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Health inequalities in infectious diseases : a systematic overview of reviews
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Ayorinde, Abimbola, Ghosh, Iman, Ali, Ifra, Zahair, Iram, Olarewaju, Olajumoke, Singh, Megha, Meehan, Edward, Anjorin, Seun Stephen, Rotheram, Suzanne, Barr, Ben, McCarthy, Noel and Oyebode, Oyinlola (2023) Health inequalities in infectious diseases : a systematic overview of reviews. BMJ Open, 13 (4). e067429. doi:10.1136/bmjopen-2022-067429 ISSN 2044-6055.
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WRAP-health-inequalities-infectious-diseases-systematic-overview-review-2023.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons: Attribution-Noncommercial 4.0. Download (860Kb) | Preview |
Official URL: https://doi.org/10.1136/bmjopen-2022-067429
Abstract
Objectives: The aim of this systematic overview of reviews was to synthesise available evidence on inequalities in infectious disease based on three dimensions of inequalities; inclusion health groups, protected characteristics and socioeconomic inequalities. Methods: We searched MEDLINE, Embase, Web of Science and OpenGrey databases in November 2021. We included reviews published from the year 2000 which examined inequalities in the incidence, prevalence or consequences of infectious diseases based on the dimensions of interest. Our search focused on tuberculosis, HIV, sexually transmitted infections, hepatitis C, vaccination and antimicrobial resistance. However, we also included eligible reviews of any other infectious diseases. We appraised the quality of reviews using the Assessment of Multiple Systematic Reviews V.2 (AMSTAR2) checklist. We conducted a narrative data synthesis. Results: We included 108 reviews in our synthesis covering all the dimensions of inequalities for most of the infectious disease topics of interest, however the quality and volume of review evidence and consistency of their findings varied. The existing literature reviews provide strong evidence that people in inclusion health groups and lower socioeconomic status are consistently at higher risk of infectious diseases, antimicrobial resistance and incomplete/delayed vaccination. In the protected characteristics dimension, ethnicity, and sexual orientation are important factors contributing to inequalities across the various infectious disease topics included in this overview of reviews. Conclusion: We identified many reviews that provide evidence of various types of health inequalities in different infectious diseases, vaccination, and antimicrobial resistance. We also highlight areas where reviews may be lacking. The commonalities in the associations and their directions suggest it might be worth targeting interventions for some high risk-groups that may have benefits across multiple infectious disease outcomes rather than operating purely in infectious disease siloes.
Item Type: | Journal Article | |||||||||
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Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive 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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SWORD Depositor: | Library Publications Router | |||||||||
Library of Congress Subject Headings (LCSH): | Communicable diseases -- Social aspects, Social status -- Health aspects -- Great Britain, Public health -- Great Britain | |||||||||
Journal or Publication Title: | BMJ Open | |||||||||
Publisher: | BMJ | |||||||||
ISSN: | 2044-6055 | |||||||||
Official Date: | 4 April 2023 | |||||||||
Dates: |
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Volume: | 13 | |||||||||
Number: | 4 | |||||||||
Article Number: | e067429 | |||||||||
DOI: | 10.1136/bmjopen-2022-067429 | |||||||||
Status: | Peer Reviewed | |||||||||
Publication Status: | Published | |||||||||
Access rights to Published version: | Open Access (Creative Commons) | |||||||||
Date of first compliant deposit: | 4 August 2023 | |||||||||
Date of first compliant Open Access: | 7 August 2023 | |||||||||
RIOXX Funder/Project Grant: |
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