Socioeconomic inequalities and the equity impact of population-level interventions for adolescent health: an overview of systematic reviews

Abstract

Socioeconomic inequalities and the equity impact of population-level interventions for adolescent health: An overview of systematic reviews ABSTRACTObjectives: Despite robust evidence on health inequalities in adulthood, less attention has been paid to inequalities in adolescence. The aim of this overview was to examine systematic review (SR) evidence on the equity impact of population-level interventions intended to improve health, happiness and wellbeing for adolescents.Study Design: An overview (review of systematic reviews).Methods: Eleven electronic databases were systematically searched to identify SRs of population-level interventions for adolescent health. A secondary data analysis of socioeconomic inequality was conducted to identify whether SRs reported on primary studies in terms of disadvantage, by measures of socioeconomic status (SES) and by differential effects.Results: 35,310 review titles were screened; 566 full texts were retrieved and 140 SRs met the predefined selection criteria. Differential intervention effects were considered in 42/140 (30%) SRs, 18/140 (13%) reported primary studies using an SES measure and 16/140 (11%) explicitly reported differential effects. 15/140 SRs (11%) explicitly focused on socioeconomic inequalities; of these 4/15 reported differential intervention effects in more detail, 7/15 concluded there was insufficient primary evidence to identify the impact of interventions on socioeconomic inequalities and 4/15 planned to examine differential effects by SES, but this was not reported further. Conclusions:Our overview identifies that there is limited SR evidence on the equity impact of population-level interventions for adolescent health. Strengthening the evidence on whether interventions narrow or widen inequalities for adolescents must be a priority for public health research.

Levelling up health: A practical, evidence-based framework for reducing health inequalities

“…We screened titles and abstracts of 1145 studies and included 16 published umbrella reviews [ [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] ]. Nineteen grey literature reports [ [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] ], 12 systematic reviews [ [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , [60] , [61] ], and 3 primary studies [ [62] , [63] , [64] ] were also included (see Fig.…”

“… 11 of 17 studies on contractionary policies (decreased benefit amount or access) worsened mental health; 10 evaluated inequalities which widened in 3, narrowed in 2, and had mixed or no effects in 5. Macintyre (2020) [ 21 ] 15 SRs (1720 studies) Adolescent health Evidence for market regulation impact in SR on youth smoking found 7 (of 38) studies showed positive impact on inequalities, 16 showed neutral effects, 12 negative impact, 4 mixed and 1 unclear. Taxation/increasing the price of cigarettes had the most evidence for positive equity impact.…”

Teneur en nicotine, étiquetage et arômes des liquides à vapoter au Canada en 2020 : un survol du marché de la vente au détail en ligne

“…verse ment régulier de sommes d'argent aux personnes ou aux ménages), car de nou velles données ont fait la preuve de leurs effets positifs sur la santé 52 . Les interven tions fondées sur une approche intersecto rielle qui visent les milieux sociaux, économiques et physiques se sont révé lées efficaces chez les adultes 53 , mais des données supplémentaires sont nécessaires sur les interventions efficaces à l'échelle de la population qui s'attaquent aux iné galités socioéconomiques chez les adolescents 54 .…”

Effectiveness of the Promising Neighbourhoods community program in 0-to 12-year-olds: A difference-in-difference analysis

“…Therefore, investing in the reduction of socioeconomic inequalities in children is of utmost importance ( Marmot & Bell, 2019 ). Although much research has been performed on the magnitude and causes of socioeconomic inequalities, relatively less is available on effective approaches to reduce them ( Macintyre et al, 2020 ; Marmot & Bell, 2019 ).…”