Applying an equity lens to interventions: using PROGRESS ensures consideration of socially stratifying factors to illuminate inequities in health
Applying an equity lens to interventions: using PROGRESS ensures consideration of socially stratifying factors to illuminate inequities in health
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DOI：
10.1016/j.jclinepi.2013.08.005
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发表时间：
2014-01-01
影响因子：
7.2
通讯作者：
Tugwell, Peter
中科院分区：
文献类型：
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作者：
O'Neill, Jennifer;Tabish, Hilary;Tugwell, Peter
目的：评估居住地、种族/民族/文化/语言、职业、性别/性别、宗教、教育、社会经济地位和社会资本（“进步”）在确定健康机会和结果分层因素方面的效用。我们探索了PROGRESS作为公平视角的价值，以评估干预措施对卫生公平的影响。研究设计和设置：我们通过在2008年至2013年间发表的11项系统综述和方法学研究中使用PROGRESS来评估其效用。为了确定每项进展要素的理由，我们咨询了专家，以确定疾病负担方面不公平差异的例子，以及能够有效解决这些卫生不公平现象的干预措施。结果：基于疾病负担的不公平差异和减少这些差异影响的干预潜力，每个PROGRESS因素都可以被证明是合理的。我们没有提供差异存在的基本原理，但试图解释为什么这些差异可能导致劣势，并主张在新的评估、系统评价和干预实施中考虑这些差异。结论：首字母缩略词PROGRESS是一个框架和备忘录，有助于确保在进行、报告和使用研究时采用公平的视角。(C) 2014爱思唯尔公司版权所有。
Objectives: To assess the utility of an acronym, place of residence, race/ethnicity/culture/language, occupation, gender/sex, religion, education, socioeconomic status, and social capital ("PROGRESS"), in identifying factors that stratify health opportunities and outcomes. We explored the value of PROGRESS as an equity lens to assess effects of interventions on health equity.Study Design and Setting: We assessed the utility of PROGRESS by using it in 11 systematic reviews and methodological studies published between 2008 and 2013. To develop the justification for each of the PROGRESS elements, we consulted experts to identify examples of unfair differences in disease burden and an intervention that can effectively address these health inequities.Results: Each PROGRESS factor can be justified on the basis of unfair differences in disease burden and the potential for interventions to reduce these differential effects. We have not provided a rationale for why the difference exists but have attempted to explain why these differences may contribute to disadvantage and argue for their consideration in new evaluations, systematic reviews, and intervention implementation.Conclusion: The acronym PROGRESS is a framework and aide-memoire that is useful in ensuring that an equity lens is applied in the conduct, reporting, and use of research. (C) 2014 Elsevier Inc. All rights reserved.