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dc.contributor.authorMamelund, Svenn-Erik
dc.contributor.authorShelley-Egan, Clare
dc.contributor.authorRøgeberg, Ole
dc.date.accessioned2019-01-04T18:30:04Z
dc.date.accessioned2019-01-07T07:51:30Z
dc.date.available2019-01-04T18:30:04Z
dc.date.available2019-01-07T07:51:30Z
dc.date.issued2019-01-04
dc.identifier.citationMamelund S, Shelley-Egan C, Røgeberg O. The association between socioeconomic status and pandemic influenza: Protocol for a systematic review and meta-analysis. Systematic Reviews. 2019;8(5)en
dc.identifier.issn2046-4053
dc.identifier.urihttps://hdl.handle.net/10642/6462
dc.description.abstractBackground: Pandemic mortality rates in 1918 and in 2009 were highest among those with the lowest socioeconomic status (SES). Despite this, low SES groups are not included in the list of groups prioritized for pandemic vaccination, and the ambition to reduce social inequality in health does not feature in international and national pandemic preparedness plans. We describe plans for a systematic review and meta-analysis of the association between SES and pandemic outcomes during the last five pandemics. Method: The planned review will cover studies of pandemic influenza that report associations between morbidity, hospitalization, or mortality with socioeconomic factors such as education and income. The review will include published studies in the English, Danish, Norwegian, and Swedish languages, regardless of geographical location. Relevant records were identified through systematic literature searches in MEDLINE, Embase, Cinahl, SocIndex, Scopus, and Web of Science. Reference lists of relevant known studies will be screened and experts in the field consulted in order to identify other additional sources. Two investigators will independently screen and select studies, and discrepancies will be resolved through discussion until consensus is reached. Covidence will be used. Results will be summarized narratively and using three meta-analytic strategies: coefficients expressing the difference between the highest and lowest socioeconomic groups reported will be pooled using (a) fixed and random effects meta-analysis where studies involve similar outcome and exposure measures and (b) meta-regression where studies involve similar outcome measures. In addition, we will attempt to use all reported estimates for SES differences in (c) a Bayesian meta-analysis to estimate the underlying SES gradient and how it differs by outcome and exposure measure. Discussion: This study will provide the first systematic review of research on the relation between SES and pandemic outcomes. The findings will be relevant for health policy in helping to assess whether people of low socioeconomic status should be prioritized for vaccines in preparedness plans for pandemic influenza. The review will also contribute to the research literature by providing pooled estimates of effect sizes as inputs into power calculations of future studies.en
dc.language.isoenen
dc.publisherBMCen
dc.relation.ispartofseriesSystematic Reviews;(2019) 8:5
dc.relation.urihttps://systematicreviewsjournal.biomedcentral.com/track/pdf/10.1186/s13643-018-0931-2
dc.rights© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectPandemic influenzaen
dc.subjectMorbiditiesen
dc.subjectHospitalizationsen
dc.subjectSocioeconomic statusesen
dc.subjectPovertyen
dc.subjectHousing conditionsen
dc.titleThe association between socioeconomic status and pandemic influenza: Protocol for a systematic review and meta-analysisen
dc.typeJournal articleen
dc.typePeer revieweden
dc.date.updated2019-01-04T18:30:04Z
dc.description.versionpublishedVersionen
dc.identifier.doihttps://dx.doi.org/10.1186/s13643-018-0931-2
dc.identifier.cristinID1646928
dc.source.issn2046-4053
dc.relation.journalSystematic Reviews


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© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Except where otherwise noted, this item's license is described as © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.