Biomedical Research Institute Sant Pau, Hospital de la Santa Creu i Sant Pau, 08025 Barcelona, Spain.
Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON L8S 4L8, Canada.
Int J Environ Res Public Health. 2021 Sep 4;18(17):9357. doi: 10.3390/ijerph18179357.
The COVID-19 pandemic has highlighted the global imperative to address health inequities. Observational studies are a valuable source of evidence for real-world effects and impacts of implementing COVID-19 policies on the redistribution of inequities. We assembled a diverse global multi-disciplinary team to develop interim guidance for improving transparency in reporting health equity in COVID-19 observational studies. We identified 14 areas in the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) checklist that need additional detail to encourage transparent reporting of health equity. We searched for examples of COVID-19 observational studies that analysed and reported health equity analysis across one or more social determinants of health. We engaged with Indigenous stakeholders and others groups experiencing health inequities to co-produce this guidance and to bring an intersectional lens. Taking health equity and social determinants of health into account contributes to the clinical and epidemiological understanding of the disease, identifying specific needs and supporting decision-making processes. Stakeholders are encouraged to consider using this guidance on observational research to help provide evidence to close the inequitable gaps in health outcomes.
新冠疫情凸显了全球应对健康不平等问题的紧迫性。观察性研究是评估实施新冠疫情政策对不平等现象再分配的实际效果和影响的宝贵证据来源。我们组建了一个多元化的全球多学科团队，制定了改善新冠疫情观察性研究中报告健康公平性透明度的临时指南。我们在 STROBE（加强观察性研究在流行病学中的报告）清单中确定了 14 个领域，这些领域需要更多细节来鼓励透明报告健康公平性。我们搜索了分析和报告一个或多个健康决定因素的新冠疫情观察性研究的例子。我们与土著利益相关者和其他经历健康不平等的群体合作，共同制定了这一指南，并采用了交叉视角。考虑健康公平和健康决定因素有助于对疾病的临床和流行病学理解，确定特定需求并支持决策过程。鼓励利益相关者考虑在观察性研究中使用这一指南，以提供证据来缩小健康结果的不平等差距。
