印度儿童与健康有关的经历:范围审查

Yi Wen Wang, Justine M. Behan, Sunny Jeong, Ramandeep Singh Arora, Franco Carnevale, A. Tsimicalis
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摘要

背景与目标:医疗保健研究和实践越来越重视儿童的观点,以促进儿童融入、参与和决策与其健康相关的事务。然而,在印度,尽管儿童可能面临各种健康挑战和伦理问题,如贫困、营养不良和性别不平等,但人们对儿童对自身健康的看法却知之甚少。本范围界定综述旨在从 2000 年至 2020 年印度儿童自身的角度探讨他们与健康相关的经历。 研究方法搜索了五个在线数据库。三位独立审稿人对文章进行了筛选。采用主题综合法对纳入的文章进行分析,包括提取数据并对其进行描述性编码,按类似主题对编码进行分类/分组,以及对主题进行比较和对比以生成描述性主题。范围界定综述采用 PRISMA-ScR 核对表进行报告。 结果:共纳入 52 篇文章,确定了五个描述性主题。这些文章的主题通常是重叠的,涉及儿童的健康相关经历(38 篇)、情绪(19 篇)和知识(15 篇);疾病对儿童生活的影响(41 篇);以及儿童表达自己需求的能力(12 篇)。 解释与结论:我们发现有必要对研究设计进行调整,以更好地征求儿童的观点,并为印度的儿童和家庭提供全面的健康教育。此次范围界定综述有助于突出医疗保健政策、实践和研究方面的差距,为更有针对性地调查印度儿童的健康相关经历提供了一个起点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Children’s health-related experiences in India: A scoping review
Background & Objectives: The perspectives of children have becoming increasingly emphasized in healthcare research and practice in order to facilitate children’s inclusion, participation, and decision-making in matters related to their health. In India, however, little is known about children’s views regarding their health despite the various health challenges and ethical concerns they may face, such as poverty, malnutrition, and gender inequalities. The aim of this scoping review is to explore children’s health-related experiences from their own perspectives in India from 2000 to 2020.   Methods: Five online databases were searched. Three independent reviewers screened articles for inclusion. Included texts were analyzed using thematic synthesis, which involved extracting and descriptively coding data, categorizing/grouping codes by similar topics, and comparing and contrasting topics to generate descriptive themes. The scoping review was reported using the PRISMA-ScR checklist.   Results: Fifty-two articles were included, and five descriptive themes were identified. The articles typically overlapped in themes, which related to children’s health-related experiences (n=38), emotions (n=19), and knowledge (n=15); the impact of illness on children’s lives (n=41); and children’s ability to communicate their needs (n=12).   Interpretation & Conclusions: We identified the need to tailor research designs to better elicit children’s perspectives and provide comprehensive health education for children and families in India. This scoping review helped to highlight gaps in healthcare policy, practice, and research, providing a starting point for more focused investigation into children’s health-related experiences in India.
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