association between social exclusion or inclusion and health in EU and OECD countries: a systematic review.
Background Social exclusion (SE), or the inability to participate fully in society, is considered one of the driving forces of health inequalities. Systematic evidence on this subject is pertinent but scarce. This review aims to systematically summarise peer reviewed studies examining the associatio...
| Publicado en: | European Journal of Public Health Vol. 29; no. 3; pp. 575 - 583 |
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| Autores principales: | , , , , , , , , |
| Formato: | algorithm research systematic review tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Jun2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=136696261&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 136696261 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Jun2019 vid: 29 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 136696261 136696261 136696261 10.1093/eurpub/cky143 136696261 ppf: 575 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: association between social exclusion or inclusion and health in EU and OECD countries: a systematic review. aug: au: Bergen, Addi P L van Wolf, Judith R L M Badou, Mariam Wilde-Schutten, Kimriek de IJzelenberg, Wilhelmina Schreurs, Hanneke Carlier, Bouwine Hoff, Stella J M Hemert, Albert M van affil: Public Health, Municipality of Utrecht, Utrecht, The Netherlands Department of Psychiatry, Leiden University Medical Centre, Leiden, The Netherlands Department of Epidemiology, Health Promotion and Care Innovation, Public Health Service of Amsterdam, Amsterdam, The Netherlands sug: subj: Organisation for Economic Co-Operation and Development Social Alienation In Adulthood Social Inclusion In Adulthood Health Status Disparities In Adulthood Human Systematic Review Meta Analysis Europe Adult Protocols Mental Health Health Status Social Alienation Risk Factors Social Determinants of Health Adult: 19-44 years ab: Background Social exclusion (SE), or the inability to participate fully in society, is considered one of the driving forces of health inequalities. Systematic evidence on this subject is pertinent but scarce. This review aims to systematically summarise peer reviewed studies examining the association between the multidimensional concepts of SE and social inclusion (SI) and health among adults in EU and OECD countries. Methods The protocol was registered on Prospero (CRD42017052718). Three major medical databases were searched to identify studies published before January 2018, supplemented by reference and citation tracking. Articles were included if they investigated SE or SI as a multidimensional concept with at least two out of the four dimensions of SE/SI, i.e. economic, social, political and cultural. A qualitative synthesis was conducted. Results Twenty-two observational studies were included. In the general population, high SE/low SI was associated with adverse mental and general health. For physical health, the evidence was inconclusive. In groups at high risk of SE, support was found for the association between high SE/low SI and adverse mental health but no conclusions could be drawn for physical and general health. Conclusions This review found evidence for the association between high SE/low SI and adverse health outcomes, particularly mental health outcomes. The evidence is mainly based on cross-sectional studies using simple and often ad hoc indicators of SE/SI. The development and use of validated measures of SE/SI and more longitudinal research is needed to further substantiate the evidence base and gain better understanding of the causal pathways. pubtype: Academic Journal doctype: algorithm research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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