Epidemiologic Reviews最新文献

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Guaranteed income and health in the U.S. and Canada: A scoping review.
IF 5.2 2区 医学
Epidemiologic Reviews Pub Date : 2025-03-21 DOI: 10.1093/epirev/mxaf003
Holly M Nishimura, Sevly Snguon, Marik Moen, Lorraine T Dean
{"title":"Guaranteed income and health in the U.S. and Canada: A scoping review.","authors":"Holly M Nishimura, Sevly Snguon, Marik Moen, Lorraine T Dean","doi":"10.1093/epirev/mxaf003","DOIUrl":"https://doi.org/10.1093/epirev/mxaf003","url":null,"abstract":"<p><p>While the economic impact of guaranteed income (recurring, unconditional, and unrestricted cash transfers intended to supplement the income of participants) is well-studied, much less is known about how guaranteed income may impact health, especially in the context of high-income countries like the U.S. and Canada. We searched five electronic databases for terms related to \"guaranteed income\" and \"cash transfer\" through April 23, 2022. Among 5,340 records originally identified, 25 met our inclusion criteria and represented 16 unique guaranteed income initiatives. Most included studies used a quantitative approach (n=22, 88%), were published between 2000-2022 (n=21, 84%), and were in the U.S. (n=15, 60%). Health outcomes included: maternal and child health (e.g., pre-term births, breastfeeding initiation), healthcare utilization (e.g., hospital admissions), mental health (e.g., depression), physical health (e.g., body mass index) and behavioral health (e.g., substance use). Maternal, infant, and child health were most highly represented health outcomes. Guaranteed income initiatives generally had significant positive impacts on health outcomes, with the largest impact seen among the most vulnerable recipients. There was a notable absence of data on neighborhood-level health outcomes, chronic and infectious diseases, potential unintended consequences, and long-term impacts of guaranteed income on health. While studies on the impact of guaranteed income and health studies are few, they suggest guaranteed income has the potential to positively impact many, but not all, health outcomes. Rigorous assessment of health outcomes is still needed, and additional health outcomes should be considered in the design and evaluation of guaranteed income initiatives.</p>","PeriodicalId":50510,"journal":{"name":"Epidemiologic Reviews","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changes to Epidemiologic Reviews.
IF 5.2 2区 医学
Epidemiologic Reviews Pub Date : 2025-03-18 DOI: 10.1093/epirev/mxaf002
Lori E Biddle, Pablo Martinez-Amezcua, Ian J Saldanha, David C Celentano
{"title":"Changes to Epidemiologic Reviews.","authors":"Lori E Biddle, Pablo Martinez-Amezcua, Ian J Saldanha, David C Celentano","doi":"10.1093/epirev/mxaf002","DOIUrl":"https://doi.org/10.1093/epirev/mxaf002","url":null,"abstract":"","PeriodicalId":50510,"journal":{"name":"Epidemiologic Reviews","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Age- and sex-stratified risks of myocarditis and pericarditis attributable to COVID-19 vaccination: a systematic review and meta-analysis. 接种 COVID-19 疫苗导致心肌炎和心包炎的年龄和性别分层风险:系统回顾和荟萃分析。
IF 5.2 2区 医学
Epidemiologic Reviews Pub Date : 2025-01-10 DOI: 10.1093/epirev/mxae007
Taito Kitano, Daniel A Salmon, Matthew Z Dudley, Ian J Saldanha, David A Thompson, Lilly Engineer
{"title":"Age- and sex-stratified risks of myocarditis and pericarditis attributable to COVID-19 vaccination: a systematic review and meta-analysis.","authors":"Taito Kitano, Daniel A Salmon, Matthew Z Dudley, Ian J Saldanha, David A Thompson, Lilly Engineer","doi":"10.1093/epirev/mxae007","DOIUrl":"10.1093/epirev/mxae007","url":null,"abstract":"<p><p>Although COVID-19 vaccines are generally very safe, the risks of myocarditis and pericarditis after receiving an messenger RNA (mRNA) vaccine have been established, with the highest risk in young men. Most systematic reviews and meta-analyses of the risk of myocarditis or pericarditis have included passive surveillance data, which is subject to reporting errors. Accurate measures of age-, sex-, and vaccine dose- and type-specific risks are crucial for assessment of the benefits and risks of the vaccination. A systematic review and meta-analysis of the risks of myocarditis and pericarditis attributable COVID-19 vaccines were conducted, stratified by age groups, sex, vaccine type, and vaccine dose. Five electronic databases and gray literature sources were searched on November 21, 2023. Article about studies that compared a COVID-19-vaccinated group with an unvaccinated group or time period (eg, self-controlled) were included. Passive surveillance data were excluded. Meta-analyses were conducted using random-effects models. A total of 4030 records were identified; ultimately, 17 articles were included in this review. Compared with unvaccinated groups or unvaccinated time periods, the highest attributable risk of myocarditis or pericarditis was observed after the second dose in boys aged 12-17 years (10.18 per 100 000 doses [95% CI, 0.50-19.87]) of the BNT162b2 vaccine and in young men aged 18-24 years (attributable risk, 20.02 per 100 000 doses [95% CI, 10.47-29.57]) for the mRNA-1273 vaccine. The stratified results based on active surveillance data provide the most accurate available estimates of the risks of myocarditis and pericarditis attributable to specific COVID-19 vaccinations for specific populations. Trial registration: International Prospective Register of Systematic Reviews (PROSPERO) Identifier: CRD42023443343.</p>","PeriodicalId":50510,"journal":{"name":"Epidemiologic Reviews","volume":" ","pages":"1-11"},"PeriodicalIF":5.2,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reporting of participant race and ethnicity from COVID-19 randomized controlled drug and biologicals trials: a scoping review. COVID-19 随机对照药物和生物制品试验的参与者种族和民族报告:范围审查。
IF 5.2 2区 医学
Epidemiologic Reviews Pub Date : 2025-01-10 DOI: 10.1093/epirev/mxae006
Shelly Melissa Pranić, Maria Dulce Estevão, Lenny T Vasanthan, Iván Pérez-Neri, Anika Pulumati, Fábio Antonio Serra de Lima Junior, Narges Malih, Vinayak Mishra, Jacqueline Thompson, Daniel Nnate
{"title":"Reporting of participant race and ethnicity from COVID-19 randomized controlled drug and biologicals trials: a scoping review.","authors":"Shelly Melissa Pranić, Maria Dulce Estevão, Lenny T Vasanthan, Iván Pérez-Neri, Anika Pulumati, Fábio Antonio Serra de Lima Junior, Narges Malih, Vinayak Mishra, Jacqueline Thompson, Daniel Nnate","doi":"10.1093/epirev/mxae006","DOIUrl":"10.1093/epirev/mxae006","url":null,"abstract":"<p><p>Racial and ethnic minorities have been disproportionally burdened by hospitalization and death due to COVID-19. Participation of individuals of diverse races and ethnicities in clinical trials, according to study-level characteristics of randomized controlled trials (RCTs) that test effectiveness of COVID-19 drugs, could be insightful for future researchers. Our objective for this scoping review was to describe the frequency of race and ethnicity reported as demographic variables and specific reporting of race and ethnicity according to COVID-19 RCT characteristics. We conducted comprehensive searches in PubMed, ProQuest, World Health Organization Database, and Cochrane Central Register of Controlled Trials, and gray literature via preprint servers from January 1, 2020, to May 4, 2022. We included RCTs on emergency- or conditionally approved COVID-19 drug interventions (remdesivir, baricitinib, and molnupiravir) with or without comparators. Self-reported race as American Indian/Pacific Islander, Asian, Black/African American, or White, ethnicity as Hispanic/Latinx, study design characteristics, and participant-relevant data were collected. In total, 17 RCTs with 17 935 participants were included. Most (n = 13; 76%) reported at least 1 race and ethnicity and were US-based, industry-funded RCTs. Asian, Black, Latinx, and White participants were mostly enrolled in RCTs that studied remdesivir. Native American and Hawaiian participants were mostly assessed for progression to high-flow oxygen/noninvasive ventilation. Time to recovery was assessed predominantly in Black and White participants, whereas hospitalization or death was mostly assessed in Asian, Latinx, and multirace participants. Trialists should be aware of RCT-level factors and characteristics that may be associated with low participation of racial and ethnic minorities, which could inform evidence-based interventions to increase minority participation.</p>","PeriodicalId":50510,"journal":{"name":"Epidemiologic Reviews","volume":" ","pages":"1-14"},"PeriodicalIF":5.2,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Food insecurity during pregnancy and associated perinatal outcomes: a scoping review.
IF 5.2 2区 医学
Epidemiologic Reviews Pub Date : 2025-01-10 DOI: 10.1093/epirev/mxaf001
Eliza W Kinsey, Omaris M Caceres, Hannah E K Posner, Stefanie N Hinkle
{"title":"Food insecurity during pregnancy and associated perinatal outcomes: a scoping review.","authors":"Eliza W Kinsey, Omaris M Caceres, Hannah E K Posner, Stefanie N Hinkle","doi":"10.1093/epirev/mxaf001","DOIUrl":"10.1093/epirev/mxaf001","url":null,"abstract":"<p><p>Food insecurity disproportionately affects women during their reproductive years. Food insecurity is associated with many negative health outcomes in the general population, including hypertension, diabetes, depression, anxiety, and obesity, particularly in women, yet it remains unclear whether it has negative implications for perinatal outcomes. We conducted a systematic scoping review using PubMed, Embase, and Scopus to identify studies of food insecurity and perinatal outcomes, including preterm birth, birth weight, gestational diabetes, hypertensive disorders of pregnancy, gestational weight gain, and mental health outcomes during the perinatal and immediate postpartum periods, and breastfeeding initiation. Twenty-nine studies were included. There is consistent evidence that individuals experiencing food insecurity in the prenatal period are at greater risk for depression and anxiety during pregnancy and postpartum. The findings were inconclusive for preterm delivery, birth weight, and other pregnancy outcomes, including gestational diabetes, hypertensive disorders of pregnancy, and gestational weight gain. This review highlights important data gaps related to the assessment of food insecurity in pregnancy that must be addressed to draw conclusions about potential perinatal outcomes among those experiencing food insecurity. More research is needed to understand the impacts of food insecurity on pregnancy outcomes and assess whether efforts to alleviate food insecurity improve outcomes.</p>","PeriodicalId":50510,"journal":{"name":"Epidemiologic Reviews","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11891647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using Trial and Observational Data to Assess Effectiveness: Trial Emulation, Transportability, Benchmarking, and Joint Analysis. 利用试验和观察数据评估有效性:试验模拟、可迁移性、基准和联合分析。
IF 5.2 2区 医学
Epidemiologic Reviews Pub Date : 2024-12-16 DOI: 10.1093/epirev/mxac011
Issa J Dahabreh, Anthony Matthews, Jon A Steingrimsson, Daniel O Scharfstein, Elizabeth A Stuart
{"title":"Using Trial and Observational Data to Assess Effectiveness: Trial Emulation, Transportability, Benchmarking, and Joint Analysis.","authors":"Issa J Dahabreh, Anthony Matthews, Jon A Steingrimsson, Daniel O Scharfstein, Elizabeth A Stuart","doi":"10.1093/epirev/mxac011","DOIUrl":"10.1093/epirev/mxac011","url":null,"abstract":"<p><p>Comparisons between randomized trial analyses and observational analyses that attempt to address similar research questions have generated many controversies in epidemiology and the social sciences. There has been little consensus on when such comparisons are reasonable, what their implications are for the validity of observational analyses, or whether trial and observational analyses can be integrated to address effectiveness questions. Here, we consider methods for using observational analyses to complement trial analyses when assessing treatment effectiveness. First, we review the framework for designing observational analyses that emulate target trials and present an evidence map of its recent applications. We then review approaches for estimating the average treatment effect in the target population underlying the emulation, using observational analyses of the emulation data alone and using transportability analyses to extend inferences from a trial to the target population. We explain how comparing treatment effect estimates from the emulation against those from the trial can provide evidence on whether observational analyses can be trusted to deliver valid estimates of effectiveness-a process we refer to as benchmarking-and, in some cases, allow the joint analysis of the trial and observational data. We illustrate different approaches using a simplified example of a pragmatic trial and its emulation in registry data. We conclude that synthesizing trial and observational data-in transportability, benchmarking, or joint analyses-can leverage their complementary strengths to enhance learning about comparative effectiveness, through a process combining quantitative methods and epidemiologic judgments.</p>","PeriodicalId":50510,"journal":{"name":"Epidemiologic Reviews","volume":" ","pages":"1-16"},"PeriodicalIF":5.2,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9237889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A systematic review of lethal means safety counseling interventions: impacts on safety behaviors and self-directed violence. 致命手段安全咨询干预的系统回顾:对安全行为和自我导向暴力的影响。
IF 5.2 2区 医学
Epidemiologic Reviews Pub Date : 2024-09-16 DOI: 10.1093/epirev/mxae001
Elizabeth G Spitzer, Kelly A Stearns-Yoder, Adam S Hoffberg, Hannah M Bailey, Christopher J Miller, Joseph A Simonetti
{"title":"A systematic review of lethal means safety counseling interventions: impacts on safety behaviors and self-directed violence.","authors":"Elizabeth G Spitzer, Kelly A Stearns-Yoder, Adam S Hoffberg, Hannah M Bailey, Christopher J Miller, Joseph A Simonetti","doi":"10.1093/epirev/mxae001","DOIUrl":"10.1093/epirev/mxae001","url":null,"abstract":"<p><p>For lethal means safety counseling (LMSC) interventions to reduce population-level suicide rates, interventions must be deployed across many settings and populations. We conducted a systematic search in 6 databases to review the current state of LMSC interventions across study designs, settings, intervention providers, populations, and injury prevention levels (eg, universal). Eligibility criteria were as follows: any individual or group receiving an LMSC intervention involving a human-to-human component aiming to influence adult behaviors related to lethal suicide methods, and outcome assessment of storage behaviors and/or suicidal self-directed violence (SDV). Risk of bias was assessed using the Effective Public Health Practice Project quality assessment tool. A descriptive synthesis approach was used for analysis. Twenty-two studies were included that reported medication- and/or firearm-storage behaviors and/or SDV after LMSC. Of the 19 studies assessing behavioral change, 14 reported a significant improvement in safe storage behaviors, and all studies measuring acceptability reported that participants found the interventions favorable. The quality of evidence was limited. No studies were rated low risk of bias, and 77% were rated high risk of bias. There was substantial heterogeneity in the settings, populations, injury prevention levels, delivery methods, and intervention elements. Many included studies focused on caregivers of pediatric populations, and few studies assessed SDV outcomes. Higher-quality trials conducted across a variety of settings, particularly those focusing on adults at risk of suicide, are needed. This review was preregistered with the International Prospective Register of Systematic Reviews (no. CRD42021230668).</p>","PeriodicalId":50510,"journal":{"name":"Epidemiologic Reviews","volume":" ","pages":"1-22"},"PeriodicalIF":5.2,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139703950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of post-traumatic chondropathy on the functional state of knee joints in athletes while playing basketball. 创伤后软骨病对篮球比赛中运动员膝关节功能状态的影响
IF 5.2 2区 医学
Epidemiologic Reviews Pub Date : 2024-09-16 DOI: 10.1093/epirev/mxae004
Wenpeng Cui, Mykola Bezmilov
{"title":"The effect of post-traumatic chondropathy on the functional state of knee joints in athletes while playing basketball.","authors":"Wenpeng Cui, Mykola Bezmilov","doi":"10.1093/epirev/mxae004","DOIUrl":"10.1093/epirev/mxae004","url":null,"abstract":"<p><p>The widespread occurrence of knee injuries in athletes when playing basketball, in particular, damage to the cartilage system of the knee joint is reviewed. Basketball players may develop post-traumatic chondropathy with a subsequent change in the functional state of knee joints, which is inextricably linked with a decrease in the quality of life, the occurrence of pain syndrome, shortening of career duration, an increased risk of surgical interventions, and possible disability, from a long-term perspective. This review was conducted to explore modern ideas about the impact of post-traumatic chondropathy on the functional state of knee joints in athletes during basketball games. Literature databases were searched for relevant studies. Given the character of the basketball game, knee injuries, both acute and chronic, are widespread among athletes of this sport, including cartilaginous defects of the knee joint. The findings of this study are of practical value for sports medicine doctors, physiotherapists, and traumatologists because they present the main mechanisms of knee injuries in athletes when playing basketball and the possible consequences of these injuries in the long term.</p>","PeriodicalId":50510,"journal":{"name":"Epidemiologic Reviews","volume":" ","pages":"1-5"},"PeriodicalIF":5.2,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Instruments for racial health equity: a scoping review of structural racism measurement, 2019-2021. 种族健康公平工具:2019-2021 年结构性种族主义测量范围审查。
IF 5.2 2区 医学
Epidemiologic Reviews Pub Date : 2024-09-16 DOI: 10.1093/epirev/mxae002
Anna K Hing, Tongtan Chantarat, Shekinah Fashaw-Walters, Shanda L Hunt, Rachel R Hardeman
{"title":"Instruments for racial health equity: a scoping review of structural racism measurement, 2019-2021.","authors":"Anna K Hing, Tongtan Chantarat, Shekinah Fashaw-Walters, Shanda L Hunt, Rachel R Hardeman","doi":"10.1093/epirev/mxae002","DOIUrl":"10.1093/epirev/mxae002","url":null,"abstract":"<p><p>Progress toward racial health equity cannot be made if we cannot measure its fundamental driver: structural racism. As in other epidemiologic studies, the first step is to measure the exposure. But how to measure structural racism is an ongoing debate. To characterize the approaches epidemiologists and other health researchers use to quantitatively measure structural racism, highlight methodological innovations, and identify gaps in the literature, we conducted a scoping review of the peer-reviewed and gray literature published during 2019-2021 to accompany the 2018 published work of Groos et al., in which they surveyed the scope of structural racism measurement up to 2017. We identified several themes from the recent literature: the current predominant focus on measuring anti-Black racism; using residential segregation as well as other segregation-driven measures as proxies of structural racism; measuring structural racism as spatial exposures; increasing calls by epidemiologists and other health researchers to measure structural racism as a multidimensional, multilevel determinant of health and related innovations; the development of policy databases; the utility of simulated counterfactual approaches in the understanding of how structural racism drives racial health inequities; and the lack of measures of antiracism and limited work on later life effects. Our findings sketch out several steps to improve the science related to structural racism measurements, which is key to advancing antiracism policies.</p>","PeriodicalId":50510,"journal":{"name":"Epidemiologic Reviews","volume":" ","pages":"1-26"},"PeriodicalIF":5.2,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11405678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is racism a barrier to HIV care continuum engagement among Black People in the United States? A scoping review to assess the state of the science and inform a research agenda. 种族主义是美国黑人参与 HIV 连续护理的障碍吗?评估科学现状并为研究议程提供信息的范围审查》(A Scoping Review to Assess the State of the Science and Inform a Research Agenda)。
IF 5.2 2区 医学
Epidemiologic Reviews Pub Date : 2024-09-16 DOI: 10.1093/epirev/mxae005
Chandra L Ford, Mekeila C Cook, Rebecca Israel Cross
{"title":"Is racism a barrier to HIV care continuum engagement among Black People in the United States? A scoping review to assess the state of the science and inform a research agenda.","authors":"Chandra L Ford, Mekeila C Cook, Rebecca Israel Cross","doi":"10.1093/epirev/mxae005","DOIUrl":"10.1093/epirev/mxae005","url":null,"abstract":"<p><p>People living with HIV can achieve viral suppression through timely HIV care continuum (HCC) engagement (ie, diagnosis, linkage to HIV care, retention in care, and adherence to prescribed treatment regimens). Black populations have poorer viral suppression, suboptimal HCC engagement, and higher levels of racism-related mistrust. The state of the evidence linking suboptimal HCC engagement to racism among US Black populations is assessed in this article. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 6 English language databases were searched using 3 sets of key terms related to HCC engagement (eg, HIV diagnosis), racism (eg, discrimination), and the population (eg, Black people). To exclude articles, 3 rounds of reviews were conducted and results assessed for interrater reliability (κ = 99.00%; P < 0.00). From 2027 articles initially retrieved, the final set of analyses (n = 32) included clinical and nonclinical samples of people living with or at risk for HIV. Overall, the evidence was conceptually robust but methodologically simple. Studies primarily targeted intrapersonal and interpersonal racism and the late stage of HCC engagement: adherence. Sample-specific prevalence of racism ranged considerably; for example, 20% to 90% of sample members in clinical settings perceived or experienced interpersonal forms of racism. To date, the evidence suggests the relationship between racism and HCC engagement is mixed. Racism is salient among Black people living with or at risk for HIV. It appears not to impede HIV testing, though it may limit retention in HIV care, especially among men who have sex with men.</p>","PeriodicalId":50510,"journal":{"name":"Epidemiologic Reviews","volume":" ","pages":"1-18"},"PeriodicalIF":5.2,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11647039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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