4.2 Review

A Mixed-Methods Systematic Review on Syndemics in Rheumatology

期刊

JCR-JOURNAL OF CLINICAL RHEUMATOLOGY
卷 29, 期 3, 页码 113-117

出版社

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/RHU.0000000000001915

关键词

syndemic(s); mixed-methods systematic review; rheumatology; rheumatic and musculoskeletal diseases

向作者/读者索取更多资源

A syndemic framework is used to assess the multidimensionality of diseases and their circumstances, providing important insights in various fields. This study aimed to evaluate the use of this framework in rheumatic and musculoskeletal diseases (RMDs). The results showed limited application of syndemic studies in rheumatology, highlighting the need for further research.
A syndemic framework assesses the multidimensionality of the interrelationships of diseases and their circumstances. This approach has given important insights into other nonrheumatic diseases.ObjectiveWe aimed to assess the use of framework and corresponding methodology to document syndemics and its impact in rheumatic and musculoskeletal diseases (RMDs).MethodsUsing a mixed-methods systematic review, studies using the syndemic framework approach for RMDs were identified and published from January 2003 to January 2021. The Joanna Briggs Institute, Cochrane Collaboration, and PRISMA guidelines were followed to search, retrieve, revise, and analyze.ResultsA total of 658 potential articles were identified, but only 10 were initially eligible. After a full-text review, 4 were included. Following a full-text review, 2 quantitative, 1 qualitative, and 1 mixed-methods study were included. In the first, network analysis found that RMDs were associated with comorbidities, unhealthy habits, low educational level, living in rural areas, socioeconomic conditions, and health inequality in indigenous communities. In the second, SSEM and cluster analysis demonstrated an association between low back pain and factors, such as comorbidities and indigenous status, among others, in urban/rural communities. The qualitative study examined 3 fishing family generations and reported less syndemic vulnerability. The mixed-methods study focused on osteoarthritis with multimorbidities in African American population, where lack of education added to worsening outcomes.ConclusionsEven though the insights syndemic studies have given to other areas, its use in rheumatology is scarce. The complexity of the clinical and social determinants related to RMDs makes it necessary to conduct further studies from a syndemic perspective.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.2
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据