TY - JOUR
PY - 2024//
TI - Reporting of equity in observational epidemiology: a methodological review
JO - Journal of global health
A1 - Dewidar, Omar
A1 - Al-Zubaidi, Ali
A1 - Bondok, Mostafa
A1 - Abdelrazeq, Leenah
A1 - Huang, Jimmy
A1 - Jearvis, Alyssa
A1 - Barker, Lucy C.
A1 - Elmestekawy, Nour
A1 - Goghomu, Elizabeth
A1 - Rader, Tamara
A1 - Tufte, Janice
A1 - Greer-Smith, Regina
A1 - Waddington, Hugh S.
A1 - Nicholls, Stuart G.
A1 - Little, Julian
A1 - Hardy, Billie-Jo
A1 - Horsley, Tanya
A1 - Young, Taryn
A1 - Cuervo, Luis Gabriel
A1 - Sharp, Melissa K.
A1 - Chamberlain, Catherine
A1 - Shea, Beverley
A1 - Craig, Peter
A1 - Lawson, Daeria O.
A1 - Rizvi, Anita
A1 - Wiysonge, Charles S.
A1 - Kredo, Tamara
A1 - Francis, Damian
A1 - Kristjansson, Elizabeth
A1 - Bhutta, Zulfiqar
A1 - Antequera, Alba
A1 - Melendez-Torres, G. J.
A1 - Pantoja, Tomas
A1 - Wang, Xiaoqin
A1 - Jull, Janet
A1 - Roberts, Janet Hatcher
A1 - Funnell, Sarah
A1 - White, Howard
A1 - Krentel, Alison
A1 - Mahande, Michael Johnson
A1 - Ramke, Jacqueline
A1 - Wells, George
A1 - Petkovic, Jennifer
A1 - Pottie, Kevin
A1 - Niba, Loveline
A1 - Feng, Cindy
A1 - Nguliefem, Miriam N.
A1 - Tugwell, Peter
A1 - Mbuagbaw, Lawrence
A1 - Welch, Vivian
SP - e04046
EP - e04046
VL - 14
IS -
N2 - 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.
Language: en
LA - en SN - 2047-2978 UR - http://dx.doi.org/10.7189/jogh.14.04046 ID - ref1 ER -