Racial and ethnic disparities in viral acute respiratory infections in the United States: protocol of a systematic review

Systematic Reviews

Lorraine Dean¹  Carrie Lyons¹  Neia Prata Menezes¹  Jowanna Malone¹  Stefan Baral²  Kechna Cadet³  Gregorio Millett⁴ 

[1] Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA;Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA;Center for Public Health and Human Rights, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA;Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA;Public Policy Office, AmfAR, Foundation for AIDS Research, Washington, DC, USA;

关键词: Acute respiratory infection;    Racial disparities;    Health disparities;    Influenza-like illness;    Pandemic preparedness;    Pandemic response;    Structural racism;   

DOI  :  10.1186/s13643-021-01749-8

来源: Springer

【 摘 要 】

BackgroundThe COVID-19 pandemic caused by SARS-CoV-2 has highlighted consistent inequities in incidence, disease severity, and mortality across racial and ethnic minority populations in the United States (US) and beyond. While similar patterns have been observed with previous viral respiratory pathogens, to date, no systematic review has comprehensively documented these disparities or potential contributing factors. In response, this review aims to synthesize data on racial and ethnic disparities in morbidity and mortality due to viral acute respiratory infections (ARI) other than SARS-CoV-2. This review will focus on understanding structural health and social factors to contextualize race and ethnicity driving these disparities in the US.MethodsWe will conduct a systematic review of studies published from January 1, 2002, onward. Our search will include PubMed/MEDLINE, EBSCO Host-CINAHL Plus, PsycInfo, EMBASE, and Cochrane Library databases to identify relevant articles. We will include studies of any design that describe racial/ethnic disparities associated with viral ARI conducted in the US. Primary outcomes include incidence, disease severity or complication, hospitalization, or death attributed to ARI. Secondary outcomes include uptake of preventive interventions including vaccination, handwashing, social distancing, and wearing masks. Two reviewers will independently screen all citations, full-text articles, and abstract relevant data. Data characterizing individual-, community-, and structural-level factors associated with these disparities will be abstracted to better understand the underlying structural inequities contributing to racial disparities in ARI. We will assess the methodological quality of all studies and will conduct meta-analyses using random effects models if appropriate.DiscussionFindings from this systematic review will shed light on patterns of racial and ethnic disparities in viral ARI in the United States to support mathematical modeling of epidemic trajectories, intervention impact, and structural drivers of transmission, including structural racism. Moreover, data emerging from this review may reignite pandemic preparedness focused on communities with specific vulnerabilities related to living and working conditions given prevailing structural inequities, thus facilitating improved future pandemic responses to novel or endemic viral respiratory pathogens.Systematic review registrationPROSPERO CRD42020219771

【 授权许可】

CC BY