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Reporting of equity in observational epidemiology: A methodological review.
Dewidar, Omar; Al-Zubaidi, Ali; Bondok, Mostafa; Abdelrazeq, Leenah; Huang, Jimmy; Jearvis, Alyssa; Barker, Lucy C; Elmestekawy, Nour; Goghomu, Elizabeth; Rader, Tamara; Tufte, Janice; Greer-Smith, Regina; Waddington, Hugh S; Nicholls, Stuart G; Little, Julian; Hardy, Billie-Jo; Horsley, Tanya; Young, Taryn; Cuervo, Luis Gabriel; Sharp, Melissa K; Chamberlain, Catherine; Shea, Beverley; Craig, Peter; Lawson, Daeria O; Rizvi, Anita; Wiysonge, Charles S; Kredo, Tamara; Francis, Damian; Kristjansson, Elizabeth; Bhutta, Zulfiqar; Antequera, Alba; Melendez-Torres, G J; Pantoja, Tomas; Wang, Xiaoqin; Jull, Janet; Roberts, Janet Hatcher; Funnell, Sarah; White, Howard; Krentel, Alison; Mahande, Michael Johnson; Ramke, Jacqueline; Wells, George; Petkovic, Jennifer; Pottie, Kevin; Niba, Loveline; Feng, Cindy; Nguliefem, Miriam N; Tugwell, Peter; Mbuagbaw, Lawrence; Welch, Vivian.
Afiliación
  • Dewidar O; Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
  • Al-Zubaidi A; Bruyère Research Institute, University of Ottawa, Ottawa, Ontario, Canada.
  • Bondok M; Bruyère Research Institute, University of Ottawa, Ottawa, Ontario, Canada.
  • Abdelrazeq L; School of Medicine, University College Cork, Cork, Ireland.
  • Huang J; Bruyère Research Institute, University of Ottawa, Ottawa, Ontario, Canada.
  • Jearvis A; Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
  • Barker LC; Bruyère Research Institute, University of Ottawa, Ottawa, Ontario, Canada.
  • Elmestekawy N; Bruyère Research Institute, University of Ottawa, Ottawa, Ontario, Canada.
  • Goghomu E; Bruyère Research Institute, University of Ottawa, Ottawa, Ontario, Canada.
  • Rader T; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
  • Tufte J; Women's College Hospital, Toronto, Ontario, Canada.
  • Greer-Smith R; Bruyère Research Institute, University of Ottawa, Ottawa, Ontario, Canada.
  • Waddington HS; Faculty of Social Sciences, University of Ottawa, Ottawa, Ontario, Canada.
  • Nicholls SG; Bruyère Research Institute, University of Ottawa, Ottawa, Ontario, Canada.
  • Little J; Freelance health research librarian, Ottawa, Ontario, Canada.
  • Hardy BJ; Hassanah Consulting, Seattle, Washington State, USA.
  • Horsley T; Healthcare Research Associates, LLC/S.T.A.R. Initiative, California, USA.
  • Young T; London School of Hygiene and Tropical Medicine, London, UK.
  • Cuervo LG; London International Development Centre, London, UK.
  • Sharp MK; Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.
  • Chamberlain C; Office for Patient Engagement in Research Activity (OPERA), Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
  • Shea B; School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada.
  • Craig P; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
  • Lawson DO; Well Living House, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, Ontario, Canada.
  • Rizvi A; Royal College of Physicians and Surgeons of Canada, Ottawa, Ontario, Canada.
  • Wiysonge CS; Centre for Evidence Based Health Care, Department of Global Health, Stellenbosch University, Stellenbosch, South Africa.
  • Kredo T; Department of Evidence and Intelligence for Action in Health, Pan American Health Organization (PAHO/WHO), Washington, DC, USA.
  • Francis D; Doctoral Programme on Methodology of Biomedical Research and Public Health, Universitat Autònoma de Barcelona, Barcelona, Spain.
  • Kristjansson E; Department of Public Health and Epidemiology, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
  • Bhutta Z; Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Melbourne, Australia.
  • Antequera A; Ngangk Yira Research Centre for Aboriginal Health and Social Equity, Murdoch University, Perth, Australia.
  • Melendez-Torres GJ; Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.
  • Pantoja T; School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada.
  • Wang X; Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
  • Jull J; Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.
  • Roberts JH; School of Psychology, University of Ottawa, Ottawa, Ontario, Canada.
  • Funnell S; Cochrane South Africa, South African Medical Research Council, Cape Town, South Africa.
  • White H; Cochrane South Africa, South African Medical Research Council, Cape Town, South Africa.
  • Krentel A; Centre for Evidence Based Health Care, Department of Global Health, Stellenbosch University, Stellenbosch, South Africa.
  • Mahande MJ; School of Health and Human Performance, Georgia College, Milledgeville, Georgia, USA.
  • Ramke J; Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.
  • Wells G; School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada.
  • Petkovic J; Centre for Global Child Health, Hospital for Sick Children, Toronto, Canada.
  • Pottie K; Institute for Global Health and Development, Aga Khan University, Karachi, Pakistan.
  • Niba L; Biomedical Research Institute Sant Pau, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
  • Feng C; Department of Public Health and Sports Science, University of Exeter College of Medicine and Health, Exeter, UK.
  • Nguliefem MN; Family Medicine Department, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile.
  • Tugwell P; Michael G. DeGroote Institute for Pain Research and Care, McMaster University, Hamilton, Canada.
  • Mbuagbaw L; Faculty of Health Sciences, School of Rehabilitation Therapy, Queen's University, Kingston, Canada.
  • Welch V; World Health Organization Collaborating Centre for Knowledge Translation and Health Technology Assessment in Health Equity, Ottawa, Canada.
J Glob Health ; 14: 04046, 2024 Mar 01.
Article en En | MEDLINE | ID: mdl-38491911
ABSTRACT

Background:

Observational studies can inform how we understand and address persisting health inequities through the collection, reporting and analysis of health equity factors. However, the extent to which the analysis and reporting of equity-relevant aspects in observational research are generally unknown. Thus, we aimed to systematically evaluate how equity-relevant observational studies reported equity considerations in the study design and analyses.

Methods:

We searched MEDLINE for health equity-relevant observational studies from January 2020 to March 2022, resulting in 16 828 articles. We randomly selected 320 studies, ensuring a balance in focus on populations experiencing inequities, country income settings, and coronavirus disease 2019 (COVID-19) topic. We extracted information on study design and analysis methods.

Results:

The bulk of the studies were conducted in North America (n = 95, 30%), followed by Europe and Central Asia (n = 55, 17%). Half of the studies (n = 171, 53%) addressed general health and well-being, while 49 (15%) focused on mental health conditions. Two-thirds of the studies (n = 220, 69%) were cross-sectional. Eight (3%) engaged with populations experiencing inequities, while 22 (29%) adapted recruitment methods to reach these populations. Further, 67 studies (21%) examined interaction effects primarily related to race or ethnicity (48%). Two-thirds of the studies (72%) adjusted for characteristics associated with inequities, and 18 studies (6%) used flow diagrams to depict how populations experiencing inequities progressed throughout the studies.

Conclusions:

Despite over 80% of the equity-focused observational studies providing a rationale for a focus on health equity, reporting of study design features relevant to health equity ranged from 0-95%, with over half of the items reported by less than one-quarter of studies. This methodological study is a baseline assessment to inform the development of an equity-focussed reporting guideline for observational studies as an extension of the well-known Strengthening Reporting of Observational Studies in Epidemiology (STROBE) guideline.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 1_ASSA2030 Problema de salud: 1_desigualdade_iniquidade Asunto principal: Proyectos de Investigación / Estudios Observacionales como Asunto Límite: Humans País/Región como asunto: America do norte / Europa Idioma: En Revista: J Glob Health Año: 2024 Tipo del documento: Article País de afiliación: Canadá

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 1_ASSA2030 Problema de salud: 1_desigualdade_iniquidade Asunto principal: Proyectos de Investigación / Estudios Observacionales como Asunto Límite: Humans País/Región como asunto: America do norte / Europa Idioma: En Revista: J Glob Health Año: 2024 Tipo del documento: Article País de afiliación: Canadá
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