Conference equity in global health: a systematic review of factors impacting LMIC representation at global health conferences.

Conference equity in global health: a systematic review of factors impacting LMIC representation at global health conferences.
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DOI:
10.1136/bmjgh-2020-003455
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发表时间:
2021-01
期刊:
影响因子:
8.1
通讯作者:
Joseph MN
Joseph MN
中科院分区:
医学2区
文献类型:
--
作者:
Velin L;Lartigue JW;Johnson SA;Zorigtbaatar A;Kanmounye US;Truche P;Joseph MN

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全球卫生会议是与会者知识交流、决策以及个人和专业成长的重要平台。全球卫生领域的新殖民主义模式和最近的意见报告表明,来自低收入和中等收入国家的利益攸关方在此类会议上的代表性可能不足。本研究旨在描述影响LMIC在全球卫生会议上的代表性的因素。使用系统性综述和荟萃分析指南的首选报告项目,对报告决定全球卫生会议出席率的因素的文章进行了系统性综述。文章介绍了会议的人口统计学和数据的障碍和/或促进出席。由4名独立评审员在标题和摘要层面对文章进行筛选。对符合条件的文章进行全文阅读、分析和评价,并进行偏倚风险评估。在筛选的8765篇文章中,46篇文章符合纳入标准。专题分析产生了两个专题:“出席会议的障碍”和“出席会议的促进者”。总共描述了112个会议,254,601名与会者,其中4%的会议在低收入国家举办。在98 302名与会者中,有38 167人(39%)来自中低收入国家。“会议不平等”在全球卫生领域很常见,LMIC与会者在全球卫生会议上的代表性不足。LMIC的出席受到系统性障碍的限制,包括高昂的旅行费用,签证限制和研究报告的接受率较低。通过将会议地点改在签证友好国家、提供旅行奖学金和制定导师方案,使LMIC的研究人员能够参加全球会议,可以缓解这一问题。
Global health conferences are important platforms for knowledge exchange, decision-making and personal and professional growth for attendees. Neocolonial patterns in global health at large and recent opinion reports indicate that stakeholders from low- and middle-income countries (LMICs) may be under-represented at such conferences. This study aims to describe the factors that impact LMIC representation at global health conferences. A systematic review of articles reporting factors determining global health conference attendance was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Articles presenting conference demographics and data on the barriers and/or facilitators to attendance were included. Articles were screened at title and abstract level by four independent reviewers. Eligible articles were read in full text, analysed and evaluated with a risk of bias assessment. Among 8765 articles screened, 46 articles met inclusion criteria. Thematic analysis yielded two themes: ‘barriers to conference attendance’ and ‘facilitators to conference attendance’. In total, 112 conferences with 254 601 attendees were described, of which 4% of the conferences were hosted in low-income countries. Of the 98 302 conference attendees, for whom affiliation was disclosed, 38 167 (39%) were from LMICs. ‘Conference inequity’ is common in global health, with LMIC attendees under-represented at global health conferences. LMIC attendance is limited by systemic barriers including high travel costs, visa restrictions and lower acceptance rates for research presentations. This may be mitigated by relocating conferences to visa-friendly countries, providing travel scholarships and developing mentorship programmes to enable LMIC researchers to participate in global conferences.
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