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Improving the Reporting on Health Equity in Observational Research (STROBE-Equity)

2025· article· en· W4413943325 on OpenAlexaff
Omar Dewidar, Larissa Shamseer, G. J. Meléndez‐Torres, Elie A. Akl, Jacqueline Ramke, Xiaoqin Wang, Oyekola Oloyede, Taryn Young, Stuart G. Nicholls, Zack Marshall, Michelle Kennedy, Billie-Jo Hardy, Anita Rizvi, Elizabeth Tanjong Ghogomu, Tamara Rader, Hugh Waddington, Beverley Shea, Miriam Nkangu, Holly Ellingwood, Luke Wolfenden, Janice Tufte, Tanya Horsley, Kevin Pottie, Luis Gabriel Cuervo, Clara Juandó‐Prats, Cindy Feng, Melissa K. Sharp, Julian Little, Ebenezer Owusu‐Addo, Damian Francis, Tamara Kredo, Michael Johnson Mahande, Catherine Chamberlain, Tomás Pantoja, Erik von Elm, Zulfiqar A Bhutta, Peter Tugwell, Charles Shey Wiysonge, Sarah Funnell, Janet Jull, Lawrence Mbuagbaw, Vivian Welch

Bibliographic record

VenueJAMA Network Open · 2025
Typearticle
Languageen
FieldSocial Sciences
TopicHealth disparities and outcomes
Canadian institutionsQueen's UniversitySickKids FoundationCochraneHospital for Sick ChildrenUniversity of SaskatchewanDalhousie UniversityOttawa HospitalCarleton UniversityPublic Health OntarioSt. Michael's HospitalCanadian Agency for Drugs and Technologies in HealthMcMaster UniversityUniversity of CalgaryImpactRoyal College of Physicians and Surgeons of CanadaUniversity of TorontoLakehead UniversityBruyèreUniversity of Ottawa
Fundersnot available
KeywordsStrengthening the reporting of observational studies in epidemiologyObservational studyEquity (law)ChecklistHealth equityGuidelinePsychologyPublic relationsBusinessPolitical scienceMedicinePublic healthNursing

Abstract

fetched live from OpenAlex

Importance: Observational studies can provide valuable insights to inform decisions on health equity. Existing guidelines for reporting such studies, such as the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement, currently lack specific considerations for reporting on health equity. Health equity is defined as the absence of avoidable and unfair differences that may exist across individuals and populations due to structural and systematic inequities in living and working conditions, opportunities, and resources. To address this gap, the research team developed an extension of the STROBE statement (STROBE-Equity) that focuses on reporting health equity data and considerations. Observations: This consensus statement followed steps for developing a consensus- and evidence-based guideline using an integrated knowledge translation approach to ensure engagement of knowledge users from diverse disciplines and perspectives. Selection criteria for the research team and steering committees prioritized diversity across age, gender, and geography. The STROBE checklist was extended to include 10 items specifically aimed at reporting health equity considerations. To develop these items, the research team drew on evidence from empirical studies including a scoping review of the literature, methodological review, key informant interviews, an online survey, and a global consensus meeting of experts. For each of the 10 equity-related items, the statement provides an explanation and example(s) of transparent reporting practices. Conclusions and Relevance: Use of the STROBE-Equity extension alongside the STROBE statement when writing up completed reports of observational studies has the potential to advance the reporting of health equity data and considerations. Improved reporting of this information may help knowledge users better identify and apply evidence relevant to populations experiencing inequities.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.804
metaresearch head score (Gemma)0.941
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesMetaresearch
DomainCandidate signal: Reporting · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Methods · Consensus signal: none
Teacher disagreement score0.196
Threshold uncertainty score0.242

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.8040.941
Meta-epidemiology (narrow)0.0030.005
Meta-epidemiology (broad)0.0110.013
Bibliometrics0.0230.021
Science and technology studies0.0070.022
Scholarly communication0.0260.022
Open science0.0090.032
Research integrity0.0220.023
Insufficient payload (model declined to judge)0.0170.006

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.493
GPT teacher head0.591
Teacher spread0.098 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; the direct Gemma label and the distilled Codex classifier agree on what is shown here.

Study designNot applicable
DomainReporting
GenreMethods

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations15
Published2025
Admission routes1
Has abstractyes

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