Disaggregation of Latina/o Child and Adult Health Data: A Systematic Review of Public Health Surveillance Surveys in the United States
POPULATION RESEARCH AND POLICY REVIEW(2021)
摘要
Public health surveillance surveys provide key data from which the U.S. population health estimates are derived. We conducted a systematic review of the contemporary scientific literature on prevalent Latina/o child and adult health outcomes to determine the proportion of peer-reviewed articles derived from national or state U.S. public health surveillance surveys that disaggregated or stratified Latina/o population health estimates by social determinants and, therefore, provided within-Latino group comparisons. We searched biomedical electronic databases (Ovid MEDLINE, EMBASE, PsycINFO, JSTOR, Sociological Abstracts) for observational U.S. studies published between January 2006 and June 2016 and identified 573 full-text articles on Latina/o health. Of those, 175 articles further disaggregated the data along five categories of social determinants: sociodemographics (61.0%), socioeconomic status (18.5%), migration factors (11.7%), place-based factors (8.1%), and individual/interpersonal factors (1.9%). Three-fourths of the articles (77.7%) focused on adults, and the remaining focused on children (22.9%). The number of mean articles published per year was 15.9, with some slight variation over the 10-year period. While equivocal, the seemingly low percentage may stem from limitations in research design and data collection, as well as the lack of clear guidelines or a standardized set of survey items that reflect disaggregation categories most relevant to the Latina/o community. Our results suggest the need for programmatic initiatives to promote and standardize Latina/o health data disaggregation across the lifecourse and across the research process from design, data collection, and analysis, to reporting and publication. PROSPERO2016:CRD42016041879.
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关键词
Population health,Hispanic,Social determinants of health,Health disparities,Lifecourse,United States
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