Improving the reporting on health equity in observational research (STROBE-Equity): extension checklist and elaboration

Omar Dewidar; Larissa Shamseer; G J Melendez-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 Ghogomu; Tamara Rader; Hugh Sharma Waddington; Beverley Shea; Miriam Nkangu; Holly Ellingwood; Luke Wolfenden; Janice Tufte; Tanya Horsley; Kevin Pottie; Luis Gabriel Cuervo; Clara Juando-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 S Wiysonge; Sarah Funnell; Janet Jull; Lawrence Mbuagbaw; Vivian Welch

doi:10.1136/bmj-2024-083882

Improving the reporting on health equity in observational research (STROBE-Equity): extension checklist and elaboration

BMJ. 2025 Sep 3:390:e083882. doi: 10.1136/bmj-2024-083882.

Authors

Omar Dewidar^{1

2}, Larissa Shamseer³, G J Melendez-Torres⁴, Elie A Akl^{5

6}, Jacqueline Ramke^{7

8}, Xiaoqin Wang⁹, Oyekola Oloyede¹⁰, Taryn Young¹¹, Stuart G Nicholls¹², Zack Marshall¹³, Michelle Kennedy¹⁴, Billie-Jo Hardy^{15

16}, Anita Rizvi¹⁷, Elizabeth Ghogomu², Tamara Rader¹⁸, Hugh Sharma Waddington¹⁹, Beverley Shea²⁰, Miriam Nkangu^{2

20}, Holly Ellingwood^{21

22}, Luke Wolfenden²³, Janice Tufte^{24

25}, Tanya Horsley^{20

26}, Kevin Pottie²⁷, Luis Gabriel Cuervo^{28

29}, Clara Juando-Prats^{15

30

31}, Cindy Feng^{32

33}, Melissa K Sharp³⁴, Julian Little²⁰, Ebenezer Owusu-Addo³⁵, Damian Francis³⁶, Tamara Kredo^{11

37}, Michael Johnson Mahande³⁸, Catherine Chamberlain^{39

40}, Tomás Pantoja⁴¹, Erik von Elm⁴², Zulfiqar A Bhutta^{43

44}, Peter Tugwell^{2

20

45

46}, Charles S Wiysonge^{11

37}, Sarah Funnell^{47

48}, Janet Jull^{49

50}, Lawrence Mbuagbaw⁶, Vivian Welch^{2

20}

Affiliations

¹ Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
² Bruyère Health Research Institute, University of Ottawa, Ottawa, ON, Canada.
³ Knowledge Translation Program, Li Ka Shing Knowledge Institute, St Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
⁴ Faculty of Health and Life Sciences, University of Exeter, Exeter, UK.
⁵ Department of Internal Medicine, American University of Beirut, Beirut, Lebanon.
⁶ Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
⁷ International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK.
⁸ School of Optometry and Vision Science, University of Auckland, Auckland, New Zealand.
⁹ Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
¹⁰ Sefako Makgatho Health Sciences University, Pretoria, South Africa.
¹¹ Centre for Evidence Based Health Care, Department of Global Health, Stellenbosch University, Cape Town, South Africa.
¹² Methodological and Implementation Research, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
¹³ Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
¹⁴ School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW, Australia.
¹⁵ Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
¹⁶ Well Living House, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, Canada.
¹⁷ School of Psychology, University of Ottawa, Ottawa, ON, Canada.
¹⁸ Canadian Agency for Drugs and Technologies in Health, Ottawa, ON, Canada.
¹⁹ Planetary Health Group, Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK.
²⁰ School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
²¹ Department of Law and Legal Studies, Carleton University, Ottawa, ON, Canada.
²² Public representative, Ottawa, ON, Canada.
²³ The University of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia.
²⁴ Hassanah Consulting, Seattle, WA, USA.
²⁵ Public representative, Seattle, WA, USA.
²⁶ Royal College of Physicians and Surgeons of Canada, Research, Ottawa, ON, Canada.
²⁷ Family Medicine, Dalhousie University, Halifax, NS, Canada.
²⁸ Unit of Science and Knowledge for Impact, Department of Evidence and Intelligence for Action in Health, Pan American Health Organization, Washington, DC, USA.
²⁹ Doctoral Programme on Methodology of Biomedical Research and Public Health, Department of Paediatrics, Obstetrics, Gynaecology and Preventive Medicine and Public Health, Autonomous University of Barcelona, Bellaterra, Cataluña, Spain.
³⁰ School of Nursing, Faculty of Health and Behavioral Sciences, Lakehead University, Toronto, ON, Canada.
³¹ Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, Canada.
³² Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, Halifax, NS, Canada.
³³ School of Public Health, University of Saskatchewan, Saskatoon, SK, Canada.
³⁴ Department of Public Health and Epidemiology, School of Population Health, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
³⁵ Institute for Rural Development and Innovation Studies, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
³⁶ School of Health and Human Performance, Center for Health and Social Issues, Georgia College and State University, Milledgeville, GA, USA.
³⁷ Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa.
³⁸ Department of Epidemiology and Biostatistics, Institute of Public Health, Kilimanjaro Christian Medical College, Moshi, Tanzania.
³⁹ Indigenous Health Equity Unit, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VC, Australia.
⁴⁰ Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Melbourne, VC, Australia.
⁴¹ Family Medicine Department, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
⁴² Cochrane Switzerland, and Cochrane Germany Foundation, Freiburg, Germany.
⁴³ Centre for Global Child Health, Hospital for Sick Children, Toronto, ON, Canada.
⁴⁴ Institute for Global Health and Development, The Aga Khan University, Karachi, Pakistan.
⁴⁵ Ottawa Hospital Research Institute, Ottawa, ON, Canada.
⁴⁶ Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
⁴⁷ Department of Family Medicine, Queen's University, Kingston, ON, Canada.
⁴⁸ Department of Family Medicine, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
⁴⁹ Department of Health Sciences, Carleton University, Ottawa, ON, Canada.
⁵⁰ Faculty of Health Sciences, School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada.

Abstract

Data on health equity to inform societally relevant evidence based decisions and policy making are lacking in the research literature. Observational studies have the potential to provide data on health equity. Yet, guidance on how to report health equity data and considerations in observational research is inadequate. The STROBE-Equity extension addresses this gap by providing a structured set of criteria to enhance the reporting of health equity data and considerations.