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EQUALSS GUIDE Multiple: A novel framework for equity-focused evidence synthesis.

Lucy McCann1, Lucy Johnson1, Anna Gkiouleka1

  • 1Wolfson Institute of Population Health, Queen Mary University of London, London, UK.

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|March 19, 2025
PubMed
Summary
This summary is machine-generated.

A new framework, EQUALSS GUIDE Multiple, expands on PROGRESS-Plus to better identify health equity issues across diverse disadvantaged groups, including those with multiple intersecting disadvantages and disabilities.

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Area of Science:

  • Health Services Research
  • Health Equity Studies
  • Social Determinants of Health

Background:

  • Understanding differential intervention effects across disadvantaged groups is crucial for health equity.
  • Existing frameworks like PROGRESS-Plus have limitations in capturing all dimensions of disadvantage.
  • There is a need for a comprehensive framework to synthesize evidence from an equity perspective.

Purpose of the Study:

  • To develop an improved framework for equity-focused evidence synthesis.
  • To address limitations of the existing PROGRESS-Plus framework.
  • To ensure health interventions do not exacerbate existing inequalities.

Main Methods:

  • Re-analysis of studies from the EQUALISE review to identify domains of disadvantage.
  • Comparison of identified domains with the existing PROGRESS-Plus framework.
  • Development of a new, expanded framework based on findings.

Main Results:

  • Commonly assessed PROGRESS-Plus domains included sex/gender, ethnicity/race, and age.
  • The PROGRESS-Plus framework lacked explicit inclusion of context-specific groups, multiple disadvantages, and disability.
  • The new EQUALSS GUIDE Multiple framework incorporates a broader range of disadvantage domains.

Conclusions:

  • EQUALSS GUIDE Multiple builds upon PROGRESS-Plus, offering greater flexibility and comprehensiveness.
  • This framework aids in prioritizing interventions that reduce health gaps.
  • It helps prevent interventions that may widen health inequalities.