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Health inequalities and infectious diseases : a rapid review of reviews
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Ayorinde, Abimbola, Ghosh, Iman, Barr, Benjamin, McCarthy, Noel D. and Oyebode, Oyinlola (2022) Health inequalities and infectious diseases : a rapid review of reviews. Public Health England.
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Abstract
Executive summary:
Public Health England (PHE) commissioned a team, led from University of Warwick, to conduct a review to describe the existing health inequalities presented in the academic literature, relating to key infectious disease topics in the United Kingdom (UK). For this work, PHE had specific interest in three dimensions of inequalities: protected characteristics, socioeconomic inequalities, and inclusion health groups (specifically, vulnerable migrants, people experiencing homelessness and rough sleeping, people who engage in sex work, and Gypsy Roma and Traveller communities). The infectious disease topics of interest were tuberculosis, human immunodeficiency virus (HIV), sexually transmitted infections (STIs), Hepatitis C (HCV), vaccination, and antimicrobial resistance (AMR).
We conducted a rapid overview of reviews to identify and synthesise existing reviews which have explored inequalities in the topics of interest, relevant to the UK.
Key findings:
We identified 84 reviews that explored inequalities in at least one of the three dimensions of interest. The reviews spanned through all the specified infectious diseases and more (Figure E1). The methodological quality of the included reviews varied significantly based on the Assessment of Multiple Systematic Reviews version 2 (AMSTAR2) criteria. Only 14% explicitly reported preregistered protocol, 22% had a comprehensive literature search strategy, 29% performed risk of bias of included studies, 46% accounted for risk of bias while interpreting the results of the review and 69% provided satisfactory explanation for and discussion of heterogeneity observed in the findings of the review. Only about 49% of the reviews performed meta-analysis. However, 98% of those that performed meta-analyses used appropriate methods, 54% assessed the impact of risk of bias on the results of meta-analysis and 46% performed adequate assessment of the presence and likely impact of publication bias.
| Item Type: | Report | ||||||
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| Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Communicable diseases , Communicable diseases -- Social aspects -- Great Britain, Public health -- Great Britain., Social classes -- Health aspects -- Great Britain, Health services accessibility -- Great Britain, Discrimination in medical care -- Great Britain | ||||||
| Publisher: | Public Health England | ||||||
| Official Date: | 2022 | ||||||
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