基于网络的健康干预措施对慢性疾病患者自我护理效果的健康公平性:卡塔尔世界杯8强波胆分析系统评价%A Turnbull,Sophie %A Cabral,Christie %A Hay,Alastair %A Lucas,Patricia %+布里斯托尔大学人口健康科学学术初级保健中心，英国布里斯托尔Whatley Road 39号，Canynge Hall, 44 117 3331 0590, sophie.turnbull@bristol.ac.uk %K健康权益%K自我保健%K eHealth %K干预%K糖尿病%K哮喘%K肺病背景:基于网络的自我保健干预措施有可能通过消除获得卫生保健的障碍来减少卫生不平等现象。然而，缺乏证据表明这些干预措施对慢性疾病的平衡作用。目的:本研究探讨了基于网络的行为改变干预对高负担慢性疾病(如哮喘、慢性阻塞性肺疾病、糖尿病和骨关节炎)自我保健的效果在不同社会经济和文化群体中的差异。方法:按照Cochrane综述指南进行系统综述。我们在Ovid医学文献分析与检索系统在线和护理及相关卫生文献数据库累积索引中进行了检索。任何定量设计的研究(发表于2006年1月1日至2019年2月20日之间)，如果它们调查了针对哮喘、慢性阻塞性肺病、糖尿病和骨关节炎的基于网络的自我保健干预措施;在任何高收入国家进行;并报告了不同社会群体在健康、行为或心理社会结果方面的差异。 Study outcomes were investigated for heterogeneity, and the possibility of a meta-analysis was explored. A narrative synthesis was provided together with a novel figure that was developed for this review, displaying heterogeneous outcomes. Results: Overall, 7346 records were screened and 18 studies were included, most of which had a high or critical risk of bias. Important study features and essential data were often not reported. The meta-analysis was not possible due to the heterogeneity of outcomes. There was evidence that intervention effectiveness was modified by participants’ social characteristics. Minority ethnic groups were found to benefit more from interventions than majority ethnic groups. Single studies with variable quality showed that those with higher education, who were employed, and adolescents with divorced parents benefited more from interventions. The evidence for differences by age, gender, and health literacy was conflicting (eg, in some instances, older people benefited more, and in others, younger people benefited more). There was no evidence of differences in income, numeracy, or household size. Conclusions: There was evidence that web-based self-care interventions for chronic conditions can be advantageous for some social groups (ie, minority ethnic groups, adolescents with divorced parents) and disadvantageous for other (ie, low education, unemployed) social groups who have historically experienced health inequity. However, these findings should be treated with caution as most of the evidence came from a small number of low-quality studies. The findings for gender and health literacy were mixed across studies on diabetes, and the findings for age were mixed across studies on asthma, COPD, and diabetes. There was no evidence that income, numeracy, or the number of people living in the household modified intervention effectiveness. We conclude that there appear to be interaction effects, which warrant exploration in future research, and recommend a priori consideration of the predicted interaction effects. Trial Registration: PROSPERO CRD42017056163; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=56163 %M 32459632 %R 10.2196/17849 %U //www.mybigtv.com/2020/6/e17849/ %U https://doi.org/10.2196/17849 %U http://www.ncbi.nlm.nih.gov/pubmed/32459632