关键词: Adolescent health Child health Composite index Evaluation Health index Health status indicators Monitoring Surveillance

Mesh : Adolescent Child Family Health Promotion Humans Infant, Newborn Oral Health

来  源:   DOI:10.1186/s12889-021-12335-x   PDF(Pubmed)

Abstract:
Health indicators are used in different settings to monitor health outcomes. Child and adolescent health is arguably one of the most important areas for the application of indices and indicators in prevention and health promotion. Although single health indicators may be better suited to display the complexity of the health status and its determinants, a selected set of indicators will still offer a complex picture. Therefore, it is argued that a group of indicators combined into an index may offer a pragmatic tool that is easier to use in order to inform stakeholders.
A scoping review was conducted to identify and describe health indices that monitor and evaluate health of children and adolescents and to appraise the quality and value of the identified indices that may guide the further applications of these indices in particular settings. The three bibliographic databases MEDLINE, EMBASE and PsycINFO were searched and a double screening of titles and abstracts as well as double screening of full texts was performed. Indices contained in these studies were analysed in terms of focus and composition and evaluated in terms of quality criteria.
The scoping review identified 36 eligible studies with 18 health indices in six thematic categories. Of the identified indices, seven indices focus on anthropometrical variables, three indices focus on special aspects of newborns and five indices focus on oral health. One index assesses \"healthy lifestyle\" and one \"functional ability\" whereas one index a combination of different aspects. Most indices are calculated by using primary health data.
Alone or in combination with single sets of indicators, indices in six major thematic domains may be used as pragmatic tools for monitoring children\'s and adolescents´ health and the evaluation of interventions in health promotion and prevention settings.
摘要:
在不同的环境中使用健康指标来监测健康结果。儿童和青少年健康可以说是在预防和健康促进中应用指数和指标的最重要领域之一。尽管单个健康指标可能更适合显示健康状况及其决定因素的复杂性,一组选定的指标仍将提供复杂的画面。因此,有人认为,一组指标结合成一个指数可能会提供一种实用的工具,更容易使用,以便告知利益相关者。
进行了范围界定审查,以确定和描述监测和评估儿童和青少年健康的健康指标,并评估已确定指标的质量和价值,这些指标可能指导这些指标在特定环境中的进一步应用。三个书目数据库MEDLINE,搜索EMBASE和PsycINFO,并进行标题和摘要的双重筛选以及全文的双重筛选。这些研究中包含的指标在重点和组成方面进行了分析,并在质量标准方面进行了评估。
范围界定审查确定了36项符合条件的研究,在6个主题类别中有18项健康指数。在确定的指数中,七个指数侧重于人体测量变量,三个指数侧重于新生儿的特殊方面,五个指数侧重于口腔健康。一个指标评估“健康的生活方式”和一个“功能能力”,而一个指标是不同方面的组合。大多数指数是通过使用初级健康数据计算的。
单独或与单套指标组合,六个主要主题领域的指数可用作监测儿童和青少年健康以及评估健康促进和预防环境中干预措施的实用工具。
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