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Socioeconomic and behavioural risk factors for adverse winter health and social outcomes in economically developed countries: a systematic review of quantitative observational studies

机译:经济发达国家不利于冬季健康和社会后果的社会经济和行为风险因素:定量观察研究的系统综述

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摘要

Background Mortality and morbidity rates are often highest during the winter period, particularly in countries with milder climates. A growing body of research has identified potential socioeconomic, housing and behavioural mediators of cold weather-related adverse health and social outcomes, but an inclusive systematic review of this literature has yet to be performed. Methods A systematic review, with narrative synthesis, of observational research published in English between 2001 and 2011, which quantified associations between socioeconomic, housing or behavioural factors and cold weather-related adverse health or social outcomes. Results Thirty-three studies met the inclusion criteria. Average study quality was not high. Most studies failed to control for all relevant confounding factors, or to conduct research over a long enough period to ascertain causality. Low income, housing conditions and composite fuel poverty measures were most consistently associated with cold weather-related adverse health or social outcomes. Conclusions This review identified socioeconomic, housing and behavioural factors associated with a range of cold weather-related adverse health or social outcomes. Only tentative conclusions can be drawn due to the limitations of existing research. More robust studies are needed to address the methodological issues identified and uncover causal associations. A review of qualitative and intervention studies would help to inform policies to reduce the adverse health and social impacts of cold weather.
机译:背景死亡率和发病率通常在冬季最高,特别是在气候温和的国家。越来越多的研究已经确定了与寒冷天气相关的不良健康和社会后果的潜在社会经济,住房和行为媒介,但是对这一文献的系统性综述尚待进行。方法对2001年至2011年间以英语发表的观察性研究进行系统的叙述总结,量化了社会经济,住房或行为因素与寒冷天气相关的不良健康或社会后果之间的关联。结果33项研究符合纳入标准。平均学习质量不高。大多数研究未能控制所有相关的混杂因素,或未能进行足够长的时间来确定因果关系。低收入,住房条件和复合燃料减贫措施最常与寒冷天气相关的不良健康或社会后果相关。结论该评价确定了与一系列与寒冷天气相关的不良健康或社会后果相关的社会经济,住房和行为因素。由于现有研究的局限性,只能得出初步结论。需要进行更强有力的研究来解决所发现的方法问题并发现因果关系。对定性和干预研究的回顾将有助于为减少寒冷的不利健康和社会影响的政策提供信息。

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  • 来源
    《Journal of Epidemiology & Community Health》 |2013年第12期|1061-1067|共7页
  • 作者单位

    Institute of Health and Society, Newcastle University, Baddiley-Clark Building, Richardson Road,Newcastle upon Tyne, NE2 4AX, UK;

    Institute of Health and Society, Newcastle University,Newcastle upon Tyne, UK;

    Institute for Ageing and Health, Newcastle University,Campus for Ageing and Vitality, Newcastle upon Tyne,UK;

    Institute of Health and Society, Newcastle University,Newcastle upon Tyne, UK;

    Institute of Health and Society, Newcastle University,Newcastle upon Tyne, UK,Fuse, UKCRC Centre for Translational Research in Public Health, Newcastle University,Newcastle upon Tyne, UK;

  • 收录信息 美国《科学引文索引》(SCI);美国《化学文摘》(CA);
  • 原文格式 PDF
  • 正文语种 eng
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