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Table 4 Effect directions for exposures/interventions/policies on ‘More equity in access to resources to participate in economy’

From: Assessing the effects of population-level political, economic and social exposures, interventions and policies on inclusive economy outcomes for health equity in high-income countries: a systematic review of reviews

Inclusive economy outcome domain: More equity in access to resources needed to participate in the economy (n = 5 reviews)

 

Effect direction

Review characteristics

 Review

Exposure/intervention/policy

Effect direction

Comments

Review quality

PS quality (as reported by review authors)

Total no. of PS with comparator/total PS with IE outcomea

Context/population

3a. Review-level outcome: Improved higher education outcomes

(i) Intervention: Outreach and financial aid interventions for higher education

[78]

(i) Outreach interventions for young people in secondary education such as counselling and tutoring to increase intentions and readiness for transition to higher education

Intervention effective in terms of access as long as more than just information. Less evidence on graduation outcomes

Critically low

Not reported

71/71

Majority of studies (n = 59) in North America, (n = 6) in Europe, and (n = 5) ‘other’ (countries not specified)

Disadvantaged students

(ii) Financial aid interventions, i.e. grants, loans, and tax incentives which could be universal or based on need/merit/performance

Impact depends on financial amount and early commitment of aid. Merit-based aid not effective

(iii) Combined interventions, i.e. a combination of outreach and financial aid interventions

 

(ii) Exposure: Social networks, social capital, and social support

[75]

Social networks (i.e. structure of a set of actors whose members are connected), social capital (i.e. the resources linked to having a network) and social support (i.e. interactions or relationships which provide attachment/care/love)

Unable to code this ED for specific exposures separately

Critically low

Not reported

Some of 136 but unclear how many

Majority of studies in HIC countries (68% in USA)

Underrepresented students

(iii) Exposure: ‘Enablers’ for transition to higher education

[72]

‘Enablers’ for HE including the following: Individual abilities, skills and motivations; family & peer support, community and socioeconomic background; social networks, academic integration, extra-curricular activities; educational settings including role of institutions, financial aids, school type

-

Unable to code ED as denominator of PS unclear

Critically low

Not reported

Unclear (191 total PS)

Context unclear although location of authors noted as 49.5% North America, 17.4% Europe, 12.6% South America.

Young people in secondary school

3b. Review-level outcome: Access to active labour market programmes

(i) Exposure: Active labour market programme delivery elements

[76]

(i) Training, i.e. classroom and on-the-job general education or vocational skills

Mixed findings for low-skilled workers, negative effect on programme access for migrants

Critically low

Not reported

47/47

Germany, Denmark, France, Portugal, Spain, Sweden, Switzerland, Finland, Norway, Poland, the USA, New Zealand, Australia, Austria

Low-skilled workers and migrant workers

(ii) Job creation programmes, i.e. the creation of public jobs as part of ‘public works’, e.g. in construction works

Mixed findings for low-skilled workers, negative effect on programme access for migrants

(iii) Wage subsidies, i.e. financial incentives given to private employers for hiring those are disadvantaged in the labour market

Negative effects on programme access for both low-skilled and migrants

3c. Review-level outcome: Improved entrepreneurial outcomes, specifically entrepreneurial knowledge and skills

(ii) Intervention/policy: Active labour market programmes

[77]

Entrepreneurial programmes, i.e. programmes (including microfinance) intended to support individuals to start their own business

Evidence of effect on increasing knowledge and skills, but RA concludes limited research. Less evaluations of economic outcomes/impact

Critically low

Not reported

1/6

Focused on disadvantaged black male youth in the USA

  1. Key: Effect direction (ED): upward arrow ▲ beneficial impact on IE outcomes, downward arrow harmful impact on IE outcomes, sideways arrows no change/mixed effects/conflicting findings/insufficient evidence. ED effect direction, HIC high-income country, IE inclusive economy, LMIC low- and middle-income country, PS primary study, RA review authors, ROB risk of bias
  2. aWhere the number of PS with an IE outcome is not the same as the total number of PS (i.e. non-IE outcomes were considered by some PS) this is noted in brackets