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Related Experiment Video

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Using SCOPE to Identify Potential Regulatory Motifs in Coregulated Genes
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Findings from a scoping review.

Katarina Ost1, Louise Duquesne2, Claudia Duguay3

  • 1University of Montreal, Département de médecine sociale et préventive, Montreal, Canada; Department of Medicine, University of Ottawa, 600 Peter Morand Crescent, Ottawa, ON K1G 5Z3, Canada.

Journal of Clinical Epidemiology
|November 25, 2021
PubMed
Summary

Large-scale infectious disease testing initiatives rarely define or explicitly consider equity. This oversight is critical for the success of public health interventions, including coronavirus disease 2019 (COVID-19) testing programs.

Keywords:
COVID-19EbolaEquityH1N1HIVInequityPROGRESS-Plus frameworkScoping reviewTIDieR-PHPTesting programs

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Area of Science:

  • Public Health
  • Epidemiology
  • Health Equity Research

Background:

  • Large-scale testing is crucial for infectious disease control, notably during the COVID-19 pandemic.
  • Existing initiatives often lack explicit consideration of equity in their design and evaluation.
  • Health equity is a key determinant of successful public health interventions.

Purpose of the Study:

  • To conduct a scoping review identifying how equity is addressed in large-scale infectious disease testing initiatives.
  • To analyze the extent to which equity considerations are integrated into the design and reporting of testing programs.
  • To highlight the gap in explicit equity considerations within infectious disease testing literature.

Main Methods:

  • A comprehensive literature search was conducted across Web of Science, Embase, and Medline in June 2021.
  • The review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for scoping reviews.
  • Included articles underwent critical content analysis for equity-related elements.

Main Results:

  • Out of 2448 studies screened, 86 were included, with 80% focusing on COVID-19 testing.
  • None of the studies provided a formal definition of testing equity.
  • 71 studies indirectly addressed equity by justifying target populations, with 58% referencing health equity using the PROGRESS-Plus framework.

Conclusions:

  • Infectious disease testing initiatives frequently overlook explicit equity considerations in their design and evaluation.
  • The lack of explicit attention to equity may hinder the overall effectiveness and fairness of testing programs.
  • Integrating equity principles is imperative for the success of large-scale public health testing interventions.