Abstract:
The COVID-19 pandemic has highlighted the global imperative to address health inequities. Observational studies are a valuable source of evidence for real-world effects and impacts of implementing COVID-19 policies on the redistribution of inequities. We assembled a diverse global multi-disciplinary team to develop interim guidance for improving transparency in reporting health equity in COVID-19 observational studies. We identified 14 areas in the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) checklist that need additional detail to encourage transparent reporting of health equity. We searched for examples of COVID-19 observational studies that analysed and reported health equity analysis across one or more social determinants of health. We engaged with Indigenous stakeholders and others groups experiencing health inequities to co-produce this guidance and to bring an intersectional lens. Taking health equity and social determinants of health into account contributes to the clinical and epidemiological understanding of the disease, identifying specific needs and supporting decision-making processes. Stakeholders are encouraged to consider using this guidance on observational research to help provide evidence to close the inequitable gaps in health outcomes.
摘要:
COVID-19大流行凸显了解决健康不平等的全球必要性。观察性研究是实施COVID-19政策对不平等再分配的现实影响和影响的宝贵证据来源。我们组建了一个多元化的全球多学科团队,以制定临时指南,以提高COVID-19观察性研究报告健康公平性的透明度。我们在STROBE(加强流行病学观察研究报告)清单中确定了14个领域,这些领域需要更多细节,以鼓励透明地报告卫生公平。我们搜索了COVID-19观察性研究的例子,这些研究分析并报告了一个或多个健康社会决定因素的健康公平性分析。我们与土著利益相关者和其他遇到健康不平等的团体合作,共同制作本指南,并带来交叉镜头。考虑到健康公平和健康的社会决定因素有助于对该疾病的临床和流行病学理解,确定具体需求并支持决策过程。鼓励利益相关者考虑使用本观察性研究指南,以帮助提供证据来缩小健康结果中的不公平差距。