Supporting parenting to address social inequalities in health: a synthesis of systematic reviews

Abstract Background In 2009, the World Health Organization’s Commission on Social Determinants of Health set out its recommendations for action, which included establishing equity from early childhood onwards by enabling all children and their mothers to benefit from a comprehensive package of quali...

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Main Authors: Annabelle Pierron, Laurence Fond-Harmant, Anne Laurent, François Alla
Format: Article
Language:English
Published: BMC 2018-08-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-018-5915-6
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author Annabelle Pierron
Laurence Fond-Harmant
Anne Laurent
François Alla
author_facet Annabelle Pierron
Laurence Fond-Harmant
Anne Laurent
François Alla
author_sort Annabelle Pierron
collection DOAJ
description Abstract Background In 2009, the World Health Organization’s Commission on Social Determinants of Health set out its recommendations for action, which included establishing equity from early childhood onwards by enabling all children and their mothers to benefit from a comprehensive package of quality programmes. In order to address social inequalities in health, it is recommended that action be taken from early childhood, and actions providing support for parenting are an effective lever in this respect. The aim of this review of systematic reviews is to analyse, on the one hand, the components and characteristics of effective interventions in parenting support and, on the other, the extent to which the reviews took into account social inequalities in health. Methods A total of 796 reviews were selected from peer-reviewed journals published between 2009 and 2016 in French or English. Of these, 21 reviews responding to the AMSTAR and selected ROBIS criteria were retained. These were analysed in relation to the consideration they gave to social inequalities in health according to PRISMA-equity. Results The reviews confirmed that parenting support programmes improved infants’ sleep, increased mothers’ self-esteem and reduced mothers’ anger, anxiety and stress levels. The mainly authors noted that the contexts in which the interventions had taken place were described either scantly or not at all, making it difficult to evaluate them. Only half of the reviews had addressed the question of social inequalities in health. In particular, there had been little research conducted on the relational aspect and the social link. Conclusion In terms of addressing social inequalities in perinatal health, the approach remains both modest and reductive. Understanding how, for whom and in what conditions interventions operate is one way of optimising their results. Further research is needed to study the interactions between the interventions and their contexts.
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spelling doaj.art-c7f2cfb0961544da96a1fe3f0be92d822022-12-21T19:56:28ZengBMCBMC Public Health1471-24582018-08-0118112710.1186/s12889-018-5915-6Supporting parenting to address social inequalities in health: a synthesis of systematic reviewsAnnabelle Pierron0Laurence Fond-Harmant1Anne Laurent2François Alla3Université de Lorraine, EA4360 APEMACLuxembourg Institute of Health, Department of Population HealthSociété Française de Santé PubliqueCHU INSERM. Bordeaux Population Health Research Center. UMR 1219 CIC-EC 1401, Université de BordeauxAbstract Background In 2009, the World Health Organization’s Commission on Social Determinants of Health set out its recommendations for action, which included establishing equity from early childhood onwards by enabling all children and their mothers to benefit from a comprehensive package of quality programmes. In order to address social inequalities in health, it is recommended that action be taken from early childhood, and actions providing support for parenting are an effective lever in this respect. The aim of this review of systematic reviews is to analyse, on the one hand, the components and characteristics of effective interventions in parenting support and, on the other, the extent to which the reviews took into account social inequalities in health. Methods A total of 796 reviews were selected from peer-reviewed journals published between 2009 and 2016 in French or English. Of these, 21 reviews responding to the AMSTAR and selected ROBIS criteria were retained. These were analysed in relation to the consideration they gave to social inequalities in health according to PRISMA-equity. Results The reviews confirmed that parenting support programmes improved infants’ sleep, increased mothers’ self-esteem and reduced mothers’ anger, anxiety and stress levels. The mainly authors noted that the contexts in which the interventions had taken place were described either scantly or not at all, making it difficult to evaluate them. Only half of the reviews had addressed the question of social inequalities in health. In particular, there had been little research conducted on the relational aspect and the social link. Conclusion In terms of addressing social inequalities in perinatal health, the approach remains both modest and reductive. Understanding how, for whom and in what conditions interventions operate is one way of optimising their results. Further research is needed to study the interactions between the interventions and their contexts.http://link.springer.com/article/10.1186/s12889-018-5915-6Social determinants of healthDisparityPerinatologyParentingHealth promotionHealthcare disparities
spellingShingle Annabelle Pierron
Laurence Fond-Harmant
Anne Laurent
François Alla
Supporting parenting to address social inequalities in health: a synthesis of systematic reviews
BMC Public Health
Social determinants of health
Disparity
Perinatology
Parenting
Health promotion
Healthcare disparities
title Supporting parenting to address social inequalities in health: a synthesis of systematic reviews
title_full Supporting parenting to address social inequalities in health: a synthesis of systematic reviews
title_fullStr Supporting parenting to address social inequalities in health: a synthesis of systematic reviews
title_full_unstemmed Supporting parenting to address social inequalities in health: a synthesis of systematic reviews
title_short Supporting parenting to address social inequalities in health: a synthesis of systematic reviews
title_sort supporting parenting to address social inequalities in health a synthesis of systematic reviews
topic Social determinants of health
Disparity
Perinatology
Parenting
Health promotion
Healthcare disparities
url http://link.springer.com/article/10.1186/s12889-018-5915-6
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