2023-09-28 14:46:10 +00:00
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abstract: 'Background: The welfare state distributes financial resources to its
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citizens - protecting them in times of adversity. Variations in how such
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social protection policies are administered have been attributed to
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important differences in population health. The aim of this systematic
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review of reviews is to update and appraise the evidence base of the
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effects of social protection policies on health inequalities.
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Methods/design: Systematic review methodology was used. Nine databases
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were searched from 2007 to 2017 for reviews of social policy
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interventions in high-income countries. Quality was assessed using the
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Assessment of Multiple Systematic Reviews 2 tool. Results: Six
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systematic reviews were included in our review, reporting 50 unique
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primary studies. Two reviews explored income maintenance and poverty
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relief policies and found some, low quality, evidence that increased
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unemployment benefit generosity may improve population mental health.
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Four reviews explored active labour-market policies and found some,
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low-quality evidence, that return to work initiatives may lead to
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short-term health improvements, but that in the longer term, they can
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lead to declines in mental health. The more rigorously conducted reviews
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found no significant health effects of any of social protection policy
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under investigation. No reviews of family policies were located.
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Conclusions: The systematic review evidence base of the effects of
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social protection policy interventions remains sparse, of low quality,
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of limited generalizability (as the evidence base is concentrated in the
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Anglo-Saxon welfare state type), and relatively inconclusive. There is a
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clear need for evaluations in more diverse welfare state settings and
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particularly of family policies.'
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affiliation: 'Bambra, C (Corresponding Author), Newcastle Univ, Inst Hlth \& Soc,
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Baddiley Clark Bldg, Newcastle Upon Tyne NE1 7RU, Tyne \& Wear, England.
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Hillier-Brown, Frances, Univ Durham, Dept Sport \& Exercise Sci, Durham, England.
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Hillier-Brown, Frances; Thomson, Katie; Mcgowan, Victoria; Cairns, Joanne; Bambra,
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Clare, Fuse UKCRC Ctr Translat Res Publ Hlth, Newcastle Upon Tyne, Tyne \& Wear,
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England.
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Thomson, Katie; Mcgowan, Victoria; Cairns, Joanne; Bambra, Clare, Newcastle Univ,
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Inst Hlth \& Soc, Baddiley Clark Bldg, Newcastle Upon Tyne NE1 7RU, Tyne \& Wear,
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England.
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Cairns, Joanne, Canterbury Christ Church Univ, Sch Publ Hlth Midwifery \& Social
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Work, Canterbury, Kent, England.
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Eikemo, Terje A.; Bambra, Clare, Norwegian Univ Sci \& Technol NTNU, Ctr Global
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Hlth Inequal Res CHAIN, Trondheim, Norway.
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Gil-Gonzale, Diana, Univ Alicante, Dept Community Nursing Prevent Med \& Publ Hlth
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\&, Alicante, Spain.'
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author: Hillier-Brown, Frances and Thomson, Katie and Mcgowan, Victoria and Cairns,
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Joanne and Eikemo, Terje A. and Gil-Gonzale, Diana and Bambra, Clare
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author-email: clare.bambra@newcastle.ac.uk
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author_list:
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- family: Hillier-Brown
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given: Frances
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- family: Thomson
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given: Katie
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- family: Mcgowan
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given: Victoria
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- family: Cairns
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given: Joanne
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- family: Eikemo
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given: Terje A.
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- family: Gil-Gonzale
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given: Diana
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- family: Bambra
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given: Clare
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da: '2023-09-28'
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doi: 10.1177/1403494819848276
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eissn: 1651-1905
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files: []
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issn: 1403-4948
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journal: SCANDINAVIAN JOURNAL OF PUBLIC HEALTH
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keywords: Social policy; gender; labour market; health equity; review; evidence
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keywords-plus: WELFARE-STATE REGIMES; PUBLIC-HEALTH; POLITICS; PEOPLE; WORK; CARE
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language: English
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month: AUG
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number: '6'
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number-of-cited-references: '43'
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orcid-numbers: 'McGowan, Victoria/0000-0002-4743-9120
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Bambra, Clare l/0000-0002-1294-6851
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Cairns, Joanne/0000-0001-5754-4269
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Thomson, Katie/0000-0002-9614-728X'
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pages: 655-665
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papis_id: 8cd4d110a67aa3f6a904bbe6963b320a
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ref: Hillierbrown2019effectssocial
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researcherid-numbers: 'McGowan, Victoria/AAB-9716-2020
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Bambra, Clare l/C-1392-2010
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Cairns, Joanne/AAE-2287-2019
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'
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times-cited: '24'
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title: 'The effects of social protection policies on health inequalities: Evidence
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from systematic reviews'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000486197100009
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usage-count-last-180-days: '5'
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usage-count-since-2013: '29'
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volume: '47'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2019'
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