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儿童和青少年健康素养的社会决定因素:范围综述。

Social determinants of health literacy in children and adolescents: a scoping review.

机构信息

Universidade Federal de Pernambuco. Centro de Ciências da Saúde. Programa de Pós-Graduação em Enfermagem. Recife, Pernambuco, Brasil.

Faculdade Santíssima Trindade. Curso de Enfermagem. Nazaré da Mata, Pernambuco, Brasil.

出版信息

Rev Gaucha Enferm. 2024 Nov 25;45:e20240002. doi: 10.1590/1983-1447.2024.20240002.en. eCollection 2024.

DOI:10.1590/1983-1447.2024.20240002.en
Abstract

OBJECTIVE

To map scientific evidence on social determinants related to health literacy in children and adolescents.

METHOD

Scoping review conducted from April to June 2023, following the Joanna Briggs Institute guidelines and the PRISMA-ScR protocol, and registered on the Open Science Framework. The keywords "health literacy," "adolescent," and "social determinants of health," including their orthographic derivatives, were combined in a search strategy used in 12 databases. The identified articles were independently screened, selected, and extracted by two researchers. Data was analyzed and discussed based on Dahlgren and Whitehead's model of social determinants of health.

RESULTS

Twenty-one studies found one or more social determinants related to health literacy, namely: sex, cognitive characteristics, eating habits, family structure and models, school characteristics, school environment, and parents' conditions. Social determinants of health were classified from individual layers to macrodeterminants, according to the model adopted.

CONCLUSION

Multiple social determinants are related to health literacy among children and adolescents, ranging from immediate to broader contexts in their lives, requiring intersectoral educational and health approaches aligned with the Sustainable Development Goals.

摘要

目的

绘制与儿童和青少年健康素养相关的社会决定因素的科学证据图谱。

方法

本研究于 2023 年 4 月至 6 月期间开展,遵循乔安娜·布里格斯研究所指南和 PRISMA-ScR 方案,并在开放科学框架上进行了注册。使用 12 个数据库中的搜索策略,将“健康素养”、“青少年”和“健康的社会决定因素”这三个关键词及其拼写变体进行了组合。由两名研究人员独立筛选、选择和提取确定的文章。根据达尔格伦和怀特海德的健康社会决定因素模型对数据进行分析和讨论。

结果

21 项研究发现了一个或多个与健康素养相关的社会决定因素,包括:性别、认知特征、饮食习惯、家庭结构和模式、学校特征、学校环境以及父母的状况。根据采用的模型,健康社会决定因素从个体层面到宏观层面进行了分类。

结论

多种社会决定因素与儿童和青少年的健康素养相关,范围从他们生活的直接环境到更广泛的环境,需要与可持续发展目标相一致的跨部门教育和健康方法。

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