Social inequality, health behaviour determinants and health behaviour: A Systematic Review [post]

Lisa Karla Hilz, Mark Conner, Benjamin Schüz
2019 unpublished
Objective: Health inequalities are partly due to inequalities in health behaviours. However, little is known about psychosocial mechanisms underlying health behaviour inequalities. Health behaviour determinants, e.g., those outlined in the Theoretical Domains Framework (TDF) may help understanding health behaviour inequalities. Previously two effect pathways have been theorized: behavioural determinants as mediators of the relationship between inequalities and health behaviour and inequalities
more » ... s moderators of the relationship between behavioural determinants and health behaviour. This systematic review will summarise the existing literature on both pathways.Design: Relevant databases will be searched systematically for observational quantitative studies examining the indirect or moderating effects of inequality in the relationship between health behaviour determinants and health behaviour. Health behaviour determinants will be categorized according to the TDF, inequality indicators will be operationalized according to the PROGRESS-Plus framework. We will extract estimates of indirect effects and estimates of interaction effects. Quantitative meta-analysis will be conducted if study numbers allow.Discussion: This systematic review will summarise the current of evidence on indirect or moderating effects of social inequality in the relationship between determinants of health behaviour and health behaviour. The results of this review have substantial relevance for theory development, theory refinement and development of equity-focused interventions.Keywords: Social Inequality, Health Behaviour, Determinants of Health Behaviour, Theoretical Domains Framework, Mediation, Moderation
doi:10.31234/osf.io/te9uz fatcat:vss7v4ke4jhn3ggd5k767zphiy