Edwin S.H. Leong Centre for Healthy Children, University of Toronto, Toronto, Ontario, Canada.
Faculty of Science, Toronto Metropolitan University, Toronto, Ontario, Canada.
BMJ Open. 2024 Aug 12;14(8):e084952. doi: 10.1136/bmjopen-2024-084952.
To assess reported community engagement in the design and conduct of health equity-focused articles published in high-impact journals.
Scoping review follows guidance from the Joanna Briggs Institute and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist.
We selected the three highest-ranked journals from the 'Medicine-General and Internal' category including the Journal of the American Medical Association (JAMA), The Lancet and The New England Journal of Medicine (NEJM) along with all journals under their family of subspecialty journals (JAMA Network, The Lancet Group and the NEJM Group). Ovid MEDLINE was searched between 1 January 2021 to 22 September 2022.
We included health equity-focused articles and assessed for the reporting of community engagement at each stage of the research process.
Two independent reviewers extracted data from articles that met the inclusionary criteria. Inter-rater reliability was assessed using Cohen's kappa to measure the agreement between two independent reviewers. Disagreements were adjudicated by a third independent reviewer.
7616 articles were screened, 626 (8.2%) met our inclusion criteria: 457 (3.8%) were published by the JAMA Network; 167 (2.4%) by The Lancet Group; and 2 (0.2%) by the NEJM group. Most articles were from USA (68.4%) and focused on adult populations (57.7%). The majority of the articles focused on the topic of race/ethnicity (n=176, 28.1%), socioeconomic status (n=114, 18.2%) or multiple equity topics (n=111, 17.7%). The use of community engagement approaches was reported in 97 (15.5%) articles, of which 13 articles (13.4%) reported engagement at all stages. The most common form of reported engagement was in the acknowledgement or additional contribution section (n=86, 88.7%).
Community engagement is infrequently reported in health equity-focused research published in high-impact medical journals.
评估在高影响力期刊上发表的以健康公平为重点的文章中报告的社区参与度，这些文章在设计和实施过程中所涉及的社区参与度。
范围审查遵循了乔安娜·布里格斯研究所和系统评价和荟萃分析扩展的首选报告项目的指导，涵盖了范围审查清单。
我们从“医学-综合和内科”类别中选择了排名前三位的期刊，包括《美国医学会杂志》（JAMA）、《柳叶刀》和《新英格兰医学杂志》（NEJM），以及它们所有的专业子刊（JAMA 网络、柳叶刀集团和 NEJM 集团）。Ovid MEDLINE 在 2021 年 1 月 1 日至 2022 年 9 月 22 日期间进行了检索。
我们纳入了以健康公平为重点的文章，并评估了在研究过程的每个阶段报告社区参与度的情况。
两名独立评审员从符合纳入标准的文章中提取数据。采用 Cohen's kappa 评估两位独立评审员之间的数据提取一致性，以衡量两位独立评审员之间的一致性。意见分歧由第三位独立评审员裁决。
共筛选出 7616 篇文章，其中 626 篇（8.2%）符合我们的纳入标准：457 篇（3.8%）来自 JAMA 网络；167 篇（2.4%）来自柳叶刀集团；2 篇（0.2%）来自 NEJM 集团。大多数文章来自美国（68.4%），以成年人群体为研究对象（57.7%）。大多数文章侧重于种族/民族主题（n=176，28.1%）、社会经济地位（n=114，18.2%）或多个公平主题（n=111，17.7%）。97 篇文章（15.5%）报告了社区参与方法的使用情况，其中 13 篇文章（13.4%）报告了在所有阶段的参与情况。报告的最常见形式是在致谢或额外贡献部分（n=86，88.7%）。
在高影响力医学期刊上发表的以健康公平为重点的研究中，社区参与度的报告很少见。
