解决土著和托雷斯海峡岛民在慢性疾病计划中的健康的社会和文化决定因素：范围审查。

IF 1.5 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia Pub Date : 2025-09-16 DOI:10.1002/hpja.70100

Petra Mossop, Uday Narayan Yadav, Rosemary Wyber, Julieann Coombes, Kirsty Douglas

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引用次数: 0

摘要

目的：本研究旨在评估、综合和分析证据，以了解针对土著和托雷斯海峡岛民的慢性病方案是否涉及社会和文化健康决定因素，以及正在采用何种战略来实现这些决定因素。方法：在Medline、Scopus、ProQuest和Web of Science中进行系统检索，识别2002年1月1日至2022年12月31日期间与“Aboriginal and Torres Strait Islander people”和“chronic disease”相关的主题标题和关键词组合。采用描述性分析对数据进行综合。结果：本综述确定，以土著和托雷斯海峡岛民为重点的慢性病方案没有充分解决社会和文化决定因素，范围和深度不够。文化决定因素更经常得到处理，尽管明显依赖土著和托雷斯海峡岛民保健工作者/从业人员来满足文化需求。结论：这项研究突出了解决健康的社会和文化决定因素的未满足需求，从而满足土著和托雷斯海峡岛民的整体需求。对公共卫生的影响：对慢性病规划的灵活供资、指导设计和实施的框架以及研究报告标准对于解决社会和文化决定因素至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Addressing Social and Cultural Determinants of Health for Aboriginal and Torres Strait Islander People in Chronic Disease Programs: A Scoping Review

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Addressing Social and Cultural Determinants of Health for Aboriginal and Torres Strait Islander People in Chronic Disease Programs: A Scoping Review

Objective

This research aimed to assess, synthesise and analyse the evidence to understand whether chronic disease programmes for Aboriginal and Torres Strait Islander peoples address social and cultural health determinants and what strategies are being used to achieve them.

Methods

A systematic search was conducted in Medline, Scopus, ProQuest and Web of Science to identify studies between 1 January 2002 and 31 December 2022 using combinations of subject headings and keywords related to ‘Aboriginal and Torres Strait Islander people’ and ‘chronic disease’. Data were synthesised using descriptive analysis.

Results

This review identified that chronic disease programmes focusing on Aboriginal and Torres Strait Islander people did not adequately address social and cultural determinants with adequate scope and depth. Cultural determinants were more frequently addressed, although there was a distinct reliance on Aboriginal and Torres Strait Islander Health Workers/Practitioners to meet cultural needs.

Conclusions

This research highlights an unmet need to address the social and cultural determinants of health, thereby meeting the holistic needs of Aboriginal and Torres Strait Islander people.

Implications for Public Health

Flexible funding for chronic disease programmes, frameworks to guide the design and implementation and reporting standards for research are essential to addressing social and cultural determinants.

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来源期刊

Health Promotion Journal of Australia PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.10

自引率

10.50%

发文量

115

期刊介绍： The purpose of the Health Promotion Journal of Australia is to facilitate communication between researchers, practitioners, and policymakers involved in health promotion activities. Preference for publication is given to practical examples of policies, theories, strategies and programs which utilise educational, organisational, economic and/or environmental approaches to health promotion. The journal also publishes brief reports discussing programs, professional viewpoints, and guidelines for practice or evaluation methodology. The journal features articles, brief reports, editorials, perspectives, "of interest", viewpoints, book reviews and letters.