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*Dagens forskningsoversigt fra Scias Update:*
The effects of social protection policies on health inequalities: Evidence
from systematic reviews.
Scand J Public Health. 2019 Aug;47(6):655-665
Authors: Hillier-Brown F, Thomson K, Mcgowan V, Cairns J, Eikemo TA,
Gil-Gonzále D, Bambra C
Abstract
Background: The welfare state distributes financial resources to its
citizens - protecting them in times of adversity. Variations in how such
social protection policies are administered have been attributed to
important differences in population health. The aim of this systematic
review of reviews is to update and appraise the evidence base of the
effects of social protection policies on health inequalities.
Methods/design: Systematic review methodology was used. Nine databases were
searched from 2007 to 2017 for reviews of social policy interventions in
high-income countries. Quality was assessed using the Assessment of
Multiple Systematic Reviews 2 tool. Results: Six systematic reviews were
included in our review, reporting 50 unique primary studies. Two reviews
explored income maintenance and poverty relief policies and found some, low
quality, evidence that increased unemployment benefit generosity may
improve population mental health. Four reviews explored active
labour-market policies and found some, low-quality evidence, that return to
work initiatives may lead to short-term health improvements, but that in
the longer term, they can lead to declines in mental health. The more
rigorously conducted reviews found no significant health effects of any of
social protection policy under investigation. No reviews of family policies
were located. Conclusions: The systematic review evidence base of the
effects of social protection policy interventions remains sparse, of low
quality, of limited generalizability (as the evidence base is concentrated
in the Anglo-Saxon welfare state type), and relatively inconclusive. There
is a clear need for evaluations in more diverse welfare state settings and
particularly of family policies.
PMID: 31068103
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Dette abstract er hentet via PubMed fra National Library of Medicine, USA
<https://www.ncbi.nlm.nih.gov/home/about/policies>.
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Du kan også finde ovenstående abstract på *Facebook*
<https://evidens.link/2LL7QwK> eller *PubMed* <https://fsv.link/2QopURm>.
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