Syndemic Theory and Its Use in Developing Health Interventions and Programming: A Scoping Review.

IF 3.7 2区 医学 Q2 INFECTIOUS DISEASES Current HIV/AIDS Reports Pub Date : 2024-12-01 Epub Date: 2024-08-20 DOI:10.1007/s11904-024-00707-y
Simon M Outram, Kimberly A Koester, Lissa Moran, Wayne T Steward, Emily A Arnold
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Abstract

Purpose of review: The central tenet of syndemics theory is that disease interactions are driven by social factors, and that these factors have to be understood in order to reduce the health burdens of local populations. Without an understanding of the theory and how it is being put into practice, there is a strong possibility of losing the potential for syndemic theory to positively impact change at community and individual level.

Methods: Following an initial database search that produced 921 articles, we developed a multi-stage scoping review process identifying invention studies that employ syndemic theory. Inclusion was defined as the presence of healthcare interventions examining multiple social-biological outcomes, refering to a specific (local) at risk population, developing or attempting to develop interventions impacting upon multiple health and/or social targets, and explicit employment of syndemic theory in developing the intervention.

Results: A total of 45 articles contained a substantial engagement with syndemic theory and an original healthcare intervention. However, only eleven studies out of all 921 articles met the inclusion criteria.

Discussion/conclusion: It is strongly suggested that when employing syndemic theory researchers focus close attention to demonstrating disease interactions, providing evidence of the social drivers of these disease interactions, and constructing interventions grounded in these analytical findings. We conclude that although frequently referred to, syndemic theory is rarely employed in its entirety and recommend that interventions be developed using a more thorough grounding in this important and powerful theory.

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流行病学理论及其在制定卫生干预措施和计划中的应用:范围综述》。
审查目的:综合症理论的核心原则是疾病的相互作用是由社会因素驱动的,必须了解这些因素才能减轻当地人口的健康负担。如果不了解这一理论以及如何将其付诸实践,就很有可能丧失综合症理论对社区和个人层面的变化产生积极影响的潜力:在对数据库中的 921 篇文章进行初步搜索后,我们制定了一个多阶段的范围界定审查流程,以确定是否有采用群体理论的研究。纳入的定义是:医疗保健干预措施检查了多种社会生物结果,涉及特定(本地)高危人群,制定或试图制定对多种健康和/或社会目标产生影响的干预措施,以及在制定干预措施时明确采用了集团理论:结果:共有 45 篇文章对综合症理论和原创性医疗保健干预措施进行了大量研究。然而,在全部 921 篇文章中,只有 11 项研究符合纳入标准:我们强烈建议研究人员在运用综合症理论时,应密切关注疾病的相互作用,提供这些疾病相互作用的社会驱动因素的证据,并在这些分析结果的基础上构建干预措施。我们得出的结论是,尽管综合症理论经常被提及,但却很少被完整地运用,因此我们建议,在制定干预措施时,应更全面地了解这一重要而有力的理论。
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来源期刊
Current HIV/AIDS Reports
Current HIV/AIDS Reports INFECTIOUS DISEASES-
CiteScore
8.10
自引率
2.20%
发文量
45
期刊介绍: This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of HIV/AIDS. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as antiretroviral therapies, behavioral aspects of management, and metabolic complications and comorbidity. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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