Lack of sex- and gender-disaggregated data in diagnostics: findings from a scoping review of five tracer conditions

BackgroundSex and gender can affect all aspects of health-related behavior, yet there is limited information on how they influence diagnosis of any health condition. This scoping review examined the extent to which sex- and gender-disaggregated data on diagnostics are available for five tracer condi...

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Main Authors: Vishwanath Upadhyay, Rishabh Gangwar, Gabrielle Landry Chappuis, Mikashmi Kohli
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1484873/full
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author Vishwanath Upadhyay
Rishabh Gangwar
Gabrielle Landry Chappuis
Mikashmi Kohli
author_facet Vishwanath Upadhyay
Rishabh Gangwar
Gabrielle Landry Chappuis
Mikashmi Kohli
author_sort Vishwanath Upadhyay
collection DOAJ
description BackgroundSex and gender can affect all aspects of health-related behavior, yet there is limited information on how they influence diagnosis of any health condition. This scoping review examined the extent to which sex- and gender-disaggregated data on diagnostics are available for five tracer conditions: tuberculosis, coronavirus disease 2019 (COVID-19), diabetes, malaria, and schistosomiasis.MethodsPublications were searched between 2000 and 2022 on PubMed and Google Scholar and screened for relevance. Extracted data were analysed using descriptive quantitative and qualitative approaches.ResultsWe identified 29 relevant articles for tuberculosis, four for diabetes, six for schistosomiasis, eight for COVID-19, and three for malaria. For tuberculosis, most studies looked at gender-based barriers to diagnosis and disparities in health-seeking behaviors that predominantly affected women. For diabetes, studies noted that women had lower odds of being screened for prediabetes and potentially lower quality of care versus men. For schistosomiasis, studies suggested lower sensitivity diagnostic methods among women than men and low awareness of the disease. Studies suggest that women are less likely to be diagnosed for COVID-19 in certain settings. Studies on malaria reported that women show different health-seeking behaviors to men.ConclusionThis scoping review highlights a concerning lack of sex- and gender-disaggregated data on diagnostics. Consequently, further work is required to develop and implement an appropriate framework to assess gender and sex-related data around testing and diagnosis.
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spelling doaj-art-6f2974f17e8742fda253b56ce567f4622025-01-28T06:41:13ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.14848731484873Lack of sex- and gender-disaggregated data in diagnostics: findings from a scoping review of five tracer conditionsVishwanath Upadhyay0Rishabh Gangwar1Gabrielle Landry Chappuis2Mikashmi Kohli3Department of Molecular Medicine, Jamia Hamdard (Deemed to be University), New Delhi, IndiaIndian Council of Medical Research-National Institute of Malaria Research (NIMR), New Delhi, IndiaFIND, Geneva, SwitzerlandFIND, Geneva, SwitzerlandBackgroundSex and gender can affect all aspects of health-related behavior, yet there is limited information on how they influence diagnosis of any health condition. This scoping review examined the extent to which sex- and gender-disaggregated data on diagnostics are available for five tracer conditions: tuberculosis, coronavirus disease 2019 (COVID-19), diabetes, malaria, and schistosomiasis.MethodsPublications were searched between 2000 and 2022 on PubMed and Google Scholar and screened for relevance. Extracted data were analysed using descriptive quantitative and qualitative approaches.ResultsWe identified 29 relevant articles for tuberculosis, four for diabetes, six for schistosomiasis, eight for COVID-19, and three for malaria. For tuberculosis, most studies looked at gender-based barriers to diagnosis and disparities in health-seeking behaviors that predominantly affected women. For diabetes, studies noted that women had lower odds of being screened for prediabetes and potentially lower quality of care versus men. For schistosomiasis, studies suggested lower sensitivity diagnostic methods among women than men and low awareness of the disease. Studies suggest that women are less likely to be diagnosed for COVID-19 in certain settings. Studies on malaria reported that women show different health-seeking behaviors to men.ConclusionThis scoping review highlights a concerning lack of sex- and gender-disaggregated data on diagnostics. Consequently, further work is required to develop and implement an appropriate framework to assess gender and sex-related data around testing and diagnosis.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1484873/fullsex- and gender-disaggregated data in diagnosticsgender disparities in diagnosis of tuberculosiscoronavirus disease 2019 (COVID-19)diabetesmalariaand schistosomiasis
spellingShingle Vishwanath Upadhyay
Rishabh Gangwar
Gabrielle Landry Chappuis
Mikashmi Kohli
Lack of sex- and gender-disaggregated data in diagnostics: findings from a scoping review of five tracer conditions
Frontiers in Public Health
sex- and gender-disaggregated data in diagnostics
gender disparities in diagnosis of tuberculosis
coronavirus disease 2019 (COVID-19)
diabetes
malaria
and schistosomiasis
title Lack of sex- and gender-disaggregated data in diagnostics: findings from a scoping review of five tracer conditions
title_full Lack of sex- and gender-disaggregated data in diagnostics: findings from a scoping review of five tracer conditions
title_fullStr Lack of sex- and gender-disaggregated data in diagnostics: findings from a scoping review of five tracer conditions
title_full_unstemmed Lack of sex- and gender-disaggregated data in diagnostics: findings from a scoping review of five tracer conditions
title_short Lack of sex- and gender-disaggregated data in diagnostics: findings from a scoping review of five tracer conditions
title_sort lack of sex and gender disaggregated data in diagnostics findings from a scoping review of five tracer conditions
topic sex- and gender-disaggregated data in diagnostics
gender disparities in diagnosis of tuberculosis
coronavirus disease 2019 (COVID-19)
diabetes
malaria
and schistosomiasis
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1484873/full
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