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TL;DR
The authors propose a pragmatic framework for clarifying effects of the physical, social, and economic environment on children's health and wellbeing to guide public policies.
Health Promotion Perspectives · 6 authors, 5 centres
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The authors propose a pragmatic framework for clarifying effects of the physical, social, and economic environment on children's health and wellbeing to guide public policies.
This scoping review of reviews followed the Arksey and O'Malley methodology with Levac and colleagues' advancements and PRISMA guidelines, searching PubMed to identify environmental determinants of children's health. Forty-seven articles were analyzed through thematic analysis. Five interdependent categories of determinants were identified: urban design, contaminants, parenting environment, social conditions, and climate change. The review highlights the deeply systemic nature of these determinants, showing they are interwoven and respond to each other in processes of effect. For example, urban planning influences social cohesion, which in turn influences parenting behaviors. Key limitations include reliance on a single database (PubMed), exclusion of determinants specific to least developed countries, and a lack of identified data on children's mental health outcomes. Contexts and mechanisms were poorly described in the included reviews.