Positioning zoonotic disease research in forced migration: A systematic literature review of theoretical frameworks and approaches.

Positioning zoonotic disease research in forced migration: A systematic literature review of theoretical frameworks and approaches.
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DOI:
10.1371/journal.pone.0254746
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发表时间:
2021
期刊:
影响因子:
3.7
通讯作者:
Braam D
Braam D
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Tasker A;Braam D

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人畜共患病的出现和传播是由卫生、环境和社会政治系统之间复杂的相互作用驱动的。在这些过程中,人类活动被认为是一个重要的和日益增长的因素,但被迫迁移仍然是一个未充分研究的人畜共患病研究领域,部分原因是在这些环境中进行跨学科研究的复杂性。我们进行了系统的回顾,以确定和分析用于研究被迫迁移和人畜共患疾病之间的联系的理论框架和方法。我们检索了8个电子数据库:ProQuest、SCOPUS、Web of Science、PubMed、PLoSOne、Science Direct、JSTOR和Google Scholar,以识别a)关注人畜共患病的研究文章(考虑其研究人群中的被迫移民)和B)涉及人畜共患病的被迫移民文献。两位作者进行了全文综述,使用批判性评价技能计划(CASP)模型评价文献综述和主要数据的质量,而理论论文则使用改编自Bonell等人(2013)的理论综合进行质量评价。根据Noblit和Hare(1988)建议的方法,按主题合成定性数据。对纳入的23篇文章的分析表明,随着时间的推移,跨学科框架和方法的使用越来越多,其中大部分源于政治生态。生态健康和一体健康等方法越来越受欢迎,但与更广泛的背景研究相比,它们更经常与项目的实施和发展联系在一起。大多数研究未能认识到移民人口的异质性,缺乏背景深度,以及移民机构在应对人畜共患病威胁方面的不足。在被迫移徙的背景下解决人畜共患病的出现和传播问题,需要更仔细地考虑和利用跨学科研究,以整合社会科学和自然科学方法的贡献。强有力的跨学科理论框架是更好地理解强迫迁移中人畜共患病复杂的健康、环境和社会政治驱动因素的重要一步。可以从对其他难以接触或很少听到声音的人群采用这些方法中吸取经验教训。
The emergence and transmission of zoonotic diseases are driven by complex interactions between health, environmental, and socio-political systems. Human movement is considered a significant and increasing factor in these processes, yet forced migration remains an understudied area of zoonotic research–due in part to the complexity of conducting interdisciplinary research in these settings. We conducted a systematic review to identify and analyze theoretical frameworks and approaches used to study linkages between forced migration and zoonotic diseases. We searched within eight electronic databases: ProQuest, SCOPUS, Web of Science, PubMed, PLoSOne, Science Direct, JSTOR, and Google Scholar, to identify a) research articles focusing on zoonoses considering forced migrants in their study populations, and b) forced migration literature which engaged with zoonotic disease. Both authors conducted a full-text review, evaluating the quality of literature reviews and primary data using the Critical Appraisal Skills Programme (CASP) model, while theoretical papers were evaluated for quality using a theory synthesis adapted from Bonell et al. (2013). Qualitative data were synthesized thematically according to the method suggested by Noblit and Hare (1988). Analyses of the 23 included articles showed the increasing use of interdisciplinary frameworks and approaches over time, the majority of which stemmed from political ecology. Approaches such as EcoHealth and One Health were increasingly popular, but were more often linked to program implementation and development than broader contextual research. The majority of research failed to acknowledge the heterogeneity of migrant populations, lacked contextual depth, and insufficient acknowledgments of migrant agency in responding to zoonotic threats. Addressing the emergence and spread of zoonoses in forced migration contexts requires more careful consideration and use of interdisciplinary research to integrate the contributions of social and natural science approaches. Robust interdisciplinary theoretical frameworks are an important step for better understanding the complex health, environment, and socio-political drivers of zoonotic diseases in forced migration. Lessons can be learned from the application of these approaches in other hard-to-reach or seldom-heard populations.
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