强迫流离失所人口中的传染病研究:低收入和中等收入东道国的系统审查
Neila Gross1, Maia C Tarnas2, Rashmina J Sayeeda3,4,5
1Department of Materials Science and Engineering, Boston University, Boston, MA, USA.
Journal of migration and health
|July 21, 2025
概括
难民环境中的传染病研究往往缺乏社区参与,并面临人口流动性等挑战. 改进研究需要特定环境的方法和更大的社区参与,以有效预防和管理疾病.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 公共卫生政策 公共卫生政策
背景情况:
- 传染病研究对于难民营和非正式定居点的卫生管理至关重要.
- 现有的研究特征,挑战,伦理考虑和这些环境中的干预措施需要进行系统的评估.
研究的目的:
- 确定在难民环境中传染病研究的特点.
- 评估研究挑战,伦理考虑和这些研究中的干预措施.
主要方法:
- 对40项关于流离失所人口 (1995-2023) 传染病研究的初级研究进行系统审查.
- 在PubMed,Embase和Web of Science进行的搜索;注册在PROSPERO (CRD42023461567).
- 使用混合方法评估工具评估偏差风险.
主要成果:
- 85%的研究专注于干预,70%是随机对照试验,主要是在孟加拉国和巴基斯坦.
- 腹疾病 (40%) 和疟疾 (28%) 是常见的研究主题.
- 主要挑战包括人口流动性,有限的外部有效性和低招聘率;社区参与是最小的,通常是通过卫生工作者.
结论:
- 在流离失所环境中利用研究指南方面存在差距.
- 研究往往忽视了社区背景和参与,尽管存在许多已识别的挑战.
- 在流离失所的社区进行伦理和有效的研究时,需要考虑特定的环境,并强有力的社区参与.
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