Evidence map›Paper›PMID 30084924›Full record

SynthesisEuropean journal of public health2019

The association between social exclusion or inclusion and health in EU and OECD countries: a systematic review.

Addi P L van Bergen, Judith R L M Wolf, Mariam Badou, Kimriek de Wilde-Schutten, Wilhelmina IJzelenberg, Hanneke Schreurs, Bouwine Carlier, Stella J M Hoff, Albert M van Hemert

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in European journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 51 citations in OpenAlex.

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  7. Social determinants of dementia: A scoping review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

Addi P L van BergenPublic Health, Municipality of Utrecht, Utrecht, The Netherlands.
Judith R L M WolfImpuls, The Netherlands Centre for Social Care Research, Radboud University Medical Centre, Nijmegen, The Netherlands.
Mariam BadouDepartment of Health Sciences, Faculty of Sciences, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Kimriek de Wilde-SchuttenDepartment of Health Sciences, Faculty of Sciences, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Wilhelmina IJzelenbergDepartment of Health Sciences, Faculty of Sciences, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Hanneke SchreursPublic Health, Municipality of Utrecht, Utrecht, The Netherlands.
Bouwine CarlierResearch Group Occupation and Health, HAN University of Applied Sciences, Arnhem and Nijmegen, The Netherlands.
Stella J M HoffDepartment of Income and Social Security, The Netherlands Institute of Social Research|SCP, The Hague, The Netherlands.
Albert M van HemertDepartment of Psychiatry, Leiden University Medical Centre, Leiden, The Netherlands.
Vrije Universiteit Amsterdam · NLGGD Amsterdam · NLHAN University of Applied Sciences · NLLeiden University Medical Center · NLNetherlands Institute for Social Research · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSocial exclusion (SE), or the inability to participate fully in society, is considered one of the driving forces of health inequalities. Systematic evidence on this subject is pertinent but scarce. This review aims to systematically summarise peer reviewed studies examining the association between the multidimensional concepts of SE and social inclusion (SI) and health among adults in EU and OECD countries.

methodsThe protocol was registered on Prospero (CRD42017052718). Three major medical databases were searched to identify studies published before January 2018, supplemented by reference and citation tracking. Articles were included if they investigated SE or SI as a multidimensional concept with at least two out of the four dimensions of SE/SI, i.e. economic, social, political and cultural. A qualitative synthesis was conducted.

resultsTwenty-two observational studies were included. In the general population, high SE/low SI was associated with adverse mental and general health. For physical health, the evidence was inconclusive. In groups at high risk of SE, support was found for the association between high SE/low SI and adverse mental health but no conclusions could be drawn for physical and general health.

conclusionsThis review found evidence for the association between high SE/low SI and adverse health outcomes, particularly mental health outcomes. The evidence is mainly based on cross-sectional studies using simple and often ad hoc indicators of SE/SI. The development and use of validated measures of SE/SI and more longitudinal research is needed to further substantiate the evidence base and gain better understanding of the causal pathways.

Indexed as

Health StatusPsychological DistanceEuropean UnionHumansOrganisation for Economic Co-Operation and Development

Identifiers

PMID30084924
PMCPMC6532832
OpenAlexW2885974901

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.