Australian and New Zealand Journal of Public Health最新文献_第7页

Māori and Pacific families’ experiences and perspectives of cardiovascular care; A qualitative study 毛利和太平洋裔家庭对心血管护理的体验和看法；一项定性研究。

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2024-05-11 DOI: 10.1016/j.anzjph.2024.100149

Karen Marie Brewer , Tua Taueetia-Su’a , Sandra Hanchard , Sione Vaka , Shanthi Ameratunga , Taria Tane , Rochelle Newport , Vanessa Selak , Corina Grey , Matire Harwood

Objective

This study aimed to understand the reasons behind evidence-practice gaps and inequities in cardiovascular care for Māori and Pacific people, as evidenced by the experiences and perspectives of patients and their families.

Methods

The research was guided by Māori and Pacific worldviews, incorporating Kaupapa Māori Theory and Pacific conceptual frameworks and research methodologies. Template analysis was used to analyse interview data from 61 Māori and Pacific people who had experienced a cardiovascular disease (CVD) risk assessment, acute coronary syndrome, and/or heart failure.

Results

The range of experiences relating to participants’ heart health journeys are presented in five main themes: Context, Mana (maintaining control and dignity), Condition, People and Journey.

Conclusions

Māori and Pacific people want to take charge of their heart health but face challenges. Participants described important obligations to family, community and tikanga (the culturally correct way of doing things). Participants described times when health care undermined existing responsibilities, their dignity and/or their mana, and they felt excluded from treatment as a result.

Implications for Public Health

Good reciprocal communication, stemming from a high-quality relationship is essential for successful outcomes. A workforce that is representative of the population it serves and is culturally safe lays the foundation for excellence in care.

研究目的本研究旨在了解毛利人和太平洋岛屿族裔在心血管护理方面存在的证据-实践差距和不公平现象背后的原因，患者及其家属的经历和观点可以证明这一点：研究以毛利人和太平洋岛屿族裔的世界观为指导，结合了考帕帕毛利理论（Kaupapa Māori Theory）和太平洋岛屿族裔的概念框架和研究方法。研究采用模板分析法，对61名经历过心血管疾病（CVD）风险评估、急性冠状动脉综合征和/或心力衰竭的毛利人和太平洋裔人的访谈数据进行分析：结果：与参与者的心脏健康历程有关的一系列经历分为五大主题：结论：毛利人和太平洋岛民希望自己的心脏健康之旅能够保持健康：结论：毛利人和太平洋岛屿族裔希望掌控自己的心脏健康，但也面临着挑战。参与者描述了对家庭、社区和tikanga（文化上正确的做事方式）的重要义务。参与者描述了医疗保健损害现有责任、他们的尊严和/或他们的 mana 的情况，他们因此感到被排除在治疗之外：源于高质量关系的良好互惠沟通是取得成功结果的关键。一支能够代表其服务人群并在文化上安全的医疗队伍为卓越的医疗服务奠定了基础。

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引用次数: 0

Counting culturally and linguistically diverse (CALD) children in Australian health research: Does it matter how we count? 在澳大利亚健康研究中计算具有文化和语言多样性 (CALD) 的儿童：如何计算是否重要？

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2024-04-01 DOI: 10.1016/j.anzjph.2024.100129

Razlyn Abdul Rahim , Rhiannon Pilkington , Katina D’Onise , Alicia Montgomerie , John Lynch

Objective

To describe how culturally and linguistically diverse (CALD) children are identified and enumerated in routine data collections and in child health research in Australia.

Methods

Descriptive analysis, where different definitions of CALD were applied to the 2021 Australian Census to measure the size of the CALD population of Australian children aged 0 to 17 years. Narrative review of the Australian child health literature to examine how CALD children were defined.

Results

Applying various definitions to the 2021 Census, the estimated proportion of CALD children aged 0 to 17 ranged from 6.3% to 43%. The most commonly applied CALD indicators were language background other than English and being born overseas.

Conclusions

There is no consensus on how CALD is defined in Australian child health research. Application of different CALD indicators can generate up to seven-fold differences in estimates of who counts as being a CALD child.

Implications for Public Health

If we are to advance health and well-being equity for CALD children, we need a more consistent approach to understanding which children are counted as CALD.

目的描述澳大利亚在常规数据收集和儿童健康研究中如何识别和统计具有文化和语言多样性（CALD）的儿童：描述性分析，在2021年澳大利亚人口普查中采用不同的CALD定义来衡量0至17岁澳大利亚儿童中CALD人口的规模。对澳大利亚儿童健康文献进行叙述性回顾，研究如何定义CALD儿童：将各种定义应用于 2021 年人口普查，0 至 17 岁 CALD 儿童的估计比例从 6.3% 到 43% 不等。最常用的 CALD 指标是英语以外的语言背景和海外出生：结论：在澳大利亚儿童健康研究中，对CALD的定义尚未达成共识。采用不同的 CALD 指标，对 CALD 儿童的估计值可产生高达七倍的差异：如果我们要促进CALD儿童的健康和福利公平，我们需要一种更加一致的方法来了解哪些儿童被算作CALD儿童。

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引用次数: 0

Corrigendum to “Keratinocyte carcinomas, area-level socioeconomic status and geographic remoteness in Tasmania: cross-sectional associations and temporal trends” [Australian and New Zealand Journal of Public Health 47 (2023) 100067] 对 "塔斯马尼亚州角质细胞癌、地区一级社会经济地位和地理偏远程度：横断面关联和时间趋势 "的更正[《澳大利亚和新西兰公共卫生杂志》47 (2023) 100067]

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2024-04-01 DOI: 10.1016/j.anzjph.2024.100144

Bruna S. Ragaini , Leigh Blizzard , Peter Baade , Alison Venn

引用次数: 0

A thematic analysis of alcohol and alcohol-related harm across health and social policy in Aotearoa New Zealand 对新西兰奥特亚罗瓦卫生和社会政策中酒精和酒精相关危害的专题分析

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2024-04-01 DOI: 10.1016/j.anzjph.2024.100143

Tayla Darrah , Sarah Herbert , Timothy Chambers

Objective

This study aims to: 1) explore how alcohol and alcohol harm are framed in New Zealand national policy, strategy, and action plan documents; and 2) examine how these documents align with the WHO SAFER framework.

Methods

Keyword searches across government websites and Google were conducted in January 2021. Inclusion and exclusion criteria were applied to all identified documents, resulting in 22 being included for analysis in this study. An inductive and deductive thematic analysis of those documents was performed.

Results

Our inductive thematic analysis identified three themes, of which one is detailed in this study: ‘Location of responsibility for addressing alcohol harms’ with a focus on individuals and non-specific government agencies. Thematic results from the deductive analysis found that the most consistently referenced SAFER policies included brief interventions (68% of documents), followed by drink driving measures (45%), alcohol marketing (36%), alcohol availability (27%), and alcohol price (23%). The conversion rate from a document mentioning a SAFER framework policy area to making specific policy recommendations was usually less than or around 50%.

Conclusions

The lack of alignment between New Zealand alcohol policy and the SAFER framework can be partially attributable to the absence of an updated national alcohol strategy (NAS). An updated NAS should identify responsible agencies, create a systematic monitoring and evaluation mechanism, and be consistent with the WHO SAFER framework.

Implications for public health

The analysis supports the need to update a national alcohol strategy to guide alcohol policy development.

本研究旨在1）探讨新西兰国家政策、战略和行动计划文件中如何阐述酒精和酒精危害；以及 2）研究这些文件如何与世界卫生组织的 SAFER 框架保持一致。方法于 2021 年 1 月在政府网站和谷歌上进行关键词搜索。对所有确定的文件采用了纳入和排除标准，最终有 22 份文件被纳入本研究进行分析。对这些文件进行了归纳和演绎主题分析。结果我们的归纳主题分析确定了三个主题，其中一个在本研究中进行了详细阐述：解决酒精危害的责任定位"，重点关注个人和非特定政府机构。演绎式主题分析的结果发现，最常被提及的 SAFER 政策包括简短干预（68% 的文件），其次是酒驾措施（45%）、酒精营销（36%）、酒精供应（27%）和酒精价格（23%）。从文件提及 SAFER 框架政策领域到提出具体政策建议的转换率通常低于或接近 50%。结论新西兰酒精政策与 SAFER 框架不一致的部分原因可能是缺乏更新的国家酒精战略（NAS）。更新后的国家酒精战略应确定负责机构，建立系统的监测和评估机制，并与世界卫生组织的 SAFER 框架保持一致。

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引用次数: 0

Creating an interactive map visualising the geographic variations of the burden of diabetes to inform policymaking: An example from a cohort study in Tasmania, Australia 创建可视化糖尿病负担地域差异的互动地图，为决策提供信息：以澳大利亚塔斯马尼亚州的一项队列研究为例。

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2024-04-01 DOI: 10.1016/j.anzjph.2023.100109

Ngan T.T. Dinh , Barbara de Graaff , Julie A. Campbell , Matthew D. Jose , John Burgess , Timothy Saunder , Alex Kitsos , Caroline Wells , Andrew J. Palmer

Objectives

To visualise the geographic variations of diabetes burden and identify areas where targeted interventions are needed.

Methods

Using diagnostic criteria supported by hospital codes, 51,324 people with diabetes were identified from a population-based dataset during 2004–2017 in Tasmania, Australia. An interactive map visualising geographic distribution of diabetes prevalence, mortality rates, and healthcare costs in people with diabetes was generated. The cluster and outlier analysis was performed based on statistical area level 2 (SA2) to identify areas with high (hot spot) and low (cold spot) diabetes burden.

Results

There were geographic variations in diabetes burden across Tasmania, with highest age-adjusted prevalence (6.1%), excess cost ($2627), and annual costs per person ($5982) in the West and Northwest. Among 98 SA2 areas, 16 hot spots and 25 cold spots for annual costs, and 10 hot spots and 10 cold spots for diabetes prevalence were identified (p<0.05). 15/16 (94%) and 6/10 (60%) hot spots identified were in the West and Northwest.

Conclusions

We have developed a method to graphically display important diabetes outcomes for different geographical areas.

Implications for Public Health

The method presented in our study could be applied to any other diseases, regions, and countries where appropriate data are available to identify areas where interventions are needed to improve diabetes outcomes.

目的直观了解糖尿病负担的地域差异，确定需要采取针对性干预措施的地区：方法：使用由医院代码支持的诊断标准，从澳大利亚塔斯马尼亚州 2004-2017 年间的人口数据集中识别出 51,324 名糖尿病患者。生成了一张交互式地图，直观显示糖尿病患病率、死亡率和医疗成本的地理分布。根据统计区域级别2（SA2）进行聚类和离群值分析，以确定糖尿病负担较高（热点）和较低（冷点）的地区：整个塔斯马尼亚州的糖尿病负担存在地域差异，西部和西北部的年龄调整后患病率（6.1%）、超额成本（2627 美元）和每人每年成本（5982 美元）最高。在 98 个 SA2 地区中，确定了 16 个年度成本热点和 25 个冷点，以及 10 个糖尿病患病率热点和 10 个冷点（pConclusions：我们开发了一种方法，以图形显示不同地理区域的重要糖尿病结果：对公共卫生的影响：我们研究中提出的方法可应用于任何其他疾病、地区和国家，只要有适当的数据，就能确定需要采取干预措施以改善糖尿病结果的地区。

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引用次数: 0

Keratinocyte carcinomas, area-level socioeconomic status and geographic remoteness in Tasmania: cross-sectional associations and temporal trends 塔斯马尼亚的角质细胞癌、地区社会经济地位和地理偏远程度：横截面关联和时间趋势

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2024-04-01 DOI: 10.1016/j.anzjph.2024.100145

Bruna S. Ragaini , Leigh Blizzard , Peter Baade , Alison Venn

Objective

This article aims to examine cross-sectional associations and assess temporal trends in keratinocyte carcinoma (KC) incidence by area-level socioeconomic status (SES) and geographic remoteness in Tasmania, Australia.

Methods

KCs – basal cell carcinoma (BCC) and cutaneous squamous cell carcinoma (SCC) – registered by the Tasmanian Cancer Registry were assigned to area-level SES and remoteness area. Incidence rate ratios (2014–2018) were estimated using Poisson regression. Average annual percentage changes (2001–2018) were estimated using the Joinpoint Regression Program.

Results

BCC incidence increased with increasing area-level advantage (p-value for trend <0.001), but no trend was found for SCC. SCC incidence was higher in rural than urban areas (p-value <0.001), and BCC incidence was slightly higher in rural than urban areas for females (p-value = 0.009), but not for males (p-value = 0.373). BCC and SCC incidence increased between 2001 and the mid-2010s, when it peaked across most areas.

Conclusions

Associations were found between BCC and higher area-level SES, and between SCC and geographic remoteness. The findings suggest differences in sun exposure behaviours, skin cancer awareness and access to services, or ascertainment bias.

Implications for public health

Efforts to control and deliver KC services in Tasmania should consider targeting populations with specific area-level characteristics.

方法将塔斯马尼亚癌症登记处登记的角质细胞癌（KC）--基底细胞癌（BCC）和皮肤鳞状细胞癌（SCC）--分配到地区级社会经济地位（SES）和偏远地区。使用泊松回归法估算了发病率比率（2014-2018 年）。结果BCC发病率随着地区优势的增加而增加（趋势的P值为0.001），但SCC没有发现趋势。农村地区的 SCC 发病率高于城市地区（p 值为 0.001），农村地区女性 BCC 发病率略高于城市地区（p 值为 0.009），但男性 BCC 发病率不高于城市地区（p 值为 0.373）。2001年至2010年代中期，BCC和SCC发病率有所上升，大多数地区的发病率在这一时期达到高峰。这些研究结果表明，在日晒行为、皮肤癌意识和获得服务的机会方面存在差异，或者存在确定偏差。对公共卫生的启示在塔斯马尼亚控制和提供 KC 服务的工作应考虑针对具有特定地区特征的人群。

{"title":"Keratinocyte carcinomas, area-level socioeconomic status and geographic remoteness in Tasmania: cross-sectional associations and temporal trends","authors":"Bruna S. Ragaini , Leigh Blizzard , Peter Baade , Alison Venn","doi":"10.1016/j.anzjph.2024.100145","DOIUrl":"https://doi.org/10.1016/j.anzjph.2024.100145","url":null,"abstract":"<div><h3>Objective</h3><p>This article aims to examine cross-sectional associations and assess temporal trends in keratinocyte carcinoma (KC) incidence by area-level socioeconomic status (SES) and geographic remoteness in Tasmania, Australia.</p></div><div><h3>Methods</h3><p>KCs – basal cell carcinoma (BCC) and cutaneous squamous cell carcinoma (SCC) – registered by the Tasmanian Cancer Registry were assigned to area-level SES and remoteness area. Incidence rate ratios (2014–2018) were estimated using Poisson regression. Average annual percentage changes (2001–2018) were estimated using the Joinpoint Regression Program.</p></div><div><h3>Results</h3><p>BCC incidence increased with increasing area-level advantage (<em>p</em>-value for trend <0.001), but no trend was found for SCC. SCC incidence was higher in rural than urban areas (<em>p</em>-value <0.001), and BCC incidence was slightly higher in rural than urban areas for females (<em>p</em>-value = 0.009), but not for males (<em>p</em>-value = 0.373). BCC and SCC incidence increased between 2001 and the mid-2010s, when it peaked across most areas.</p></div><div><h3>Conclusions</h3><p>Associations were found between BCC and higher area-level SES, and between SCC and geographic remoteness. The findings suggest differences in sun exposure behaviours, skin cancer awareness and access to services, or ascertainment bias.</p></div><div><h3>Implications for public health</h3><p>Efforts to control and deliver KC services in Tasmania should consider targeting populations with specific area-level characteristics.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 2","pages":"Article 100145"},"PeriodicalIF":3.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020024000207/pdfft?md5=93f226800d1f1000e06a10224023a51f&pid=1-s2.0-S1326020024000207-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140341558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Utilising the CREATE quality appraisal tool to analyse Aboriginal and Torres Strait Islander peoples’ involvement and reporting of cancer research in Australia 利用 CREATE 质量评估工具分析澳大利亚土著居民和托雷斯海峡岛民参与和报告癌症研究的情况

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2024-04-01 DOI: 10.1016/j.anzjph.2024.100142

Mandy Henningham , John Gilroy , Joanna McGlone , Drew Meehan , Farhana Nila , Amanda McAtamney , Tanya Buchanan

Objective

We aimed to evaluate Aboriginal and Torres Strait Islander involvement in research focusing on cancer experiences using an Aboriginal and Torres Strait Islander quality appraisal tool (the QAT).

Methods

We conducted a systematic review of the peer-reviewed literature on Aboriginal and Torres Strait Islander peoples’ experiences associated with cancer, recently published elsewhere. We then appraised articles for the inclusion of Aboriginal and Torres Strait Islander-led research, community consultation, and involvement.

Results

91 articles were appraised. A lack of Aboriginal and Torres Strait Islander-led research and consultation was reported in the majority of articles, only 10 (11%) demonstrated success across seven (50%) or more questions of the QAT.

Conclusions

This review underscores the need for anti-racist research and publication practices that actively engage Aboriginal and Torres Strait Islander peoples and researchers. This approach is vital to enhance cancer outcomes within these communities.

Implications for public health

To advance and prioritise appropriate involvement of Aboriginal and Torres Strait Islander peoples in cancer research, the onus must be on ‘systems owners,’ including academic journals and institutions, to require and report genuine engagement as standard practice. Researchers will produce higher-calibre research with a strengths-based focus, advancing the cause of equitable research.

目标我们旨在使用土著居民和托雷斯海峡岛民质量评估工具（QAT）评估土著居民和托雷斯海峡岛民参与癌症相关经验研究的情况。方法我们对最近在其他地方发表的有关土著居民和托雷斯海峡岛民癌症相关经验的同行评审文献进行了系统性回顾。然后，我们对文章中是否包含土著居民和托雷斯海峡岛民主导的研究、社区咨询和参与进行了评估。大多数文章都缺乏土著居民和托雷斯海峡岛民主导的研究和咨询，只有 10 篇文章（11%）在 QAT 的七个（50%）或更多问题上取得了成功。为推动并优先考虑土著居民和托雷斯海峡岛民适当参与癌症研究，包括学术期刊和机构在内的 "系统所有者 "必须承担责任，要求并报告真正的参与，并将其作为标准做法。研究人员将以优势为重点，开展更高质量的研究，推动公平研究事业的发展。

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引用次数: 0

A mixed-methods evaluation: COVID Care in the Home, a public health response to the first omicron wave across the Torres and Cape region, Queensland 混合方法评估：COVID 家庭护理，昆士兰州托雷斯和开普地区针对第一波奥米克浪潮的公共卫生对策

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2024-04-01 DOI: 10.1016/j.anzjph.2024.100147

Leanne Hawthorn , Rittia Matysek , Johanna Neville , Ivana Gibson , Caroline Taunton , Rae Thomas , Sarah Galloway , Alexandra Hodal , Allison Hempenstall

Objective

The purpose of this article is to evaluate the COVID-19 Care in the Home (CCITH) program during the first COVID-19 omicron wave across Torres Strait and Cape York region of Far North Queensland in 2022.

Methods

A mixed-method study: An online survey and semi-structured interviews of CCITH internal and external stakeholders and participants was utilised to develop a greater understanding of perspectives of the program.

Results

Survey participants n=140. Most survey respondents did not attend hospital, emergency, or primary healthcare centre during isolation for medical assistance (82%, 115/140) and most strongly agreed/agreed (87%, 122/140) that the CCITH program cared for their health needs. Interview participants n=14. Thematic analysis of interviews verified survey responses and identified successes of this program including improved community relationships and primary healthcare centres and community members felt supported. Limitations included rapid changes to policies and roles and limited food availability during isolation.

Conclusions

The CCITH program highlights the resilience and self-determination of First Nations communities and primary health staff across the Torres Strait and Cape York throughout the first COVID-19 outbreak in the region.

Implications for Public Health

This virtual model of care could be employed in similar settings to improve service provision in both primary and public health to increase community safety and achieve good health outcomes.

本文旨在评估 2022 年托雷斯海峡和昆士兰远北约克角地区第一次 COVID-19 omicron 浪潮期间的 COVID-19 居家护理（CCITH）项目：采用在线调查和半结构式访谈的方式，对CCITH内部和外部利益相关者及参与者进行调查，以进一步了解他们对该计划的看法。大多数调查对象在隔离期间没有去医院、急诊室或初级医疗中心寻求医疗援助（82%，115/140），大多数调查对象非常同意/同意（87%，122/140）CCITH项目能满足他们的健康需求。访谈参与者 n=14。对访谈进行的专题分析验证了调查反馈，并确定了该项目取得的成功，包括改善了社区与初级医疗保健中心的关系，社区成员感受到了支持。结论在托雷斯海峡和约克角地区首次爆发 COVID-19 疫情期间，CCITH 项目凸显了原住民社区和初级卫生保健人员的复原力和自决能力。

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引用次数: 0

Zero-alcohol beverages and brand extensions: A vehicle for promoting parent alcohol brands? 零酒精饮料和品牌延伸：推广母酒品牌的工具？

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2024-03-18 DOI: 10.1016/j.anzjph.2024.100141

Ashlea Bartram, Nathan J. Harrison, Christina A. Norris, Joanne Christopher, Jacqueline A. Bowden

引用次数: 0

Physical activity interventions among youth living in rural and remote areas: A systematic review 对生活在农村和偏远地区的青少年进行体育锻炼干预：系统回顾

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2024-03-14 DOI: 10.1016/j.anzjph.2024.100137

John Dennehy , Melainie Cameron , Tania Phillips , Tracy Kolbe-Alexander

Objectives

Physical activity (PA) interventions have potential to improve health and social outcomes among youth. The aim of this study was to collate the evidence on the effectiveness of PA and sports-based interventions among youth living in rural and remote areas.

Methods

We searched five databases and grey literature (HealthInfoNet). Search terms included PA, rural status, adolescents, and outcome measures. Studies were included if published in English, recruited 10- to 18-year olds, and were based in rural or remote communities (Modified Monash Model [MMM] area classification range of MMM 3–7). Quasi-experimental and pre-experimental and post-experimental PA interventions were included. Two authors evaluated the articles independently following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines, and relevant data were extracted. International Prospective Register of Systematic Reviews (PROSPERO) (CRD42020199001).

Results

Of the 11802 studies identified, 6 were included in the review. Most studies were excluded for not meeting MMM 3–7 criteria. Four of the included studies had sports-related interventions, and 2 had walking-based interventions. Outcomes included self-efficacy, mental health, and academic performance. One study reported a positive effect of PA on self-efficacy (β = 0.26, p=0.018, odds ratio = 1.43 [95% confidence interval: 1.07–1.92]).

Conclusion

Few community-based PA interventions have been evaluated in rural areas. There is a need for future evaluations in rural areas and include PA as an outcome measure.

Implications for Public Health

The findings highlight the need for measurement of PA outcomes in PA interventions in rural and remote areas. The findings also highlight the need for research to utilise a standardised measure of rurality.

目标体力活动（PA）干预措施具有改善青少年健康和社会成果的潜力。本研究旨在整理有关生活在农村和偏远地区的青少年体育锻炼和基于体育的干预措施有效性的证据。方法我们检索了五个数据库和灰色文献（HealthInfoNet）。搜索关键词包括体育锻炼、农村状况、青少年和结果测量。如果研究是用英语发表的，招募了 10 至 18 岁的青少年，并且是在农村或偏远社区（修正莫纳什模型[MMM]地区分类范围为 MMM 3-7），则会被纳入。准实验、实验前和实验后的 PA 干预措施也包括在内。两位作者按照系统综述和元分析首选报告项目（PRISMA）指南对文章进行了独立评估，并提取了相关数据。结果在确定的 11802 项研究中，有 6 项被纳入综述。大多数研究因不符合 MMM 3-7 标准而被排除。所纳入的研究中有 4 项与体育相关，2 项以步行为基础。研究结果包括自我效能感、心理健康和学习成绩。一项研究报告了体育锻炼对自我效能的积极影响（β = 0.26，p=0.018，几率比 = 1.43 [95% 置信区间：1.07-1.92]）。对公共卫生的意义研究结果突出表明，有必要对农村和偏远地区的 PA 干预措施的 PA 结果进行测量。研究结果还强调，研究需要使用标准化的农村地区衡量标准。

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引用次数: 0