Department of Biomedical Informatics, Columbia University, New York, NY 10032, USA.
Department of Medicine, Harvard Medical School, Boston, MA 02115, USA.
Sci Adv. 2024 Jan 26;10(4):eadf9033. doi: 10.1126/sciadv.adf9033. Epub 2024 Jan 24.
Without comprehensive examination of available literature on health disparities and minority health (HDMH), the field is left vulnerable to disproportionately focus on specific populations or conditions, curtailing our ability to fully advance health equity. Using scalable open-source methods, we conducted a computational scoping review of more than 200,000 articles to investigate major populations, conditions, and themes as well as notable gaps. We also compared trends in studied conditions to their relative prevalence using insurance claims (42 million Americans). HDMH publications represent 1% of articles in Medical Literature Analysis and Retrieval System Online (MEDLINE). Most studies are observational in nature, although randomized trial reporting has increased fivefold in the past 20 years. Half of HDMH articles concentrate on only three disease groups (cancer, mental health, and endocrine/metabolic disorders), while hearing, vision, and skin-related conditions are among the least well represented despite substantial prevalence. To support further investigation, we present HDMH Monitor, an interactive dashboard and repository generated from the HDMH bibliome.
如果不全面考察关于健康差距和少数族裔健康 (HDMH) 的现有文献，该领域就容易过分关注特定人群或特定情况，从而限制我们实现健康公平的能力。我们使用可扩展的开源方法，对超过 20 万篇文章进行了计算范围综述，以调查主要人群、情况和主题以及显著差距。我们还使用保险索赔数据（4200 万美国人）比较了研究条件的趋势与其相对流行率。HDMH 出版物占 MEDLINE（医学文献分析和检索系统在线）文章的 1%。大多数研究本质上是观察性的，尽管随机试验报告在过去 20 年中增加了五倍。一半的 HDMH 文章只集中在三个疾病群体（癌症、心理健康和内分泌/代谢疾病），而听力、视力和皮肤相关疾病的代表性不足，尽管它们的患病率相当高。为了支持进一步的研究，我们展示了 HDMH Monitor，这是一个从 HDMH 文献库生成的交互式仪表板和存储库。
