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Original Article| Volume 81, P96-100, January 2017

Equity issues were not fully addressed in Cochrane human immunodeficiency virus systematic reviews

  • Theresa Aves
    Affiliations
    Department of Clinical Epidemiology and Biostatistics, McMaster University, 1280 Main Street West, Hamilton, Ontario, Canada L8S 4K1

    Biostatistics Unit, Father Sean O'Sullivan Research Centre, St Joseph's Healthcare, 50 Charlton Ave E, Hamilton, Ontario, Canada L8N 4A6
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  • Tamara Kredo
    Affiliations
    Cochrane South Africa, South African Medical Research Council, Cape Town, PO Box 19070, Tygerberg 7505, South Africa
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  • Vivian Welch
    Affiliations
    Centre for Global Health, Institute of Population Health, University of Ottawa, 43 Bruyère St, Annex E, Ottawa, Ontario, Canada K1N 5C8
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  • Sara Mursleen
    Affiliations
    Department of Clinical Epidemiology and Biostatistics, McMaster University, 1280 Main Street West, Hamilton, Ontario, Canada L8S 4K1
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  • Stephanie Ross
    Affiliations
    Department of Clinical Epidemiology and Biostatistics, McMaster University, 1280 Main Street West, Hamilton, Ontario, Canada L8S 4K1
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  • Babalwa Zani
    Affiliations
    Cochrane South Africa, South African Medical Research Council, Cape Town, PO Box 19070, Tygerberg 7505, South Africa

    Centre for Evidence-Based Health Care, Department of Interdisciplinary Health Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, PO Box 241, Cape Town 800, South Africa
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  • Nkengafac Villyen Motaze
    Affiliations
    Cochrane South Africa, South African Medical Research Council, Cape Town, PO Box 19070, Tygerberg 7505, South Africa

    Centre for Evidence-Based Health Care, Department of Interdisciplinary Health Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, PO Box 241, Cape Town 800, South Africa
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  • Leah Quinlan
    Affiliations
    Bruyère Continuing Care, Bruyère Research Institute, University of Ottawa, 43 Bruyère Street, Ottawa, Ontario, Canada K1N 5C8
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  • Lawrence Mbuagbaw
    Correspondence
    Corresponding author. Tel.: +1 (905) 522-1155x35929; fax: +1 (905) 528-7386.
    Affiliations
    Department of Clinical Epidemiology and Biostatistics, McMaster University, 1280 Main Street West, Hamilton, Ontario, Canada L8S 4K1

    Biostatistics Unit, Father Sean O'Sullivan Research Centre, St Joseph's Healthcare, 50 Charlton Ave E, Hamilton, Ontario, Canada L8N 4A6
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Published:September 29, 2016DOI:https://doi.org/10.1016/j.jclinepi.2016.09.008

      Abstract

      Objective

      To describe and summarize equity reporting in human immunodeficiency virus (HIV) systematic reviews and explore the extent to which equity issues are addressed and reported in HIV reviews using the PROGRESS Plus framework.

      Study Design and Setting

      Application of the PROGRESS Plus framework to a bibliometric analysis of HIV reviews in the Cochrane Database of Systematic Reviews.

      Results

      The analysis included 103 reviews published as of March 2014, with a median of five studies per review (first quartile; Q1 = 2; third quartile; Q3 = 11). Reporting of PROGRESS Plus factors was as follows: Place of residence (low, middle, and high income; 55.3%), place of residence (urban or rural; 24.3%), race or ethnicity (20.4%), occupation (10.7%), gender (65.0%), religion (1.9%), education (7.8%), socioeconomic position (10.7%), social networks and capital (1.0%), age (1.9%), and sexual orientation (3.8%).

      Conclusion

      Gaps in the reporting of relevant equity indicators were identified within Cochrane HIV systematic review indicating that research is not consistently conducted through an equity lens. There is a need to incorporate PROGRESS Plus factors into both primary and secondary studies.

      Keywords

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      References

      1. Global Report: UNAIDS report on the global AIDS epidemic 2013. Available at http://www.unaids.org/en/resources/publications/2012/name,76121,en.asp. Accessed January 18, 2016.

        • Auld A.F.
        • Shiraishi R.W.
        • Mbofana F.
        • Couto A.
        • Fetogang E.B.
        • El-Halabi S.
        • et al.
        Lower levels of antiretroviral therapy enrollment among men with HIV compared with women—12 countries, 2002-2013.
        MMWR Morb Mortal Wkly Rep. 2015; 64: 1281-1286
        • Fladseth K.
        • Gafos M.
        • Newell M.L.
        • McGrath N.
        The impact of gender norms on condom use among HIV-positive adults in KwaZulu-Natal, South Africa.
        PLoS One. 2015; 10: e0122671
        • Watkins Jr., T.L.
        • Simpson C.
        • Cofield S.S.
        • Davies S.
        • Kohler C.
        • Usdan S.
        The relationship between HIV risk, high-risk behavior, religiosity, and spirituality among black men who have sex with men (MSM): an exploratory study.
        J Relig Health. 2016; 55: 535-548
        • Mambet Doue C.
        • Roussiau N.
        The role of mediators in the indirect effects of religiosity on therapeutic compliance in African migrant HIV-positive patients.
        J Relig Health. 2016; 55: 1850-1863
        • Hickey M.D.
        • Salmen C.R.
        • Omollo D.
        • Mattah B.
        • Fiorella K.J.
        • Geng E.H.
        • et al.
        Implementation and operational research: pulling the network together: quasiexperimental trial of a patient-defined support network intervention for promoting engagement in HIV care and medication adherence on Mfangano Island, Kenya.
        J Acquir Immune Defic Syndr. 2015; 69: e127-e134
        • Frumence G.
        • Emmelin M.
        • Eriksson M.
        • Kwesigabo G.
        • Killewo J.
        • Moyo S.
        • et al.
        Access to social capital and risk of HIV infection in Bukoba urban district, Kagera region, Tanzania.
        Arch Public Health. 2014; 72: 38
        • Brima N.
        • Burns F.
        • Fakoya I.
        • Kargbo B.
        • Conteh S.
        • Copas A.
        Factors associated with HIV prevalence and HIV testing in Sierra Leone: findings from the 2008 Demographic health Survey.
        PLoS One. 2015; 10: e0137055
        • Hensen B.
        • Lewis J.J.
        • Schaap A.
        • Tembo M.
        • Vera-Hernandez M.
        • Mutale W.
        • et al.
        Frequency of HIV-testing and factors associated with multiple lifetime HIV-testing among a rural population of Zambian men.
        BMC Public Health. 2015; 15: 960
        • Moher D.
        • Liberati A.
        • Tetzlaff J.
        • Altman D.G.
        • PRISMA Group
        Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.
        J Clin Epidemiol. 2009; 62: 1006-1012
        • Welch V.A.
        • Petticrew M.
        • O'Neill J.
        • Waters E.
        • Armstrong R.
        • Bhutta Z.A.
        • et al.
        Health equity: evidence synthesis and knowledge translation methods.
        Syst Rev. 2013; 2: 43
        • Ryan R.
        • Cochrane Consumers and Communication Review Group
        Cochrane Consumers and Communication Review Group reviews: how to consider equity issues.
        2013 (Available at) (Accessed August 4, 2016)
        • Evans T.
        • Brown H.
        Road traffic crashes: operationalizing equity in the context of health sector reform.
        Inj Control Saf Promot. 2003; 10: 11-12
        • Kavanagh J.
        • Oliver S.
        • Lorenc T.
        Reflections on developing and using PROGRESS-Plus.
        Equity Update. 2008; 2: 1-3
        • O'Neill J.
        • Tabish H.
        • Welch V.
        • Petticrew M.
        • Pottie K.
        • Clarke M.
        • et al.
        Applying an equity lens to interventions: using PROGRESS ensures consideration of socially stratifying factors to illuminate inequities in health.
        J Clin Epidemiol. 2014; 67: 56-64
        • Welch V.
        • Petticrew M.
        • Ueffing E.
        • Benkhalti Jandu M.
        • Brand K.
        • Dhaliwal B.
        • et al.
        Does consideration and assessment of effects on health equity affect the conclusions of systematic reviews? A methodology study.
        PLoS One. 2012; 7: e31360
        • Mbuagbaw L.
        • Kredo T.
        • Welch V.
        • Mursleen S.
        • Ross S.
        • Zani B.
        • et al.
        Critical EPICOT items were absent in Cochrane human immunodeficiency virus systematic reviews: a bibliometric analysis.
        J Clin Epidemiol. 2016; 74: 66-72
        • Thompson Reuters
        Using bibliometrics: a guide to evaluating research performance within citation data.
        2008 (Available at) (Accessed February 22, 2016)
        • Shea B.J.
        • Hamel C.
        • Wells G.A.
        • Bouter L.M.
        • Kristjansson E.
        • Grimshaw J.
        • et al.
        AMSTAR is a reliable and valid measurement tool to assess the methodological quality of systematic reviews.
        J Clin Epidemiol. 2009; 62: 1013-1020
        • Oliver S.
        • Kavanagh J.
        • Caird J.
        • Lorenc T.
        • Oliver K.
        • Harden A.
        • et al.
        Health promotion, inequalities and young people's health: a systematic review of research.
        EPPI-Centre, Social Science Research Unit, Institute of Education, University of London, London2008