成。我们将使用质量框架评估纳入文章,并对定性研究进行主题综合分析。

讨论

这项系统评价的结果将提高对自我评估健康状况时所考虑因素的理解,从而提高对定量研究结果的解释。此外,对健康概念化的更好理解将为支持年轻人健康的卫生政策和干预措施的制定提供信息。

系统评价注册

PROSPERO CRD42022367519。