用于慢性病预防和控制的经验研究中应用的健康公平框架和模型的范围综述议定书。

Protocol for a scoping review of health equity frameworks and models applied in empirical studies of chronic disease prevention and control.

机构信息

Brown School, Washington University in St. Louis, 1 Brookings Dr, St. Louis, MO, 63130, USA.

Implementation Science Center for Cancer Control and Prevention Research Center, Washington University in St. Louis, One Brookings Drive, St. Louis, MO, 63130, USA.

出版信息

Syst Rev. 2023 May 11;12(1):83. doi: 10.1186/s13643-023-02240-2.

DOI:10.1186/s13643-023-02240-2

PMID:37170261

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10176929/

Abstract

BACKGROUND

Chronic diseases, such as cancers and cardiovascular diseases, present the greatest burden of morbidity and mortality worldwide. This burden disproportionately affects historically marginalized populations. Health equity is rapidly gaining increased attention in public health, health services, and implementation research, though many health inequities persist. Health equity frameworks and models (FM) have been called upon to guide equity-focused chronic disease and implementation research. However, there is no clear synthesis of the health equity FM used in chronic disease research or how these are applied in empirical studies. This scoping review seeks to fill this gap by identifying and characterizing health equity FM applied in empirical studies along the chronic disease prevention and control continuum, describing how these FM are used, and exploring potential applications to the field of implementation science.

METHODS

We follow established guidance for conducting scoping reviews, which includes six stages: (1) identify the research question; (2) identify relevant studies; (3) select studies for inclusion; (4) data extraction; (5) collating, summarizing, and reporting the results; and (6) consultation. This protocol presents the iterative, collaborative approach taken to conceptualize this study and develop the search strategy. We describe the criteria for inclusion in this review, methods for conducting two phases of screening (title and abstract, full text), data extraction procedures, and quality assurance approaches taken throughout the project.

DISCUSSION

The findings from this review will inform health-equity focused chronic disease prevention and control research. FM identified through this review will be added to an existing website summarizing dissemination and implementation science frameworks, and we will offer case examples and recommendations for utilizing a health equity FM in empirical studies. Our search strategy and review methodology may serve as an example for scholars seeking to conduct reviews of health equity FM in other health disciplines.

SYSTEMATIC REVIEW REGISTRATION

Open Science Framework Registration https://doi.org/10.17605/OSF.IO/SFVE6.

摘要

背景

癌症和心血管疾病等慢性病在全球造成了最大的发病率和死亡率负担。这种负担不成比例地影响到历史上处于边缘地位的人群。健康公平在公共卫生、卫生服务和实施研究中受到越来越多的关注，尽管许多健康不公平现象仍然存在。健康公平框架和模型（FM）被要求指导以公平为重点的慢性病和实施研究。然而，目前还没有关于在慢性病研究中使用的健康公平 FM 的综合分析，也没有关于这些 FM 在实证研究中的应用的综合分析。本范围综述旨在通过确定和描述应用于慢性病预防和控制连续体的实证研究中的健康公平 FM，并描述如何使用这些 FM，以及探索其在实施科学领域的潜在应用，来填补这一空白。

方法

我们遵循开展范围综述的既定指导原则，包括六个阶段：（1）确定研究问题；（2）确定相关研究；（3）选择纳入研究；（4）数据提取；（5）整理、总结和报告结果；（6）咨询。本方案介绍了用于构思本研究和制定搜索策略的迭代、协作方法。我们描述了本综述的纳入标准、进行两个筛选阶段（标题和摘要、全文）的方法、数据提取程序以及整个项目中采用的质量保证方法。