Description
Write a brief summary of each article (be sure to include Specific determinants discussed
Type of study design used to assess the relationship between the potential
determinant(s) and health outcome.
Statistical evidence of the strength of the association between the
determinant(s) and the outcome (How much additional risk (or reduced risk) is
associated with each determinant?).
Reflection
How does this article inform your thinking about your selected health problem? What are the implications of this study for your preliminary thoughts about possible intervention strategies?
o What levels of the ecological model are relevant to the determinants discussed in the article?
o What are the pathways by which these determinants influence your selected health problem? (For example, do this directly influence the health problem, or does it influence it by first influencing something else? Knowledge, for example, would influence behavior. Socio-economic status might influence access to education or
healthcare, or neighborhood of residence.)
o How strong is the evidence of causality for each of the determinants studied? Consider each of Hill’s Criteria. Does the study design allow them to determine temporality? Do the results indicate the strength of association? Do the introduction and conclusion reference other studies that have found similar relationships between determinant and outcome (consistency)? Do the authors explain how/why the determinant can be
expected to influence the outcome, based on pre-existing knowledge or theory
(coherence/plausibility)? Does increased exposure to the determinant/risk factor increase the risk of the outcome (dose-response)?
Sample Solution
