social context

社会背景
  • 文章类型: Journal Article
    社会环境(SE),包括社会交往,规范和支持,是影响健康的生活环境中被研究不足的元素。我们旨在全面总结SE与心脏代谢疾病(CMD)危险因素之间关联的证据。
    我们根据PubMed上发表的研究进行了系统评价和荟萃分析,Scopus和WebofScience核心合集从成立到2021年2月16日。使用CMD危险因素的研究,例如,HbA1c或血压,作为结果和社会环境因素,如地区水平的剥夺或社会网络规模作为独立变量。标题和摘要一式两份进行筛选。使用纽卡斯尔-渥太华量表评估研究质量。数据评估和提取基于PROSPERO上发表的研究方案。通过投票计数和荟萃分析综合数据。
    从筛选的7521条记录中,168项研究报告1050项关联被纳入本综述。基于24个关联的四个荟萃分析表明,不利的社会环境与心脏代谢危险因素的风险增加有关。其中三个具有统计学意义。例如,经历更多经济和社会劣势的个体具有更高的“CVD风险评分”(OR=1.54,95CI:1.35~1.84).在计票中包括的458个协会中,323(71%)指出不利的社会环境与较高的CMD风险相关。
    较高的经济和社会劣势似乎有助于不利的CMD风险因素概况,而社会环境其他方面的证据是有限的。
    UNASSIGNED: The social environment (SE), including social contacts, norms and support, is an understudied element of the living environment which impacts health. We aim to comprehensively summarize the evidence on the association between the SE and risk factors of cardiometabolic disease (CMD).
    UNASSIGNED: We performed a systematic review and meta-analysis based on studies published in PubMed, Scopus and Web of Science Core Collection from inception to 16 February 2021. Studies that used a risk factor of CMD, e.g., HbA1c or blood pressure, as outcome and social environmental factors such as area-level deprivation or social network size as independent variables were included. Titles and abstracts were screened in duplicate. Study quality was assessed using the Newcastle-Ottawa Scale. Data appraisal and extraction were based on the study protocol published in PROSPERO. Data were synthesized through vote counting and meta-analyses.
    UNASSIGNED: From the 7521 records screened, 168 studies reported 1050 associations were included in this review. Four meta-analyses based on 24 associations suggested that an unfavorable social environment was associated with increased risk of cardiometabolic risk factors, with three of them being statistically significant. For example, individuals that experienced more economic and social disadvantage had a higher \"CVD risk scores\" (OR = 1.54, 95%CI: 1.35 to 1.84). Of the 458 associations included in the vote counting, 323 (71%) pointed towards unfavorable social environments being associated with higher CMD risk.
    UNASSIGNED: Higher economic and social disadvantage seem to contribute to unfavorable CMD risk factor profiles, while evidence for other dimensions of the social environment is limited.
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  • 文章类型: Journal Article
    背景:社交互动对幸福很重要,因此,研究人员越来越试图捕捉人们的社会环境。许多不同的学科开发了测量社会环境的工具,随着时间的推移可能会有很大的变化。经验抽样方法(ESM)通常在心理学中用于研究人和社会环境中的动态。此外,被动感测通常用于通过来自智能手机或其他可穿戴设备的传感器捕获社交行为。此外,社会学家使用自我中心网络来追踪社会关系的变化。这些方法中的每一种都可能会进入人们社会环境中不同但重要的部分。到目前为止,这些方法的开发和实施大多是相互独立的。
    目的:我们的目的是综合有关目前如何使用这些方法来捕捉与福祉有关的不断变化的社会环境的文献,并评估如何最好地结合这些方法来研究福祉。
    方法:我们根据PRISMA(系统评价和荟萃分析的首选报告项目)指南进行了范围审查。
    结果:我们纳入了275项研究。总的来说,从我们的审查中得出3点重要结论。首先,每种方法都以不同的时间分辨率捕获社会环境的不同但重要的部分。第二,措施很少得到验证(>70%的ESM研究和50%的无源传感研究未得到验证),这破坏了得出的结论的稳健性。第三,目前缺乏多种方法的组合(只有15/275,5.5%的研究将ESM和被动传感相结合,并且没有研究将所有三种方法结合在一起),但对于理解幸福感至关重要。
    结论:我们强调,使用验证不力的措施的做法阻碍了在理解不断变化的社会环境与福祉之间关系方面的进展。我们得出的结论是,应该更频繁地组合不同的方法,以减轻参与者的负担,并形成对社会环境的整体观点。
    BACKGROUND: Social interactions are important for well-being, and therefore, researchers are increasingly attempting to capture people\'s social environment. Many different disciplines have developed tools to measure the social environment, which can be highly variable over time. The experience sampling method (ESM) is often used in psychology to study the dynamics within a person and the social environment. In addition, passive sensing is often used to capture social behavior via sensors from smartphones or other wearable devices. Furthermore, sociologists use egocentric networks to track how social relationships are changing. Each of these methods is likely to tap into different but important parts of people\'s social environment. Thus far, the development and implementation of these methods have occurred mostly separately from each other.
    OBJECTIVE: Our aim was to synthesize the literature on how these methods are currently used to capture the changing social environment in relation to well-being and assess how to best combine these methods to study well-being.
    METHODS: We conducted a scoping review according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines.
    RESULTS: We included 275 studies. In total, 3 important points follow from our review. First, each method captures a different but important part of the social environment at a different temporal resolution. Second, measures are rarely validated (>70% of ESM studies and 50% of passive sensing studies were not validated), which undermines the robustness of the conclusions drawn. Third, a combination of methods is currently lacking (only 15/275, 5.5% of the studies combined ESM and passive sensing, and no studies combined all 3 methods) but is essential in understanding well-being.
    CONCLUSIONS: We highlight that the practice of using poorly validated measures hampers progress in understanding the relationship between the changing social environment and well-being. We conclude that different methods should be combined more often to reduce the participants\' burden and form a holistic perspective on the social environment.
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  • 文章类型: Journal Article
    先前的研究表明,将健康素养视为一组“分布式能力”是有用的,可以发现分散在个人的社交网络中,而不是唯一的个人属性。然而,到目前为止,还没有重点探索如何定义分布式健康素养,在同行评审的文献中概念化或评估。
    本系统综述旨在探索:(1)可从同行评审文献中获得的分布式健康素养的定义和概念模型;(2)如何在实证研究中测量分布式健康素养。
    我们搜索了MEDLINE,Embase,CINAHL,PsycInfo,Scopus,ERIC和WebofScience使用关键字\'literation\'和\'distributed\'的截断版本(在五个单词\'距离内)。我们整理了分布式健康素养的定义和概念模型,并报告如何在实证研究中衡量健康素养。使用主题综合法综合了与所包含手稿中的分布式健康素养有关的发现。
    在筛选的642项研究中,本系统综述中包括10个。大多数是五个国家中的一个报告定性研究的经验手稿,有两个评论,一个概念分析和一个定量研究。爱德华兹对分布式健康素养的定义,强调健康素养能力,有助于个人健康素养水平的其他人的技能和实践在各种临床和地理环境中被广泛应用。然而,我们没有发现任何直接测量分布式健康素养的定量工具.用于定性探索概念的问题存在显著差异,以及关于(a)什么构成分布式健康素养和什么不构成分布式健康素养(例如,一般社会支持),和(B)分布式健康素养与其他结构之间的关系(例如,公共卫生素养)。
    尽管分布式健康素养的定义得到了广泛的应用,我们的审查表明,研究空间将受益于概念的发展,从理论上讲,例如通过分布式健康素养和其他类型的社会支持之间的概念区分,并根据经验,例如通过开发定量测量工具。
    本文为系统综述,未涉及患者或公众。
    Previous research suggests that it would be useful to view health literacy as a set of \'distributed competencies\', which can be found dispersed through the individual\'s social network, rather than an exclusively individual attribute. However, to date there is no focused exploration of how distributed health literacy has been defined, conceptualized or assessed in the peer-reviewed literature.
    This systematic review aimed to explore: (1) definitions and conceptual models of distributed health literacy that are available from the peer-reviewed literature; and (2) how distributed health literacy has been measured in empirical research.
    We searched MEDLINE, Embase, CINAHL, PsycInfo, Scopus, ERIC and Web of Science using truncated versions of the keywords \'literacy\' and \'distributed\' (within five words\' distance). We collated the definitions and conceptual models of distributed health literacy, and report on how health literacy has been measured in empirical research studies. Findings related to distributed health literacy from included manuscripts were synthesized using thematic synthesis.
    Of the 642 studies screened, 10 were included in this systematic review. The majority were empirical manuscripts reporting on qualitative research in one of five countries, with two reviews, one conceptual analysis and one quantitative study. Edwards\' definition of distributed health literacy, which emphasizes the health literacy abilities, skills and practices of others that contribute to an individual\'s level of health literacy was widely applied in a variety of clinical and geographical settings. However, we did not identify any quantitative instruments which directly measured distributed health literacy. There was significant variability in questions used to explore the concept qualitatively, and discrepancies across studies in regard to (a) what constitutes distributed health literacy and what does not (e.g., general social support), and (b) the relationship between distributed health literacy and other constructs (e.g., public health literacy).
    Although there is a widely applied definition of distributed health literacy, our review revealed that the research space would benefit from the development of the concept, both theoretically for example via conceptual distinctions between distributed health literacy and other types of social support, and empirically for example through the development of a quantitative measurement instrument.
    This paper is a systematic review and did not involve patients or the public.
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  • 文章类型: Journal Article
    社会环境是健康和差距的决定因素。本范围审查详细介绍了如何在认知衰老和痴呆症的观察性研究中实施社会环境。
    在PubMed和WebofScience中进行的系统搜索确定了有关社会环境暴露和晚年认知/痴呆结果的研究。数据被提取在(1)研究设计;(2)人口;(3)社会环境;(4)认知结果;(5)分析方法;和(6)理论因果途径。研究是在人际关系中使用三层社会生态模型组织的,社区,或政策层面。
    在7802篇非重复文章中,123项研究符合纳入标准。84项研究是纵向的(范围1-28年),16项研究了随时间变化的社会环境。当按社会生态水平分类时,91项研究检查了人际关系水平;37项检查了社区/邻里水平;3项检查了政策水平的社会环境;7项研究检查了一个以上的水平。
    大多数关于社会环境和认知老化和痴呆的研究检查了在单个时间点测量的人际因素。很少评估时变的社会环境因素或考虑多个社会生态水平。未来的研究可以通过描述如果,when,以及社会环境如何影响晚年认知衰老和痴呆症的结果。
    Social environments are a contributing determinant of health and disparities. This scoping review details how social environments have been operationalized in observational studies of cognitive aging and dementia.
    A systematic search in PubMed and Web of Science identified studies of social environment exposures and late-life cognition/dementia outcomes. Data were extracted on (1) study design; (2) population; (3) social environment(s); (4) cognitive outcome(s); (5) analytic approach; and (6) theorized causal pathways. Studies were organized using a 3-tiered social ecological model at interpersonal, community, or policy levels.
    Of 7802 non-duplicated articles, 123 studies met inclusion criteria. Eighty-four studies were longitudinal (range 1-28 years) and 16 examined time-varying social environments. When sorted into social ecological levels, 91 studies examined the interpersonal level; 37 examined the community/neighborhood level; 3 examined policy level social environments; and 7 studies examined more than one level.
    Most studies of social environments and cognitive aging and dementia examined interpersonal factors measured at a single point in time. Few assessed time-varying social environmental factors or considered multiple social ecological levels. Future studies can help clarify opportunities for intervention by delineating if, when, and how social environments shape late-life cognitive aging and dementia outcomes.
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  • 文章类型: Journal Article
    This rapid review was conducted to determine the scientific evidence available on how women experience induced abortion and how they cope with the subjective experience thereof. The aim of this review was to systematically explore and synthesise scientific evidence on how women experience and cope with induced abortion. The guidelines of the National Institute for Health and Clinical Excellence were used as a framework to review current international and national literature. The researchers made use of Ebsco Discovery Service to search for relevant studies. This was done by employing key concepts and related synonyms. Eleven relevant studies were identified. As the study was exploratory in nature, covering a relatively small selection of studies, heterogeneous in methodology and cultural focus, only a few general trends were highlighted. Not much information was found for women in the South African context. The study found that socio-economic disadvantages and premorbid relationships are important factors that should be better researched, understood and managed in a South African context. Despite many studies on how women experience and cope with induced abortion, the review revealed the need for research related to specific challenges and experiences of South African women.
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  • 文章类型: Journal Article
    A new model of radicalisation has appeared in Western countries since the 2010s. Radical groups are smaller, less hierarchical and are mainly composed of young, homegrown individuals. The aim of this review is to decipher the profiles of the European adolescents and young adults who have embraced the cause of radical Islamism and to define the role of psychiatry in dealing with this issue.
    We performed a systematic search in several databases from January 2010 to July 2017 and reviewed the relevant studies that included European adolescents and/or young adults and presented empirical data.
    In total, 22 qualitative and quantitative studies were reviewed from various fields and using different methodologies. Psychotic disorders are rare among radicalised youths. However, they show numerous risk factors common with adolescent psychopathologies. We develop a comprehensive three-level model to explain the phenomenon of radicalisation among young Europeans: (1) individual risk factors include psychological vulnerabilities such as early experiences of abandonment, perceived injustice and personal uncertainty; (2) micro-environmental risk factors include family dysfunction and friendships with radicalised individuals; (3) societal risk factors include geopolitical events and societal changes such as Durkheim\'s concept of anomie. Some systemic factors are also implicated as there is a specific encounter between recruiters and the individual. The former use sectarian techniques to isolate and dehumanise the latter and to offer him a new societal model.
    There are many similarities between psychopathological manifestations of adolescence and mechanisms at stake during the radicalisation process. As a consequence, and despite the rarity of psychotic disorders, mental health professionals have a role to play in the treatment and understanding of radical engagement among European youth. Studies with empirical data are limited, and more research should be promoted (in particular in females and in non-Muslim communities) to better understand the phenomenon and to propose recommendations for prevention and treatment.
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  • 文章类型: Journal Article
    Considerable overlap exists between post-occupancy research evaluating building design quality and the concept of \'social value\', popularised by its recent application to issues of the public realm. To outline this potential research agenda, the paper reviews design quality research on buildings in relation to users and their social context where the term \'social context\' refers to building user group dynamics, a combination of organisational cultures, management strategies, and social norms and practices. The review is conducted across five key building types, namely housing, workplaces, healthcare, education, and the retail/service sector. Research commonalities and gaps are identified in order to build a more comprehensive picture of the design quality literature and its handling of users in their social context. The key findings concerning each building type are presented visually. It is concluded that the design quality field comprises a patchwork of relatively isolated studies of various building types, with significant potential for theoretical and empirical development through interdisciplinary collaboration. Users tend to be conceived as anonymous and autonomous individuals with little analysis of user identity or interaction. Further, the contextual impact of user group dynamics on the relationship between building design and building user is rarely addressed in the literature. Producing a more nuanced understanding of users in situ is proposed as an important area for future design quality research.
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  • 文章类型: Journal Article
    While therapeutic patient education is now recognized as essential for optimizing the control of chronic diseases and patient well-being, adherence to treatment and medical recommendations is still a matter of debate. In type 2 diabetes, the nonadherence to therapy, estimated at more than 40%, is perceived as a barrier for improving the prognosis despite recent therapeutic advances. Interventional studies have barely begun to demonstrate the effectiveness of technical and behavioral actions. The aim of this review is to question the concept of adherence in terms of therapeutic education based on quantitative and qualitative data. The research on therapeutic education has shown the effectiveness of structured actions in type 2 diabetes, but adherence is rarely an end point in randomized trials. A positive but inconsistent or moderate effect of education actions on adherence has been shown in heterogeneous studies of varying quality. Program types, outlines, theoretical bases, and curricula to set up for action effectiveness are still being discussed. Qualitative studies, including sociological studies, provide a useful and constructive focus on this perspective. Adherence is a soft and flexible tool available to the patient in his/her singular chronic disease trajectory, and as such, integrates into individual therapeutic strategies, including socio-cultural interactions, beyond the medical explanation of the disease and the patient. Four key elements for the development of structured therapeutic education are discussed: 1) the access to health literacy, 2) the contextualization of education activities, 3) the long-term chronic dimension of self-management, and 4) the organizational aspects of health and care. Rather than focusing the objective on behavioral changes, structured therapeutic education actions should attempt to provide tools and resources aimed at helping individuals to manage their disease in their own context on a long-term basis, by developing health literacy and relational and organizational aspects of the health professionals and system.
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  • 文章类型: Journal Article
    The past decade brought a remarkable increase in the number and quality of biosocial studies of family processes. The current review summarizes recent advances in biosocial family research by providing key exemplars of emerging research paradigms. Research in the past decade has substantiated the claim in the previous Decade Review (Booth, Carver, & Granger, 2000) that bidirectional influences between all levels of analysis are paramount. There is an emerging consensus that integrating factors at multiple biological and social levels is highly informative. Because ignoring biological factors often will underestimate mediating or moderating mechanisms, the review provides recommendations for biosocial family research. We also highlight the need for researchers who understand complex family environments to lend their expertise to biosocial studies.
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